{"id":21612,"date":"2015-06-03T11:12:15","date_gmt":"2015-06-03T09:12:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=21612"},"modified":"2015-06-03T11:12:15","modified_gmt":"2015-06-03T09:12:15","slug":"lide-by-se-v-nasich-socialnich-zarizenich-meli-citit-skoro-jako-doma","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=21612","title":{"rendered":"Lid\u00e9 by se v na\u0161ich soci\u00e1ln\u00edch za\u0159\u00edzen\u00edch m\u011bli c\u00edtit skoro jako doma"},"content":{"rendered":"

Rozhovor Hal\u00f3 novin s radn\u00edm Kr\u00e1lov\u00e9hradeck\u00e9ho kraje Josefem Luk\u00e1\u0161kem (KS\u010cM)<\/strong><\/p>\n

– Stupe\u0148 z\u00e1vislosti klient\u016f v krajsk\u00fdch pobytov\u00fdch za\u0159\u00edzen\u00edch pro seniory sp\u00ed\u0161e stoup\u00e1. Jak si tento jev vysv\u011btlujete?<\/p>\n

Vysv\u011btlen\u00ed je docela prost\u00e9. \u010cesk\u00e1 republika st\u00e1rne a lid\u00e9 se v p\u0159ev\u00e1\u017en\u00e9 m\u00ed\u0159e do\u017e\u00edvaj\u00ed vy\u0161\u0161\u00edho v\u011bku. V\u011bt\u0161ina senior\u016f se sna\u017e\u00ed z\u016fstat co nejd\u00e9le doma, v dom\u00e1c\u00edm prost\u0159ed\u00ed. D\u00edky pom\u011brn\u011b roz\u0161\u00ed\u0159en\u00e9 s\u00edti pe\u010dovatelsk\u00fdch slu\u017eeb i dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de \u0159ada na\u0161ich babi\u010dek a d\u011bde\u010dk\u016f do\u017e\u00edv\u00e1 doma, mezi sv\u00fdmi. Jestli\u017ee se v\u0161ak stav stane zdravotn\u011b \u010di du\u0161evn\u011b ne\u00fanosn\u00fd a rodina nen\u00ed schopna poskytnout plnohodnotnou \u010dty\u0159iadvacetihodinovou p\u00e9\u010di, obrac\u00ed se na pobytov\u00e1 za\u0159\u00edzen\u00ed s prosbou o pomoc.<\/p>\n

– Odpov\u00edd\u00e1 zhor\u0161en\u00e9mu zdravotn\u00edmu stavu klient\u016f tak\u00e9 m\u00edra poskytovan\u00e9 zdravotn\u00ed p\u00e9\u010de, p\u0159edepisovan\u00e9 l\u00e9ka\u0159i a hrazen\u00e9 zdravotn\u00edmi poji\u0161\u0165ovnami?<\/p>\n

Co na to \u0159\u00edci? Krajsk\u00fd \u00fa\u0159ad, p\u0159esn\u011bji pracovn\u00edci odboru soci\u00e1ln\u00edch v\u011bc\u00ed a \u0159editel\u00e9 \u00fastav\u016f soci\u00e1ln\u00ed a zdravotn\u00ed p\u00e9\u010de, se pochopiteln\u011b sna\u017e\u00ed, aby m\u00edra slu\u017eeb hrazen\u00fdch zdravotn\u00edmi poji\u0161\u0165ovnami byla co nejvy\u0161\u0161\u00ed. Ale tady je pot\u0159eba up\u0159esnit, jak\u00e9 slu\u017eby na\u0161e za\u0159\u00edzen\u00ed poskytuj\u00ed. Samoz\u0159ejm\u011b, prvn\u00ed jsou pe\u010dovatelsk\u00e9, v\u010detn\u011b kompletn\u00edch ubytovac\u00edch slu\u017eeb. Od l\u016f\u017eka, p\u0159es stravu, hygienu a\u017e po pran\u00ed pr\u00e1dla. Dal\u0161\u00ed jsou slu\u017eby soci\u00e1ln\u00edho charakteru, aktivizuj\u00edc\u00ed na\u0161e seniory, kdy se je na\u0161e pracovnice sna\u017e\u00ed zapojit do n\u011bjak\u00e9 zaj\u00edmav\u00e9 \u010dinnosti. T\u0159et\u00ed skupinou jsou slu\u017eby o\u0161et\u0159ovatelsk\u00e9, na kter\u00e9 p\u0159isp\u00edvaj\u00ed zm\u00edn\u011bn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. Zde hodn\u011b z\u00e1le\u017e\u00ed na o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159i. Pokud o\u0161et\u0159ovatelsk\u00e9 v\u00fdkony p\u0159edep\u00ed\u0161e, jsou zahrnuty do p\u0159\u00edsp\u011bvk\u016f zdravotn\u00edch poji\u0161\u0165oven. Pokud ne, n\u011bkter\u00e9 z t\u011bchto v\u00fdkon\u016f mus\u00ed b\u00fdt provedeny stejn\u011b, ale bohu\u017eel jsou hrazeny z provozu za\u0159\u00edzen\u00ed. Jednodu\u0161e \u0159e\u010deno, z p\u0159\u00edsp\u011bvku kraje, a zdravotn\u00ed poji\u0161\u0165ovna tak u\u0161et\u0159\u00ed.<\/p>\n

