Ministerstvo zdravotnictv\u00ed chce nedostatek l\u00e9ka\u0159\u016f \u0159e\u0161it zrychlen\u00edm atestac\u00ed i nav\u00fd\u0161en\u00edm po\u010dtu medik\u016f<\/p>\n
PRAHA \u0160edes\u00e1tilet\u00e1 praktick\u00e1 l\u00e9ka\u0159ka Anna Tursk\u00e1 \u0159e\u0161ila v z\u00e1v\u011bru profesn\u00ed dr\u00e1hy nal\u00e9hav\u00fd probl\u00e9m. Proto\u017ee musela odej\u00edt do invalidn\u00edho d\u016fchodu, hledala pro svou ambulanci v p\u0159\u00edhrani\u010dn\u00edm m\u011bst\u011b Brumov Bylnice ve Zl\u00ednsk\u00e9m kraji n\u00e1hradu. Ani po n\u011bkolika m\u011bs\u00edc\u00edch se j\u00ed to nepoda\u0159ilo. „Radnice vypsala v\u00fdb\u011brov\u00e9 \u0159\u00edzen\u00ed na nov\u00e9ho praktika, ale zat\u00edm nikoho nesehnali,“ popisuje jej\u00ed man\u017eel.
\nPrakti\u010dt\u00ed l\u00e9ka\u0159i pat\u0159\u00ed mezi nejstar\u0161\u00ed doktory v \u010cesku. Sv\u00e9 ordinace provozuj\u00ed i tac\u00ed, kte\u0159\u00ed p\u0159ekro\u010dili sedmdes\u00e1tku. Zat\u00edmco pr\u016fm\u011brn\u00fd v\u011bk l\u00e9ka\u0159\u016f je osma\u010dty\u0159icet let, u praktik\u016f je t\u00e9m\u011b\u0159 o osm let vy\u0161\u0161\u00ed. A praktici v d\u016fchodov\u00e9m v\u011bku tvo\u0159\u00ed v\u00fdznamnou skupinu ve v\u0161ech kraj\u00edch.<\/p>\n
C\u00edt\u00ed odpov\u011bdnost<\/p>\n
Nejv\u00edce se s nedostatkem pot\u00fdkaj\u00ed na venkov\u011b a v perifern\u00edch oblastech republiky, v\u00fdjimku tvo\u0159\u00ed Praha a velk\u00e1 m\u011bsta.
\n„Pokud l\u00e9ka\u0159 dlouhodob\u011b onemocn\u00ed nebo zem\u0159e, nem\u00e1me za n\u011bj n\u00e1hradu,“ \u0159\u00edk\u00e1 zl\u00ednsk\u00fd krajsk\u00fd p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f Lubom\u00edr Ne\u010das.
\nL\u00e9ka\u0159i ve vy\u0161\u0161\u00edm v\u011bku mnohdy provozuj\u00ed ordinaci kv\u016fli tomu, \u017ee c\u00edt\u00ed pocit zodpov\u011bdnosti za sv\u00e9 pacienty. To je p\u0159\u00edpad i Zl\u00ednsk\u00e9ho kraje, jak tvrd\u00ed Ne\u010das. A uv\u00e1d\u00ed p\u0159\u00edklad dvou l\u00e9ka\u0159\u016f, kte\u0159\u00ed neode\u0161li do d\u016fchodu jen proto, \u017ee za sebe nedok\u00e1\u017eou dlouhodob\u011b naj\u00edt n\u00e1hradu.
\nPodobn\u00e1 situace je v Moravskoslezsk\u00e9m kraji. \u0160\u00e9f tamn\u00edho Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f Zden\u011bk Hromek uv\u00e1d\u00ed, \u017ee pokud by l\u00e9ka\u0159i, kte\u0159\u00ed maj\u00ed n\u00e1rok na d\u016fchod, sv\u00e9 ordinace zav\u0159eli, znamenalo by to pro kraj pohromu.
\nV\u011bt\u0161ina region\u016f p\u0159itom p\u0159izn\u00e1v\u00e1, \u017ee pokud l\u00e9ka\u0159 odejde do penze, sehnat za n\u011bj n\u00e1hradu je velice obt\u00ed\u017en\u00e9.
