{"id":28027,"date":"2017-04-24T18:22:16","date_gmt":"2017-04-24T16:22:16","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28027"},"modified":"2017-04-24T18:22:16","modified_gmt":"2017-04-24T16:22:16","slug":"lekari-proberou-otazku-eet-nedostatek-rezidencnich-mist-nebo-umele-oplodneni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28027","title":{"rendered":"L\u00e9ka\u0159i proberou ot\u00e1zku EET, nedostatek reziden\u010dn\u00edch m\u00edst nebo um\u011bl\u00e9 oplodn\u011bn\u00ed"},"content":{"rendered":"

Co chyb\u00ed prim\u00e1rn\u00ed p\u00e9\u010di v \u010cR, aby se dostala na evropskou \u00farove\u0148? Jak se dotkne nedostatek reziden\u010dn\u00edch m\u00edst pro praktiky ve\u0159ejnosti? P\u0159estane b\u00fdt neplodnost pova\u017eov\u00e1na za nemoc a jak se k tomu postav\u00ed poji\u0161\u0165ovny? Pro\u010d elektronick\u00e1 evidence tr\u017eeb (EET) v ordinaci? Co je STK pro chlapy a jak mu\u017ei st\u00e1rnou? Tato a mnoh\u00e1 dal\u0161\u00ed t\u00e9mata zazn\u00ed na Jarn\u00ed interaktivn\u00ed konferenci Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP, kter\u00e1 startuje tento p\u00e1tek ve Slovansk\u00e9m dom\u011b v Praze.<\/strong>
\n
\n\u201ePo t\u0159i dny budou stovky l\u00e9ka\u0159\u016f na konferenci prob\u00edrat nej\u017ehav\u011bj\u0161\u00ed zdravotnick\u00e1 t\u00e9mata a novinky z oboru. P\u0159edn\u00e1\u0161et p\u0159ijedou experti z psychiatrie, diabetologie, neurologie, onkologie, endokrinologie \u010di kardiologie. Projekt STK pro mu\u017ee a sv\u016fj pacientsk\u00fd p\u0159\u00edb\u011bh p\u0159edstav\u00ed Petr Koukal. \u0158e\u0161it budeme i pot\u0159ebu nav\u00fd\u0161en\u00ed reziden\u010dn\u00edch m\u00edst pro v\u0161eobecn\u00e9 l\u00e9ka\u0159stv\u00ed. Probereme tak\u00e9 diskriminuj\u00edc\u00ed syst\u00e9m \u00fahrad ambulantn\u00ed p\u00e9\u010de ze strany Ministerstva zdravotnictv\u00ed (MZ). Oboj\u00ed se \u00fazce dot\u00fdk\u00e1 nejen n\u00e1s samotn\u00fdch, ale m\u016f\u017ee m\u00edt v\u00e1\u017en\u00fd dopad na celou ve\u0159ejnost,\u201c shrnul p\u0159edseda SVL, doc. MUDr. Svatopluk B\u00fdma, CSc.<\/p>\n

O reziden\u010dn\u00ed-\u0161kolic\u00ed m\u00edsta pro mlad\u00e9 l\u00e9ka\u0159e budou muset prakti\u010dt\u00ed l\u00e9ka\u0159i a jin\u00e1 akreditovan\u00e1 zdravotnick\u00e1 za\u0159\u00edzen\u00ed sv\u00e1d\u011bt boj. MZ toti\u017e letos v\u0161eobecn\u00fdm praktik\u016fm sn\u00ed\u017eilo po\u010det t\u011bchto m\u00edst na nedosta\u010duj\u00edc\u00edch 100. Praktick\u00e9 l\u00e9ka\u0159stv\u00ed je p\u0159itom jedin\u00e1 specializace, kter\u00e1 je na nich pln\u011b z\u00e1visl\u00e1. \u201ePokud nedojde k nav\u00fd\u0161en\u00ed reziden\u010dn\u00edch m\u00edst alespo\u0148 na 130, hroz\u00ed v budoucnu plo\u0161n\u00fd nedostatek l\u00e9ka\u0159\u016f. Lid\u00ed, kter\u00e9 je pot\u0159eba l\u00e9\u010dit, p\u0159ib\u00fdv\u00e1 a praktici st\u00e1rnou. Rekvalifikace l\u00e9ka\u0159\u016f jin\u00fdch specializac\u00ed, kte\u0159\u00ed ale z\u016fst\u00e1vaj\u00ed na m\u00edst\u011b, probl\u00e9m tak\u00e9 ne\u0159e\u0161\u00ed. P\u0159\u00edkladem za v\u0161echny jsou Severn\u00ed \u010cechy, kde na ordinaci jednoho l\u00e9ka\u0159e p\u0159ipad\u00e1 p\u0159es 2 600 pacient\u016f, co\u017e je ne\u00fanosn\u00e9,\u201c dod\u00e1v\u00e1 \u010dlen organiza\u010dn\u00edho v\u00fdboru konference a m\u00edstop\u0159edseda v\u00fdboru SVL, MUDr. Igor Karen.<\/p>\n