– Co m\u016f\u017ee kraj, pota\u017emo krajsk\u00fd radn\u00ed, jako gestor soci\u00e1ln\u00edch slu\u017eeb na \u00fazem\u00ed kraje ud\u011blat pro to, aby \u010d\u00e1st n\u00e1klad\u016f na zdravotn\u00ed p\u00e9\u010di o tyto seniory nemusel hradit kraj?<\/p>\n

P\u0159iznejme, \u017ee s ohledem na z\u00e1kon o zdravotn\u00edch slu\u017eb\u00e1ch a z\u00e1kon o zdravotn\u00edm poji\u0161t\u011bn\u00ed mnoho mo\u017enost\u00ed nem\u00e1. Snaha je p\u0159edev\u0161\u00edm zam\u011b\u0159ena na dobrou spolupr\u00e1ci person\u00e1lu za\u0159\u00edzen\u00ed s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em. Tady je pot\u0159eba uv\u00e9st, \u017ee l\u00e9ka\u0159 nen\u00ed zam\u011bstnancem p\u0159\u00edsp\u011bvkov\u00e9 organizace, tedy v tomto p\u0159\u00edpad\u011b domova pro seniory. Klienti na\u0161ich \u00fastav\u016f tvo\u0159\u00ed pouze \u010d\u00e1st obvodu praktick\u00e9ho l\u00e9ka\u0159e. Dal\u0161\u00edm d\u016fle\u017eit\u00fdm bodem je dobr\u00e1 spolupr\u00e1ce za\u0159\u00edzen\u00ed s revizn\u00edmi l\u00e9ka\u0159i zdravotn\u00edch poji\u0161\u0165oven. V t\u00e9to oblasti doch\u00e1z\u00ed ke zlep\u0161en\u00ed a v\u011bt\u0161ina revizn\u00edch l\u00e9ka\u0159\u016f m\u00e1 pochopen\u00ed pro na\u0161e za\u0159\u00edzen\u00ed, zvl\u00e1\u0161t\u011b pak pro ta, kter\u00e1 se v\u011bnuj\u00ed senior\u016fm. D\u016fle\u017eit\u00fdm zdrojem prost\u0159edk\u016f, i kdy\u017e pochopiteln\u011b ne st\u011b\u017eejn\u00edm, jsou dary. Mnoz\u00ed podnikatel\u00e9 spolupracuj\u00ed s na\u0161imi organizacemi a pomohou p\u0159i zakoupen\u00ed d\u016fle\u017eit\u00e9ho vybaven\u00ed. A mnohdy to nejsou zanedbateln\u00e9 \u010d\u00e1stky, kter\u00e9 tak za\u0159\u00edzen\u00ed, \u010dili i kraj, u\u0161et\u0159\u00ed.<\/p>\n

– V sou\u010dasn\u00e9 dob\u011b prob\u00edh\u00e1 spor l\u00e9ka\u0159\u016f o klienty v Domov\u011b U Bi\u0159i\u010dky, nejv\u011bt\u0161\u00edm krajsk\u00e9m za\u0159\u00edzen\u00ed. Co spor vyvolalo?<\/p>\n