\n\u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora klade situaci za vinu st\u00e1tu, kter\u00fd podle n\u00ed v\u010das nezareagoval. \u010clen p\u0159edstavenstva komory Petr N\u011bme\u010dek tvrd\u00ed, \u017ee prakti\u010dt\u00ed l\u00e9ka\u0159i se nach\u00e1zej\u00ed na pokraji sil. „Jsme sta\u0159\u00ed a unaven\u00ed. Jako odbornost m\u00e1me vysok\u00fd v\u011bkov\u00fd pr\u016fm\u011br,“ post\u011b\u017eoval si.
\nMinisterstvo zdravotnictv\u00ed z\u00e1va\u017enost probl\u00e9mu potvrzuje. Chce jej \u0159e\u0161it postgradu\u00e1ln\u00edm studiem l\u00e9ka\u0159\u016f, zrychlen\u00edm atestac\u00ed, \u010d\u00edm\u017e by se omezil odchod absolvent\u016f do zahrani\u010d\u00ed, a nav\u00fd\u0161en\u00edm kapacit vysok\u00fdch \u0161kol.<\/p>\n
Probl\u00e9m se st\u00e1rnut\u00edm praktik\u016f su\u017euje i Karlovarsk\u00fd kraj. Tady l\u00e9ka\u0159i star\u0161\u00ed 70 let tvo\u0159\u00ed v\u00edce ne\u017e sedm procent v\u0161ech l\u00e9ka\u0159\u016f. V kraji nyn\u00ed pracuje 13 procent l\u00e9ka\u0159\u016f v d\u016fchodov\u00e9m v\u011bku a podle progn\u00f3z Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f se toto \u010d\u00edslo do p\u011bti let zdvojn\u00e1sob\u00ed. Kv\u016fli nemo\u017enosti naj\u00edt v kraji n\u00e1hradu by tak do\u0161lo ke sn\u00ed\u017een\u00ed po\u010dtu prax\u00ed. Situace v kraji pat\u0159\u00ed dlouhodob\u011b k nejhor\u0161\u00edm v \u010cesku.
\nN\u011bkte\u0159\u00ed praktici kv\u016fli p\u0159epracovanosti volaj\u00ed op\u011bt po zaveden\u00ed regula\u010dn\u00edho poplatku. Podle nich poplatky pom\u00e1haly udr\u017eet chod ordinace a hlavn\u011b p\u0159edej\u00edt zahlcen\u00ed l\u00e9ka\u0159e „p\u0159ecitliv\u011bl\u00fdmi“ pacienty. Tento n\u00e1zor sd\u00edl\u00ed i k\u0159ivokl\u00e1tsk\u00e1 l\u00e9ka\u0159ka Eva Kasalick\u00e1. „P\u0159ib\u00fdv\u00e1 pacient\u016f, kte\u0159\u00ed chod\u00ed jen proto, aby se ujistili, \u017ee jim nic nen\u00ed. Tito pacienti okr\u00e1daj\u00ed l\u00e9ka\u0159e o \u010das, kter\u00fd by mohl v\u011bnovat pacient\u016fm, kte\u0159\u00ed jej skute\u010dn\u011b pot\u0159ebuj\u00ed.“<\/p>\n
Ne\u017e EET, tak rad\u0161i skon\u010d\u00ed<\/p>\n
\u010c\u00e1st l\u00e9ka\u0159\u016f d\u016fchodov\u00e9ho v\u011bku se tak\u00e9 neum\u00ed vypo\u0159\u00e1dat s n\u00e1stupem modern\u00edch technologi\u00ed. Podle zl\u00ednsk\u00e9ho p\u0159edstavitele SPL Lubom\u00edra Ne\u010dase se jich u\u017e n\u011bkolik nechalo sly\u0161et, \u017ee pokud by museli zav\u00e9st EET, tak sv\u00e9 ordinace rad\u011bji zav\u0159ou. Podobn\u011b mohou m\u00edt l\u00e9ka\u0159i probl\u00e9m s vyd\u00e1v\u00e1n\u00edm elektronick\u00fdch recept\u016f nebo elektronick\u00fdch neschopenek.
\nOpakem region\u00e1ln\u00ed krize je situace v Praze, kde n\u011bkte\u0159\u00ed l\u00e9ka\u0159i hovo\u0159\u00ed o p\u0159etlaku praktik\u016f. To potvrzuje i vedouc\u00ed pra\u017esk\u00e9 pobo\u010dky SPL Dagmar \u0160krhov\u00e1. „V Praze je l\u00e9ka\u0159\u016f dostatek a st\u00e1le se otv\u00edraj\u00ed nov\u00e9 ordinace,“ \u0159ekla \u0160krhov\u00e1. Podobn\u011b jako Praha jsou na tom i dal\u0161\u00ed velk\u00e1 m\u011bsta.
