{"id":25050,"date":"2016-03-29T17:56:43","date_gmt":"2016-03-29T15:56:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25050"},"modified":"2016-03-29T17:56:43","modified_gmt":"2016-03-29T15:56:43","slug":"jak-je-to-s-uhradou-luzkove-pece","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25050","title":{"rendered":"Jak je to s \u00fahradou l\u016f\u017ekov\u00e9 p\u00e9\u010de?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA: Li\u0161\u00ed se v\u00fd\u0161e toho, co plat\u00ed poji\u0161\u0165ovna, v p\u0159\u00edpad\u011b, \u017ee je pacient v nemocnici, l\u00e9\u010debn\u011b dlouhodob\u011b nemocn\u00fdch, domov\u011b d\u016fchodc\u016f, nebo v soukrom\u00e9m za\u0159\u00edzen\u00ed, konkr\u00e9tn\u011b pro pacienty s Alzheimerovou chorobou?<\/strong><!--more--><\/p>\n<p><strong>ODPOV\u011a\u010e:<\/strong><\/p>\n<p>Skute\u010dnost, v jak\u00e9m za\u0159\u00edzen\u00ed se pacient nach\u00e1z\u00ed, m\u00e1 vliv na v\u00fd\u0161i \u00fahrady z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. R\u016fzn\u00e1 za\u0159\u00edzen\u00ed toti\u017e poskytuj\u00ed r\u016fzn\u00fd typ p\u00e9\u010de, tedy i \u00fahrada pobytu v nich z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je jin\u00e1.<\/p>\n<p>Nemocnice, poskytuj\u00edc\u00ed akutn\u00ed l\u016f\u017ekovou p\u00e9\u010di, a l\u00e9\u010debny dlouhodob\u011b nemocn\u00fdch, poskytuj\u00edc\u00ed dlouhodobou l\u016f\u017ekovou p\u00e9\u010di, jsou zdravotnick\u00e1 za\u0159\u00edzen\u00ed. V nich je z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena ve\u0161ker\u00e1 zdravotn\u00ed p\u00e9\u010de i n\u00e1klady na pobyt (ubytov\u00e1n\u00ed, strava). VZP samoz\u0159ejm\u011b m\u016f\u017ee hradit zdravotn\u00ed p\u00e9\u010di pouze za p\u0159edpokladu, \u017ee s n\u00ed m\u00e1 poskytovatel t\u011bchto slu\u017eeb uzav\u0159enou p\u0159\u00edslu\u0161nou smlouvu.<\/p>\n<p>O um\u00edst\u011bn\u00ed pacienta do zdravotnick\u00e9ho za\u0159\u00edzen\u00ed m\u016f\u017ee rozhodnout jen l\u00e9ka\u0159, a to na z\u00e1klad\u011b zdravotn\u00edho stavu pacienta. D\u016fvodem nem\u016f\u017ee b\u00fdt soci\u00e1ln\u00ed situace doty\u010dn\u00e9ho, nap\u0159. \u017ee \u017eije s\u00e1m a nem\u00e1 se o n\u011bj kdo starat. \u0158e\u0161en\u00edm je v takov\u00e9m p\u0159\u00edpad\u011b za\u0159\u00edzen\u00ed soci\u00e1ln\u00ed.<\/p>\n<p>Soci\u00e1ln\u00edmi za\u0159\u00edzen\u00edmi jsou domovy pro seniory, stejn\u011b jako zmi\u0148ovan\u00e1 soukrom\u00e1 za\u0159\u00edzen\u00ed zam\u011b\u0159en\u00e1 na pacienty s Alzheimerovou chorobou. Klient\u016fm t\u011bchto za\u0159\u00edzen\u00ed lze z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hradit pouze poskytnut\u00e9 zdravotn\u00ed slu\u017eby, nikoliv p\u00e9\u010di soci\u00e1ln\u00ed (tedy ne nap\u0159. ubytov\u00e1n\u00ed a stravu nebo \u00fakony, kter\u00e9 nejsou zdravotnick\u00e9ho charakteru). Lidem um\u00edst\u011bn\u00fdm v soci\u00e1ln\u00edch za\u0159\u00edzen\u00edch je