To by bylo dlouh\u00e9 vysv\u011btlov\u00e1n\u00ed. Tak tedy jen stru\u010dn\u011b. Prvotn\u00ed byla ot\u00e1zka mno\u017estv\u00ed vypisovan\u00e9 o\u0161et\u0159ovatelsk\u00e9 p\u00e9\u010de, jak jsem vysv\u011btloval d\u0159\u00edve. Proto\u017ee p\u0159\u00edsp\u011bvky od zdravotn\u00edch poji\u0161\u0165oven byly ni\u017e\u0161\u00ed a ni\u017e\u0161\u00ed, u na\u0161eho nejv\u011bt\u0161\u00edho za\u0159\u00edzen\u00ed jsme se dostali pod jednu t\u0159etinu republikov\u00e9ho pr\u016fm\u011bru, dokonce na\u0161e nejmen\u0161\u00ed za\u0159\u00edzen\u00ed m\u011blo vy\u0161\u0161\u00ed p\u0159\u00edsp\u011bvek poji\u0161\u0165oven na slu\u017eby vypisovan\u00e9 l\u00e9ka\u0159em ne\u017e tento domov, rozhodla se pan\u00ed \u0159editelka pro zm\u011bnu o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e. Klient\u016fm byla nab\u00eddnuta mo\u017enost zm\u011bny. N\u011bkte\u0159\u00ed l\u00e9ka\u0159e zm\u011bnili, n\u011bkte\u0159\u00ed klienti nem\u011bnili. Dnes je napad\u00e1n zp\u016fsob p\u0159eregistrace.<\/p>\n

– M\u016f\u017eete p\u0159ibl\u00ed\u017eit postoj samospr\u00e1vn\u00fdch org\u00e1n\u016f k tomuto sporu?<\/p>\n

Po pro\u0161et\u0159en\u00ed postupu, v\u010detn\u011b osobn\u00edch rozhovor\u016f s n\u011bkter\u00fdmi klienty zm\u00edn\u011bn\u00e9ho za\u0159\u00edzen\u00ed, bylo konstatov\u00e1no, \u017ee p\u0159eregistrace pacient\u016f v \u00fanoru tohoto roku nebyla v rozporu se z\u00e1konem o zdravotnick\u00fdch slu\u017eb\u00e1ch, se z\u00e1konem o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed, ani se z\u00e1konem o soci\u00e1ln\u00edch slu\u017eb\u00e1ch, a \u017ee pr\u00e1vo zvolit si sv\u00e9ho l\u00e9ka\u0159e je pr\u00e1vem pacienta. V tomto smyslu byla pod\u00e1na informace na posledn\u00edm zased\u00e1n\u00ed krajsk\u00e9ho zastupitelstva. D\u00e1le byli zastupitel\u00e9 informov\u00e1ni, \u017ee ob\u011b l\u00e9ka\u0159sk\u00e9 spole\u010dnosti byly vyzv\u00e1ny ke vz\u00e1jemn\u00e9mu jedn\u00e1n\u00ed, p\u0159inejmen\u0161\u00edm alespo\u0148 pr\u00e1vn\u00edch z\u00e1stupc\u016f, a \u017ee o spolupr\u00e1ci byl po\u017e\u00e1d\u00e1n i p\u0159edseda okresn\u00edho sdru\u017een\u00ed \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komory.<\/p>\n

– Projevuje se zde lobbing ze strany l\u00e9ka\u0159\u016f v zastupitelsk\u00fdch funkc\u00edch?<\/p>\n

Nenazval bych to p\u0159\u00edmo lobbingem, sp\u00ed\u0161e to lze ch\u00e1pat jako stavovskou solidaritu. L\u00e9ka\u0159\u016fm v org\u00e1nech zastupitelstva se pr\u016fb\u011bh p\u0159eregistrace jevil pon\u011bkud \u00bbnef\u00e9r\u00ab, ale to mus\u00ed \u0159e\u0161it p\u0159\u00edslu\u0161n\u00e9 org\u00e1ny \u010cLK, kam byly pod\u00e1ny podn\u011bty obou stran.<\/p>\n

– Objevuje se n\u00e1zor, \u017ee by p\u00e9\u010de o nemohouc\u00ed rodi\u010de m\u011bla b\u00fdt d\u011btem na\u0159\u00edzena z\u00e1konem. Jak tento n\u00e1zor vn\u00edm\u00e1te?<\/p>\n

