{"id":28582,"date":"2017-06-29T11:51:19","date_gmt":"2017-06-29T09:51:19","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28582"},"modified":"2017-06-29T11:51:19","modified_gmt":"2017-06-29T09:51:19","slug":"cesti-praktici-zadaji-posileni-kompetenci-chceme-drzet-krok-s-evropskymi-kolegy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28582","title":{"rendered":"\u010ce\u0161t\u00ed praktici \u017e\u00e1daj\u00ed pos\u00edlen\u00ed kompetenc\u00ed: Chceme dr\u017eet krok s evropsk\u00fdmi kolegy"},"content":{"rendered":"<p><strong>Jak si stoj\u00ed prim\u00e1rn\u00ed p\u00e9\u010de v \u010cesku v porovn\u00e1n\u00ed s Evropou? Pro\u010d pat\u0159\u00ed \u010ce\u0161i k rekordman\u016fm v po\u010dtu n\u00e1v\u0161t\u011bv u l\u00e9ka\u0159e? Jak\u00fd je v\u00fdznam praktick\u00e9ho l\u00e9ka\u0159stv\u00ed v \u0159e\u0161en\u00ed probl\u00e9m\u016f sv\u011btov\u00e9 populace? Tato a dal\u0161\u00ed t\u00e9mata zazn\u00ed na Evropsk\u00e9 konferenci praktick\u00fdch l\u00e9ka\u0159\u016f WONCA 2017, kterou po\u0159\u00e1d\u00e1 Spole\u010dnost v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti Jana Evangelisty Purkyn\u011b (SVL \u010cLS JEP). Startuje 28. \u010dervna 2017 v Kongresov\u00e9m centru v Praze. Sjede se na ni p\u0159es dva a p\u016fl tis\u00edce praktick\u00fdch l\u00e9ka\u0159\u016f z cel\u00e9ho sv\u011bta.<\/strong><br \/>\n<!--more--><br \/>\n\u201eEvropsk\u00e1 konference WONCA je v po\u0159ad\u00ed t\u0159et\u00edm mezin\u00e1rodn\u00edm setk\u00e1n\u00edm praktick\u00fdch l\u00e9ka\u0159\u016f, kter\u00e9 v Praze za odbornou spole\u010dnost organizujeme. Chceme p\u0159edstavit praktick\u00e9 l\u00e9ka\u0159stv\u00ed jako v\u011bdeck\u00fd obor, kter\u00fd je schopen p\u0159isp\u011bt k \u0159e\u0161en\u00ed sou\u010dasn\u00fdch i budouc\u00edch probl\u00e9m\u016f zdravotnictv\u00ed. Konkr\u00e9tn\u011b v \u0159e\u0161en\u00ed epidemi\u00ed civiliza\u010dn\u00edch chorob, jako jsou srde\u010dn\u00ed nebo onkologick\u00e1 onemocn\u011bn\u00ed, v p\u00e9\u010di o chronicky nemocn\u00e9 pacienty nebo v l\u00e9\u010db\u011b nemoc\u00ed souvisej\u00edc\u00edch se st\u00e1rnut\u00edm populace,\u201c \u0159\u00edk\u00e1 za SVL prezident konference doc. MUDr. Bohumil Seifert, Ph.D.<\/p>\n<p>\u201eHlavn\u00edm odkazem konference je zd\u016fraznit, \u017ee praktick\u00e9 l\u00e9ka\u0159stv\u00ed je dnes vedle n\u00e1kladn\u00e9 specializovan\u00e9 p\u00e9\u010de z\u00e1kladem pro udr\u017eiteln\u00fd, kvalitn\u00ed a zaplatiteln\u00fd zdravotnick\u00fd syst\u00e9m orientovan\u00fd na pacienta,\u201c dod\u00e1v\u00e1 prezidentka evropsk\u00e9 organizace praktick\u00fdch a rodinn\u00fdch l\u00e9ka\u0159\u016f WONCA Anna Stavdal.