P\u0159\u00edsp\u011bvek MZ na p\u0159\u00edpravu jednoho mlad\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e \u010din\u00ed 1 440 000 korun na t\u0159i roky. \u201e\u010c\u00e1stka mus\u00ed pokr\u00fdt rezident\u016fv plat v\u010detn\u011b odvod\u016f, pracovn\u00ed od\u011bv, za\u0161kolen\u00ed a draze placenou praxi v nemocnici. Zat\u00edmco v nemocnic\u00edch jsou absolventi ufinancovateln\u00ed, v prim\u00e1rn\u00ed p\u00e9\u010di funguje princip jeden l\u00e9ka\u0159 na jednoho mlad\u00e9ho l\u00e9ka\u0159e s povinnost\u00ed b\u00fdt do 15 minut fyzicky k dispozici v p\u0159\u00edpad\u011b pot\u0159eby rezidenta,\u201c \u0159\u00edk\u00e1 MUDr. Jana Vojt\u00ed\u0161kov\u00e1.<\/p>\n

Celkov\u011b letos ministerstvo investovalo do reziden\u010dn\u00edch m\u00edst v prim\u00e1rn\u00ed p\u00e9\u010di o 4 miliony korun m\u00e9n\u011b ne\u017e loni. \u201eSv\u00fdm rozhodnut\u00edm MZ z\u00e1sadn\u011b omezuje rozvoj prim\u00e1rn\u00ed p\u00e9\u010de na \u00fakor nemocni\u010dn\u00ed, kde poskytlo podporu ve v\u00fd\u0161i 596 400 000 korun. V roce 2018 pl\u00e1nuje MZ \u00fahradovou vyhl\u00e1\u0161ku, kter\u00e1 zp\u016fsob\u00ed dal\u0161\u00ed rozev\u0159en\u00ed n\u016f\u017eek mezi v\u00fd\u0161\u00ed \u00fahrad do nemocni\u010dn\u00ed a ambulantn\u00ed p\u00e9\u010de. Tento probl\u00e9m n\u00e1s pobu\u0159uje a jsme p\u0159ipraveni protestovat,\u201c \u0159\u00edk\u00e1 doc. B\u00fdma.<\/p>\n

Sou\u010dasn\u00fd stav financov\u00e1n\u00ed zdravotnictv\u00ed ke zlep\u0161en\u00ed dostupnosti ambulantn\u00ed p\u00e9\u010de nep\u0159isp\u00edv\u00e1 i p\u0159esto, \u017ee j\u00ed na mnoha periferi\u00edch hroz\u00ed \u00fapln\u00fd rozklad. \u201eNa\u0161e praxe nejsou schopny v person\u00e1ln\u00edch n\u00e1kladech konkurovat velk\u00fdm nemocnic\u00edm, st\u00e1vaj\u00ed se pro l\u00e9ka\u0159e a sestry neatraktivn\u00edmi, a dost\u00e1vaj\u00ed se tak do person\u00e1ln\u00ed nouze. Pokud se v\u00fdvoj \u00fahrad nezm\u011bn\u00ed, hroz\u00ed, \u017ee se \u0159ada pacient\u016f v \u010cR ocitne bez z\u00e1kladn\u00edch zdravotn\u00edch slu\u017eeb,\u201c uzav\u00edr\u00e1 MUDr. Vojt\u00ed\u0161kov\u00e1.<\/p>\n

V \u010cesku opust\u00ed \u0161koly zhruba 1 000 l\u00e9ka\u0159\u016f za rok. Okolo 73 % student\u016f pl\u00e1nuje hledat uplatn\u011bn\u00ed v \u010cR, 27 % z nich odch\u00e1z\u00ed za prac\u00ed do zahrani\u010d\u00ed, nej\u010dast\u011bji na dobu 2\u20135 let. V 75 % p\u0159\u00edpad\u016f cht\u011bj\u00ed absolventi pracovat v nemocnic\u00edch. Pouze 22 % z nich v ambulanc\u00edch. P\u0159itom nejv\u011bt\u0161\u00ed z\u00e1jem maj\u00ed studenti o obor V\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed.<\/p>\n

Dal\u0161\u00edm ze \u017ehav\u00fdch t\u00e9mat konference bude elektronick\u00e1 evidence tr\u017eeb (EET) v ordinaci v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. \u201eEET pova\u017eujeme za svazov\u00e1n\u00ed svobodn\u00e9ho povol\u00e1n\u00ed. Z\u00e1sadn\u00ed probl\u00e9m vid\u00edme v neefektivnosti vyu\u017e\u00edv\u00e1n\u00ed slo\u017eit\u00e9ho a drah\u00e9ho syst\u00e9mu pro minimum obrat\u016f, kter\u00e9 v ordinaci vyk\u00e1\u017eeme. V\u011bt\u0161ina plateb jde toti\u017e p\u0159es \u00fa\u010dty zdravotn\u00edch poji\u0161\u0165oven,\u201c \u0159\u00edk\u00e1 MUDr. Cyril Mucha, \u010dlen Pracovn\u00ed skupiny pro elektronick\u00e9 zdravotnictv\u00ed \u010cLS JEP.<\/p>\n

