{"id":25263,"date":"2016-04-14T11:29:47","date_gmt":"2016-04-14T09:29:47","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25263"},"modified":"2016-04-14T11:29:47","modified_gmt":"2016-04-14T09:29:47","slug":"hospicova-pece-je-v-cr-na-vysoke-urovni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25263","title":{"rendered":"Hospicov\u00e1 p\u00e9\u010de je v \u010cR na vysok\u00e9 \u00farovni"},"content":{"rendered":"

Rozhovor Hal\u00f3 novin s \u010dlenkou sn\u011bmovn\u00edho v\u00fdboru pro soci\u00e1ln\u00ed politiku Hanou Aulickou J\u00edrovcovou (KS\u010cM)<\/strong><\/p>\n

– Soci\u00e1ln\u00ed v\u00fdbor se na sv\u00e9m posledn\u00edm jedn\u00e1n\u00ed zab\u00fdval probl\u00e9my hospicov\u00e9 p\u00e9\u010de. Z jak\u00fdch zdroj\u016f je tato p\u00e9\u010de financov\u00e1na?<\/p>\n

Hospicov\u00e1 p\u00e9\u010de je v na\u0161\u00ed republice financov\u00e1na tzv. v\u00edcezdrojov\u011b. Hlavn\u00ed p\u0159\u00edjem je samoz\u0159ejm\u011b z resortu zdravotnictv\u00ed formou \u00fahrad od zdravotn\u00edch poji\u0161\u0165oven. Men\u0161\u00ed, ale tak\u00e9 v\u00fdznamnou \u010d\u00e1st, tvo\u0159\u00ed hrazen\u00ed soci\u00e1ln\u00ed p\u00e9\u010de z rozpo\u010dtu ministerstva pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed. Do roku 2014 \u0161ly tyto pen\u00edze p\u0159\u00edmo ze st\u00e1tn\u00edho rozpo\u010dtu. Od roku 2015 je dle nov\u011b platn\u00e9 legislativy a p\u0159ijat\u00fdch metodik soci\u00e1ln\u00ed oblast financov\u00e1na p\u0159es kraje. Ty, na z\u00e1klad\u011b \u017e\u00e1dost\u00ed registrovan\u00fdch poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb, pod\u00e1vaj\u00ed finan\u010dn\u00ed po\u017eadavky na ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed. Dal\u0161\u00ed p\u0159\u00edsun financ\u00ed je z dotac\u00ed samospr\u00e1v a dar\u016f od pr\u00e1vnick\u00fdch i fyzick\u00fdch subjekt\u016f. Problematick\u00fd se ale po zm\u011bn\u011b financov\u00e1n\u00ed soci\u00e1ln\u00ed oblasti stal pr\u00e1v\u011b tento zdroj. Ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed vydalo k nov\u011b platn\u00e9mu z\u00e1konu samoz\u0159ejm\u011b i sv\u016fj v\u00fdklad a z\u00e1kladn\u00ed metodiku pro postup a pravidla p\u0159i p\u0159erozd\u011blov\u00e1n\u00ed financ\u00ed na soci\u00e1ln\u00ed slu\u017eby registrovan\u00e9 v s\u00edti kraj\u016f. Zde se ov\u0161em rozch\u00e1zelo p\u0159i pohledu, zda na jedno l\u016f\u017eko v hospicov\u00e9 p\u00e9\u010di m\u016f\u017ee b\u00fdt poskytnuta platba jak od zdravotn\u00ed poji\u0161\u0165ovny za zdravotn\u00ed p\u00e9\u010di, tak za poskytovan\u00e9 soci\u00e1ln\u00ed slu\u017eby. Logicky se ob\u011b p\u00e9\u010de prol\u00ednaj\u00ed, ale samoz\u0159ejm\u011b p\u0159eva\u017euje z v\u011bt\u0161\u00ed \u010d\u00e1sti zdravotn\u00ed p\u00e9\u010de. Kraje p\u0159i p\u0159erozd\u011blov\u00e1n\u00ed postupuj\u00ed dle platn\u00e9 legislativy a schv\u00e1len\u00fdch metodik, bohu\u017eel v\u0161ak t\u00edmto doch\u00e1z\u00ed ke zna\u010dn\u00e9mu sn\u00ed\u017een\u00ed finan\u010dn\u00ed dotace pro hospicovou p\u00e9\u010de. V\u011bt\u0161inou se re\u00e1ln\u011b pohybuje tento rozd\u00edl kolem jednoho milionu korun i v\u00edce, z\u00e1le\u017e\u00ed na tom, kolik m\u00e1 dan\u00fd hospic l\u016f\u017eek. Dal\u0161\u00ed zna\u010dnou finan\u010dn\u00ed ztr\u00e1tu tvo\u0159\u00ed i oblast p\u0159\u00edsp\u011bvku na p\u00e9\u010di, kter\u00fd se bohu\u017eel u velk\u00e9ho po\u010dtu klient\u016f nestihne vy\u0159\u00eddit a hospicov\u00e1 za\u0159\u00edzen\u00ed nedostanou zaplaceno zp\u011btn\u011b za jedin\u00fd den pobytu klienta.<\/p>\n

