{"id":20509,"date":"2015-05-02T08:59:52","date_gmt":"2015-05-02T06:59:52","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=20509"},"modified":"2015-05-02T08:59:52","modified_gmt":"2015-05-02T06:59:52","slug":"navrat-invalidu-do-prace-cesko-zaostava","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=20509","title":{"rendered":"N\u00e1vrat invalid\u016f do pr\u00e1ce? \u010cesko zaost\u00e1v\u00e1"},"content":{"rendered":"

V \u010cesku nefunguje ucelen\u00e1 rehabilitace. A\u017e dv\u011bma t\u0159etin\u00e1m osob se zdravotn\u00edm posti\u017een\u00edm v produktivn\u00edm v\u011bku by p\u0159itom umo\u017enila vr\u00e1tit se do zam\u011bstn\u00e1n\u00ed. Na p\u0159\u00edslu\u0161n\u00e9m z\u00e1konu se pracuje ji\u017e patn\u00e1ct let. <\/strong><\/p>\n

ilustra\u010dn\u00ed foto: foxtongue \/ Flickr. com<\/p>\n

PRAHA \u010cty\u0159iadvacetilet\u00fd student pr\u00e1v Zden\u011bk m\u011bl v\u00e1\u017enou autonehodu. Utrp\u011bl p\u0159i n\u00ed t\u011b\u017ek\u00e9 poran\u011bn\u00ed mozku, ochrnul na p\u016fl t\u011bla a p\u0159estal komunikovat. L\u00e9ka\u0159i zhodnotili, \u017ee je ment\u00e1ln\u011b posti\u017een\u00fd. Zden\u011bk nav\u0161t\u011bvoval r\u016fzn\u00e1 zdravotn\u00ed za\u0159\u00edzen\u00ed, a\u017e se po t\u0159ech letech od nehody dostal do p\u00e9\u010de mezi oborov\u00e9ho rehabilita\u010dn\u00edho t\u00fdmu. Zjistili, \u017ee \u017e\u00e1dn\u00e9 ment\u00e1ln\u00ed posti\u017een\u00ed nem\u00e1 a jeho intelekt je naopak nad\u00e1le velmi vysok\u00fd. Zden\u011bk se rehabilitace \u00fa\u010dastnil zhruba rok. Nyn\u00ed je sice st\u00e1le na mechanick\u00e9m voz\u00edku a m\u00e1 probl\u00e9my s komunikac\u00ed, poda\u0159ilo se mu ale \u00fasp\u011b\u0161n\u011b dokon\u010dit pr\u00e1vnickou fakultu a je zam\u011bstn\u00e1n v advok\u00e1tn\u00ed kancel\u00e1\u0159i. <\/p>\n

Podobn\u00fdch p\u0159\u00edb\u011bh\u016f, jako je ten Zde\u0148k\u016fv, by mohlo b\u00fdt v\u00edce. „Kdyby existoval z\u00e1kon o ucelen\u00e9 rehabilitaci, pot\u0159ebn\u00e9 rehabilita\u010dn\u00ed slu\u017eby by se dostalo v\u0161em pacient\u016fm hned po propu\u0161t\u011bn\u00ed z nemocnice a byla by v\u011bt\u0161\u00ed \u0161ance, \u017ee se navr\u00e1t\u00ed do b\u011b\u017en\u00e9ho \u017eivota,“ v\u011b\u0159\u00ed p\u0159ednostka Kliniky rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy v Praze Olga \u0160vestkov\u00e1.
\n„Nyn\u00ed to funguje tak, \u017ee \u010dlov\u011bk, kter\u00fd vyjde z nemocnice, dostane invalidn\u00ed d\u016fchod a d\u00e1le u\u017e se o n\u011bj nikdo nestar\u00e1,“ popisuje sou\u010dasnou situaci p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm \u010cR V\u00e1clav Kr\u00e1sa. <\/p>\n

