{"id":27967,"date":"2017-04-13T16:44:01","date_gmt":"2017-04-13T14:44:01","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27967"},"modified":"2017-04-13T16:44:01","modified_gmt":"2017-04-13T14:44:01","slug":"cesko-peci-o-dusevne-nemocne-neumi-zmenit-to-ma-reforma","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27967","title":{"rendered":"\u010cesko p\u00e9\u010di o du\u0161evn\u011b nemocn\u00e9 neum\u00ed. Zm\u011bnit to m\u00e1 reforma"},"content":{"rendered":"

Psychicky nemocn\u00ed vyjdou st\u00e1t na sto miliard korun ro\u010dn\u011b. Na l\u00e9\u010dbu jde ale jen zlomek \u010d\u00e1stky \u2013 dev\u011bt miliard. Zbytek spolykaj\u00ed invalidn\u00ed d\u016fchody a dal\u0161\u00ed d\u00e1vky. Ministerstvo chce neefektivn\u00ed syst\u00e9m p\u0159ed\u011blat.<\/strong> <\/p>\n

Trp\u011bl bludy a vyhro\u017eoval, \u017ee n\u011bkoho zabije. Po propu\u0161t\u011bn\u00ed z psychiatrick\u00e9 l\u00e9\u010debny skute\u010dn\u011b bodl a zavra\u017edil knihovnici. Trag\u00e9die z Horn\u00ed B\u0159\u00edzy na Plze\u0148sku, kter\u00e1 se odehr\u00e1la na ja\u0159e 2015, uk\u00e1zala na velk\u00fd probl\u00e9m: \u010cesko p\u00e9\u010di o psychicky nemocn\u00e9 neum\u00ed. Vra\u017ed\u00e1m v nep\u0159\u00ed\u010detnosti se d\u00e1 p\u0159edch\u00e1zet, tvrd\u00ed odborn\u00edci. Ve spolupr\u00e1ci s ministerstvem zdravotnictv\u00ed proto chystaj\u00ed zm\u011bnu.<\/p>\n

B\u011bhem n\u00e1sleduj\u00edc\u00edch deseti let vyroste v ka\u017ed\u00e9m okrese alespo\u0148 jedno centrum du\u0161evn\u00edho zdrav\u00ed. P\u016fjde o komunitn\u00ed st\u0159edisko, kde se bude o nemocn\u00e9 starat t\u00fdm zam\u011bstnanc\u016f. K dispozici bude tak\u00e9 jejich p\u0159\u00edbuzn\u00fdm. „P\u016fsobit v n\u011bm budou nejenom psychiat\u0159i a sestry, ale tak\u00e9 terapeuti, ter\u00e9nn\u00ed soci\u00e1ln\u00ed pracovn\u00edci a asistenti,“ p\u0159ibli\u017euje spoluautor reformy Ivan Du\u0161kov.<\/p>\n

Odborn\u00edci si budou pacienty p\u0159eb\u00edrat postupn\u011b. Pokud se nemocn\u00ed ocitnou v akutn\u00edm stavu v psychiatrick\u00e9 nemocnici, budou je tam moci nav\u0161t\u011bvovat a p\u0159ipravovat na propu\u0161t\u011bn\u00ed. Klientovi pak pomohou i doma: budou dohl\u00ed\u017eet na to, jestli chod\u00ed na terapie \u010di bere l\u00e9ky. Asistovat mu budou tak\u00e9 p\u0159i hled\u00e1n\u00ed pr\u00e1ce.<\/p>\n

