{"id":28519,"date":"2017-06-22T13:00:12","date_gmt":"2017-06-22T11:00:12","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28519"},"modified":"2017-06-22T13:00:12","modified_gmt":"2017-06-22T11:00:12","slug":"odhali-chyby-za-miliony-revizni-lekare-si-chteji-pojistovny-pujcovat","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28519","title":{"rendered":"Odhal\u00ed chyby za miliony. Revizn\u00ed l\u00e9ka\u0159e si cht\u011bj\u00ed poji\u0161\u0165ovny p\u016fj\u010dovat"},"content":{"rendered":"<p><strong>Poji\u0161\u0165ovny \u0159e\u0161\u00ed pal\u010div\u00fd probl\u00e9m: nemaj\u00ed dost revizn\u00edch l\u00e9ka\u0159\u016f. P\u0159ich\u00e1zej\u00ed tak o miliony korun za chyby, kter\u00e9 nem\u00e1 kdo odhalit. Rozhodly se proto pro nouzov\u00e9 \u0159e\u0161en\u00ed.<\/strong> <!--more--><\/p>\n<p>Jeden\u00e1ct let str\u00e1vil pacient na psychiatrii jen kv\u016fli tomu, \u017ee ho bolela z\u00e1da a klouby. Dal\u0161\u00ed lid\u00e9 zase vyst\u0159\u00eddali \u010dty\u0159i l\u00e9\u010debny dlouhodob\u011b nemocn\u00fdch b\u011bhem jedin\u00e9ho roku \u2013 \u0161pit\u00e1ly si je ka\u017ed\u00e9 t\u0159i m\u011bs\u00edce navz\u00e1jem pos\u00edlaly. Necht\u011blo se jim toti\u017e poji\u0161\u0165ovn\u011b vysv\u011btlovat, pro\u010d maj\u00ed pacienta na l\u016f\u017eku tak dlouho.<\/p>\n<p>To jsou jen n\u011bkter\u00e9 z p\u0159\u00edpad\u016f, na kter\u00e9 v minulosti narazili revizn\u00ed l\u00e9ka\u0159i V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. Ud\u011blili za n\u011b milionov\u00e9 pokuty. T\u0159eba v roce 2015 se tak VZP vr\u00e1tilo 374 milion\u016f korun za chybn\u011b vyk\u00e1zanou p\u00e9\u010di. Podobn\u011b jsou na tom i dal\u0161\u00ed poji\u0161\u0165ovny.<\/p>\n<p>S v\u00fdsledkem p\u0159esto nejsou spokojen\u00e9. \u010cast\u011bj\u0161\u00ed kontroly by podle nich p\u0159inesly je\u0161t\u011b v\u011bt\u0161\u00ed \u00faspory. &#8222;Sch\u00e1zej\u00ed ale revizn\u00ed l\u00e9ka\u0159i. Jejich v\u011bkov\u00fd pr\u016fm\u011br nav\u00edc daleko p\u0159esahuje 64 let, co\u017e je obrovsk\u00fd probl\u00e9m,&#8220; \u0159\u00edk\u00e1 \u010dlenka spr\u00e1vn\u00ed rady VZP a sen\u00e1torka Alena Dernerov\u00e1. S t\u00edm podle n\u00ed souvis\u00ed je\u0161t\u011b dal\u0161\u00ed komplikace: star\u0161\u00ed revizn\u00ed dokto\u0159i se \u010dasto neorientuj\u00ed v nov\u011b vznikaj\u00edc\u00edch oborech. &#8222;Existuje cel\u00e1 \u0159ada nov\u00fdch vy\u0161et\u0159en\u00ed a oni nev\u011bd\u00ed, jestli jsou pro pacienta nezbytn\u00e1. Od stolu pak d\u011blaj\u00ed hnidopi\u0161sk\u00e1 rozhodnut\u00ed,&#8220; pokra\u010duje Dernerov\u00e1. Poji\u0161\u0165ovny se proto domluvily, \u017ee si budou revizn\u00ed l\u00e9ka\u0159e navz\u00e1jem p\u016fj\u010dovat.<\/p>\n<p>&#8222;Jedn\u00e1me o tom, \u017ee budeme tyto odborn\u00edky sd\u00edlet. Pak si budeme moci dovolit skute\u010dn\u011b kvalifikovan\u00e9ho \u010dlov\u011bka znal\u00e9ho v ka\u017ed\u00e9m oboru,&#8220; \u0159ekl \u0159editel strategie \u010cesk\u00e9 pr\u016fmyslov\u00e9 zdravotn\u00ed poji\u0161\u0165ovny Pavel Fr\u0148ka.