{"id":21947,"date":"2015-06-29T09:00:16","date_gmt":"2015-06-29T07:00:16","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=21947"},"modified":"2015-06-29T09:00:16","modified_gmt":"2015-06-29T07:00:16","slug":"je-mozno-lecit-obezitu-v-laznich","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=21947","title":{"rendered":"Je mo\u017eno l\u00e9\u010dit obezitu v l\u00e1zn\u00edch?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA: Je mo\u017eno l\u00e9\u010dit obezitu v l\u00e1zn\u00edch?  Kdo a za jak\u00fdch podm\u00ednek se m\u016f\u017ee jet s obezitou l\u00e9\u010dit do l\u00e1zn\u00ed? Odpov\u00edd\u00e1 VZP.<\/strong><!--more--><\/p>\n<p>ilustra\u010dn\u00ed foto: Paleo-Crossfit-Omnivore-Lowcarb-NonVegan-Meat-Diet \/ Flickr.com <\/p>\n<p>ODPOV\u011a\u010e:<\/p>\n<p>Obezitu dosp\u011bl\u00fdch nikoli, obezitu d\u011bt\u00ed ano. Nemoci, u kter\u00fdch lze l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di poskytnout a hradit z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, stanov\u00ed z\u00e1kon o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed, resp. jeho p\u0159\u00edloha \u010d. 5 Indika\u010dn\u00ed seznam pro l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di. Vyhl\u00e1\u0161kou MZ \u010cR \u010d. 2\/2015 Sb. jsou pak stanoveny indika\u010dn\u00ed p\u0159edpoklady, kontraindikace, odborn\u00e1 krit\u00e9ria pro poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de, obory specializace doporu\u010duj\u00edc\u00edch l\u00e9ka\u0159\u016f, indika\u010dn\u00ed zam\u011b\u0159en\u00ed l\u00e1ze\u0148sk\u00fdch m\u00edst atd. T\u011bmito dv\u011bma normami se mus\u00ed doporu\u010duj\u00edc\u00ed a navrhuj\u00edc\u00ed l\u00e9ka\u0159i \u0159\u00eddit, stejn\u011b jako revizn\u00ed l\u00e9ka\u0159i, kte\u0159\u00ed n\u00e1vrhy na l\u00e1zn\u011b potvrzuj\u00ed.<\/p>\n<p>Indika\u010dn\u00ed seznam umo\u017e\u0148uje l\u00e1ze\u0148skou l\u00e9\u010dbu obezity pouze u d\u011bt\u00ed. P\u0159\u00edslu\u0161n\u00e1 indika\u010dn\u00ed skupina m\u00e1 n\u00e1zev &#8222;Nemoci z poruch v\u00fdm\u011bny l\u00e1tkov\u00e9 a \u017el\u00e1z s vnit\u0159n\u00ed sekrec\u00ed a obezita&#8220;; v n\u00ed pak je indikace XXIV\/2 \u2013 Obezita spojen\u00e1 s dal\u0161\u00edmi rizikov\u00fdmi faktory. Adekv\u00e1tn\u00ed indika\u010dn\u00ed skupina u dosp\u011bl\u00fdch se naz\u00fdv\u00e1 jen &#8222;Nemoci z poruch v\u00fdm\u011bny l\u00e1tkov\u00e9 a \u017el\u00e1z s vnit\u0159n\u00ed sekrec\u00ed&#8220; a indikaci &#8222;obezita&#8220; v\u016fbec neuv\u00e1d\u00ed (m\u016f\u017eeme doplnit, \u017ee stejn\u011b tomu bylo i v p\u0159edchoz\u00edm indika\u010dn\u00edm seznamu, tj. v legislativn\u00ed norm\u011b \u010d. 267\/2012 Sb.). To znamen\u00e1, \u017ee l\u00e1ze\u0148sk\u00e9 l\u00e9\u010den\u00ed obezity u dosp\u011bl\u00fdch nem\u016f\u017ee b\u00fdt hrazeno z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Pobyty c\u00edlen\u00e9 na redukci nadv\u00e1hy ale \u0159ada l\u00e1ze\u0148sk\u00fdch za\u0159\u00edzen\u00ed nab\u00edz\u00ed jako samopl\u00e1teck\u00e9.