z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena p\u00e9\u010de ambulantn\u00edch specialist\u016f a praktik\u016f (stejn\u011b jako v\u0161em klient\u016fm, kte\u0159\u00ed \u017eij\u00ed doma). D\u00e1le je hrazena l\u00e9ka\u0159em indikovan\u00e1 o\u0161et\u0159ovatelsk\u00e1 zdravotn\u00ed p\u00e9\u010de, poskytovan\u00e1 v\u0161eobecn\u00fdmi sestrami v soci\u00e1ln\u00edch slu\u017eb\u00e1ch. Podm\u00ednkou je, \u017ee i tato pobytov\u00e1 za\u0159\u00edzen\u00ed soci\u00e1ln\u00edch slu\u017eeb maj\u00ed s VZP uzav\u0159enou smlouvu. Mus\u00ed si o ni po\u017e\u00e1dat a sou\u010dasn\u011b prok\u00e1zat, \u017ee o\u0161et\u0159ovatelskou p\u00e9\u010di budou poskytovat zdravotni\u010dt\u00ed pracovn\u00edci dan\u00e9ho za\u0159\u00edzen\u00ed, kte\u0159\u00ed jsou zp\u016fsobil\u00ed k v\u00fdkonu zdravotnick\u00e9ho povol\u00e1n\u00ed.<\/p>\n<p>N\u00e1klady na jednotliv\u00e9 klienty se v r\u00e1mci ka\u017ed\u00e9ho v\u00fd\u0161e jmenovan\u00e9ho zdravotnick\u00e9ho \u010di soci\u00e1ln\u00edho za\u0159\u00edzen\u00ed li\u0161\u00ed v z\u00e1vislosti na zdravotn\u00edm stavu jednotlivce, v p\u0159\u00edpad\u011b Alzheimerovy choroby na stupni posti\u017een\u00ed (z d\u016fvodu vy\u0161\u0161\u00ed n\u00e1ro\u010dnosti o\u0161et\u0159ovatelsk\u00e9 zdravotn\u00ed p\u00e9\u010de), a d\u00e1le na dal\u0161\u00edch onemocn\u011bn\u00edch, kter\u00e1 klient m\u00e1. Obecn\u011b lze \u0159\u00edci, \u017ee \u00fahrady od poji\u0161\u0165ovny se \u0159\u00edd\u00ed \u00fahradovou vyhl\u00e1\u0161kou.<\/p>\n<p>P\u0159ipom\u00edn\u00e1me, \u017ee VZP hrad\u00ed i zdravotn\u00ed p\u00e9\u010di poskytovanou ve vlastn\u00edm soci\u00e1ln\u00edm prost\u0159ed\u00ed pacienta, tedy n\u00e1v\u0161t\u011bvn\u00ed slu\u017ebu l\u00e9ka\u0159e doma a tzv. dom\u00e1c\u00ed p\u00e9\u010di (home care), kterou je o\u0161et\u0159ovatelsk\u00e1 p\u00e9\u010de, l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de nebo paliativn\u00ed p\u00e9\u010de, poskytovan\u00e1 na z\u00e1klad\u011b l\u00e9ka\u0159sk\u00e9 indikace.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd vedouc\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: Li\u0161\u00ed se v\u00fd\u0161e toho, co plat\u00ed poji\u0161\u0165ovna, v p\u0159\u00edpad\u011b, \u017ee je pacient v nemocnici, l\u00e9\u010debn\u011b dlouhodob\u011b nemocn\u00fdch, domov\u011b d\u016fchodc\u016f, nebo v soukrom\u00e9m za\u0159\u00edzen\u00ed, konkr\u00e9tn\u011b <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=25050\" title=\"Jak je to s \u00fahradou l\u016f\u017ekov\u00e9 p\u00e9\u010de?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14574,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-25050","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25050","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=25050"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25050\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14574"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}