Zm\u011bny se dotknou p\u0159edev\u0161\u00edm pacient\u016f. \u201eJeliko\u017e n\u00e1m st\u00e1t nep\u0159isl\u00edbil \u017e\u00e1dn\u00e9 kompenzace ani sn\u00ed\u017een\u00ed DPH, budeme nuceni zv\u00fd\u0161it ceny za slu\u017eby v na\u0161ich ordinac\u00edch, a pokusit se tak vyrovnat n\u00e1klady na EET,\u201c \u0159\u00edk\u00e1 MUDr. Mucha.<\/p>\n

Prakti\u010dt\u00ed l\u00e9ka\u0159i tak\u00e9 proberou novinky v asistovan\u00e9 reprodukci (AR) a jejich mo\u017en\u00fd dopad na praktick\u00e9 l\u00e9ka\u0159stv\u00ed. Posledn\u00ed roky ukazuj\u00ed v\u00fdrazn\u00fd posun v p\u0159ijet\u00ed modern\u00edch technik AR v praktick\u00e9m \u017eivot\u011b. \u201eDokl\u00e1d\u00e1 to z\u00e1m\u011br WHO odstoupit od medic\u00ednsk\u00e9 definice neplodnosti a p\u0159ej\u00edt k reprodukci jako pr\u00e1vu jednotlivce,\u201c \u0159\u00edk\u00e1 doc. PhDr. Ing. Hana Kone\u010dn\u00e1, Ph.D., z Katedry klinick\u00fdch a preklinick\u00fdch obor\u016f Jiho\u010desk\u00e9 univerzity v \u010cesk\u00fdch Bud\u011bjovic\u00edch a dod\u00e1v\u00e1: \u201ePokud se tak stane a neplodnost ji\u017e nebude pova\u017eov\u00e1na za nemoc, n\u00fdbr\u017e pr\u00e1vo, hroz\u00ed, \u017ee na ve\u0161ker\u00e9 \u00fakony s n\u00ed spojen\u00e9 p\u0159estanou p\u0159isp\u00edvat zdravotn\u00ed poji\u0161\u0165ovny.“<\/p>\n

Dal\u0161\u00ed zaj\u00edmav\u00e1 t\u00e9mata proberou odborn\u00edci na nejv\u011bt\u0161\u00ed evropsk\u00e9 konferenci praktick\u00fdch l\u00e9ka\u0159\u016f WONCA, kterou SVL host\u00ed 28. 6.\u20131. 7. 2017 v Praze. Letos \u0159\u00edd\u00ed mottem \u201eR\u016fst spole\u010dn\u011b v rozmanitosti\u201c.<\/p>\n

O SVL \u010cLS JEP<\/p>\n

Odborn\u00e1 spole\u010dnost vznikla v roce 1979. V sou\u010dasnosti se SVL pod\u00edl\u00ed na tvorb\u011b doporu\u010den\u00fdch l\u00e9\u010debn\u00fdch postup\u016f, aktualizuje koncepci oboru, je partnerem pro jedn\u00e1n\u00ed v dohodovac\u00edch \u0159\u00edzen\u00edch jak o kompetenc\u00edch praktick\u00e9ho l\u00e9ka\u0159e, tak o cen\u011b jeho pr\u00e1ce. Odborn\u00ed z\u00e1stupci spole\u010dnosti jsou zv\u00e1ni ke koncepc\u00edm \u0159ady preventivn\u00edch program\u016f. V sou\u010dasnosti nap\u0159. k programu celoplo\u0161n\u00e9ho screeningu rakoviny tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku a aktivit\u00e1m v oblasti prevence karcinomu prsu. \u0158ada praktik\u016f se pod\u00edlela na v\u00fdzkumu odhalov\u00e1n\u00ed karcinomu prostaty nebo nap\u0159. na v\u00fdznamn\u00e9 epidemiologick\u00e9 studii prevalence Helicobacter pylori a na dal\u0161\u00edch. SVL po\u0159\u00e1d\u00e1 vzd\u011bl\u00e1vac\u00ed semin\u00e1\u0159e pro praktick\u00e9 l\u00e9ka\u0159e v syst\u00e9mu celo\u017eivotn\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed. Spole\u010dnost vyd\u00e1v\u00e1 \u010dasopis Practicus, kter\u00fd vych\u00e1z\u00ed 10x ro\u010dn\u011b. V\u00edce informac\u00ed: www.svl.cz.<\/p>\n

Cynthia Mitevov\u00e1,
\nTiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

Co chyb\u00ed prim\u00e1rn\u00ed p\u00e9\u010di v \u010cR, aby se dostala na evropskou \u00farove\u0148? Jak se dotkne nedostatek reziden\u010dn\u00edch m\u00edst pro praktiky ve\u0159ejnosti? P\u0159estane b\u00fdt neplodnost pova\u017eov\u00e1na […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28027","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28027","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=28027"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28027\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28027"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28027"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28027"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}