\nRo\u010dn\u011b se v oboru v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159stv\u00ed atestuje 150 l\u00e9ka\u0159\u016f a dal\u0161\u00edch 50 se rekvalifikuje. \u0160krhov\u00e1 tvrd\u00ed, \u017ee praktick\u00fdch l\u00e9ka\u0159\u016f je dostatek, probl\u00e9m je jejich nerovnom\u011brn\u00e9 rozd\u011blen\u00ed. Zaji\u0161t\u011bn\u00ed praktick\u00e9ho l\u00e9ka\u0159e v lokalit\u011b m\u00e1 na starost m\u00edstn\u00ed samospr\u00e1va ve spolupr\u00e1ci s poji\u0161\u0165ovnami. Mlad\u00fdm l\u00e9ka\u0159\u016fm se do region\u016f nechce. Do v\u011bt\u0161\u00edch m\u011bst je l\u00e1kaj\u00ed lep\u0161\u00ed podm\u00ednky pro z\u0159\u00edzen\u00ed ordinace, dostupnost slu\u017eeb i lep\u0161\u00ed podm\u00ednky pro rodinu. Mlad\u00e9 l\u00e9ka\u0159e m\u016f\u017ee odradit i fakt, \u017ee na vesnic\u00edch se velice obt\u00ed\u017en\u011b sh\u00e1n\u00ed z\u00e1skok, kter\u00fd praktik mus\u00ed obstarat v p\u0159\u00edpad\u011b, \u017ee je na v\u00edce ne\u017e t\u0159i dny mimo ordinaci. Na vesnic\u00edch se tak\u00e9 t\u011b\u017eko hledaj\u00ed nov\u00ed pacienti, maj\u00ed tak probl\u00e9m roz\u0161\u00ed\u0159it praxi.
\nSituaci ne\u0159e\u0161\u00ed ani sou\u010dasn\u00fd program reziden\u010dn\u00edch m\u00edst. \u0160kolic\u00edch akreditovan\u00fdch pracovi\u0161\u0165, kter\u00e1 jsou spolufinancov\u00e1na ze st\u00e1tn\u00edho rozpo\u010dtu, je m\u00e1lo. Nesta\u010d\u00ed ani ke genera\u010dn\u00ed v\u00fdm\u011bn\u011b praktick\u00fdch l\u00e9ka\u0159\u016f. Podle odhad\u016f by bylo t\u0159eba, aby nov\u011b atestovan\u00ed praktici nahradili 65 procent praktick\u00fdch l\u00e9ka\u0159\u016f v d\u016fchodov\u00e9m v\u011bku.<\/p>\n
S pomoc\u00ed by m\u011bly za\u010d\u00edt samospr\u00e1vy<\/p>\n
Ministerstvo zdravotnictv\u00ed nab\u00edz\u00ed praktick\u00fdm l\u00e9ka\u0159\u016fm finan\u010dn\u00ed pomoc. Mohou za\u017e\u00e1dat o dotaci na provoz ambulance nebo na pokryt\u00ed platu zdravotn\u00edch sester. Dota\u010dn\u00ed program je ur\u010den\u00fd pro praktiky z region\u016f, ve kter\u00fdch je t\u00e9to profese nedostatek. Ministr zdravotnictv\u00ed Miloslav Ludv\u00edk chce tak\u00e9 nav\u00fd\u0161it kapacitu vysok\u00fdch \u0161kol. Podle n\u00e1vrhu by m\u011bl b\u00fdt na medic\u00ednu p\u0159ijat ka\u017ed\u00fd, kdo ud\u011bl\u00e1 p\u0159ij\u00edmac\u00ed zkou\u0161ky.
