{"id":27052,"date":"2017-01-18T13:45:40","date_gmt":"2017-01-18T12:45:40","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27052"},"modified":"2017-01-18T13:45:40","modified_gmt":"2017-01-18T12:45:40","slug":"miliardy-za-bahno-opravdu-lidem-pomaha","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27052","title":{"rendered":"Miliardy za bahno. Opravdu lidem pom\u00e1h\u00e1?"},"content":{"rendered":"

Ani pit\u00ed, ani l\u00e9k. Do jak\u00e9 \u0161katulky pat\u0159\u00ed l\u00e1ze\u0148sk\u00e9 prameny, doposud nikdo v \u010cesku nerozlouskl. Nev\u00ed se ani, jestli a jak funguj\u00ed. Poji\u0161\u0165ovny p\u0159itom pos\u00edlaj\u00ed na l\u00e9\u010dbu miner\u00e1ln\u00ed vodou a ra\u0161elinou miliardy. Co\u017e se jim nel\u00edb\u00ed.<\/strong> <\/p>\n

„Nejrad\u0161i bychom v\u00fddaje na l\u00e1ze\u0148stv\u00ed \u0161krtli,“ p\u0159iznal \u0161\u00e9f Svazu zdravotn\u00edch poji\u0161\u0165oven Ladislav Friedrich. To by se ale mohlo brzy zm\u011bnit.<\/p>\n

V \u010cesku se chyst\u00e1 v\u016fbec prvn\u00ed klinick\u00e1 studie, kter\u00e1 by m\u011bla \u00fa\u010dinky l\u00e9\u010debn\u00fdch pramen\u016f a bahna ov\u011b\u0159it. Za\u010d\u00edt by m\u011bla je\u0161t\u011b letos a potrv\u00e1 nejm\u00e9n\u011b \u010dty\u0159i roky. Jako prvn\u00ed prov\u011b\u0159\u00ed p\u0159\u00ednos pro pacienty s artr\u00f3zou.<\/p>\n

„Chyst\u00e1me se na historicky prvn\u00ed klinickou studii na na\u0161em \u00fazem\u00ed. Chceme zkoumat \u0161est l\u00e9\u010div\u00fdch pramen\u016f a \u0161est peloid\u016f, tedy ra\u0161eliny nebo bahna,“ \u0159ekl Den\u00edku \u0159editel V\u00fdzkumn\u00e9ho \u00fastavu balneologick\u00e9ho Franti\u0161ek Och. Kter\u00e9 l\u00e1zn\u011b se do projektu zapoj\u00ed, prozat\u00edm neprozradil. „Bude to ale kolem dvan\u00e1cti za\u0159\u00edzen\u00ed, kter\u00e1 p\u0159\u00edrodn\u00ed l\u00e9\u010div\u00e9 zdroje pou\u017e\u00edvaj\u00ed,“ p\u0159ibl\u00ed\u017eil. Z\u00e1jem o projekt je.<\/p>\n

UNIK\u00c1TN\u00cd PROJEKT<\/p>\n

Studie je toti\u017e unik\u00e1tn\u00ed.<\/p>\n

„Chceme j\u00edt d\u00e1l ne\u017e v\u011bt\u0161ina dosavadn\u00edch v\u00fdzkumn\u00fdch projekt\u016f. Budeme se sna\u017eit dolo\u017eit nejenom to, nakolik m\u011bn\u00ed l\u00e9\u010div\u00fd zdroj chrupavku. Budeme tak\u00e9 sledovat, jak\u00fdm zp\u016fsobem prameny v t\u011ble p\u016fsob\u00ed,“ uvedl Och.<\/p>\n

Postupovat se p\u0159itom bude jako u test\u016f b\u011b\u017en\u00fdch l\u00e9k\u016f \u2013 zat\u00edmco jedna skupina lid\u00ed dostane skute\u010dnou miner\u00e1ln\u00ed vodu, druh\u00e9 odborn\u00edci podaj\u00ed oby\u010dejnou vodu z kohoutku. V\u00fdsledky po t\u00fddnech a\u017e m\u011bs\u00edc\u00edch porovnaj\u00ed. Na studii budou s balneology spolupracovat tak\u00e9 akademici z \u00dastavu t\u011blesn\u00e9 v\u00fdchovy a sportu pra\u017esk\u00e9 Univerzity Karlovy.<\/p>\n