– Hospicov\u00e1 p\u00e9\u010de z\u0159ejm\u011b nepat\u0159\u00ed mezi priority \u010desk\u00e9ho zdravotnictv\u00ed\u2026<\/p>\n

Bohu\u017eel, tato forma zdravotn\u00ed p\u00e9\u010de je od sam\u00e9ho za\u010d\u00e1tku sv\u00e9ho fungov\u00e1n\u00ed br\u00e1na opravdu okrajov\u011b. P\u0159itom ka\u017ed\u00fd, kdo se kdy setkal s p\u00e9\u010d\u00ed v hospicu a m\u016f\u017ee ji porovnat s p\u00e9\u010d\u00ed ve zdravotn\u00edm za\u0159\u00edzen\u00ed o um\u00edraj\u00edc\u00edho \u010dlov\u011bka, se z v\u011bt\u0161\u00ed \u010d\u00e1sti shodne, \u017ee je celkov\u00e1 p\u00e9\u010de nesrovnateln\u00e1. Nelze samoz\u0159ejm\u011b hovo\u0159it o zdravotn\u00ed p\u00e9\u010di, ta by m\u011bla b\u00fdt v\u0161ude stejn\u00e1, ale jde p\u0159edev\u0161\u00edm o p\u0159\u00edstup person\u00e1lu v hospic\u00edch, pokoje jsou tam vybaven\u00e9 v rodinn\u00e9m stylu a je tam tak\u00e9 mo\u017enost rodinn\u00e9 podpory 24 hodin denn\u011b. Ministerstvo zdravotnictv\u00ed se na posledn\u00edm jedn\u00e1n\u00ed v\u00fdboru pro soci\u00e1ln\u00ed politiku vyj\u00e1d\u0159ilo k co nejv\u00edce mo\u017en\u00e9 podpo\u0159e hospicov\u00e9 p\u00e9\u010de, bohu\u017eel st\u00e1le je paradoxn\u011b rozd\u00edl v \u00fahrad\u011b za p\u00e9\u010di v l\u00e9\u010debn\u00e1ch pro dlouhodob\u011b nemocn\u00e9 a hospic\u00edch. Tento rozd\u00edl se p\u0159i denn\u00ed \u00fahrad\u011b pohybuje v pr\u016fm\u011bru kolem 200 K\u010d, co\u017e se ministerstvo zdravotnictv\u00ed p\u0159i sv\u00e9 prezentaci na v\u00fdboru sna\u017eilo vyvr\u00e1tit, dle jejich p\u0159ehledu byl rozd\u00edl asi 36 K\u010d. To ale bohu\u017eel neodpov\u00edd\u00e1 realit\u011b.<\/p>\n

– Ve kter\u00e9m regionu je tato problematika nejpal\u010div\u011bj\u0161\u00ed?<\/p>\n

