{"id":20593,"date":"2015-03-26T23:37:58","date_gmt":"2015-03-26T22:37:58","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=20593"},"modified":"2015-03-26T23:37:58","modified_gmt":"2015-03-26T22:37:58","slug":"dum-pro-seniory-bojuje-s-vzp-uhrady-pece-nestaci-ani-na-platy-sester","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=20593","title":{"rendered":"D\u016fm pro seniory bojuje s VZP, \u00fahrady p\u00e9\u010de nesta\u010d\u00ed ani na platy sester"},"content":{"rendered":"

\u00dahrady V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny pro poskytovatele soci\u00e1ln\u00edch slu\u017eeb jsou n\u00edzk\u00e9 a nepokryj\u00ed ani platy zdravotn\u00edch sester. Tvrd\u00ed to provozovatel Domu pro seniory v Sobot\u00edn\u011b na \u0160umpersku a odm\u00edt\u00e1 kv\u016fli podepsat novou smlouvu p\u0159edlo\u017eenou VZP. <\/strong><\/p>\n

ilustra\u010dn\u00ed foto: PhotoRack<\/p>\n

Diakonii \u010ceskobratrsk\u00e9 c\u00edrkve evangelick\u00e9, kter\u00e1 sobot\u00ednsk\u00e9 st\u0159edisko provozuje, u\u017e do\u0161la trp\u011blivost s p\u0159\u00edstupem V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny (VZP) v\u016f\u010di poskytovatel\u016fm soci\u00e1ln\u00edch slu\u017eeb a rozhodla se k radik\u00e1ln\u00edmu kroku: nepodepsat novou smlouvu o poskytov\u00e1n\u00ed a \u00fahrad\u011b o\u0161et\u0159ovatelsk\u00e9 p\u00e9\u010de. Pr\u00e1v\u011b z t\u00e9 mohla diakonie vypl\u00e1cet sestr\u00e1m mzdy.<\/p>\n

„M\u00e1lokdo by cht\u011bl ve smluvn\u00edm vztahu b\u00fdt v roli toho, jen\u017e nem\u00e1 mo\u017enost ovliv\u0148ovat podm\u00ednky vznikaj\u00edc\u00ed smlouvy. Ty, kter\u00e9 n\u00e1m nastavuje nejv\u011bt\u0161\u00ed tuzemsk\u00e1 zdravotn\u00ed poji\u0161\u0165ovna, pova\u017eujeme za nep\u0159ijateln\u00e9,“ uvedla \u0159editelka sobot\u00ednsk\u00e9ho Domu pro seniory Hana \u0158ez\u00e1\u010dov\u00e1.<\/p>\n

U VZP je poji\u0161t\u011bno osmdes\u00e1t procent senior\u016f, kte\u0159\u00ed v sobot\u00ednsk\u00e9m domov\u011b \u017eij\u00ed. Diakonie p\u0159itom tvrd\u00ed, \u017ee platby od t\u00e9to poji\u0161\u0165ovny u\u017e dlouhodob\u011b nepokr\u00fdvaj\u00ed n\u00e1klady na odm\u011bny sester. Jejich platy tak neodpov\u00eddaj\u00ed tomu, co by si zaslou\u017eily. Aby v\u016fbec byly ochotn\u00e9 ve st\u0159edisku pracovat, mus\u00ed Diakonie hledat rezervy ve vlastn\u00edch zdroj\u00edch.<\/p>\n

Diakonii nav\u00edc vad\u00ed, \u017ee VZP reguluje \u00fahrady podle celkov\u00e9ho mno\u017estv\u00ed poskytnut\u00e9 p\u00e9\u010de. To zjednodu\u0161en\u011b \u0159e\u010deno znamen\u00e1, \u017ee \u010d\u00edm v\u00edce o\u0161et\u0159ovatelsk\u00e9 p\u00e9\u010de senio\u0159i pot\u0159ebuj\u00ed a spot\u0159ebuj\u00ed, t\u00edm v\u00edce se jednotkov\u00e9 sazby, za kter\u00e9 zdravotn\u00ed sestry st\u0159ediska pracuj\u00ed, sni\u017euj\u00ed.<\/p>\n