Pokud se l\u00e9\u010div\u00e9 \u00fa\u010dinky pramen\u016f potvrd\u00ed, bude to znamenat velk\u00fd posun nejenom v medic\u00edn\u011b, ale tak\u00e9 v legislativ\u011b. Dnes se toti\u017e p\u0159\u00edrodn\u00ed l\u00e9\u010div\u00e9 zdroje nevejdou do \u017e\u00e1dn\u00e9 \u0161katulky \u2013 nejsou to l\u00e9\u010diva, ani zdravotnick\u00e9 pom\u016fcky. Maj\u00ed speci\u00e1ln\u00ed z\u00e1kon. „A to pr\u00e1v\u011b z toho d\u016fvodu, \u017ee doposud nikdo ned\u011blal \u017e\u00e1dn\u00e9 klinick\u00e9 studie, kter\u00e9 by l\u00e9\u010div\u00e9 \u00fa\u010dinky t\u011bchto zdroj\u016f potvrdily,“ vysv\u011btluje b\u00fdval\u00fd \u0159editel St\u00e1tn\u00edho \u00fastavu pro kontrolu l\u00e9\u010div Martin Bene\u0161. L\u00e9kov\u00fd \u00fastav schvaluje v\u0161echny klinick\u00e9 studie na \u00fazem\u00ed \u010ceska. M\u011bl by na n\u011b tak\u00e9 dohl\u00ed\u017eet. U studie na prameny ale odkazuje na \u010cesk\u00fd inspektor\u00e1t l\u00e1zn\u00ed. Na tuto problematiku nem\u00e1 „noty“.<\/p>\n

Ve sv\u011bt\u011b u\u017e se ale na testy \u00fa\u010dink\u016f l\u00e9\u010div\u00fdch pramen\u016f zam\u011b\u0159ili. Klinick\u00e9 studie se konaly v Ma\u010farsku, Rusku, ve Francii, Polsku, Thajsku nebo Tunisku. Zkoumalo se, jestli lid\u00e9 po l\u00e1zn\u00edch spolykaj\u00ed m\u00e9n\u011b pilulek na bolest. M\u011b\u0159ila se tak\u00e9 hybnost posti\u017een\u00fdch kloub\u016f. V\u00fdsledky byly rozporupln\u00e9.<\/p>\n

SKEPTI\u010cT\u00cd DOKTO\u0158I<\/p>\n

L\u00e9ka\u0159i jsou proto k v\u00fdsledk\u016fm studie skepti\u010dt\u00ed. „Podle m\u011b jde o \u0161arlat\u00e1nsk\u00e9 metody,“ odsoudil pokus \u0161\u00e9f Ortopedick\u00e9 kliniky pra\u017esk\u00e9 Bulovky Pavel Dungl.<\/p>\n

Opatrn\u00fd je tak\u00e9 zl\u00ednsk\u00fd sportovn\u00ed l\u00e9ka\u0159 Lubom\u00edr Ne\u010das. „Nev\u011b\u0159\u00edm tomu, \u017ee se n\u011bco z\u00e1vratn\u00e9ho zjist\u00ed,“ \u0159ekl. Devades\u00e1t procent lid\u00ed se sice podle n\u011bj vr\u00e1t\u00ed z l\u00e1zn\u00ed spokojen\u00fdch, k tomu jim ale nepomohou jen l\u00e9\u010debn\u00e9 prameny \u010di bahno. „N\u011bkdo tam s nimi cvi\u010d\u00ed, maj\u00ed upraven\u00fd re\u017eim a celkov\u011b si odpo\u010dinou,“ hodnot\u00ed \u00fa\u010dinky l\u00e1ze\u0148sk\u00e9 k\u00fary Ne\u010das.<\/p>\n

Probl\u00e9my s hybnost\u00ed jsou p\u0159itom jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch d\u016fvod\u016f, pro\u010d lid\u00e9 do l\u00e1zn\u00ed jedou. Podle statistik\u016f tvo\u0159\u00ed tito pacienti v\u00edc ne\u017e polovinu klientely. Obrovsk\u00e9 sumy vyd\u00e1vaj\u00ed za l\u00e1ze\u0148skou l\u00e9\u010dbu tak\u00e9 poji\u0161\u0165ovny. T\u0159eba VZP loni v l\u00e1zn\u00edch „utopila“ t\u00e9m\u011b\u0159 1,7 miliardy korun.<\/p>\n

