{"id":22720,"date":"2015-09-13T22:56:45","date_gmt":"2015-09-13T20:56:45","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22720"},"modified":"2015-09-13T22:56:45","modified_gmt":"2015-09-13T20:56:45","slug":"projekt-vzp-cesta-k-nekuractvi-vzp-da-kazdemu-2-500-kc","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22720","title":{"rendered":"Projekt VZP \u201eCesta k neku\u0159\u00e1ctv\u00ed. VZP d\u00e1 ka\u017ed\u00e9mu 2 500 K\u010d"},"content":{"rendered":"

\u010cesk\u00e1 l\u00e9k\u00e1rnick\u00e1 komora podporuje spolupr\u00e1ci s VZP a Spole\u010dnost\u00ed pro l\u00e9\u010dbu z\u00e1vislosti na tab\u00e1ku odvyk\u00e1n\u00ed kou\u0159en\u00ed. Maxim\u00e1ln\u00ed v\u00fd\u0161e p\u0159\u00edsp\u011bvku VZP pro jednoho poji\u0161t\u011bnce je stanovena na 2 500 K\u010d . <\/strong><\/p>\n

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

Jejich s pole\u010dn\u00fd projekt \u201eCesta k neku\u0159\u00e1ctv\u00ed\u201c bude prob\u00edhat od 1. 9. 2015 do 31. 12. 2016 . Pro pacienty jsou p\u0159ipraveny ve vybran\u00fdch l\u00e9k\u00e1rn\u00e1ch a Centrech pMaxim\u00e1ln\u00ed v\u00fd\u0161e p\u0159\u00edsp\u011bvku VZP \u010cR pro jednoho poji\u0161t\u011bnce je stanovena na 2 500 K\u010d . Podpora rozhodnut\u00ed p\u0159estat kou\u0159it m\u00e1 z\u00e1sadn\u00ed v\u00fdznam pro zdrav\u00ed poji\u0161t\u011bnce.ro z\u00e1visl\u00e9 na tab\u00e1ku konzultac e s l\u00e9k\u00e1rn\u00edky a l\u00e9ka\u0159i.<\/p>\n

V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna nav\u00edc podpo\u0159\u00ed sv\u00e9 poji\u0161t\u011bnce poskytnut\u00edm finan\u010dn\u00edho p\u0159\u00edsp\u011bvku za \u00fa\u010delem odvyk\u00e1n\u00ed z\u00e1vislosti na tab\u00e1ku. P\u0159\u00edsp\u011bvek bude poskytnut jednak na l\u00e9\u010div\u00fd p\u0159\u00edpravek po p\u0159edeps\u00e1n\u00ed o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em Centra pro z\u00e1visl\u00e9 na tab\u00e1ku (dle seznamu na www.slzt.cz\/centra – lecby).<\/p>\n

Finan\u010dn\u00ed podpora bude tak\u00e9 sm\u011b\u0159ov\u00e1na na voln\u011b prodejn\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky, jejich\u017e v\u00fddej potvrd\u00ed l\u00e9k\u00e1rn\u00edk – odborn\u00fd konzultant p\u0159i odborn\u00e9m pracovi\u0161ti \u010cLnK (dle seznamu na www.lekarnici.cz nebo na www.lekarnickekapky.cz\/lekarny\/mapa – lekaren\/).<\/p>\n

Jedn\u00e1 se o p\u0159\u00edpravky k n\u00e1hradn\u00ed l\u00e9\u010db\u011b nikotinem v n\u00e1sleduj\u00edc\u00edch form\u00e1ch: n\u00e1plasti, pastilky, orodispergovateln\u00fd film, \u00fastn\u00ed spreje, \u017ev\u00fdka\u010dky.<\/p>\n

Maxim\u00e1ln\u00ed v\u00fd\u0161e p\u0159\u00edsp\u011bvku VZP \u010cR pro jednoho poji\u0161t\u011bnce je stanovena na 2 500 K\u010d . Podpora rozhodnut\u00ed p\u0159estat kou\u0159it m\u00e1 z\u00e1sadn\u00ed v\u00fdznam pro zdrav\u00ed poji\u0161t\u011bnce.<\/p>\n

Kou\u0159en\u00ed v\u00fdznamn\u011b ovliv\u0148uje kvalitu i d\u00e9lku \u017eivota, zvy\u0161uje v\u00fdskyt komplikac\u00ed a nemoc\u00ed , p\u0159edev\u0161\u00edm onkologick\u00fdch, kardiovaskul\u00e1rn\u00edch a respira\u010dn\u00edch, ale tak\u00e9 n\u011bkolika des\u00edtek dal\u0161\u00edch \u2013 zvy\u0161uje nap\u0159. riziko osteopor\u00f3zy (\u0159\u00eddnut\u00ed kost\u00ed), roztrou\u0161en\u00e9 skler\u00f3zy, diabetu mellitu (cukrovky) , hypertenze (vysok\u00e9ho krevn\u00edho tlaku) , metabolick\u00e9ho syndromu, \u0161irok\u00e9 palety psychiatrick\u00fdch onemocn\u011bn\u00ed v\u010detn\u011b \u00fazkost\u00ed a deprese, zhor\u0161uje hojen\u00ed ran, bolesti sval\u016f a kloub\u016f, poruchy sp\u00e1nku a dal\u0161\u00ed.<\/p>\n

