Prakti\u010dt\u00ed l\u00e9ka\u0159i vz\u00fdvaj\u00ed Ministerstvo zdravotnictv\u00ed a S\u00daKL, aby zru\u0161ily podle nich nesmysln\u00e1 omezen\u00ed v p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f.<\/p>\n
\u201e\u017d\u00e1d\u00e1me p\u0159\u00edslu\u0161n\u00e9 org\u00e1ny, aby vstoupili v jedn\u00e1n\u00ed se z\u00e1stupci praktick\u00fdch l\u00e9ka\u0159\u016f s c\u00edlem zru\u0161it nesmysln\u00e1 omezen\u00ed v terapii a diagnostice u prim\u00e1rn\u00ed p\u00e9\u010de v \u010cR tak, aby se l\u00e9\u010debn\u00e1 p\u00e9\u010de sv\u00fdm rozsahem a kvalitou dostala na \u00farove\u0148 standard\u016f vysp\u011bl\u00fdch zem\u00ed v EU\u201c \u2013 p\u00ed\u0161e se v Memorandu z v\u00edkendov\u00e9 Jarn\u00ed interaktivn\u00ed konference (JIK) Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL), kter\u00e9 se z\u00fa\u010dastnilo p\u0159es 1 300 l\u00e9ka\u0159\u016f z cel\u00e9 republiky.<\/p>\n
\u201eNem\u016f\u017eeme \u0159\u00e1dn\u011b a kvalitn\u011b l\u00e9\u010dit pacienty, jako kolegov\u00e9 v zahrani\u010d\u00ed \u2013 nem\u00e1me dostate\u010dn\u00e9 pravomoce v p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f a t\u00edm se zhor\u0161uje dostupnost p\u00e9\u010de pro pacienty. \u010cesk\u00e1 republika je na prvn\u00edm m\u00edst\u011b v EU v po\u010dtu preskrip\u010dn\u00edch omezen\u00ed u praktick\u00fdch l\u00e9ka\u0159\u016f. Vol\u00e1me po tom, aby se l\u00e9\u010debn\u00e1 p\u00e9\u010de sv\u00fdm rozsahem a kvalitou dostala na \u00farove\u0148 standard\u016f vysp\u011bl\u00fdch zem\u00ed v EU,\u201c \u0159\u00edk\u00e1 m\u00edstop\u0159edseda SVL MUDr. Igor Karen. Dle gener\u00e1ln\u00ed \u0159editelky Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO) Margaret Chan p\u0159in\u00e1\u0161\u00ed zdravotn\u00ed syst\u00e9m, jeho\u017e p\u00e1te\u0159\u00ed je prim\u00e1rn\u00ed p\u00e9\u010de a jeho\u017e z\u00e1kladnou jsou prakti\u010dn\u00ed l\u00e9ka\u0159i (PL), nejlep\u0161\u00ed v\u00fdsledky s t\u011bmi nejni\u017e\u0161\u00edmi n\u00e1klady a maxim\u00e1ln\u00ed spokojenost\u00ed u\u017eivatel\u016f. \u201eTot\u00e9\u017e \u0159\u00edkaj\u00ed \u010de\u0161t\u00ed ob\u010dan\u00e9 v pr\u016fzkumech ve\u0159ejn\u00e9ho m\u00edn\u011bn\u00ed – vyjad\u0159uj\u00ed v drtiv\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f spokojenost s p\u00e9\u010d\u00ed sv\u00e9ho praktika a \u010dasem, kter\u00fd jim v\u011bnuje po dobu n\u00e1v\u0161t\u011bvy v ordinaci. Nicm\u00e9n\u011b u ministerstva zdravotnictv\u00ed, S\u00daKL a zdravotn\u00edch poji\u0161\u0165oven st\u00e1le nenach\u00e1z\u00edme adekv\u00e1tn\u00ed podporu,\u201c dod\u00e1v\u00e1 za MUDr. Karen.