\nSt\u00e1rnut\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f zaznamenal i Svaz zdravotn\u00edch poji\u0161\u0165oven. Podle jeho prezidenta Ladislava Friedricha si poji\u0161\u0165ovny probl\u00e9m uv\u011bdomuj\u00ed. „\u0158e\u0161en\u00ed mus\u00ed b\u00fdt komplexn\u00ed. P\u0159edev\u0161\u00edm jde o to, aby byla pos\u00edlena role praktick\u00fdch l\u00e9ka\u0159\u016f v syst\u00e9mu. To by pomohlo k zatraktivn\u011bn\u00ed specializace pro mlad\u00e9 l\u00e9ka\u0159e,“ \u0159ekl Friedrich. Douf\u00e1, \u017ee p\u0159es rozd\u00edln\u00e9 n\u00e1zory dojde letos k dohod\u011b mezi poji\u0161\u0165ovnami, odborn\u00fdmi spole\u010dnostmi a praktick\u00fdmi l\u00e9ka\u0159i.
\n„Prvn\u00ed krok mus\u00ed ud\u011blat samospr\u00e1vy. Mohou nap\u0159\u00edklad praktik\u016fm sn\u00ed\u017eit pron\u00e1jem ordinace nebo je podporovat jinak,“ mysl\u00ed si Friedrich. Prezident svazu ale dod\u00e1v\u00e1, \u017ee podle jeho informac\u00ed je, a\u017e na kr\u00e1tkodob\u00e9 v\u00fdpadky, dostupnost l\u00e9ka\u0159sk\u00fdch slu\u017eeb v souladu se z\u00e1konem.<\/p>\n
Tabulka<\/p>\n
V\u011bk praktick\u00fdch l\u00e9ka\u0159\u016f podle kraj\u016f
\nCelost\u00e1tn\u00ed v\u011bkov\u00fd pr\u016fm\u011br praktick\u00fdch l\u00e9ka\u0159\u016f je 56,3 roku (celost\u00e1tn\u00ed pr\u016fm\u011br v\u0161ech l\u00e9ka\u0159\u016f \u010din\u00ed 48,8 roku)<\/p>\n
kraj 29 a m\u00e9n\u011b 30\u201339 40\u201349 50\u201359 60\u201364 65\u201369 70 a v\u00edce
\nSt\u0159edo\u010desk\u00fd 4 48 88 205 81 57 27
\nJiho\u010desk\u00fd 11 25 55 150 28 27 24
\nPraha 23 93 141 285 121 69 63
\nPlze\u0148sk\u00fd 7 30 39 124 41 37 14
\nKarlovarsk\u00fd 0 12 27 54 22 10 14
\n\u00dasteck\u00fd 8 24 65 137 61 36 31
\nLibereck\u00fd 0 12 42 89 31 18 6
\nKr\u00e1lov\u00e9hradeck\u00fd 0 25 53 127 39 33 10
\nPardubick\u00fd 2 18 46 107 28 13 12
\nVyso\u010dina 3 15 37 118 29 20 14
\nJihomoravsk\u00fd 9 57 98 315 67 41 16
\nZl\u00ednsk\u00fd 2 26 61 132 40 24 17
\nOlomouck\u00fd 14 27 71 152 43 34 18
\nMoravskoslezsk\u00fd 19 67 116 265 63 44 39
\nZdroj: Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f FOTO: MAFRA\u2013V\u00c1CLAV \u0160LAUF \/\/ KOL\u00c1\u017d \u0160IMON \/ LN<\/p>\n
56 let<\/p>\n
pr\u016fm\u011brn\u00fd v\u011bk praktick\u00e9ho l\u00e9ka\u0159e v \u010cesku Pro\u010d se mlad\u00fdm nechce na venkov * Hor\u0161\u00ed podm\u00ednky pro zalo\u017een\u00ed rodiny * Hor\u0161\u00ed dostupnost \u0161kol a kulturn\u00edho programu * Slo\u017eit\u00e9 pracovn\u00ed uplatn\u011bn\u00ed pro partnera * \u0160patn\u00e1 zastupitelnost v p\u0159\u00edpad\u011b dovolen\u00e9 * Vidina men\u0161\u00edho v\u00fdd\u011blku kv\u016fli men\u0161\u00edmu po\u010dtu pacient\u016f<\/p>\n
<\/p>\n
JAKUB KOP\u0158IVA<\/p>\n
Lidov\u00e9 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"
Ministerstvo zdravotnictv\u00ed chce nedostatek l\u00e9ka\u0159\u016f \u0159e\u0161it zrychlen\u00edm atestac\u00ed i nav\u00fd\u0161en\u00edm po\u010dtu medik\u016f<\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27054","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27054","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=27054"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27054\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}