Dnes to nikdo ned\u011bl\u00e1. Syst\u00e9m je nastaven \u0161patn\u011b. „Pacienta sice odvezou s akutn\u00edm probl\u00e9mem do psychiatrick\u00e9 nemocnice, kde ho l\u00e9ka\u0159i zal\u00e9\u010d\u00ed, jakmile ale akutn\u00ed probl\u00e9m odezn\u00ed, propust\u00ed ho,“ popisuje \u0159editel Psychiatrick\u00e9 nemocnice Bohnice Martin Holl\u00fd. Jenom\u017ee pak se pacient znovu ocitne bez pomoci. Jestli chod\u00ed k ambulantn\u00edmu specialistovi, u\u017e nikdo nehl\u00edd\u00e1. Jeho probl\u00e9my se proto mohou znovu rozvinout.<\/p>\n

Probl\u00e9m se net\u00fdk\u00e1 jenom schizofrenik\u016f, kter\u00fdch se v \u010cesku l\u00e9\u010d\u00ed kolem jeden\u00e1cti tis\u00edc. Podobn\u011b jsou na tom i pacienti s depresemi, \u00fazkostmi, anorexi\u00ed nebo z\u00e1vislost\u00ed na n\u00e1vykov\u00fdch l\u00e1tk\u00e1ch. Tedy asi 600 tis\u00edc lid\u00ed, kte\u0159\u00ed ka\u017edoro\u010dn\u011b vyhledaj\u00ed pomoc psychiatra. P\u011btina t\u011bchto lid\u00ed by se podle odborn\u00edk\u016f nemusela do l\u00e9\u010deben dostat, pokud by se jim p\u0159edt\u00edm n\u011bkdo v\u011bnoval.<\/p>\n

\u010cesko by t\u00edm nav\u00edc u\u0161et\u0159ilo nemal\u00e9 pen\u00edze. Podle Aleny \u0160teflov\u00e9 z \u010desk\u00e9 kancel\u00e1\u0159e Sv\u011btov\u00e9 zdravotnick\u00e9 organizace se toti\u017e ka\u017ed\u00fd dolar, kter\u00fd st\u00e1t investuje do efektivn\u00ed p\u00e9\u010de o du\u0161evn\u011b nemocn\u00e9, vr\u00e1t\u00ed nejm\u00e9n\u011b \u010dty\u0159ikr\u00e1t. „Sv\u011btov\u00e1 zdravotnick\u00e1 organizace proto doporu\u010duje v\u0161em zem\u00edm, kter\u00e9 je\u0161t\u011b komunitn\u00ed centra pro du\u0161evn\u011b nemocn\u00e9 nemaj\u00ed, aby je zalo\u017eily. Nap\u0159\u00edklad \u010cesko by se m\u011blo sna\u017eit p\u0159esunout do roku 2020 do p\u00e9\u010de odborn\u00edk\u016f v komunitn\u00edch slu\u017eb\u00e1ch nejm\u00e9n\u011b p\u011btinu v\u0161ech pacient\u016f, kte\u0159\u00ed se dnes st\u0159\u00eddav\u011b l\u00e9\u010d\u00ed a nel\u00e9\u010d\u00ed v nemocnic\u00edch,“ \u0159ekla \u0160teflov\u00e1.<\/p>\n

Dnes \u010cesko vyd\u00e1v\u00e1 na du\u0161evn\u011b nemocn\u00e9 kolem 100 miliard korun ro\u010dn\u011b. Na l\u00e9\u010dbu jde ale jen zlomek t\u00e9to \u010d\u00e1stky. T\u0159i \u010dtvrtiny z toho spolykaj\u00ed v\u00fddaje na neefektivn\u00ed provoz l\u00e9\u010deben. Obrovsk\u00e9 pen\u00edze naopak plynou na soci\u00e1ln\u00ed slu\u017eby, invalidn\u00ed d\u016fchody nebo nemocensk\u00e9 \u2013 tedy v\u00fddaje, kter\u00fdm by se dalo p\u0159edej\u00edt.<\/p>\n

