{"id":27207,"date":"2017-02-08T10:55:56","date_gmt":"2017-02-08T09:55:56","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27207"},"modified":"2017-02-08T10:55:56","modified_gmt":"2017-02-08T09:55:56","slug":"nejdrazsi-diagnozy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27207","title":{"rendered":"Nejdra\u017e\u0161\u00ed diagn\u00f3zy"},"content":{"rendered":"

St\u00e1t pom\u00e1h\u00e1 s doplatky na l\u00e9ky senior\u016fm, ale mlad\u0161\u00ed invalid\u00e9 s rodinou si mus\u00ed pomoci sami<\/strong> <\/p>\n

Bohat\u00fd, nebo chud\u00fd senior? Na tom nez\u00e1le\u017e\u00ed, v\u0161ichni lid\u00e9 nad p\u011bta\u0161edes\u00e1t let maj\u00ed od p\u0159\u00ed\u0161t\u00edho roku zaplatit na doplatc\u00edch na l\u00e9ky maxim\u00e1ln\u011b tis\u00edc korun ro\u010dn\u011b, senio\u0159i nad 70 let pouze p\u011btistovku. Sn\u00ed\u017een\u00ed takzvan\u00fdch ochrann\u00fdch limit\u016f na l\u00e9ky ze sou\u010dasn\u00fdch 2 500 korun navrhl ministr zdravotnictv\u00ed Miroslav Ludv\u00edk. Minul\u00fd t\u00fdden jeho n\u00e1vrh schv\u00e1lila vl\u00e1da.<\/p>\n

Oproti tomu t\u011b\u017ece nemocn\u00ed lid\u00e9, kte\u0159\u00ed jsou v invalidn\u00edm d\u016fchodu u\u017e v mlad\u00e9m v\u011bku a mus\u00ed \u017eivit d\u011bti, maj\u00ed sm\u016flu. T\u011bm se \u017e\u00e1dn\u00e9 limity na doplatky sni\u017eovat nebudou.<\/p>\n

„Je to chyba. My jsme u\u017e d\u0159\u00edve navrhovali, aby se ochrann\u00e9 limity na doplatky za l\u00e9ky t\u00fdkaly i invalidn\u00edch d\u016fchodc\u016f v produktivn\u00edch letech,“ \u0159\u00edk\u00e1 prezident \u010cesk\u00e9 l\u00e9k\u00e1rnick\u00e9 komory Lubom\u00edr Chudoba.<\/p>\n

Lid\u00ed, kte\u0159\u00ed se do invalidn\u00edho d\u016fchodu dostali ve v\u011bku od 25 let do 55 let, je p\u0159itom u n\u00e1s celkem 226 tis\u00edc.<\/p>\n

Nejl\u00e9pe je probl\u00e9m vid\u011bt na pacientech s Parkinsonovou chorobou, kte\u0159\u00ed si mus\u00ed za l\u00e9ky dopl\u00e1cet ro\u010dn\u011b a\u017e p\u011bt tis\u00edc korun. Pacient\u016f s touto diagn\u00f3zou je dnes v \u010cesku 16 tis\u00edc, ka\u017ed\u00e9mu des\u00e1t\u00e9mu nen\u00ed v\u00edce ne\u017e \u010dty\u0159icet let.<\/p>\n

Parkinsonovou chorobou trp\u00ed i osmat\u0159icetilet\u00e1 Jana. „Za\u010dalo to lehk\u00fdm t\u0159esem, z\u00e1\u0161kuby a postupn\u011b mne choroba za\u010dala vy\u0159azovat z b\u011b\u017en\u00e9ho \u017eivota,“ l\u00ed\u010d\u00ed pacientka. Za jedno balen\u00ed z\u00e1kladn\u00edho l\u00e9ku na Parkinsonovu chorobu zaplat\u00ed v\u00edce ne\u017e dv\u011b stovky korun, ro\u010dn\u011b nech\u00e1 v l\u00e9k\u00e1rn\u011b jen za tento l\u00e9k p\u0159es p\u011bt tis\u00edc.<\/p>\n

„Pro n\u011bkter\u00e9 lidi znamen\u00e1 takov\u00e1 diagn\u00f3za odchod do invalidn\u00edho d\u016fchodu. Pokud m\u00e1 z\u00e1rove\u0148 rodinu, kterou mus\u00ed \u017eivit, je to velk\u00fd pr\u016f\u0161vih,“ \u0159\u00edk\u00e1 Romana Sk\u00e1la Rosenbaum, kter\u00e1 touto nemoc\u00ed trp\u00ed u\u017e osmn\u00e1ct let.<\/p>\n