\u201e\u00da\u010dinek l\u00e9k\u016f z\u00e1vislosti na tab\u00e1ku z\u00e1vis\u00ed na d\u00e9lce a m\u00ed\u0159e odborn\u00e9 intervence. Bez n\u00ed je \u00fasp\u011b\u0161nost bl\u00edzk\u00e1 placebu (kolem 5 %), s intenzivn\u00ed dlouhou intervenc\u00ed to m\u016f\u017ee b\u00fdt a\u017e 40 %,\u201c \u0159\u00edk\u00e1 d oc. MUDr. Eva Kr\u00e1l\u00edkov\u00e1, CSc., vedouc\u00ed Centra pro z\u00e1visl\u00e9 na tab\u00e1ku III. intern \u00ed kliniky 1. LF UK a VFN v Praze na Karlov\u011b n\u00e1m\u011bst\u00ed. V\u0161echny tyto l\u00e9ky ale funguj\u00ed proti abstinen\u010dn\u00edm p\u0159\u00edznak\u016fm, nikoli proti kou\u0159en\u00ed. Proto je podle d oc. Kr\u00e1l\u00edkov\u00e9 d\u016fle\u017eit\u00e9 spojen\u00ed s intervenc\u00ed l\u00e9ka\u0159e nebo l\u00e9k\u00e1rn\u00edka . Jak l\u00e9ky funguj \u00ed ? Prvn\u00ed d\u00e1vka l\u00e9\u010div\u00e9ho p\u0159\u00edpravku na p\u0159edpis se pod\u00e1v\u00e1 t\u00fdden p\u0159edt\u00edm, ne\u017e ku\u0159\u00e1k p\u0159estane kou\u0159it. Obecn\u011b je tento typ l\u00e9\u010dby vhodn\u011bj\u0161\u00ed pro ku\u0159\u00e1ky v\u00edce z\u00e1visl\u00e9.<\/p>\n

Farmakoterapie z\u00e1vislosti na tab\u00e1ku by v\u017edy m\u011bla trvat co nejd\u00e9le, optim\u00e1ln\u011b nejm\u00e9n\u011b 3 – 6 m\u011bs\u00edc\u016f. K u\u017e\u00edv\u00e1n\u00ed voln\u011b prodejn\u00fdch l\u00e9\u010div poskytnou poradenstv\u00ed l\u00e9k\u00e1rn\u00edci.<\/p>\n

\u201eVe vybran\u00fdch l\u00e9k\u00e1rn\u00e1ch speci\u00e1ln\u011b pro\u0161kolen\u00ed l\u00e9k\u00e1rn\u00edci nab\u00edzej\u00ed odborn\u00e9 konzultace, kter\u00e9 pacient\u016fm pom\u00e1haj\u00ed zbavit se nejen zdrav\u00ed po\u0161kozuj\u00edc\u00edho kou\u0159en\u00ed\u201c, podtrhuje PharmDr. Lubom\u00edr Chudoba, prezident \u010cLnK.<\/p>\n

Co je t\u0159eba k proplacen\u00ed l\u00e9k\u016f z\u00e1vislosti na tab\u00e1ku ?<\/p>\n

P\u0159\u00edsp\u011bvek bude poskytnut na doporu\u010den\u00ed o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e Centra pro z\u00e1visl\u00e9 na tab\u00e1ku, nebo l\u00e9k\u00e1rn\u00edka – odborn\u00e9ho konzultanta p\u0159i odborn\u00e9m pracovi\u0161ti \u010cLnK. K \u017e\u00e1dosti o p\u0159\u00edsp\u011bvek je t\u0159eba dolo\u017eit origin\u00e1l doporu\u010den\u00ed o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e nebo l\u00e9k\u00e1rn\u00edka – odborn\u00e9ho konzultanta, kter\u00e9 je potvrzeno jejich podpisem a raz\u00edtkem pracovi\u0161t\u011b . Toto doporu\u010den\u00ed je voln\u011b ke sta\u017een\u00ed na webov\u00fdch str\u00e1nk\u00e1ch www.vzp.cz \/nekuractvi . D\u00e1le je nutn\u00e9 p\u0159edlo\u017eit origin\u00e1l platebn\u00edho dokladu z l\u00e9k\u00e1rny o \u00fahrad\u011b l\u00e9\u010div\u00fdch nebo zm\u00edn\u011bn\u00fdch podp\u016frn\u00fdch p\u0159\u00edpravk\u016f. \u017d\u00e1dost o p\u0159\u00edsp\u011bvek v\u010detn\u011b p\u0159\u00edloh m\u016f\u017ee klient zaslat po\u0161tou, nebo osobn\u011b na klientsk\u00e9m pracovi\u0161ti VZP<\/p>\n","protected":false},"excerpt":{"rendered":"

\u010cesk\u00e1 l\u00e9k\u00e1rnick\u00e1 komora podporuje spolupr\u00e1ci s VZP a Spole\u010dnost\u00ed pro l\u00e9\u010dbu z\u00e1vislosti na tab\u00e1ku odvyk\u00e1n\u00ed kou\u0159en\u00ed. Maxim\u00e1ln\u00ed v\u00fd\u0161e p\u0159\u00edsp\u011bvku VZP pro jednoho poji\u0161t\u011bnce je stanovena […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16097,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-22720","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\/22720","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=22720"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22720\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16097"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22720"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22720"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}