Zdravotnictv\u00ed v \u010cesk\u00e9 republice hled\u00e1 cesty, jak l\u00e9pe l\u00e9\u010dit dlouhodob\u011b nemocn\u00e9. T\u00fdk\u00e1 se to hlavn\u011b senior\u016f, kter\u00fdch bude v p\u0159\u00ed\u0161t\u00edch letech v \u010cesku p\u0159ib\u00fdvat rychleji ne\u017e ve v\u011bt\u0161in\u011b zem\u00ed Evropy. St\u00e1t tak reaguje na letitou kritiku, \u017ee l\u00e9\u010dba dlouhodob\u011b nemocn\u00fdch selh\u00e1v\u00e1, proto\u017ee na ni nezb\u00fdvaj\u00ed pen\u00edze. Podle Sv\u011btov\u00e9 zdravotnick\u00e9 organizace \u010desk\u00fd syst\u00e9m ustrnul, pokud z\u016fst\u00e1v\u00e1 zam\u011b\u0159en\u00fd na akutn\u00ed l\u00e9\u010dbu.<\/p>\n
„V mezin\u00e1rodn\u00edm srovn\u00e1n\u00ed vych\u00e1z\u00ed \u010cesk\u00e1 republika velmi dob\u0159e v akutn\u00ed zdravotnick\u00e9 p\u00e9\u010di. Je to priorita na\u0161eho syst\u00e9mu. Kde ale zaost\u00e1v\u00e1me, je poskytov\u00e1n\u00ed n\u00e1sledn\u00e9 a dlouhodob\u00e9 p\u00e9\u010de,“ \u0159\u00edk\u00e1 Alena \u0160teflov\u00e1, \u0159editelka \u010desk\u00e9 kancel\u00e1\u0159e Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO). „Nepoda\u0159ilo se nastavit p\u00e9\u010di podle pot\u0159eb toho kter\u00e9ho \u010dlov\u011bka. V\u00fdsledky jsou alarmuj\u00edc\u00ed,“ tvrd\u00ed.
\n\u0160teflov\u00e1 \u0159\u00edk\u00e1, \u017ee \u010desk\u00fd syst\u00e9m nedok\u00e1\u017ee poskytnout v\u010dasnou rehabilitaci v\u017edy, kdy\u017e je pot\u0159eba, a nesoust\u0159e\u010fuje se na to, aby byl pacient sob\u011bsta\u010dn\u00fd. St\u00e1t tak\u00e9 nedostate\u010dn\u011b podporuje rekonvalescenci a dlouhodobou p\u00e9\u010di v dom\u00e1c\u00edm prost\u0159ed\u00ed, aby pomohl rodin\u00e1m, kter\u00e9 se o nemocn\u00e9 staraj\u00ed.
\nMinisterstva zdravotnictv\u00ed a soci\u00e1ln\u00ed p\u00e9\u010de se na uveden\u00e9 v\u00fdhrady chystaj\u00ed reagovat. \u0158e\u0161en\u00ed ale podle kritik\u016f zat\u00edm p\u0159ich\u00e1zej\u00ed p\u0159\u00edli\u0161 pomalu. St\u00e1t chce nap\u0159\u00edklad uleh\u010dit rodin\u00e1m, kter\u00e9 o dlouhodob\u011b nemocn\u00e9 pe\u010duj\u00ed a kter\u00fdm chyb\u00ed dostupn\u00e9 ter\u00e9nn\u00ed a odleh\u010dovac\u00ed slu\u017eby.
\nKomise expert\u016f pro rodinnou politiku, kter\u00e1 byla vytvo\u0159ena ministryn\u00ed soci\u00e1ln\u00edch v\u011bc\u00ed Michaelou Marksovou, navrhuje zav\u00e9st pro ty, kte\u0159\u00ed se o nemocn\u00e9ho \u010dlena rodiny staraj\u00ed, volno hrazen\u00e9 z nemocensk\u00e9ho poji\u0161t\u011bn\u00ed. Podle \u010dlenky komise, sociolo\u017eky Radky Dudov\u00e9, by takov\u00e9 volno mohlo b\u00fdt na a\u017e dobu \u0161esti m\u011bs\u00edc\u016f a zam\u011bstnavatel by musel dr\u017eet pe\u010duj\u00edc\u00edmu pracovn\u00ed m\u00edsto. N\u00e1vrh je v sou\u010dasnosti otev\u0159en\u00fd p\u0159ipom\u00ednk\u00e1m. Pracovn\u00ed skupina tak\u00e9 vol\u00e1 po vytvo\u0159en\u00ed funkce \u00fa\u0159edn\u00edka, kter\u00fd by na obecn\u00edch \u00fa\u0159adech poskytoval posti\u017een\u00fdm rodin\u00e1m poradenstv\u00ed a zprost\u0159edkov\u00e1val zdravotn\u00ed a soci\u00e1ln\u00ed slu\u017eby.
