{"id":20592,"date":"2015-03-26T23:20:17","date_gmt":"2015-03-26T22:20:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=20592"},"modified":"2015-03-26T23:20:17","modified_gmt":"2015-03-26T22:20:17","slug":"v-cr-zije-az-pul-milionu-lidi-s-vaznym-psychiatrickym-onemocnenim","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=20592","title":{"rendered":"V \u010cR \u017eije a\u017e p\u016fl milionu lid\u00ed s v\u00e1\u017en\u00fdm psychiatrick\u00fdm onemocn\u011bn\u00edm"},"content":{"rendered":"<p><strong>V \u010cesku \u017eije a\u017e p\u016fl milionu lid\u00ed s v\u00e1\u017en\u00fdm psychiatrick\u00fdm onemocn\u011bn\u00edm, t\u0159etina obyvatel se n\u011bkdy s du\u0161evn\u00ed nemoc\u00ed l\u00e9\u010dila. Podle \u0159ady pr\u016fzkum\u016f je stav p\u00e9\u010de v \u010cesku v n\u011bkter\u00fdch aspektech hor\u0161\u00ed ne\u017e u ostatn\u00edch evropsk\u00fdch st\u00e1t\u016f.<\/strong><!--more--><\/p>\n<p>ilustra\u010dn\u00ed foto: Flickr.com<\/p>\n<p>    Na psychiatrii jde v \u010cesku podle \u00fadaj\u016f Organizace pro hospod\u00e1\u0159skou spolupr\u00e1ci a rozvoj (OECD) 2,6 procenta pen\u011bz zdravotn\u00edho poji\u0161t\u011bn\u00ed, ze zhruba 220 miliard K\u010d je to necel\u00fdch \u0161est miliard ro\u010dn\u011b. Pr\u016fm\u011br zem\u00ed OECD, v\u010detn\u011b rozvojov\u00fdch, je 3,5 procenta, vysp\u011bl\u00e9 d\u00e1vaj\u00ed i osm procent.<br \/>\n    V\u011bt\u0161ina p\u00e9\u010de je soust\u0159ed\u011bna do velk\u00fdch l\u00e9\u010deben, co\u017e jde proti evropsk\u00e9mu trendu. Ambulanc\u00ed je nedostatek. Chystan\u00e1 reforma psychiatrie po\u010d\u00edt\u00e1 se vznikem Center du\u0161evn\u00edho zdrav\u00ed ve v\u0161ech regionech. Centra se soust\u0159ed\u00ed na pacienty s v\u00e1\u017enou du\u0161evn\u00ed nemoc\u00ed, kte\u0159\u00ed dosud musej\u00ed b\u00fdt v \u00fastavech.<br \/>\n    Dal\u0161\u00ed t\u00e9ma reformy je nap\u0159\u00edklad odstran\u011bn\u00ed negativn\u00edho hodnocen\u00ed oboru i pacient\u016f ve\u0159ejnost\u00ed, zlep\u0161it se tak\u00e9 m\u00e1 spolupr\u00e1ce mezi psychiatri\u00ed a ostatn\u00ed medic\u00ednou. Do c\u00edl\u016f reformy se \u0159ad\u00ed i podpora psychiatrick\u00e9ho v\u00fdzkumu. Na ten se zam\u011b\u0159uje N\u00e1rodn\u00ed \u00fastav du\u0161evn\u00edho zdrav\u00ed, kter\u00fd dnes slavnostn\u011b otev\u0159e novou budovu v Klecanech u Prahy.<br \/>\n    Podle dat \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky, kter\u00fd zve\u0159ejnil \u010d\u00edsla naposledy za rok 2012, poskytovalo v dan\u00e9m roce psychiatrickou p\u00e9\u010di 853 ambulanc\u00ed, 30 nemocni\u010dn\u00edch odd\u011blen\u00ed a 18 psychiatrick\u00fdch l\u00e9\u010deben (nyn\u00ed psychiatrick\u00fdch nemocnic) pro dosp\u011bl\u00e9 a t\u0159i pro d\u011bti.