\nJako p\u0159\u00edklad uv\u00e1d\u00ed preskrip\u010dn\u00ed omezen\u00ed na modern\u00ed antidiabetika, na kter\u00e1 praktici \u201enedos\u00e1hnou\u201c a jsou nuceni p\u0159edepisovat ta, kde je vy\u0161\u0161\u00ed riziko nebezpe\u010dn\u00fdch hypoglykemi\u00ed. P\u0159ipom\u00edn\u00e1, \u017ee praktici maj\u00ed k dispozici doporu\u010den\u00e9 postupy pro l\u00e9\u010dbu diabetu II typu a algoritmy postup\u016f jsou zde jasn\u011b vymezeny. \u201eV sou\u010dasnosti 95 % zahrani\u010dn\u00edch ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f diabetiky l\u00e9\u010d\u00ed, m\u016f\u017ee jim p\u0159edepisovat v\u0161echny modern\u00ed l\u00e9ky na l\u00e9\u010dbu cukrovky, ale i l\u00e1zn\u011b, glukometr, prou\u017eky pro m\u011b\u0159en\u00ed cukru v krvi atp. U n\u00e1s se sice p\u0159ibli\u017en\u011b 120 000 pacient\u016f s II typem diabetu l\u00e9\u010d\u00ed ve 2500 prax\u00edch v\u0161eobecn\u00fdch l\u00e9ka\u0159\u016f, jejich pravomoce na p\u0159edepisov\u00e1n\u00ed modern\u00edch l\u00e9k\u016f jsou v\u0161ak ne\u00fam\u011brn\u011b osek\u00e1ny,\u201c doplnil MUDr. Karen. \u201eA\u010d na to upozor\u0148ujeme jak Ministerstvo zdravotnictv\u00ed, tak S\u00daKL i zdravotn\u00ed poji\u0161\u0165ovny – v oblasti p\u00e9\u010de o diabetiky se v\u00edce ne\u017e 5 let st\u00e1le se nic ned\u011bje. Prodra\u017euje se tak zdravotn\u00ed p\u00e9\u010de, co\u017e pova\u017euji za skand\u00e1ln\u00ed a diskriminuj\u00edc\u00ed i pro pacienty a za pl\u00fdtv\u00e1n\u00ed \u010dasem i energi\u00ed zdravotn\u00edk\u016f i pen\u011bzi z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed,\u201c \u0159ekl MUDr. Karen.
\nStejn\u00e1 situace je podle n\u011bj u n\u011bkter\u00fdch plicn\u00edch nemoc\u00ed a kombinovan\u00fdch bronchodilata\u010dn\u00edch l\u00e9k\u016f s kortikoidy, u l\u00e9k\u016f na myk\u00f3zy, modern\u00edch protisr\u00e1\u017eliv\u00fdch l\u00e9k\u016f, i b\u011b\u017en\u00fdch l\u00e9k\u016f nap\u0159\u00edklad na z\u00e1n\u011bty spojivek \u010di ekz\u00e9my. \u201eV cel\u00e9 z\u00e1padn\u00ed Evrop\u011b mohou praktici p\u0159edepisovat nap\u0159\u00edklad l\u00e9ky na z\u00e1n\u011bt spojivek, \u010di r\u016fzn\u00e1 ko\u017en\u00ed onemocn\u011bn\u00ed, jen u n\u00e1s to nejde,\u201c podotkl Karen.
\nO SVL \u010cLS JEP
\nOdborn\u00e1 spole\u010dnost vznikla v roce 1979. V sou\u010dasnosti se SVL pod\u00edl\u00ed na tvorb\u011b doporu\u010den\u00fdch l\u00e9\u010debn\u00fdch postup\u016f, aktualizuje koncepci oboru, je partnerem pro jedn\u00e1n\u00ed v dohodovac\u00edch \u0159\u00edzen\u00edch jak o kompetenc\u00edch praktick\u00e9ho l\u00e9ka\u0159e, tak o cen\u011b jeho pr\u00e1ce. Odborn\u00ed z\u00e1stupci spole\u010dnosti jsou zv\u00e1ni ke koncepc\u00edm \u0159ady preventivn\u00edch program\u016f. V sou\u010dasnosti nap\u0159. k programu celoplo\u0161n\u00e9ho screeningu rakoviny tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku a aktivit\u00e1m v oblasti prevence karcinomu prsu. \u0158ada praktik\u016f se pod\u00edlela na v\u00fdzkumu odhalov\u00e1n\u00ed karcinomu prostaty nebo nap\u0159. na v\u00fdznamn\u00e9 epidemiologick\u00e9 studii prevalence Helicobacter pylori a na dal\u0161\u00edch. SVL po\u0159\u00e1d\u00e1 vzd\u011bl\u00e1vac\u00ed semin\u00e1\u0159e pro praktick\u00e9 l\u00e9ka\u0159e v syst\u00e9mu celo\u017eivotn\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed. Spole\u010dnost vyd\u00e1v\u00e1 \u010dasopis Practicus, kter\u00fd vych\u00e1z\u00ed 10x ro\u010dn\u011b. V\u00edce informac\u00ed: www.svl.cz<\/p>\n
Mark\u00e9ta Pudilov\u00e1
\nTiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"
Prakti\u010dt\u00ed l\u00e9ka\u0159i vz\u00fdvaj\u00ed Ministerstvo zdravotnictv\u00ed a S\u00daKL, aby zru\u0161ily podle nich nesmysln\u00e1 omezen\u00ed v p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f.<\/p>\n<\/div>","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-25357","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25357","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25357"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25357\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}