<\/p>\n<p>Mezin\u00e1rodn\u00ed setk\u00e1n\u00ed je podle p\u0159edsedy SVL doc. MUDr. Svatopluka B\u00fdmy, CSc., tak\u00e9 mo\u017enost upozornit na probl\u00e9my tuzemsk\u00e9 prim\u00e1rn\u00ed p\u00e9\u010de: \u201eSrovn\u00e1n\u00ed pom\u011br\u016f \u010desk\u00e9 a evropsk\u00e9 prim\u00e1rn\u00ed p\u00e9\u010de je bolestn\u00e9. Zat\u00edmco v oblasti kvality a \u00farovn\u011b vzd\u011bl\u00e1v\u00e1n\u00ed jsme na tom velmi dob\u0159e, bohu\u017eel u n\u00e1s maj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i velmi omezen\u00e9 kompetence a jsou v\u00e1z\u00e1ni p\u0159\u00edsn\u00fdmi preskrip\u010dn\u00edmi omezen\u00edmi. Opakovan\u011b na to upozor\u0148ujeme Ministerstvo zdravotnictv\u00ed, a to jak v Memorandu, kter\u00e9 jsme podepsali letos v dubnu, tak v r\u00e1mci dal\u0161\u00edch jedn\u00e1n\u00ed.\u201c<\/p>\n<p>Jedn\u00edm z d\u016fsledk\u016f omezen\u00fdch kompetenc\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f je podle docenta B\u00fdmy i to, \u017ee \u010de\u0161t\u00ed pacienti chod\u00ed k l\u00e9ka\u0159\u016fm \u010dast\u011bji ne\u017e jejich evrop\u0161t\u00ed soused\u00e9. \u201ePacienti jsou \u010dasto zbyte\u010dn\u011b i s jednozna\u010dnou diagn\u00f3zou odes\u00edl\u00e1n\u00ed ke specialist\u016fm, proto\u017ee praktick\u00fd l\u00e9ka\u0159 nem\u00e1 dostate\u010dn\u00e9 pravomoci, aby jim l\u00e9k mohl p\u0159edepsat,\u201c vysv\u011btluje doc. B\u00fdma.<\/p>\n<p>\u00dadaje Evropsk\u00e9 komise z roku 2016 ukazuj\u00ed, \u017ee \u010cesko je s 11 n\u00e1v\u0161t\u011bvami l\u00e9ka\u0159e ro\u010dn\u011b na pacienta mezi t\u0159emi \u201erekordmany\u201c v Evrop\u011b \u2013 spolu s Ma\u010farskem a Slovenskem. Pro srovn\u00e1n\u00ed v sousedn\u00edm Rakousku je to 7 n\u00e1v\u0161t\u011bv, ve \u0160v\u00e9dsku jsou to 3 n\u00e1v\u0161t\u011bvy ro\u010dn\u011b na pacienta.<\/p>\n<p>\u201eKdy\u017e srovn\u00e1me uveden\u00e1 data, je z\u0159ejm\u00e9, \u017ee po\u010det n\u00e1v\u0161t\u011bv u l\u00e9ka\u0159e nem\u00e1 vliv na zdravotn\u00ed stav populace. Pr\u016fm\u011brn\u00fd v\u011bk do\u017eit\u00ed obyvatel ve \u0160v\u00e9dsku je 80,93 let v Rakousku 79,58 let a v \u010cR 76,91 let. Naopak to vede k velk\u00fdm ekonomick\u00fdm ztr\u00e1t\u00e1m na\u0161eho syst\u00e9mu. Pokud vyjdeme z pr\u016fm\u011bru, \u017ee jeden kontakt s l\u00e9ka\u0159em stoj\u00ed v syst\u00e9mu ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed zhruba 400 K\u010d, pak by p\u0159i stejn\u00e9m po\u010dtu kontakt\u016f jako v Rakousku mohl syst\u00e9m u\u0161et\u0159it p\u0159ibli\u017en\u011b 20 miliard korun,\u201c vysv\u011btluje doc. B\u00fdma.