\nPodle statistik je u n\u00e1s pod\u00edl lid\u00ed z\u00e1visl\u00fdch na neform\u00e1ln\u00ed rodinn\u00e9 p\u00e9\u010di po Polsku nejvy\u0161\u0161\u00ed v Evji Sp\u00ed\u0161 ne\u017e odraz v\u011bt\u0161\u00ed rodinn\u00e9 soudr\u017enosti je to ale pr\u00e1v\u011b reakce na nefunk\u010dn\u00ed zdravotnick\u00fd a soci\u00e1ln\u00ed syst\u00e9m. Od roku 2007 pom\u00e1h\u00e1 m\u011bs\u00ed\u010dn\u00ed p\u0159\u00edsp\u011bvek na p\u00e9\u010di (800 a\u017e 12 tis\u00edc korun). Pob\u00edr\u00e1 ho 300 tis\u00edc lid\u00ed a stoj\u00ed p\u0159es 20 miliard korun ro\u010dn\u011b. Od srpna se zv\u00fd\u0161\u00ed o 10 procent.
\nPodle odborn\u00edk\u016f je syst\u00e9m dlouhodob\u00e9 p\u00e9\u010de rozdroben\u00fd. Pat\u0159\u00ed z\u010d\u00e1sti pod zdravotnictv\u00ed a z\u00e1rove\u0148 pod soci\u00e1ln\u00ed slu\u017eby. Dlouhodobou p\u00e9\u010di poskytuj\u00ed jak zdravotnick\u00e1 za\u0159\u00edzen\u00ed, jako jsou centra n\u00e1sledn\u00e9 a dlouhodob\u00e9 p\u00e9\u010de (LDN), tak i soci\u00e1ln\u00ed za\u0159\u00edzen\u00ed \u2013 t\u0159eba domovy senior\u016f. Kv\u016fli tomu syst\u00e9m spravuj\u00ed dv\u011b ministerstva \u2013 zdravotnictv\u00ed a soci\u00e1ln\u00edch v\u011bc\u00ed. Zdravotn\u00ed poji\u0161\u0165ovny a ob\u011b ministerstva se dohaduj\u00ed, co je zdravotn\u00ed a co soci\u00e1ln\u00ed slo\u017eka p\u00e9\u010de a kdo by ji m\u011bl hradit.
\nAsociace \u010desk\u00fdch a moravsk\u00fdch nemocnic nap\u0159\u00edklad navrhuje mo\u017enost, \u017ee by se ze syst\u00e9mu zdravotn\u00edho a soci\u00e1ln\u00edho poji\u0161t\u011bn\u00ed vy\u010dlenila samostatn\u00e1 platba na dlouhodobou zdravotn\u00ed a soci\u00e1ln\u00ed p\u00e9\u010di po vzoru N\u011bmecka. S t\u00edm, jak u na\u0161ich soused\u016f roste po\u010det lid\u00ed, kte\u0159\u00ed takovou p\u00e9\u010di vyu\u017e\u00edvaj\u00ed, ka\u017ed\u00fdm rokem sr\u00e1\u017eka ze mzdy roste a ukrajuje lidem z plat\u016f.
\nB\u00fdval\u00fd n\u00e1m\u011bstek ministra zdravotnictv\u00ed Pavel Hrobo\u0148 proto navrhuje, aby byl syst\u00e9m poji\u0161t\u011bn\u00ed dopln\u011bn o spo\u0159ic\u00ed slo\u017eku s podporou st\u00e1tu, kter\u00e1 funguje t\u0159eba v p\u0159\u00edpad\u011b stavebn\u00edho spo\u0159en\u00ed. Podle n\u011bj bude muset do syst\u00e9mu p\u0159ij\u00edt v\u00edc pen\u011bz.
\nDal\u0161\u00edm n\u00e1vrhem, kter\u00fd avizuje ministryn\u011b Marksov\u00e1, je sjednocen\u00ed standard\u016f a financov\u00e1n\u00ed obou druh\u016f za\u0159\u00edzen\u00ed, kde se nemocn\u00fd senior m\u016f\u017ee ocitnout \u2013 l\u00e9\u010deben dlouhodob\u011b nemocn\u00fdch i p\u0159ev\u00e1\u017en\u011b soci\u00e1ln\u00edch za\u0159\u00edzen\u00ed typu domov\u016f senior\u016f \u2013, zdravotn\u00edmi poji\u0161\u0165ovnami. Prvn\u00ed typ dnes poji\u0161\u0165ovny hrad\u00ed, druh\u00fd ne.