Podle n\u00e1m\u011bstka ministra zdravotnictv\u00ed Romana Prymuly p\u0159itom bude du\u0161evn\u011b nemocn\u00fdch raketov\u011b p\u0159ib\u00fdvat \u2013 t\u0159eba kv\u016fli st\u00e1rnut\u00ed populace p\u0159ibude demenc\u00ed. Jen za posledn\u00edch dvacet let se po\u010det psychiatrick\u00fdch pacient\u016f zdvojn\u00e1sobil.<\/p>\n

Veden\u00ed resortu bude podle Prymuly muset vy\u0159e\u0161it z\u00e1sadn\u00ed probl\u00e9m: nedostatek l\u00e9ka\u0159\u016f. U\u017e dnes je jich toti\u017e zoufal\u00fd nedostatek \u2013 necel\u00fdch osm stovek. Podle Martina Holl\u00e9ho se proto mohou l\u00e9ka\u0159i v\u011bnovat ka\u017ed\u00e9mu pacientovi sotva t\u0159in\u00e1ct minut. „S reformou psychiatrie proto \u00fazce souvisej\u00ed tak\u00e9 zm\u011bny ve vzd\u011bl\u00e1v\u00e1n\u00ed zdravotn\u00edk\u016f,“ podotkl Prymula.<\/p>\n

—<\/p>\n

„V centrech du\u0161evn\u00edho zdrav\u00ed budou p\u016fsobit nejenom psychiat\u0159i a sestry, ale tak\u00e9 terapeuti, ter\u00e9nn\u00ed soci\u00e1ln\u00ed pracovn\u00edci a asistenti.“ Ivan Du\u0161kov, spoluautor psychiatrick\u00e9 reformy<\/p>\n

Kolik je psychicky nemocn\u00fdch<\/p>\n

– 600 tis\u00edc lid\u00ed ro\u010dn\u011b mus\u00ed nav\u0161t\u00edvit psychiatra
\n– 100 tis\u00edc lid\u00ed je kv\u016fli psychiatrick\u00e9 chorob\u011b v invalidn\u00edm d\u016fchodu
\n– 1 \u010dlov\u011bk z 15 trp\u00ed depres\u00ed
\n– 183 milion\u016f denn\u00edch d\u00e1vek antidepresiv spot\u0159ebuj\u00ed \u010de\u0161t\u00ed pacienti (t\u0159ikr\u00e1t v\u00edc ne\u017e p\u0159ed 15 lety)
\n– 3 lidi ze 4 nemaj\u00ed adekv\u00e1tn\u00ed l\u00e9\u010dbu sv\u00e9 deprese
\n– P\u011btinu sv\u00e9ho \u017eivota pro\u017eij\u00ed \u010ce\u0161i v pr\u016fm\u011bru s n\u011bjakou psychiatrickou chorobou (mj. deprese, demence, \u00fazkosti apod.)
\n– 20 % o tolik by se m\u011bl do roku 2020 sn\u00ed\u017eit po\u010det l\u016f\u017eek na klinik\u00e1ch, nahradit by je m\u011bla m\u00edsta v komunitn\u00edch centrech<\/p>\n

Kolik stoj\u00ed psychiatrick\u00e9 choroby
\n– 100 miliard korun ro\u010dn\u011b plyne na du\u0161evn\u00ed nemoci (l\u00e9\u010den\u00ed, soci\u00e1ln\u00ed slu\u017eby, invalidn\u00ed d\u016fchody, pracovn\u00ed absence)<\/p>\n

Zdroj: oEdC, WHo, MZ\u010cr<\/p>\n

Libereck\u00fd den\u00edk
\nhttp:\/\/www.liberecky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Psychicky nemocn\u00ed vyjdou st\u00e1t na sto miliard korun ro\u010dn\u011b. Na l\u00e9\u010dbu jde ale jen zlomek \u010d\u00e1stky \u2013 dev\u011bt miliard. Zbytek spolykaj\u00ed invalidn\u00ed d\u016fchody a dal\u0161\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":1419,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27967","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\/27967","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=27967"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27967\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/1419"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27967"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27967"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}