Nelze hovo\u0159it o jednotliv\u00fdch regionech. V\u0161echny hospice nap\u0159\u00ed\u010d \u010ceskou republikou se pot\u00fdkaj\u00ed s finan\u010dn\u00edmi probl\u00e9my, p\u0159edev\u0161\u00edm z d\u016fvod\u016f, kter\u00e9 jsem uvedla. Tam, kde si je\u0161t\u011b p\u0159ibraly tzv. mobiln\u00ed hospicovou p\u00e9\u010di, vznikaj\u00ed finan\u010dn\u00ed propady je\u0161t\u011b vy\u0161\u0161\u00ed, proto\u017ee tato slu\u017eba je zat\u00edm hrazena jen n\u011bkter\u00fdmi zdravotn\u00edmi poji\u0161\u0165ovnami, a i to v nedostate\u010dn\u00e9 v\u00fd\u0161i, tak\u017ee tuto slu\u017ebu n\u00e1kladov\u011b nepokr\u00fdv\u00e1. V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna zat\u00edm neuzav\u0159ela pilotn\u00ed projekt pro tuto p\u00e9\u010di, do n\u011bho\u017e se za\u0159adilo n\u011bkolik hospic\u016f z cel\u00e9 \u010cR. A\u017e po uzav\u0159en\u00ed a vyhodnocen\u00ed tohoto projektu bude \u0159e\u0161it, zda a v jak\u00e9 v\u00fd\u0161i bude tato p\u00e9\u010de hrazena. Dobr\u00e9 je ale tak\u00e9 \u0159\u00edci, \u017ee i hospice, kter\u00e9 se \u00fa\u010dastn\u00ed tohoto pilotn\u00edho projektu VZP, nedost\u00e1vaj\u00ed nyn\u00ed \u017e\u00e1dn\u00e9 finance na tuto p\u00e9\u010di.<\/p>\n

– P\u0159edpokl\u00e1d\u00e1m, \u017ee jste ve funkci poslankyn\u011b u\u017e n\u011bjak\u00fd hospic nav\u0161t\u00edvila, na jak\u00e9 \u00farovni je tato p\u00e9\u010de u n\u00e1s?<\/p>\n

Jsem \u010dlenkou dozor\u010d\u00ed rady hospicu v Most\u011b jako z\u00e1stupce m\u011bsta Most, kde p\u016fsob\u00edm ji\u017e p\u0159es \u0161est let, tud\u00ed\u017e nen\u00ed pro mne tato oblast n\u011b\u010d\u00edm nov\u00fdm. D\u00edky funkci poslankyn\u011b se ale samoz\u0159ejm\u011b dost\u00e1v\u00e1m k v\u00edce informac\u00edm i ve spolupr\u00e1ci s kraji a byla jsem v Poslaneck\u00e9 sn\u011bmovn\u011b p\u0159\u00edtomna projedn\u00e1v\u00e1n\u00ed z\u00e1kona o financov\u00e1n\u00ed soci\u00e1ln\u00edch slu\u017eeb p\u0159es kraje. Mus\u00edm konstatovat, \u017ee navzdory v\u0161em probl\u00e9m\u016fm je hospicov\u00e1 p\u00e9\u010de v na\u0161\u00ed republice na vysok\u00e9 \u00farovni.<\/p>\n

– Je ve\u0159ejnost o tomto druhu p\u00e9\u010de dostate\u010dn\u011b informov\u00e1na?<\/p>\n