Neplat\u00ed lep\u0161\u00ed l\u00e9k, ale z\u00e1kladn\u00ed<\/p>\n

Kritickou situaci t\u011bchto pacient\u016f potvrzuj\u00ed i l\u00e9ka\u0159i. Na rozd\u00edl od v\u011bt\u0161iny ostatn\u00edch chorob si toti\u017e mus\u00ed dopl\u00e1cet i na z\u00e1kladn\u00ed l\u00e9k. „Poji\u0161\u0165ovny toti\u017e pln\u011b hrad\u00ed jen n\u011bkter\u00e9 n\u00e1kladn\u011bj\u0161\u00ed p\u0159\u00edpravky, kter\u00e9 se ale pro v\u011bt\u0161inu pacient\u016f s Parkinsonovou chorobou nehod\u00ed. Na tuto situaci u\u017e dlouho upozor\u0148ujeme, zat\u00edm se ale nic nezm\u011bnilo,“ \u0159\u00edk\u00e1 profesor Ev\u017een R\u016f\u017ei\u010dka z Neurologick\u00e9 kliniky VFN v Praze.<\/p>\n

Vysok\u00e9 \u010d\u00e1stky za l\u00e9ky zaplat\u00ed tak\u00e9 pacienti s cystickou fibr\u00f3zou \u2013 nevyl\u00e9\u010ditelnou nemoc\u00ed, kter\u00e1 postihuje pl\u00edce a tr\u00e1vic\u00ed syst\u00e9m. Tak\u00e9 je l\u00e9ky p\u0159ijdou na v\u00edce ne\u017e p\u011bt tis\u00edc korun ro\u010dn\u011b.<\/p>\n

„L\u00e9k Kreon stoj\u00ed v l\u00e9k\u00e1rn\u00e1ch kolem stokoruny. Pacienti jednu krabi\u010dku vyu\u017e\u00edvaj\u00ed zhruba za jeden t\u00fdden,“ potvrzuje l\u00e9k\u00e1rn\u00edk Martin Kopeck\u00fd. Podobn\u00fd probl\u00e9m maj\u00ed podle n\u011bj tak\u00e9 epileptici. „Nap\u0159\u00edklad pacienti, kte\u0159\u00ed u\u017e\u00edvaj\u00ed l\u00e9k Tegretol a berou ho dvakr\u00e1t denn\u011b, zaplat\u00ed za l\u00e9ky v\u00edce ne\u017e 2 200 korun ro\u010dn\u011b,“ poznamen\u00e1v\u00e1 Kopeck\u00fd.<\/p>\n

Tis\u00edce korun za recepty nech\u00e1 v l\u00e9k\u00e1rn\u011b i Ivo Mr\u00e1zek, kter\u00fd kv\u016fli nedostate\u010dn\u011b l\u00e9\u010den\u00e9 neuroboreli\u00f3ze skon\u010dil v invalidn\u00edm d\u016fchodu: „Za l\u00e9ky na r\u016fzn\u00e9 neurologick\u00e9 pot\u00ed\u017ee zaplat\u00edm ka\u017ed\u00e9 t\u0159i m\u011bs\u00edce p\u0159es tis\u00edc korun.“<\/p>\n

Neurologi\u010dt\u00ed pacienti jsou na tom z pohledu doplatk\u016f h\u016f\u0159 ne\u017e nap\u0159\u00edklad lid\u00e9 s nemocn\u00fdm srdcem. Zat\u00edmco v\u011bt\u0161ina „kardiak\u016f“ m\u016f\u017ee bez probl\u00e9mu p\u0159ej\u00edt na jin\u00fd l\u00e9k s ni\u017e\u0161\u00edm doplatkem, neurologi\u010dt\u00ed pacienti maj\u00ed situaci slo\u017eit\u011bj\u0161\u00ed. „L\u00e9ka\u0159i u nich \u010dastokr\u00e1t hledaj\u00ed vhodn\u00fd l\u00e9k i jeho spr\u00e1vnou d\u00e1vku t\u0159eba i n\u011bkolik t\u00fddn\u016f, a nelze ho tedy jednodu\u0161e vym\u011bnit za jin\u00fd l\u00e9k se stejnou \u00fa\u010dinnou l\u00e1tkou, ale s ni\u017e\u0161\u00edm doplatkem,“ \u0159\u00edk\u00e1 Lubom\u00edr Chudoba.<\/p>\n