V leto\u0161n\u00edm roce bude VZP poskytovatel\u016fm soci\u00e1ln\u00edch slu\u017eeb platit maxim\u00e1ln\u011b 0,99 koruny za bod. Pokud v\u0161ak objem poskytnut\u00e9 p\u00e9\u010de p\u0159es\u00e1hne sto procent, m\u016f\u017ee \u00fahrada spadnout a\u017e na 0,49 K\u010d za bod. Na t\u011bchto podm\u00ednk\u00e1ch se poji\u0161\u0165ovna minul\u00fd t\u00fdden dohodla s Asociac\u00ed poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb. Na maximum limitu nikdo ve zdravotnictv\u00ed nedos\u00e1hne<\/p>\n

Sobot\u00ednsk\u00e1 diakonie usiluje o nav\u00fd\u0161en\u00ed \u00fahrady za o\u0161et\u0159ovatelskou p\u00e9\u010di na neregulovan\u00fdch 1,12 K\u010d za bod, co\u017e je maximum, kter\u00e9 umo\u017e\u0148uje vyhl\u00e1\u0161ka ministerstva zdravotnictv\u00ed. Prezident Asociace poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb Ji\u0159\u00ed Horeck\u00fd to pova\u017euje za nere\u00e1ln\u00e9.<\/p>\n

„Maxim\u00e1ln\u00ed limity se nepou\u017e\u00edvaj\u00ed nikde ve zdravotnictv\u00ed. My jsme to po\u017eadovali taky, ale poda\u0159ilo se n\u00e1m vyjednat jen desetiprocentn\u00ed meziro\u010dn\u00ed n\u00e1r\u016fst. P\u0159\u00ed\u0161t\u00ed rok chceme 1,02 koruny za bod, jako m\u00e1 dom\u00e1c\u00ed p\u00e9\u010de, proto\u017ee to je srovnateln\u00e1 odbornost,“ popsal Horeck\u00fd. Zaj\u00edm\u00e1 v\u00e1s d\u011bn\u00ed v kraj\u00edch?<\/p>\n

Za cenu jednoho vyd\u00e1n\u00ed z\u00edsk\u00e1te v\u0161echny region\u00e1ln\u00ed p\u0159\u00edlohy.<\/p>\n

Na to, \u017ee pr\u00e1ce domov\u016f pro seniory je od sam\u00e9ho po\u010d\u00e1tku podfinancovan\u00e1, upozor\u0148uje asociace u\u017e dlouhodob\u011b. I proto podle Horeck\u00e9ho VZP p\u0159istoupila na skokov\u00e9 nav\u00fd\u0161en\u00ed \u00fahradov\u00e9ho bodu z 0,90 na 0,99 koruny.<\/p>\n

„Je to nejv\u011bt\u0161\u00ed nav\u00fd\u0161en\u00ed v cel\u00e9m zdravotnictv\u00ed, nikdo se nedostal v\u00fd\u0161,“ podotkl Horeck\u00fd. I on v\u0161ak potvrdil, \u017ee \u00fahrady poji\u0161\u0165ovny i tak pokryj\u00ed jen asi 70 procent osobn\u00edch n\u00e1klad\u016f na zdravotnick\u00fd person\u00e1l.<\/p>\n

Sobot\u00ednsk\u00e1 diakonie z\u0159ejm\u011b nebude jedin\u00e1, kter\u00e1 smlouvu s VZP nepodep\u00ed\u0161e. Podobn\u011b se podle Asociace mo\u017en\u00e1 zachov\u00e1 n\u011bkolik des\u00edtek podobn\u00fdch za\u0159\u00edzen\u00ed. VZP ustoupit nehodl\u00e1. Dosud 4 soudy prohr\u00e1la, 12 vyhr\u00e1la<\/p>\n

V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna ale nehodl\u00e1 ustoupit. Odvol\u00e1v\u00e1 se na memorandum z lo\u0148sk\u00e9ho l\u00e9ta, kter\u00e9 m\u011blo ukon\u010dit vlekl\u00e9 soudn\u00ed spory mezi poji\u0161\u0165ovnou a domovy pro seniory. Dohodu podepsali z\u00e1stupci VZP, Asociace poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb a Asociace kraj\u016f.<\/p>\n