Nedomn\u00edv\u00e1m se, \u017ee by to bylo to prav\u00e9. V dne\u0161n\u00ed dob\u011b, kdy n\u00e1s drav\u00fd kapitalismus nut\u00ed st\u011bhovat se za prac\u00ed, kdy lid\u00e9 jezd\u00ed za prac\u00ed do sousedn\u00edch zem\u00ed, jejich rodi\u010de bydl\u00ed<\/p>\n

t\u0159eba v\u00edce ne\u017e sto kilometr\u016f daleko, si nedok\u00e1\u017eu p\u0159edstavit, jak by toho cht\u011bli p\u0159edkladatel\u00e9 z\u00e1kona doc\u00edlit. Je to i ot\u00e1zka v\u00fdchovy v rodin\u00e1ch. \u0158editel\u00e9 na\u0161ich domov\u016f velice \u010dasto po\u0159\u00e1daj\u00ed setk\u00e1n\u00ed rodin s jejich seniory a zde vid\u00edme rozd\u00edln\u00e9 p\u0159\u00edstupy. N\u011bkte\u0159\u00ed p\u0159ijedou i z daleka, jin\u00ed, kte\u0159\u00ed by mohli projet pouze n\u011bkolik zast\u00e1vek MHD, se neuk\u00e1\u017eou za cel\u00fd \u010das. Ch\u00e1pu, \u017ee to mnohdy nen\u00ed jednoduch\u00e9, pr\u00e1ce ub\u00edr\u00e1 hodn\u011b \u010dasu i sil, c\u00edt\u00edm to i na sob\u011b, ale kdy\u017e se chce, \u010das se najde. Na druhou stranu je pot\u0159eba si v\u0161ak uv\u011bdomit, \u017ee mnoz\u00ed lid\u00e9 maj\u00ed dnes i dv\u011b zam\u011bstn\u00e1n\u00ed, aby v\u016fbec u\u017eivili svou rodinu. Nedok\u00e1\u017eu si dost dob\u0159e p\u0159edstavit, jak by se napl\u0148ovala litera z\u00e1kona.<\/p>\n

– Co v\u00e1m v sou\u010dasn\u00e9 dob\u011b v souvislosti se soci\u00e1ln\u00ed p\u00e9\u010d\u00ed nejv\u00edce le\u017e\u00ed na srdci?<\/p>\n

Opravdu nejv\u00edce starost\u00ed mi te\u010f d\u011bl\u00e1 nedostatek pen\u011bz ve st\u00e1tn\u00edm rozpo\u010dtu pro soci\u00e1ln\u00ed slu\u017eby. To je skute\u010dn\u011b celorepublikov\u00fd probl\u00e9m. Vl\u00e1da v lo\u0148sk\u00e9m roce nav\u00fd\u0161ila mzdy v soci\u00e1ln\u00edch slu\u017eb\u00e1ch, ale nezv\u00fd\u0161ila o tuto \u010d\u00e1stku tak\u00e9 p\u0159\u00edsun financ\u00ed do rozpo\u010dt\u016f kraj\u016f. Ministr financ\u00ed si patrn\u011b \u0159ekl: My v\u00e1m dovol\u00edme lidem p\u0159idat, a vy si se\u017ee\u0148te pen\u00edze, kde chcete. To \u0159\u00edk\u00e1m jako \u017eert, ale ve skute\u010dnosti to takto dopad\u00e1. Ale co mi opravdu le\u017e\u00ed na srdci, je p\u0159\u00e1n\u00ed, aby se lid\u00e9 v na\u0161ich za\u0159\u00edzen\u00edch c\u00edtili dob\u0159e. Aby se na n\u011b person\u00e1l usm\u00edval, abychom ne\u0159e\u0161ili st\u00ed\u017enosti na \u0161patnou stravu nebo nehezk\u00fd p\u0159\u00edstup l\u00e9ka\u0159e. Zkr\u00e1tka, aby to byly opravdu \u00fastavy soci\u00e1ln\u00ed p\u00e9\u010de v tom dobr\u00e9m smyslu slova, a ne \u00bbodkladi\u0161t\u011b\u00ab star\u00fdch a nemocn\u00fdch. Aby se tam na\u0161e babi\u010dky a na\u0161i d\u011bde\u010dkov\u00e9 c\u00edtili, kdy\u017e u\u017e ne jako doma, tak alespo\u0148 skoro jako doma. V\u00edte, nikdo z n\u00e1s nev\u00ed, v jak\u00e9m zdravotn\u00edm \u010di du\u0161evn\u00edm stavu se m\u016f\u017ee ocitnout. Tak se podle toho chovejme i ke sv\u00fdm rodi\u010d\u016fm a prarodi\u010d\u016fm. P\u0159eju \u010dten\u00e1\u0159\u016fm a \u010dten\u00e1\u0159k\u00e1m Hal\u00f3 novin hodn\u011b zdrav\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"

Rozhovor Hal\u00f3 novin s radn\u00edm Kr\u00e1lov\u00e9hradeck\u00e9ho kraje Josefem Luk\u00e1\u0161kem (KS\u010cM)<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14573,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-21612","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21612","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=21612"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21612\/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=21612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}