{"id":27438,"date":"2017-03-18T13:15:53","date_gmt":"2017-03-18T12:15:53","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27438"},"modified":"2017-03-18T13:16:03","modified_gmt":"2017-03-18T12:16:03","slug":"odlehcena-sadra-ano-ale-za-penize","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27438","title":{"rendered":"Odleh\u010den\u00e1 s\u00e1dra? Ano, ale za pen\u00edze"},"content":{"rendered":"<p>Letos v zim\u011b si hodn\u011b lid\u00ed zlomilo ruku nebo z\u00e1p\u011bst\u00ed, kdy\u017e uklouzli na zledovat\u011bl\u00e9m chodn\u00edku. V nemocnici se s nimi nikdo nebavil a rovnou jim dali ruku do klasick\u00e9 s\u00e1dry. I kdy\u017e cht\u011bli jinou, odleh\u010denou. <!--more--><\/p>\n<p>&#8222;To je i m\u016fj p\u0159\u00edpad. Zlomil jsem si z\u00e1p\u011bst\u00ed a ve velk\u00e9 nemocnici mi rovnou dali t\u011b\u017ekou s\u00e1dru. Nikdo mi nic nevysv\u011btlil. J\u00e1 se s t\u00edm ale nespokojil, \u0161el jsem u\u017e se zas\u00e1drovanou rukou do soukrom\u00e9 ordinace a tam mi zn\u00e1m\u00fd ortoped \u0159ekl, \u017ee m\u016f\u017eu m\u00edt i odleh\u010denou. Vzal n\u016f\u017eky, s\u00e1dru rozst\u0159ihl a vytvaroval novou, odleh\u010denou z prysky\u0159ice. S n\u00ed se mohu i koupat a d\u011blat vlastn\u011b v\u0161echno. Ale pro\u010d jsem ji nemohl dostat hned?&#8220; \u0159ekl Pr\u00e1vu pan Ji\u0159\u00ed s t\u00edm, \u017ee podle n\u011bj klasick\u00e1 s\u00e1dra u\u017e pat\u0159\u00ed do arch\u00edvu medic\u00edny, i kdy\u017e zdravotnictv\u00ed to st\u00e1le odm\u00edt\u00e1 uznat. Poznal to pr\u00fd v zahrani\u010d\u00ed, kde u\u017e je v\u00fdjimkou. <\/p>\n<p>Rozd\u011blen\u00ed p\u00e9\u010de <\/p>\n<p>I kdy\u017e se to zd\u00e1 b\u00fdt logick\u00e9, p\u0159esto v\u011bc nen\u00ed tak jednoduch\u00e1. P\u0159ed n\u011bkolika lety tehdej\u0161\u00ed ministr zdravotnictv\u00ed Leo\u0161 Heger (TOP 09) rozd\u011blil p\u00e9\u010di na standardn\u00ed a nadstandardn\u00ed. Ta nadstandardn\u00ed tehdy obsahovala 18 polo\u017eek a mezi nimi byly i tzv. odleh\u010den\u00e9 s\u00e1dry, d\u00e1le nitroo\u010dn\u00ed \u010do\u010dky nebo lep\u0161\u00ed o\u010dkovac\u00ed vakc\u00edny.<br \/>\nPacient dopl\u00e1cel rozd\u00edl mezi standardn\u00ed a nadstandardn\u00ed l\u00e9\u010dbou, tedy v p\u0159\u00edpad\u011b s\u00e1dry mezi klasickou s\u00e1drou a odleh\u010denou s\u00e1drou. Za rok existence nadstandard\u016f si za lep\u0161\u00ed \u010do\u010dku p\u0159iplatily tis\u00edce lid\u00ed dohromady 40 mili\u00f3n\u016f korun a za odleh\u010denou s\u00e1dru doplatily 1,5 mili\u00f3nu korun. <\/p>\n<p>Rozhodnut\u00ed \u00dastavn\u00edho soudu <\/p>\n<p>To se tehdy nel\u00edbilo politick\u00e9 opozici a 51 poslanc\u016f \u010cSSD zastoupen\u00fdch p\u0159edsedou strany Bohuslavem Sobotkou podalo \u00fastavn\u00ed st\u00ed\u017enost proti norm\u011b, kter\u00e1 rozd\u011blila p\u00e9\u010di na z\u00e1kladn\u00ed a nadstandardn\u00ed. Poslanci se tehdy b\u00e1li hlavn\u011b toho, aby se nadstandardn\u00ed p\u00e9\u010de neroz\u0161\u00ed\u0159ila jako houby po de\u0161ti a pacienti tak postupn\u011b neplatili za v\u00edc a v\u00edc tzv. lep\u0161\u00edch materi\u00e1l\u016f.<br \/>\n\u00dastavn\u00ed soud jim skute\u010dn\u011b v polovin\u011b roku 2013 dal za pravdu, ale ud\u011blal to \u0161alamounsky. Zru\u0161il vyhl\u00e1\u0161ku, kter\u00e1 nadstandardy umo\u017e\u0148ovala, a vlastn\u011b \u0159ekl, \u017ee nadstandardy mus\u00ed upravit z\u00e1kon. Tak nadstandardy padly a dodnes je \u017e\u00e1dn\u00fd ministr do z\u00e1kona nev\u010dlenil. T\u00edm padla i mo\u017enost doplatit si rozd\u00edl mezi klasickou a odleh\u010denou s\u00e1drou. <\/p>\n<p>Co hrad\u00ed poji\u0161\u0165ovna <\/p>\n<p>&#8222;Poji\u0161\u0165ovna hrad\u00ed