<\/p>\n<p>\u0158e\u0161en\u00edm je podle SVL jednak v nastaven\u00ed dlouhodob\u00e9 koncepce prim\u00e1rn\u00ed p\u00e9\u010de ze strany Ministerstva zdravotnictv\u00ed a zdravotn\u00edch poji\u0161\u0165oven, zru\u0161en\u00ed zbyte\u010dn\u00fdch preskrip\u010dn\u00edch opat\u0159en\u00ed a regulac\u00ed pro praktick\u00e9 l\u00e9ka\u0159e, tak i motivace samotn\u00fdch pacient\u016f k v\u011bt\u0161\u00ed prevenci a ochran\u011b sv\u00e9ho zdrav\u00ed.<\/p>\n<p>Evropsk\u00e1 konference WONCA je v po\u0159ad\u00ed ji\u017e t\u0159et\u00edm v\u00fdznamn\u00fdm mezin\u00e1rodn\u00edm setk\u00e1n\u00edm praktick\u00fdch l\u00e9ka\u0159\u016f organizovan\u00fdch SVL v Praze, a to kr\u00e1tce po Sv\u011btov\u00e9 konferenci konan\u00e9 v Praze v roce 2013. SVL se tak \u0159ad\u00ed mezi nej\u00fasp\u011b\u0161n\u011bj\u0161\u00ed odborn\u00e9 spole\u010dnosti z hlediska kongresov\u00fdch aktivit.<\/p>\n<p>Organizace WONCA<\/p>\n<p>WONCA (World Organization of National Colleges and Academie of General Practitioners and Family Physicians) je organizace zalo\u017een\u00e1 v roce 1972 a v sou\u010dasn\u00e9 dob\u011b sdru\u017euje 122 \u010dlensk\u00fdch organizac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f ve 102 zem\u00edch. Evropsk\u00e1 v\u011btev je jednou ze sedmi oblast\u00ed WONCA. Konference v regionech jsou po\u0159\u00e1d\u00e1ny ka\u017edoro\u010dn\u011b, sv\u011btov\u00e9 konference jednou za dva roky. Posl\u00e1n\u00edm WONCA je zvy\u0161ov\u00e1n\u00ed kvality p\u00e9\u010de poskytovan\u00e9 praktick\u00fdmi l\u00e9ka\u0159i prost\u0159ednictv\u00edm posilov\u00e1n\u00ed hodnot a standard\u016f prim\u00e1rn\u00ed p\u00e9\u010de, a to vytv\u00e1\u0159en\u00edm platformy pro vzd\u011bl\u00e1v\u00e1n\u00ed, v\u00fdm\u011bnu zku\u0161enost\u00ed, spolupr\u00e1ci odborn\u00fdch spole\u010dnost\u00ed a univerzitn\u00edch pracovi\u0161\u0165.<\/p>\n<p>V\u00edce informac\u00ed a program konference najdete zde: <a href=\"http:\/\/www.woncaeurope2017.eu\">http:\/\/www.woncaeurope2017.eu<\/a><\/p>\n<p>Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Jak si stoj\u00ed prim\u00e1rn\u00ed p\u00e9\u010de v \u010cesku v porovn\u00e1n\u00ed s Evropou? Pro\u010d pat\u0159\u00ed \u010ce\u0161i k rekordman\u016fm v po\u010dtu n\u00e1v\u0161t\u011bv u l\u00e9ka\u0159e? Jak\u00fd je v\u00fdznam praktick\u00e9ho <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28582\" title=\"\u010ce\u0161t\u00ed praktici \u017e\u00e1daj\u00ed pos\u00edlen\u00ed kompetenc\u00ed: Chceme dr\u017eet krok s evropsk\u00fdmi kolegy\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-28582","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28582","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=28582"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28582\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}