{"id":28489,"date":"2017-06-20T11:32:52","date_gmt":"2017-06-20T09:32:52","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28489"},"modified":"2017-06-20T11:32:52","modified_gmt":"2017-06-20T09:32:52","slug":"nedostupnost-moderni-lecby-stoji-stat-penize-na-ztrate-lidi-v-produktivnim-veku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28489","title":{"rendered":"Nedostupnost modern\u00ed l\u00e9\u010dby stoj\u00ed st\u00e1t pen\u00edze. Na ztr\u00e1t\u011b lid\u00ed v produktivn\u00edm v\u011bku"},"content":{"rendered":"<p><strong>To, \u017ee se pot\u0159ebn\u00fdm nemocn\u00fdm nedostane v\u010das pot\u0159ebn\u00e1 modern\u00ed l\u00e9\u010dba, m\u016f\u017ee st\u00e1t st\u00e1tn\u00ed finance ka\u017edoro\u010dn\u011b a\u017e stovky mili\u00f3n\u016f nav\u00edc. Zlep\u0161en\u00ed kvality \u017eivota pacient\u016f d\u00edky v\u010dasn\u00e9mu pod\u00e1n\u00ed modern\u00ed l\u00e9\u010dby by eliminovalo n\u00e1klady na n\u00e1slednou p\u00e9\u010di \u010di vypl\u00e1cen\u00ed invalidn\u00edch d\u016fchod\u016f. Upozornili na to odborn\u00edci na semin\u00e1\u0159i, kter\u00fd se konal ve zdravotnick\u00e9m v\u00fdboru poslaneck\u00e9 sn\u011bmovny pod z\u00e1\u0161titou Nada\u010dn\u00edho fondu pro zam\u011bstn\u00e1v\u00e1n\u00ed osob se zdravotn\u00edm posti\u017een\u00edm (NFOZP).<\/strong><br \/>\n<!--more--><br \/>\n\u201eNap\u0159\u00edklad u nedostate\u010dn\u011b l\u00e9\u010den\u00e9 t\u011b\u017ek\u00e9 formy lup\u00e9nky a\u017e dvacet procent pacient\u016f p\u0159ijde o pracovn\u00ed schopnosti, co\u017e m\u00e1 vysok\u00e9 ekonomick\u00e9 dopady,\u201c p\u0159ibl\u00ed\u017eil MUDr. Tom\u00e1\u0161 Dole\u017eal, Ph.D., \u0159editel Institutu pro zdravotn\u00ed ekonomiku a technology assessment. Dodal, \u017ee nap\u0159\u00edklad s ka\u017edou v\u010das nel\u00e9\u010denou pacientkou s rakovinou prsu, kter\u00e1 zem\u0159e v produktivn\u00edm v\u011bku, p\u0159ijde spole\u010dnost o p\u011bt milion\u016f korun, kter\u00e9 by p\u0159inesla jej\u00ed pr\u00e1ce.<\/p>\n<p>Modern\u00ed l\u00e9\u010dba je finan\u010dn\u011b n\u00e1kladn\u00e1, ale prokazateln\u011b prodlu\u017euje nemocn\u00fdm \u017eivoty a zlep\u0161uje jejich kvalitu nap\u0159\u00ed\u010d v\u0161emi obory. V \u010cesk\u00e9 republice nar\u00e1\u017e\u00ed na sou\u010dasn\u00fd syst\u00e9m \u00fahrad, kter\u00fd zpomaluje dostupnost modern\u00edch l\u00e9k\u016f a\u017e na jeden a p\u016fl roku. Objem pen\u011bz vyhrazen\u00fdch na tuto l\u00e9\u010dbu podle \u00fa\u010dastn\u00edk\u016f semin\u00e1\u0159e nesta\u010d\u00ed, ta se tak nedost\u00e1v\u00e1 v\u0161em pot\u0159ebn\u00fdm. Jedn\u00edm z \u0159e\u0161en\u00ed by podle \u00fa\u010dastn\u00edk\u016f semin\u00e1\u0159e byla zm\u011bna financov\u00e1n\u00ed. \u201eBylo by pot\u0159eba propojit zdravotn\u00ed a soci\u00e1ln\u00ed rozpo\u010det,\u201c uvedl nap\u0159\u00edklad m\u00edstop\u0159edseda sn\u011bmovn\u00edho a zdravotnick\u00e9ho v\u00fdboru MUDr. Jaroslav Kr\u00e1kora.