Hospicov\u00e1 p\u00e9\u010de se u n\u00e1s dost\u00e1vala do pov\u011bdom\u00ed obyvatel velmi dlouho. Odhaduji, \u017ee a\u017e zhruba posledn\u00ed t\u0159i roky m\u016f\u017eeme hovo\u0159it o tom, \u017ee se tato p\u00e9\u010de lidem dostala tzv. pod k\u016f\u017ei a ji\u017e je o n\u00ed velice slu\u0161n\u00e9 pov\u011bdom\u00ed. Je to samoz\u0159ejm\u011b ale z\u00e1sluha p\u0159edev\u0161\u00edm samotn\u00fdch hospic\u016f. Spolupracuj\u00ed s l\u00e9ka\u0159i jak v nemocnic\u00edch, tak i s ambulantn\u00edmi ordinacemi a praktick\u00fdmi l\u00e9ka\u0159i. Je ov\u0161em pravda, \u017ee v n\u011bkter\u00fdch \u010d\u00e1stech region\u016f je tato informovanost ze strany l\u00e9ka\u0159\u016f nedostate\u010dn\u00e1 nebo dokonce \u017e\u00e1dn\u00e1. O v\u00fdborn\u00e9 spolupr\u00e1ci m\u016f\u017eeme hovo\u0159it p\u0159edev\u0161\u00edm v m\u00edst\u011b p\u016fsoben\u00ed hospicu, ale v dal\u0161\u00edch okresech je to ji\u017e znateln\u011b hor\u0161\u00ed. Hospice proto po\u0159\u00e1daj\u00ed r\u016fzn\u00e9 akce, kter\u00e9 napom\u00e1haj\u00ed ve\u0159ejnosti sezn\u00e1mit se s touto p\u00e9\u010d\u00ed. Nap\u0159\u00edklad v Most\u011b m\u00e1me akci \u00bbT\u0159icet dn\u00ed pro neziskov\u00fd sektor\u00ab, kde m\u011bs\u00edc neziskov\u00e9 organizace p\u0159edstavuj\u00ed na ve\u0159ejn\u00fdch m\u00edstech svou \u010dinnost. D\u00e1le prost\u0159ednictv\u00edm dn\u016f a m\u011bs\u00edc\u016f otev\u0159en\u00fdch dve\u0159\u00ed umo\u017e\u0148uj\u00ed ve\u0159ejnosti sezn\u00e1mit se s hospicovou p\u00e9\u010d\u00ed. Po\u0159\u00e1daj\u00ed semin\u00e1\u0159e, p\u00ed\u0161\u00ed \u010dl\u00e1nky, umo\u017e\u0148uj\u00ed praxi \u017e\u00e1k\u016fm zdravotn\u00edch a soci\u00e1ln\u00edch \u0161kol a st\u00e1\u017ee l\u00e9ka\u0159\u016fm.<\/p>\n

– Pro\u010d se podle v\u00e1s o hospicov\u00e9 p\u00e9\u010di mezi lidmi p\u0159\u00edli\u0161 nemluv\u00ed?<\/p>\n

Tato p\u00e9\u010de je poskytov\u00e1na p\u0159edev\u0161\u00edm lidem onkologicky nemocn\u00fdm, kte\u0159\u00ed ji\u017e bohu\u017eel sv\u016fj boj s touto nemoc\u00ed prohr\u00e1vaj\u00ed. Hospic jim poskytuje tu nejlep\u0161\u00ed mo\u017enou p\u00e9\u010di na sklonku jejich \u017eivota. Hospice poskytuj\u00ed ale tak\u00e9 odleh\u010dovac\u00ed p\u00e9\u010di, kter\u00e1 pom\u00e1h\u00e1 rodin\u00e1m, kter\u00e9 doma pe\u010duj\u00ed o nemocn\u00e9ho a nemohou z n\u011bjak\u00e9ho d\u016fvodu na den, \u010dtrn\u00e1ct dn\u00ed i m\u011bs\u00edc tuto p\u00e9\u010di vykon\u00e1vat. P\u016fj\u010duj\u00ed ale tak\u00e9 l\u016f\u017eka, voz\u00edky a dal\u0161\u00ed pot\u0159ebn\u00e9 zdravotn\u00ed pom\u016fcky. Otev\u0159en\u011b ale m\u016f\u017eeme \u0159\u00edci, \u017ee pokud tuto p\u00e9\u010di rodina nepot\u0159ebuje, nebo se j\u00ed jinak bezprost\u0159edn\u011b net\u00fdk\u00e1, nikdo ji nem\u00e1 d\u016fvod vyhled\u00e1vat.<\/p>\n

– Jak\u00e9 jsou legislativn\u00ed podm\u00ednky pro jej\u00ed poskytov\u00e1n\u00ed, je v tomto sm\u011bru podle v\u00e1s pot\u0159eba n\u011bjak\u00e1 zm\u011bna?<\/p>\n