\nOb\u011b ministerstva tak\u00e9 navrhuj\u00ed na p\u0159\u00ed\u0161t\u00ed rok nav\u00fd\u0161it body, kter\u00e9 poji\u0161\u0165ovny propl\u00e1cej\u00ed za v\u00fdkon zdravotn\u00edch sester v soci\u00e1ln\u00edch slu\u017eb\u00e1ch.
\nPodle m\u00edstop\u0159edsedy asociace nemocnic Petra Fialy ale konkr\u00e9tn\u00ed zm\u011bny p\u0159ich\u00e1zej\u00ed p\u0159\u00edli\u0161 pomalu. „U\u017e 20 let se neust\u00e1le ustavuj\u00ed n\u011bjak\u00e9 komise a \u017e\u00e1dn\u00e1 to zat\u00edm nevy\u0159e\u0161ila. Dnes zasedaj\u00ed dal\u0161\u00ed, a zase to nevy\u0159e\u0161\u00ed,“ \u0159\u00edk\u00e1 Fiala. „Kdyby to byla priorita, vezme premi\u00e9r oba ministry za fl\u00edgr a \u0159ekne: Do m\u011bs\u00edce chci m\u00edt \u0159e\u0161en\u00ed, jinak v\u00e1s vyhod\u00edm.“<\/p>\n
—<\/p>\n
SELH\u00c1N\u00cd SYST\u00c9MU Kdy\u017e si t\u0159iaosmdes\u00e1tilet\u00e1 Zde\u0148ka V. p\u0159ed dv\u011bma lety zlomila kr\u010dek stehenn\u00ed kosti, dostala je\u0161t\u011b t\u00fd\u017e den v karlovarsk\u00e9 nemocnici kloubn\u00ed n\u00e1hradu. Do t\u00fddne se mohla pohybovat s pomoc\u00ed chod\u00edtka. (Podle l\u00e9ka\u0159\u016f je v t\u011bchto p\u0159\u00edpadech d\u016fle\u017eit\u00e9 za\u010d\u00edt brzy chodit, aby neochably svaly.) Pak ale n\u00e1sledovalo p\u0159elo\u017een\u00ed do dol\u00e9\u010dovac\u00edho za\u0159\u00edzen\u00ed. Tam se po dvou m\u011bs\u00edc\u00edch bez pot\u0159ebn\u00e9 fyzioterapie stal z \u017eeny, kter\u00e1 z\u00e1rove\u0148 trp\u011bla po\u010d\u00ednaj\u00edc\u00ed sta\u0159eckou demenc\u00ed, pacient, kter\u00fd ani nemohl vst\u00e1t z l\u016f\u017eka. Po intervenci rodiny se pacientka, v\u00e1\u017e\u00edc\u00ed tehdy jen 26 kilogram\u016f, dostala do dom\u00e1c\u00ed p\u00e9\u010de. S pomoc\u00ed doch\u00e1zej\u00edc\u00edho fyzioterapeuta se poda\u0159ilo zdravotn\u00ed stav pacientky zlep\u0161it natolik, \u017ee dnes m\u016f\u017ee chodit. „Kdyby tam z\u016fstala, skon\u010dila by jako le\u017e\u00e1k. Zachr\u00e1nilo ji jen to, \u017ee si ji d\u011bda s t\u00e1tou vzali dom\u016f,“ \u0159\u00edk\u00e1 vnu\u010dka pacientky Lenka Netopil\u00edkov\u00e1.<\/p>\n
U\u017e 20 let se ustavuj\u00ed n\u011bjak\u00e9 komise a \u017e\u00e1dn\u00e1 to zat\u00edm nevy\u0159e\u0161ila. Kdyby to byla priorita, vezme premi\u00e9r oba ministry za fl\u00edgr a \u0159ekne: Do m\u011bs\u00edce chci m\u00edt \u0159e\u0161en\u00ed, jinak v\u00e1s vyhod\u00edm. Petr Fiala m\u00edstop\u0159edseda Asociace \u010desk\u00fdch a moravsk\u00fdch nemocnic<\/p>\n
O autorovi: Marek Miler, Mark\u00e9ta Fi\u0161erov\u00e1<\/p>\n
Hospod\u00e1\u0159sk\u00e9 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"
Zdravotnictv\u00ed v \u010cesk\u00e9 republice hled\u00e1 cesty, jak l\u00e9pe l\u00e9\u010dit dlouhodob\u011b nemocn\u00e9. T\u00fdk\u00e1 se to hlavn\u011b senior\u016f, kter\u00fdch bude v p\u0159\u00ed\u0161t\u00edch letech v \u010cesku p\u0159ib\u00fdvat rychleji […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14571,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-24404","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\/24404","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=24404"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24404\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14571"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}