Nemal\u00e9 \u010d\u00e1stky nechaj\u00ed v l\u00e9k\u00e1rn\u00e1ch tak\u00e9 pacienti s dal\u0161\u00edmi diagn\u00f3zami. „Nap\u0159\u00edklad s nemocemi slinivky b\u0159i\u0161n\u00ed, s nedostatkem \u017eeleza v krvi nebo pacienti, kte\u0159\u00ed jsou odk\u00e1z\u00e1ni na um\u011blou v\u00fd\u017eivu, takzvan\u00fd sipping,“ dod\u00e1v\u00e1 Michal Hojn\u00fd, m\u00edstop\u0159edseda Sekce nemocni\u010dn\u00edch l\u00e9k\u00e1rn\u00edk\u016f.<\/p>\n

L\u00e9ka\u0159i z\u00e1rove\u0148 upozor\u0148uj\u00ed, \u017ee doplatky v l\u00e9k\u00e1rn\u00e1ch se velmi li\u0161\u00ed. „M\u00e1lokter\u00fd nemocn\u00fd m\u00e1 mo\u017enost obtelefonov\u00e1vat nebo obj\u00ed\u017ed\u011bt l\u00e9k\u00e1rny a zji\u0161\u0165ovat, kolik kde u\u0161et\u0159\u00ed,“ upozor\u0148uje neurolog Ev\u017een R\u016f\u017ei\u010dka.<\/p>\n

Ministerstvo zdravotnictv\u00ed tvrd\u00ed, \u017ee o probl\u00e9mech invalidn\u00edch pacient\u016f v\u00ed. Za\u0159adit invalidy do skupiny ochrann\u00fdch limit\u016f je v\u0161ak pr\u00fd slo\u017eit\u00e9. „Zat\u00edmco sn\u00ed\u017een\u00ed limitu doplatk\u016f na z\u00e1klad\u011b v\u011bku je velmi snadno provediteln\u00e9, zaveden\u00ed ni\u017e\u0161\u00edch limit\u016f pro invalidy je administrativn\u011b i pr\u00e1vn\u011b slo\u017eit\u011bj\u0161\u00ed,“ tvrd\u00ed mluv\u010d\u00ed ministerstva \u0160t\u011bp\u00e1nka \u010cechov\u00e1. O za\u0159azen\u00ed invalid\u016f mezi pacienty se sn\u00ed\u017een\u00fdm limitem na l\u00e9ky pr\u00fd ale bude ministerstvo uva\u017eovat.<\/p>\n

—<\/p>\n

P\u0159\u00edklady „nejdra\u017e\u0161\u00edch diagn\u00f3z“ a doplatk\u016f za l\u00e9ky<\/p>\n

Nemoc – L\u00e9k – Doplatek – Na kolik ro\u010dn\u011b za balen\u00ed p\u0159ijde pacienta
\nParkinsonova choroba – Isicom – 135 a\u017e 228 K\u010d – a\u017e 5 700 K\u010d
\nCystick\u00e1 fibr\u00f3za nebo onemocn\u011bn\u00ed slinivky b\u0159i\u0161n\u00ed – Kreon – cca. 99 K\u010d – a\u017e 5 000 K\u010d
\nCystick\u00e1 fibr\u00f3za nebo onemocn\u011bn\u00ed slinivky b\u0159i\u0161n\u00ed\u00a0 – Panzytrat – 222 K\u010d – a\u017e 5 500 K\u010d
\nEpilepsie – Tegretol – 97 K\u010d na krabi\u010dku – a\u017e 2 300 K\u010d
\nRevmatick\u00e1 onemocn\u011bn\u00ed, chronick\u00e9 st\u0159evn\u00ed z\u00e1n\u011bty – Prednison – A\u017e 800 K\u010d
\nL\u00e9\u010dba anemie (chudokrevnost) – Sorbifer Durules – 158 K\u010d – a\u017e 1 000 K\u010d
\nCeny jsou pouze orienta\u010dn\u00ed, doplatky v l\u00e9k\u00e1rn\u00e1ch se v\u00fdrazn\u011b li\u0161\u00ed.
\nZdroj: \u010cesk\u00e1 l\u00e9k\u00e1rnick\u00e1 komora<\/p>\n

Iva Bezd\u011bkov\u00e1
\nMlad\u00e1 fronta Dnes<\/p>\n","protected":false},"excerpt":{"rendered":"

St\u00e1t pom\u00e1h\u00e1 s doplatky na l\u00e9ky senior\u016fm, ale mlad\u0161\u00ed invalid\u00e9 s rodinou si mus\u00ed pomoci sami<\/p>\n<\/div>","protected":false},"author":1,"featured_media":1308,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27207","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\/27207","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=27207"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27207\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/1308"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27207"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27207"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}