Velice by pomohlo, kdyby tato p\u00e9\u010de byla v legislativ\u011b pojmenov\u00e1na, a to p\u0159edev\u0161\u00edm v z\u00e1kon\u011b o soci\u00e1ln\u00edch slu\u017eb\u00e1ch. Zat\u00edm ji, tak jak je re\u00e1ln\u011b v praxi poskytov\u00e1na, \u017e\u00e1dn\u00fd z na\u0161ich z\u00e1kon\u016f nezn\u00e1. Ot\u00e1zka financov\u00e1n\u00ed je samoz\u0159ejm\u011b druh\u00e1 n\u00e1vazn\u00e1 v\u011bc, ale toto je prvn\u00ed krok, po kter\u00e9m hospice v \u010cesk\u00e9 republice volaj\u00ed. Druh\u00fdm krokem je uzn\u00e1n\u00ed ministerstva pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed, \u017ee lze poskytovat na jednom l\u016f\u017eku zdravotn\u00ed i soci\u00e1ln\u00ed p\u00e9\u010di a tud\u00ed\u017e uznat i finance z toho plynouc\u00ed. T\u00edm by se alespo\u0148 \u010d\u00e1ste\u010dn\u011b narovnal rozd\u00edl, kter\u00fd nyn\u00ed dva roky hospic\u016fm p\u0159id\u011bl\u00e1v\u00e1 zna\u010dn\u00e9 vr\u00e1sky na \u010dele. Pan\u00ed n\u00e1m\u011bstkyn\u011b Zuzana Jentschke St\u0151cklov\u00e1 z MPSV na posledn\u00edm jedn\u00e1n\u00ed na\u0161eho v\u00fdboru \u0159ekla, \u017ee toto lze a \u017ee do \u010dervna budou distribuov\u00e1ny nov\u00e9 pokyny pro kraje, jak v t\u00e9to finan\u010dn\u00ed dotaci postupovat. Pro mne osobn\u011b to bylo velice p\u0159ekvapiv\u00e9 tvrzen\u00ed, proto\u017ee pr\u00e1v\u011b MPSV p\u0159i v\u00fdkladu nov\u011b platn\u00e9ho z\u00e1kona trvalo na tom, \u017ee tyto dv\u011b p\u00e9\u010de nelze financovat sou\u010dasn\u011b. V hospic\u00edch proto byla vy\u010dlen\u011bna l\u016f\u017eka na soci\u00e1ln\u00ed p\u00e9\u010di a na tato l\u016f\u017eka dost\u00e1vaj\u00ed sv\u016fj pod\u00edl z celkov\u00e9 dotace na soci\u00e1ln\u00ed p\u00e9\u010di. Mohu hovo\u0159it i za n\u011bkter\u00e9 z\u00e1stupce kraj\u016f, \u017ee nedo\u010dkav\u011b \u010dek\u00e1me na tento nov\u00fd v\u00fdklad a pokyn z MPSV. Z\u00e1rove\u0148 ale pak tak\u00e9 vznik\u00e1 ot\u00e1zka, jak bude dofinancov\u00e1n vznikl\u00fd rozd\u00edl za tyto dva roky. Kraje by pak samoz\u0159ejm\u011b tyto finance m\u011bly n\u00e1rokovat v \u017e\u00e1dostech po MPSV. Jako zna\u010dn\u011b \u00fasp\u011b\u0161nou mohu hodnotit n\u00e1v\u0161t\u011bvu hospicu v \u00dasteck\u00e9m kraji na v\u00fdjezdn\u00edm zased\u00e1n\u00ed v\u00fdboru pro soci\u00e1ln\u00ed politiku zhruba p\u0159ed m\u011bs\u00edcem. Z\u00edskali jsme mnoho cenn\u00fdch informac\u00ed a podn\u011bt\u016f p\u0159edev\u0161\u00edm pro zlep\u0161en\u00ed finan\u010dn\u00ed situace hospicov\u00e9 p\u00e9\u010de p\u0159i projedn\u00e1v\u00e1n\u00ed na p\u016fd\u011b v\u00fdboru a Poslaneck\u00e9 sn\u011bmovny. Dal\u0161\u00ed n\u00e1vazn\u00e1 jedn\u00e1n\u00ed podv\u00fdboru a v\u00fdboru se tak nesla v duchu pomoci hospic\u016fm co nejd\u0159\u00edve a co nejl\u00e9pe.<\/p>\n

Jana DUBNI\u010cKOV\u00c1
\nHal\u00f3 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"

Rozhovor Hal\u00f3 novin s \u010dlenkou sn\u011bmovn\u00edho v\u00fdboru pro soci\u00e1ln\u00ed politiku Hanou Aulickou J\u00edrovcovou (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":[9],"tags":[],"class_list":["post-25263","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\/25263","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=25263"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25263\/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=25263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}