v\u017edy zdravotnick\u00fd prost\u0159edek v z\u00e1kladn\u00edm, ekonomicky nejm\u00e9n\u011b n\u00e1ro\u010dn\u00e9m proveden\u00ed v z\u00e1vislosti na m\u00ed\u0159e a z\u00e1va\u017enosti zdravotn\u00edho posti\u017een\u00ed. Pokud si pacient chce p\u0159iplatit za nadstandardn\u00ed slu\u017ebu, mus\u00ed si uhradit materi\u00e1l i ve\u0161ker\u00e9 souvisej\u00edc\u00ed v\u00fdkony l\u00e9ka\u0159e s\u00e1m. Takov\u00e1 odleh\u010den\u00e1 s\u00e1dra pak stoj\u00ed i 650 korun,&#8220; sd\u011blila Pr\u00e1vu \u0160t\u011bp\u00e1nka \u010cechov\u00e1, mluv\u010d\u00ed ministerstva zdravotnictv\u00ed.<br \/>\nVra\u0165me se v\u0161ak na za\u010d\u00e1tek na\u0161eho p\u0159\u00edb\u011bhu. Ne v\u017edy je odleh\u010den\u00e1 s\u00e1dra pro pacienta v\u00fdhodn\u00e1. &#8222;O tom, jakou s\u00e1dru pacientovi na zlomeninu d\u00e1t, v\u017edy rozhoduje l\u00e9ka\u0159,&#8220; \u0159ekl Pr\u00e1vu Martin \u0160alek, mluv\u010d\u00ed pra\u017esk\u00e9 Nemocnice Na Bulovce.<br \/>\nDodal, \u017ee od leto\u0161n\u00edho roku je pro d\u011bti do 18 let odleh\u010den\u00e1 s\u00e1dra stejn\u011b jako klasick\u00e1 hrazen\u00e1 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed a pro star\u0161\u00ed lidi je hrazena d\u00e1l pouze klasick\u00e1 s\u00e1dra, a chce-li n\u011bkdo odleh\u010denou, zaplat\u00ed cel\u00fd v\u00fdkon s\u00e1m.<br \/>\n&#8222;M\u016f\u017ee ale nastat situace, kdy pou\u017eit\u00ed oby\u010dejn\u00e9 s\u00e1dry nen\u00ed vhodn\u00e9 vzhledem k charakteru zlomeniny, a pak je odleh\u010den\u00e1 s\u00e1dra pln\u011b hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. To rozhodne l\u00e9ka\u0159,&#8220; sd\u011blila Pr\u00e1vu mluv\u010d\u00ed zdravotn\u00ed poji\u0161\u0165ovny ministerstva vnitra Hana Kade\u010dkov\u00e1. Podle \u0160alka \u010dasto vznik\u00e1 i situace, kdy prvn\u00ed s\u00e1drov\u00e1n\u00ed zlomeniny ruky je klasick\u00e9 a pacient nic neplat\u00ed a druh\u00e9 po ur\u010dit\u00e9m \u010dase hojen\u00ed je u\u017e na b\u00e1zi odleh\u010den\u00e9 s\u00e1dry a pacient si ji zaplat\u00ed. L\u00e9ka\u0159 by m\u011bl situaci pacientovi v\u017edy vysv\u011btlit.<br \/>\nZda se t\u0159eba budouc\u00ed vl\u00e1da vr\u00e1t\u00ed k rozd\u011blen\u00ed p\u00e9\u010de na standardn\u00ed a nadstandardn\u00ed, se d\u00e1 t\u011b\u017eko odhadnout. O zm\u011bn\u011b z\u00e1kona by museli rozhodnout poslanci. Do t\u00e9 doby je na poji\u0161\u0165ovnu n\u00e1rok jen na s\u00e1dru klasickou. <\/p>\n<p>&#8212; <\/p>\n<p>Poji\u0161\u0165ovna hrad\u00ed v\u017edy zdravotnick\u00fd prost\u0159edek v z\u00e1kladn\u00edm, ekonomicky nejm\u00e9n\u011b n\u00e1ro\u010dn\u00e9m proveden\u00ed \u0160t\u011bp\u00e1nka \u010cechov\u00e1, mluv\u010d\u00ed ministerstva zdravotnictv\u00ed<\/p>\n<p>Pr\u00e1vo<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Letos v zim\u011b si hodn\u011b lid\u00ed zlomilo ruku nebo z\u00e1p\u011bst\u00ed, kdy\u017e uklouzli na zledovat\u011bl\u00e9m chodn\u00edku. V nemocnici se s nimi nikdo nebavil a rovnou jim <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27438\" title=\"Odleh\u010den\u00e1 s\u00e1dra? Ano, ale za pen\u00edze\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27579,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27438","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\/27438","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=27438"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27438\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27579"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27438"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27438"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27438"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}