<\/p>\n<p>M\u00cdSTO DVOU RAZ\u00cdTEK JEDNO<\/p>\n<p>Do budoucna by se podle n\u011bj m\u011blo j\u00edt je\u0161t\u011b d\u00e1l: slou\u010dit \u010dinnosti revizn\u00edch a posudkov\u00fdch l\u00e9ka\u0159\u016f \u2013 tedy t\u011bch, kte\u0159\u00ed hodnot\u00ed zdravotn\u00ed stav pacienta \u017e\u00e1daj\u00edc\u00edho o invalidn\u00ed d\u016fchod \u010di jinou soci\u00e1ln\u00ed d\u00e1vku. &#8222;Dnes jsou tyto \u010dinnosti od sebe nesmysln\u011b odd\u011bleny. L\u00e9ka\u0159i v obou funkc\u00edch p\u0159itom d\u011blaj\u00ed t\u00e9m\u011b\u0159 tot\u00e9\u017e \u2013 hodnot\u00ed zdravotn\u00ed dokumentaci pacienta,&#8220; doplnil. Ministerstvo zdravotnictv\u00ed s n\u00edm souhlas\u00ed. &#8222;Je to pom\u011brn\u011b racion\u00e1ln\u00ed krok, kter\u00fd by mohl rozumn\u011b vyu\u017e\u00edt kapacity st\u00e1vaj\u00edc\u00edch l\u00e9ka\u0159\u016f,&#8220; zhodnotil n\u00e1pad n\u00e1m\u011bstek ministra zdravotnictv\u00ed Roman Prymula. Sou\u010dasn\u011b by se podle n\u011bj zabr\u00e1nilo ne\u017e\u00e1douc\u00edm situac\u00edm, kdy jedna poji\u0161\u0165ovna shled\u00e1 ur\u010dit\u00fd postup jako nevyhovuj\u00edc\u00ed, zat\u00edmco druh\u00e1 ho odsouhlas\u00ed.<\/p>\n<p>20 LET DOHAD\u016e<\/p>\n<p>Proti nen\u00ed ani \u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora. &#8222;Poji\u0161\u0165ovny jsou na tom s revizn\u00edmi l\u00e9ka\u0159i \u0161patn\u011b, hlavn\u011b ty mal\u00e9. Obecn\u011b se d\u00e1 \u0159\u00edct, \u017ee revizn\u00ed syst\u00e9m u poji\u0161\u0165oven prakticky neexistuje. Jsou schopny zkontrolovat pouze \u010d\u00edsla z v\u00fdkaz\u016f, co\u017e ov\u0161em nen\u00ed revizn\u00ed \u010dinnost,&#8220; \u0159ekl \u0161\u00e9f komory Milan Kubek.<\/p>\n<p>U\u017eite\u010dn\u00e9 by podle n\u011bj bylo i slou\u010den\u00ed revizn\u00edho a posudkov\u00e9ho l\u00e9ka\u0159stv\u00ed, nic z toho ale nevid\u00ed jako re\u00e1ln\u00e9. &#8222;O sbl\u00ed\u017een\u00ed zdravotn\u00edho a soci\u00e1ln\u00edho syst\u00e9mu do jednoho funguj\u00edc\u00edho celku se tu hovo\u0159\u00ed u\u017e dvacet let. Nikdo se ale k ni\u010demu takov\u00e9mu nem\u00e1,&#8220; vysv\u011btlil.<\/p>\n<p>VERONIKA RODRIGUEZ<br \/>\nPra\u017esk\u00fd den\u00edk<br \/>\n<a href=\"http:\/\/www.prazsky.denik.cz\/\">http:\/\/www.prazsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Poji\u0161\u0165ovny \u0159e\u0161\u00ed pal\u010div\u00fd probl\u00e9m: nemaj\u00ed dost revizn\u00edch l\u00e9ka\u0159\u016f. P\u0159ich\u00e1zej\u00ed tak o miliony korun za chyby, kter\u00e9 nem\u00e1 kdo odhalit. Rozhodly se proto pro nouzov\u00e9 \u0159e\u0161en\u00ed.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":16393,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-28519","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\/28519","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=28519"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28519\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16393"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28519"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28519"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}