<\/p>\n<p>Pr\u00e1v\u011b rozpo\u010det pro soci\u00e1ln\u00ed oblast, tedy i financov\u00e1n\u00ed n\u00e1sledn\u00e9 p\u00e9\u010de, by nasazen\u00edm modern\u00edch l\u00e9k\u016f u\u0161et\u0159il.<\/p>\n<p>\u201eU metastazuj\u00edc\u00edho melanomu jsme d\u0159\u00edve s cytostatiky mohli nab\u00eddnout jen n\u011bkolik m\u00e1lo m\u011bs\u00edc\u016f p\u0159e\u017e\u00edv\u00e1n\u00ed mal\u00e9 skupiny pacient\u016f, kolem 15 procent, dnes s nov\u00fdmi l\u00e9ky jsme schopni zajistit zat\u00edm n\u011bkolikalet\u00e9 dlouhodob\u00e9 p\u0159e\u017eit\u00ed,\u201c p\u0159ibl\u00ed\u017eil na semin\u00e1\u0159i prof. MUDr. Petr Arenberger DrSc, MBA, p\u0159ednosta Dermavenerologick\u00e9 kliniky FN Kr\u00e1lovsk\u00e9 Vinohrady.<\/p>\n<p>Obdobn\u00e1 situace je nap\u0159\u00edklad i u roztrou\u0161en\u00e9 skler\u00f3zy, se kterou se ka\u017edoro\u010dn\u011b za\u010dne l\u00e9\u010dit p\u0159es 1100 nov\u00fdch pacient\u016f. \u201eV\u010das nasazen\u00e9 modern\u00ed l\u00e9ky p\u0159itom mohou v\u00fdrazn\u011b prodlou\u017eit kvalitu \u017eivota. Jsme tak schopni v\u00edce ne\u017e 50 procent pacient\u016f udr\u017eet pr\u00e1ceschopn\u00e9, zcela bez soci\u00e1ln\u00edch d\u00e1vek,\u201c upozornila na semin\u00e1\u0159i m\u00edstop\u0159edsedkyn\u011b Neuroimunologick\u00e9 sekce Neurologick\u00e9 spole\u010dnosti \u010cLS JEP MUDr. Marta Vachov\u00e1. Jedn\u00edm z p\u0159\u00edsn\u00fdch krit\u00e9ri\u00ed pro nasazen\u00ed poji\u0161\u0165ovnou hrazen\u00e9 modern\u00ed l\u00e9\u010dby roztrou\u0161en\u00e9 skler\u00f3zy je vypuknut\u00ed dvou atak b\u011bhem jednoho roku.<\/p>\n<p>Modern\u00ed l\u00e9\u010div\u00e9 p\u0159\u00edpravky dok\u00e1\u017eou c\u00edlen\u011b ni\u010dit ciz\u00ed, pozm\u011bn\u011bn\u00e9 nebo nezdrav\u00e9 bu\u0148ky v t\u011ble \u010dlov\u011bka. Zdrav\u00e9 bu\u0148ky p\u0159i tom z\u016fst\u00e1vaj\u00ed nedot\u010den\u00e9. To dok\u00e1\u017ee zamezit \u010di vyl\u00e9\u010dit \u0159adu autoimunitn\u00edch, z\u00e1n\u011btliv\u00fdch a n\u00e1dorov\u00fdch onemocn\u011bn\u00ed. Nemocn\u00ed se tak rychleji navrac\u00ed zp\u011bt do plnohodnotn\u00e9ho \u017eivota a st\u00e1t v soci\u00e1ln\u00ed oblasti trat\u00ed m\u00e9n\u011b pen\u011bz.<\/p>\n<p>\u201eDnes v dob\u011b inovativn\u00ed l\u00e9\u010dby v\u0161ak st\u00e1le bojujeme s ur\u010dit\u00fdmi p\u0159edsudky na zah\u00e1jen\u00ed \u010dasn\u00e9 syst\u00e9mov\u00e9 l\u00e9\u010dby. To pak vede k tomu, \u017ee nemocn\u00ed b\u00fdvaj\u00ed zna\u010dn\u011b podl\u00e9\u010deni, k nejmodern\u011bj\u0161\u00ed biologick\u00e9 l\u00e9\u010db\u011b nemaj\u00ed p\u0159\u00edstup, nebo ji\u017e b\u00fdv\u00e1 na jej\u00ed nasazen\u00ed pozd\u011b,\u201c vysv\u011btlila Hana Potm\u011b\u0161ilov\u00e1 z NFOZP.