<\/p>\n<p>U indikace XXIV\/2 \u2013 Obezita spojen\u00e1 s dal\u0161\u00edmi rizikov\u00fdmi faktory se l\u00e1ze\u0148sk\u00e1 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de d\u011btem poskytuje jako p\u00e9\u010de komplexn\u00ed, v d\u00e9lce trv\u00e1n\u00ed 28 dn\u016f a s mo\u017enost\u00ed prodlou\u017een\u00ed (na z\u00e1klad\u011b l\u00e9ka\u0159sk\u00e9 indikace a schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em). L\u00e1ze\u0148sk\u00fd pobyt se m\u016f\u017ee p\u0159i prok\u00e1zan\u00e9m efektu p\u0159edchoz\u00edho pobytu i opakovat (op\u011bt jako komplexn\u00ed a na 28 dn\u016f), a to do 36 m\u011bs\u00edc\u016f od za\u010d\u00e1tku z\u00e1kladn\u00edho pobytu a 1x v pr\u016fb\u011bhu kalend\u00e1\u0159n\u00edho roku.<\/p>\n<p>L\u00e1ze\u0148skou l\u00e9\u010dbu pro danou indikaci m\u016f\u017ee d\u00edt\u011bti doporu\u010dit l\u00e9ka\u0159 odbornosti d\u011btsk\u00e1 endokrinologie a diabetologie, d\u011btsk\u00e9 l\u00e9ka\u0159stv\u00ed, endokrinologie a diabetologie, praktick\u00e9 l\u00e9ka\u0159stv\u00ed pro d\u011bti a dorost nebo rehabilita\u010dn\u00ed a fyzik\u00e1ln\u00ed medic\u00edna. N\u00e1vrh v\u017edy pod\u00e1v\u00e1 zdravotn\u00ed poji\u0161\u0165ovn\u011b registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 d\u00edt\u011bte (nebo o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 p\u0159i hospitalizaci). L\u00e9\u010dbu obezity mohou klienti VZP absolvovat v l\u00e1ze\u0148sk\u00fdch m\u00edstech Bludov, Jansk\u00e9 L\u00e1zn\u011b, Jesen\u00edk, Karlovy Vary, Klimkovice, L\u00e1zn\u011b Kyn\u017evart, Luha\u010dovice, Pod\u011bbrady, Teplice, Teplice nad Be\u010dvou.<\/p>\n<p>V roce 2009 bylo na tuto indikaci odl\u00e9\u010deno 661 d\u011btsk\u00fdch klient\u016f VZP, n\u00e1sledn\u011b 578 a 602, v roce 2012 to bylo 504 d\u011bt\u00ed, pot\u00e9 393 a v roce 2014 po\u010det stoupl na 481.<\/p>\n<p>V\u00edce informac\u00ed k l\u00e1ze\u0148sk\u00e9 l\u00e9\u010db\u011b najdete na www.vzp.cz\/lazne.<\/p>\n<p>Mimo p\u00e9\u010di hrazenou z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed nab\u00edz\u00ed VZP sv\u00fdm klient\u016fm od leto\u0161ka jako benefit tak\u00e9 p\u0159\u00edsp\u011bvky na sn\u00ed\u017een\u00ed nadv\u00e1hy a obezity. P\u0159\u00edsp\u011bvek m\u016f\u017ee dos\u00e1hnout v\u00fd\u0161e a\u017e 500 korun a \u010derpat ho mohou jak d\u011bti, tak dosp\u011bl\u00ed. P\u0159esn\u00e9 podm\u00ednky pro \u010derp\u00e1n\u00ed v\u0161ech benefit\u016f, kter\u00e9 VZP nab\u00edz\u00ed, najdete na str\u00e1nk\u00e1ch Klubu pevn\u00e9ho zdrav\u00ed.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fdvedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA: Je mo\u017eno l\u00e9\u010dit obezitu v l\u00e1zn\u00edch? Kdo a za jak\u00fdch podm\u00ednek se m\u016f\u017ee jet s obezitou l\u00e9\u010dit do l\u00e1zn\u00ed? Odpov\u00edd\u00e1 VZP.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":17191,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-21947","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21947","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=21947"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21947\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17191"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21947"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21947"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}