\u010cesko je jednou z m\u00e1la evropsk\u00fdch zem\u00ed, v jejich\u017e legislativ\u011b z\u00e1kon o ucelen\u00e9 rehabilitaci chyb\u00ed. T\u00fdkal by se a\u017e milionu obyvatel. Podle \u00fadaj\u016f \u010cesk\u00e9ho statistick\u00e9ho \u00fa\u0159adu osoby se zdravotn\u00edm posti\u017een\u00edm tvo\u0159\u00ed necel\u00fdch deset procent \u010desk\u00e9 populace.
\nOdborn\u00edci jsou p\u0159esv\u011bd\u010deni, \u017ee s \u00fa\u010dinn\u011bj\u0161\u00ed rehabilitac\u00ed by v\u00edce pacient\u016f mohlo op\u011bt \u017e\u00edt plnohodnotn\u00fd \u017eivot, vr\u00e1tit se do pr\u00e1ce nebo alespo\u0148 pob\u00fdvat ve zn\u00e1m\u00e9m dom\u00e1c\u00edm prost\u0159ed\u00ed a neskon\u010dit v l\u00e9\u010debn\u00e1ch \u010di jin\u00fdch instituc\u00edch.
\nMohly by se u\u0161et\u0159it dv\u011b miliardy Statistiky z evropsk\u00fdch zem\u00ed ukazuj\u00ed, \u017ee zp\u00e1tky do pracovn\u00edho procesu je mo\u017en\u00e9 p\u0159iv\u00e9st a\u017e dv\u011b t\u0159etiny osob se zdravotn\u00edm posti\u017een\u00edm v produktivn\u00edm v\u011bku. V \u010cesku se ale do zam\u011bstn\u00e1n\u00ed vrac\u00ed zhruba jen desetina z nich. „Mezi zdravotn\u00edm posti\u017een\u00edm a nezam\u011bstnatelnost\u00ed nen\u00ed rovn\u00edtko. Lid\u00e9 s disabilitou m\u016f\u017eou \u010dasto nad\u00e1le pracovat,“ \u0159\u00edk\u00e1 \u0160vestkov\u00e1. „Jakmile se \u010dlov\u011bk vr\u00e1t\u00ed do zam\u011bstn\u00e1n\u00ed, stane se z n\u011bj pl\u00e1tce dan\u00ed, plat\u00ed si soci\u00e1ln\u00ed a zdravotn\u00ed poji\u0161t\u011bn\u00ed, u\u0161et\u0159\u00ed se na invalidn\u00edch d\u016fchodech,“ vypo\u010d\u00edt\u00e1v\u00e1 d\u00e1le v\u00fdhody. Ti, kte\u0159\u00ed z\u00e1kon o ucelen\u00e9 rehabilitaci prosazuj\u00ed, spo\u010d\u00edtali, \u017ee \u00faspory ve v\u00fddaj\u00edch by dosahovaly p\u0159es dv\u011b miliardy korun ro\u010dn\u011b.
\nMinisterstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed, do jeho\u017e gesce z\u00e1kon spad\u00e1, o jeho v\u00fdhodnosti ji\u017e tak p\u0159esv\u011bd\u010deno nen\u00ed. „N\u00e1klady po zaveden\u00ed tohoto konceptu budou vy\u0161\u0161\u00ed p\u0159ibli\u017en\u011b o p\u016fl miliardy a ve velmi optimistick\u00e9 variant\u011b by pak mohlo doj\u00edt k \u00faspo\u0159e,“ vyj\u00e1d\u0159il se za ministerstvo Petr Sulek. Oponenti ale tvrd\u00ed, \u017ee na z\u00e1le\u017eitost je t\u0159eba nahl\u00ed\u017eet z dlouhodob\u00e9ho hlediska. „Jist\u011b\u017ee to bude n\u011bco st\u00e1t. P\u0159\u00ednosy s pohledem do budoucna jsou ale obrovsk\u00e9,“ v\u011b\u0159\u00ed Kr\u00e1sa. <\/p>\n

Lid\u00ed se zdravotn\u00edm posti\u017een\u00edm bude podle odborn\u00edk\u016f nav\u00edc st\u00e1le p\u0159ib\u00fdvat. To je d\u00e1no zejm\u00e9na st\u00e1rnut\u00edm populace, dnes je tak\u00e9 mo\u017en\u00e9 l\u00e9\u010dit \u0159adu nemoc\u00ed, na kter\u00e9 by lid\u00e9 d\u0159\u00edve um\u00edrali. Odborn\u00edci po\u010d\u00edtaj\u00ed, \u017ee kolem ka\u017ed\u00e9ho \u010dlov\u011bka se pohybuj\u00ed v\u011bt\u0161inou minim\u00e1ln\u011b dv\u011b dal\u0161\u00ed bl\u00edzk\u00e9 osoby a dostupn\u00e9 rehabilita\u010dn\u00ed slu\u017eby by tak ovlivnily \u017eivoty nejen lid\u00ed se zdravotn\u00edm posti\u017een\u00edm, n\u00fdbr\u017e i t\u011bch, kte\u0159\u00ed o n\u011b pe\u010duj\u00ed, tedy a\u017e t\u0159iceti procent \u010desk\u00e9 populace. <\/p>\n