—<\/p>\n

celkov\u00fd po\u010det l\u00e1ze\u0148sk\u00fdch pacient\u016f za rok
\n347,4 tis\u00edce<\/p>\n

\u010de\u0161t\u00ed pacienti, kter\u00fdm pobyt v l\u00e1zn\u00edch zaplatila poji\u0161\u0165ovna (asi \u010dtvrtina lid\u00ed)
\n88,5 tis\u00edce<\/p>\n

S \u010d\u00edm lid\u00e9 nej\u010dast\u011bji jezd\u00ed do l\u00e1zn\u00ed (po\u010det pacient\u016f v %)
\nNemoci mo\u010dov\u00e9ho \u00fastroj\u00ed 0,4 %
\nGynekologick\u00e9 nemoci 1,5 %
\nDu\u0161evn\u00ed choroby 2,9 %
\nNemoci d\u00fdchac\u00ed soustavy 6,2 %
\nKo\u017en\u00ed nemoci 1 %
\nOnkologick\u00e9 nemoci 5,1 %
\nNemoci pohybov\u00e9ho apar\u00e1tu 52,4 %
\nNemoci nervov\u00e9 soustavy 17,2 %
\nNemoci tr\u00e1vic\u00edho traktu 1,6 %
\nNemoci srdce a c\u00e9v 10,5 %
\n\u017dl\u00e1zy s vnit\u0159n\u00ed sekrec\u00ed 1,2 %<\/p>\n

Na l\u00e9\u010dbu jak\u00fdch nemoc\u00ed nej\u010dast\u011bji p\u0159isp\u00edvaj\u00ed poji\u0161\u0165ovny (po\u010det pacient\u016f v %)
\nNemoci srdce a c\u00e9v 1,3 %
\nNemoci pohybov\u00e9ho apar\u00e1tu 13,5 %
\nKo\u017en\u00ed nemoci 26,3 %
\nGynekologick\u00e9 nemoci 1,5 %
\nNemoci d\u00fdchac\u00ed soustavy 12,5 %
\nDu\u0161evn\u00ed choroby 0,3 %
\n\u017dl\u00e1zy s vnit\u0159n\u00ed sekrec\u00ed 24,6 %
\nNemoci nervov\u00e9 soustavy 14,6 %
\nNemoci tr\u00e1vic\u00edho traktu 2,8 %
\nOnkologick\u00e9 nemoci 0,1 %
\nNemoci mo\u010dov\u00e9ho \u00fastroj\u00ed 1,5 %<\/p>\n

N\u00e1klady VZP na l\u00e1ze\u0148skou p\u00e9\u010di (K\u010d)
\n2013 – 825 769 000
\n2014 – 1 293 507 000
\n2015 – 1 493 679 000
\n2016* – 1 696 000 000
\n2017** – 1 800 000 000
\n*o\u010dek\u00e1van\u00e1 skute\u010dnost na z\u00e1klad\u011b dat k 30. 9. 2016, **schv\u00e1len\u00fd zdravotn\u011b pojistn\u00fd pl\u00e1n<\/p>\n

Po\u010dty klient\u016f, jim\u017e VZP hradila l\u00e1ze\u0148skou p\u00e9\u010di
\n2013 – 38 749 klient\u016f
\n2014 – 49 881 klient\u016f
\n2015 – 54 468 klient\u016f<\/p>\n

ZDROJ: \u00daSTAV ZDRAVOTNICK\u00ddCH INFORMAC\u00cd A STATISTIKY, VZP<\/p>\n

18.01.2017
\nVERONIKA RODRIGUEZ
\nOlomouck\u00fd den\u00edk
\nhttp:\/\/www.olomoucky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Ani pit\u00ed, ani l\u00e9k. Do jak\u00e9 \u0161katulky pat\u0159\u00ed l\u00e1ze\u0148sk\u00e9 prameny, doposud nikdo v \u010cesku nerozlouskl. Nev\u00ed se ani, jestli a jak funguj\u00ed. Poji\u0161\u0165ovny p\u0159itom pos\u00edlaj\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":4375,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27052","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\/27052","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=27052"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27052\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4375"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27052"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27052"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}