<br \/>\n    Ambulance provedly 2,96 milionu o\u0161et\u0159en\u00ed a vy\u0161et\u0159en\u00ed, meziro\u010dn\u011b o procento v\u00edc, proti roku 2000 o 38 procent v\u00edc. O\u0161et\u0159ily 603.000 pacient\u016f, meziro\u010dn\u011b o \u010dty\u0159i procenta v\u00edc, proti roku 2000 t\u00e9m\u011b\u0159 o 60 procent v\u00edc. Nej\u010dast\u011bji se v ambulanc\u00edch l\u00e9\u010dili pacienti s neurotick\u00fdmi poruchami, afektivn\u00edmi poruchami, schizofreni\u00ed a kv\u016fli probl\u00e9m\u016fm s n\u00e1vykov\u00fdmi l\u00e1tkami.<br \/>\n    Celkem se v ambulanc\u00edch kv\u016fli probl\u00e9m\u016fm s alkoholem l\u00e9\u010dilo 22.838 lid\u00ed, s neleg\u00e1ln\u00edmi drogami 15.716. S Alzheimerovou chorobou bylo v ambulanc\u00edch p\u0159es 15.000 pacient\u016f, s poruchami p\u0159\u00edjmu potravy 3461, substitu\u010dn\u00ed l\u00e9\u010dbu kv\u016fli z\u00e1vislosti na opi\u00e1tov\u00fdch drog\u00e1ch podstupovalo 2357 lid\u00ed. U d\u011bt\u00ed byly nej\u010dast\u011bj\u0161\u00edm d\u016fvodem ambulantn\u00ed l\u00e9\u010dby v\u00fdvojov\u00e9 poruchy, ment\u00e1ln\u00ed retardace a neurotick\u00e9 poruchy. Na 10.000 obyvatel bylo ambulantn\u011b l\u00e9\u010deno 550 osob.<br \/>\n    V l\u016f\u017ekov\u00e9 p\u00e9\u010di bylo na nemocni\u010dn\u00edch psychiatri\u00edch 1260 l\u016f\u017eek, v psychiatrick\u00fdch l\u00e9\u010debn\u00e1ch (nemocnic\u00edch) pro dosp\u011bl\u00e9 8847 l\u016f\u017eek a pro d\u011bti 250 l\u016f\u017eek. L\u016f\u017eek dlouhodob\u011b m\u00edrn\u011b ub\u00fdv\u00e1, z celkov\u00e9ho po\u010dtu je 59 procent l\u016f\u017eek na odd\u011blen\u00edch v\u0161eobecn\u00e9 psychiatrie, 19 procent gerontopsychiatrie, 15 procent pro l\u00e9\u010dbu alkoholismu a ostatn\u00edch z\u00e1vislost\u00ed, \u0161est procent pro d\u011bti a dorost a dv\u011b procenta na sexuologii.<br \/>\n    Mu\u017ei byli hospitalizovan\u00ed nej\u010dast\u011bji s poruchou vyvolanou psychoaktivn\u00edmi l\u00e1tkami, \u017eeny nej\u010dast\u011bji s neurotick\u00fdmi poruchami. V\u011bt\u0161ina pacient\u016f po ukon\u010den\u00ed hospitalizace pot\u0159ebovala ambulantn\u00ed p\u00e9\u010di, z nich 48 procent trvalou, 30 procent do\u010dasnou, dev\u011bt procent muselo b\u00fdt znovu hospitalizov\u00e1no a jen p\u011bt procent \u017e\u00e1dnou dal\u0161\u00ed p\u00e9\u010di nepot\u0159ebovalo.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V \u010cesku \u017eije a\u017e p\u016fl milionu lid\u00ed s v\u00e1\u017en\u00fdm psychiatrick\u00fdm onemocn\u011bn\u00edm, t\u0159etina obyvatel se n\u011bkdy s du\u0161evn\u00ed nemoc\u00ed l\u00e9\u010dila. Podle \u0159ady pr\u016fzkum\u016f je stav p\u00e9\u010de <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=20592\" title=\"V \u010cR \u017eije a\u017e p\u016fl milionu lid\u00ed s v\u00e1\u017en\u00fdm psychiatrick\u00fdm onemocn\u011bn\u00edm\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":12203,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-20592","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\/20592","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=20592"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20592\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/12203"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}