Nefunk\u010dn\u00ed syst\u00e9m „Akutn\u00ed zdravotn\u00ed p\u00e9\u010de je na \u0161pi\u010dkov\u00e9 \u00farovni, v 21. stolet\u00ed to ale nesta\u010d\u00ed. Mus\u00edme um\u011bt \u017eivot nejen zachr\u00e1nit, n\u00fdbr\u017e zajistit i jeho kvalitu,“ \u0159\u00edk\u00e1 \u0160vestkov\u00e1. To \u00fadajn\u011b st\u00e1vaj\u00edc\u00ed syst\u00e9m nezaru\u010duje. M\u011bl by fungovat tak, \u017ee pacient by se z nemocnice dostal do rukou rehabilita\u010dn\u00edho t\u00fdmu, kter\u00fd tvo\u0159\u00ed odborn\u00edci z r\u016fzn\u00fdch obor\u016f, od fyzioterapeut\u016f, ergoterapeut\u016f, logoped\u016f po speci\u00e1ln\u00ed pedagogy a psychology. Po ukon\u010den\u00ed rehabilitace by ergoterapeuti, kte\u0159\u00ed usiluj\u00ed o zapojen\u00ed pacienta do b\u011b\u017en\u00e9ho \u017eivota, zhodnotili jeho bydlen\u00ed, zda bude nutn\u00e9 p\u0159em\u011bnit ho na bezbari\u00e9rov\u00e9, a ur\u010dili by, jak\u00e9 pom\u016fcky pro ka\u017edodenn\u00ed \u017eivot p\u0159\u00edpadn\u011b jak\u00e9 soci\u00e1ln\u00ed slu\u017eby bude pot\u0159ebovat. „V \u010cesku se toho u\u017e hodn\u011b ud\u011blalo. M\u00e1me spoustu kvalifikovan\u00fdch pracovn\u00edk\u016f, kte\u0159\u00ed kvalitn\u00ed slu\u017eby dok\u00e1\u017eou poskytnout, \u0159adu zdravotn\u00edch pom\u016fcek plat\u00ed poji\u0161\u0165ovna, funguje t\u0159in\u00e1ct ergodiagnostick\u00fdch pracovi\u0161\u0165, m\u00e1me z\u00e1kon o soci\u00e1ln\u00edch slu\u017eb\u00e1ch a \u010d\u00e1st z\u00e1kona o zam\u011bstnanosti je v\u011bnovan\u00e1 i pracovn\u00ed rehabilitaci,“ vyjmenov\u00e1v\u00e1 klady \u0160vestkov\u00e1. „V sou\u010dasn\u00e9m syst\u00e9mu ale nen\u00ed spr\u00e1vn\u00e1 n\u00e1vaznost a organizace rehabilitace nastaven\u00e1 tak, aby se slu\u017eby dostaly ke v\u0161em pacient\u016fm s disabilitou, kte\u0159\u00ed maj\u00ed progn\u00f3zu ke zlep\u0161en\u00ed.“ <\/p>\n

Ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed tvrd\u00ed, \u017ee n\u00e1stroje, kter\u00e9 zaji\u0161\u0165uj\u00ed n\u00e1vaznost p\u00e9\u010de pro osoby po ukon\u010den\u00ed hospitalizace, ji\u017e existuj\u00ed. Podle ustanoven\u00ed z\u00e1kona o soci\u00e1ln\u00edch slu\u017eb\u00e1ch m\u00e1 poskytovatel zdravotn\u00edch slu\u017eeb informovat m\u00edstn\u011b p\u0159\u00edslu\u0161n\u00fd \u00fa\u0159ad obce o tom, \u017ee pacienta propou\u0161t\u00ed a ten m\u00e1 zjistit mo\u017enosti n\u00e1vazn\u00e9 p\u00e9\u010de a zah\u00e1jit koordinaci soci\u00e1ln\u00edch slu\u017eeb. Podle \u0160vestkov\u00e9 to tak ale v praxi nefunguje. „Pacient si o soci\u00e1ln\u00ed slu\u017eby \u010di pracovn\u00ed rehabilitaci mus\u00ed za\u017e\u00e1dat s\u00e1m,“ komentuje. „M\u011bla by panovat v\u011bt\u0161\u00ed propojenost mezi soci\u00e1ln\u00edmi a zdravotn\u00edmi slu\u017ebami. Jsou sou\u010d\u00e1st\u00ed jednoho celku, kter\u00fd \u010dlov\u011bk pot\u0159ebuje,“ dod\u00e1v\u00e1 \u0160vestkov\u00e1.
\nT\u011b\u017ek\u00e9 se dohodnout Z\u00e1kon o ucelen\u00e9 rehabilitaci je nadresortn\u00ed z\u00e1le\u017eitost, kter\u00e1 vy\u017eaduje spolupr\u00e1ci t\u0159\u00ed ministerstev \u2013 pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed, zdravotnictv\u00ed a \u0161kolstv\u00ed. „Je neskute\u010dn\u011b komplikovan\u00e9, aby se \u00fa\u0159ady mezi sebou domluvily, a proto se to cel\u00e9 neust\u00e1le protahuje,“ vysv\u011btluje si Kr\u00e1sa, pro\u010d se z\u00e1kon projedn\u00e1v\u00e1 ji\u017e p\u0159es patn\u00e1ct let, \u017e\u00e1dn\u00fd z dosavadn\u00edch n\u00e1vrh\u016f nepro\u0161el.
\nPosledn\u00ed verzi Tez\u00ed pr\u00e1vn\u00ed \u00fapravy koordinace osob se zdravotn\u00edm posti\u017een\u00edm, z nich\u017e by se m\u011blo vych\u00e1zet p\u0159i p\u0159\u00edprav\u011b paragrafovan\u00e9ho z\u00e1kona, m\u00e1 ministerstvo pr\u00e1ce k dispozici ji\u017e od roku 2013. „Bylo v pl\u00e1nu materi\u00e1l projednat na jedn\u00e1n\u00ed vl\u00e1dy s t\u00edm, \u017ee v p\u0159\u00edpad\u011b jeho schv\u00e1len\u00ed by se vypracoval v\u011bcn\u00fd z\u00e1m\u011br z\u00e1kona o koordinaci rehabilitace. Ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed v\u0161ak materi\u00e1l z meziresortn\u00edho p\u0159ipom\u00ednkov\u00e9ho \u0159\u00edzen\u00ed st\u00e1hlo,“ vyj\u00e1d\u0159ila se za ministerstvo zdravotnictv\u00ed \u0160t\u011bp\u00e1nka \u010cechov\u00e1. „Po\u010d\u00edtalo se, \u017ee by se v krajsk\u00fdch m\u011bstech vytvo\u0159ila rehabilita\u010dn\u00ed koordina\u010dn\u00ed centra. Toto um\u00edst\u011bn\u00ed je v\u0161ak diskutabiln\u00ed kv\u016fli m\u00edstn\u00ed, \u010dasov\u00e9 i finan\u010dn\u00ed dostupnosti,“ vysv\u011btlil odklad Sulek. <\/p>\n

V sou\u010dasnosti t\u00e9ma ucelen\u00e1 rehabilitace do legislativn\u00edho pl\u00e1nu prac\u00ed ministerstva soci\u00e1ln\u00edch v\u011bc\u00ed za\u0159azen\u00e9 nen\u00ed. „St\u00e1le ov\u0161em z\u016fst\u00e1v\u00e1 jedn\u00edm ze st\u011b\u017eejn\u00edch \u00fakol\u016f ministerstva a jsme p\u0159ipraveni spolupracovat,“ tvrd\u00ed Sulek. <\/p>\n

MARIE VEJVODOV\u00c1
\nLidov\u00e9 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"

V \u010cesku nefunguje ucelen\u00e1 rehabilitace. A\u017e dv\u011bma t\u0159etin\u00e1m osob se zdravotn\u00edm posti\u017een\u00edm v produktivn\u00edm v\u011bku by p\u0159itom umo\u017enila vr\u00e1tit se do zam\u011bstn\u00e1n\u00ed. Na p\u0159\u00edslu\u0161n\u00e9m z\u00e1konu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16920,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-20509","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20509"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20509\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16920"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20509"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20509"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}