<\/p>\n<p>Odborn\u00edci ji\u017e na podzim vypo\u010d\u00edtali, \u017ee d\u00edky inovativn\u00ed l\u00e9\u010db\u011b by tuzem\u0161t\u00ed pacienti mohli dohromady z\u00edskat p\u0159ibli\u017en\u011b 72 tis\u00edc let nav\u00edc. Ta je ale st\u00e1le v procesu schvalov\u00e1n\u00ed \u00fahrad. Konkr\u00e9tn\u011b jde o 1 040 \u017eivot\u016f pro\u017eit\u00fdch do 70 let v pln\u00e9 kvalit\u011b. Prol\u00e9\u010denost modern\u00edmi l\u00e9\u010div\u00fdmi p\u0159\u00edpravky je v \u010cR oproti vysp\u011bl\u00fdm evropsk\u00fdm zem\u00edm podle MUDr. Mgr. Jind\u0159icha Kotrby z nez\u00e1visl\u00e9 konzulta\u010dn\u00ed spole\u010dnosti Pharmeca ni\u017e\u0161\u00ed a\u017e desetkr\u00e1t.<\/p>\n<p>Pr\u016fm\u011brn\u00fd finan\u010dn\u00ed n\u00e1klad vynalo\u017een\u00fd na jednoho pacienta zdravotn\u00edmi poji\u0161\u0165ovnami z\u016fst\u00e1v\u00e1 stejn\u00fd i p\u0159esto, \u017ee celkov\u00e9 n\u00e1klady na nov\u00e9 l\u00e9ky rostou. \u201eJe to d\u00e1no t\u00edm, \u017ee se mo\u017enosti modern\u00ed l\u00e9\u010dby roz\u0161i\u0159uj\u00ed o jej\u00ed nov\u00e1 vyu\u017eit\u00ed a nov\u00e9 diagn\u00f3zy,\u201c uvedl MUDr. Dole\u017eal. \u010cesk\u00e1 republika ve v\u00fddaj\u00edch na zdravotnictv\u00ed v\u00fdrazn\u011b zaost\u00e1v\u00e1 za z\u00e1padn\u00edmi zem\u011bmi. V roce 2014 \u010dinili 7,7 procenta HDP, oproti tomu t\u0159eba ve \u0160v\u00e9dsku 11,2 procenta. Pen\u00edze vynalo\u017een\u00e9 za inovativn\u00ed l\u00e9\u010dbu na jednoho pacienta jsou nyn\u00ed v \u010cR jedny z nejni\u017e\u0161\u00edch v Evrop\u011b.<\/p>\n<p>Pavel Gejdo\u0161<br \/>\nTiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>To, \u017ee se pot\u0159ebn\u00fdm nemocn\u00fdm nedostane v\u010das pot\u0159ebn\u00e1 modern\u00ed l\u00e9\u010dba, m\u016f\u017ee st\u00e1t st\u00e1tn\u00ed finance ka\u017edoro\u010dn\u011b a\u017e stovky mili\u00f3n\u016f nav\u00edc. Zlep\u0161en\u00ed kvality \u017eivota pacient\u016f d\u00edky v\u010dasn\u00e9mu <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28489\" title=\"Nedostupnost modern\u00ed l\u00e9\u010dby stoj\u00ed st\u00e1t pen\u00edze. Na ztr\u00e1t\u011b lid\u00ed v produktivn\u00edm v\u011bku\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":1308,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28489","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\/28489","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=28489"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28489\/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=28489"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28489"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}