„Celkem m\u00e1 VZP smlouvu s 629 pobytov\u00fdmi za\u0159\u00edzen\u00edmi soci\u00e1ln\u00edch slu\u017eeb. Z nich se u\u017e bezm\u00e1la 90 procent dohodlo s poji\u0161\u0165ovnou na \u00fahradov\u00fdch mechanismech vych\u00e1zej\u00edc\u00edch z lo\u0148sk\u00e9ho memoranda. Ostatn\u00edm za\u0159\u00edzen\u00edm, kter\u00e1 na dohodu doposud nep\u0159istoupila, je VZP p\u0159ipravena hradit p\u00e9\u010di podle platn\u00e9 \u00fahradov\u00e9 vyhl\u00e1\u0161ky. Jin\u00fd postup nep\u0159edpokl\u00e1d\u00e1,“ sd\u011blil mluv\u010d\u00ed VZP Old\u0159ich Tich\u00fd.<\/p>\n

Spory mezi VZP a domovy pro seniory za\u010daly u\u017e p\u0159ed dv\u011bma lety. \u00dastavy podaly na VZP 57 \u017ealob, i kdy\u017e \u0159adu z nich pozd\u011bji st\u00e1hly. V p\u0159\u00edpadech, kter\u00e9 se dostaly k soud\u016fm, padaly rozd\u00edln\u00e9 rozsudky – do konce prvn\u00edho \u010dtvrtlet\u00ed roku 2014 zazn\u011blo 12 verdikt\u016f, z toho osm bylo ve prosp\u011bch VZP a \u010dty\u0159i pro domovy. Dodnes \u0159e\u0161\u00ed soudy asi deset dal\u0161\u00edch spor\u016f. P\u0159echod k jin\u00e9 poji\u0161\u0165ovn\u011b by nic ne\u0159e\u0161il, \u0159\u00edk\u00e1 \u0159editelka domova<\/p>\n

Pr\u00e1ci sobot\u00ednsk\u00fdch zdravotn\u00edch sester budou z\u0159ejm\u011b muset zastat sestry n\u011bkter\u00e9 z extern\u00edch agentur nebo sestry z ambulanc\u00ed l\u00e9ka\u0159\u016f.<\/p>\n

„Klienti i jejich rodinn\u00ed p\u0159\u00edslu\u0161n\u00edci o probl\u00e9mech v\u011bd\u00ed, zat\u00edm n\u00e1s ch\u00e1pou. V\u011b\u0159\u00edm, \u017ee tento krizov\u00fd stav nebude trvat dlouho,“ \u0159\u00edk\u00e1 \u0159editelka Hana \u0158ez\u00e1\u010dov\u00e1.<\/p>\n

Odej\u00edt k jin\u00e9 poji\u0161\u0165ovn\u011b nen\u00ed pro sobot\u00ednsk\u00e9 seniory \u0159e\u0161en\u00edm, proto\u017ee podle z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed se mohou p\u0159ehl\u00e1sit k jin\u00e9 poji\u0161\u0165ovn\u011b jenom jednou za rok, a to v\u017edy k 1. lednu.<\/p>\n

„Nav\u00edc to m\u00e1 je\u0161t\u011b jeden nepraktick\u00fd dopad: kdy\u017e se v\u0161ichni p\u0159ihl\u00e1s\u00ed k jin\u00e9 poji\u0161\u0165ovn\u011b, ta za\u010dne tak\u00e9 regulovat. Ostatn\u00ed poji\u0161\u0165ovny se toti\u017e \u0159\u00edd\u00ed praktikami VZP,“ podotkla Hana \u0158ez\u00e1\u010dov\u00e1. <\/p>\n

MF DNES, Petra Klimkov\u00e1<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00dahrady V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny pro poskytovatele soci\u00e1ln\u00edch slu\u017eeb jsou n\u00edzk\u00e9 a nepokryj\u00ed ani platy zdravotn\u00edch sester. Tvrd\u00ed to provozovatel Domu pro seniory v Sobot\u00edn\u011b na […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14573,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-20593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20593","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=20593"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20593\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14573"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20593"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20593"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}