{"id":29393,"date":"2017-10-28T09:54:31","date_gmt":"2017-10-28T07:54:31","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29393"},"modified":"2017-10-28T09:54:31","modified_gmt":"2017-10-28T07:54:31","slug":"odbornici-pro-placeni-drahe-pece-maji-byt-pravidla-ne-vyjimky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29393","title":{"rendered":"Odborn\u00edci: Pro placen\u00ed drah\u00e9 p\u00e9\u010de maj\u00ed b\u00fdt pravidla, ne v\u00fdjimky"},"content":{"rendered":"<p><strong>Pro placen\u00ed drah\u00e9 specializovan\u00e9 p\u00e9\u010de zdravotn\u00edmi poji\u0161\u0165ovnami maj\u00ed b\u00fdt podle odborn\u00edk\u016f jasn\u00e1 pravidla. Nyn\u00ed se platba p\u00e9\u010de o pacienty, kte\u0159\u00ed nespln\u00ed pot\u0159ebn\u00e1 krit\u00e9ria, \u010dasto individu\u00e1ln\u011b posuzuje na v\u00fdjimku, kterou umo\u017e\u0148uje z\u00e1kon o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. Informace dnes zazn\u011bly na konferenci Udr\u017eitelnost zdravotn\u00ed p\u00e9\u010de.<\/strong><!--more--><\/p>\n<p>Z\u00e1kon v paragrafu 16 stanov\u00ed, \u017ee zdravotn\u00ed poji\u0161\u0165ovna ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech hrad\u00ed zdravotn\u00ed slu\u017eby jinak nehrazen\u00e9, pokud je to jedin\u00e1 mo\u017enost z hlediska zdravotn\u00edho stavu pacienta. Pokud nehroz\u00ed nebezpe\u010d\u00ed z prodlen\u00ed, mus\u00ed souhlasit revizn\u00ed l\u00e9ka\u0159.<\/p>\n<p>Podle p\u0159edsedkyn\u011b \u010cesk\u00e9 onkologick\u00e9 spole\u010dnosti Jany Prausov\u00e9 nem\u00e1 paragraf 16 ve zdravotnictv\u00ed m\u00edsto. &#8222;Revizn\u00ed l\u00e9ka\u0159 nem\u00e1 \u0161anci \u0159\u00edct, \u017ee jde o jedin\u00fd zp\u016fsob p\u00e9\u010de. D\u00e1v\u00e1me na n\u011bj t\u011b\u017ek\u00e9 b\u0159\u00edm\u011b opravovat docenty a profesory,&#8220; dodala. Na konferenci tak\u00e9 zazn\u011blo, \u017ee n\u011bkter\u00e9 nemocnice maj\u00ed intern\u011b pou\u017e\u00edv\u00e1n\u00ed paragrafu 16 zak\u00e1zan\u00e9.<\/p>\n<p>Podle Em\u00edlie Bart\u016f\u0161kov\u00e9 z V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny (VZP) tento paragraf \u0159\u00edk\u00e1, \u017ee jde o v\u00fdjime\u010dn\u00e9 situace. P\u0159esto ale zdravotn\u00ed poji\u0161\u0165ovna, kter\u00e1 m\u00e1 mezi klienty asi 60 procent obyvatel, zaplatila tuto p\u0159iznanou p\u00e9\u010di za v\u00edce ne\u017e miliardu korun. V posledn\u00edm roce zam\u00edtla jen necelou desetinu \u017e\u00e1dost\u00ed z v\u00edce ne\u017e 14.000. Velk\u00fd tlak na vyu\u017e\u00edv\u00e1n\u00ed paragrafu 16 c\u00edt\u00ed i p\u0159edseda Svazu zdravotn\u00edch poji\u0161\u0165oven, kter\u00fd sdru\u017euje zam\u011bstnaneck\u00e9 zdravotn\u00ed poji\u0161\u0165ovny, Ladislav Friedrich. Podle n\u011bj je ale obt\u00ed\u017en\u00e9 stanovit, co p\u0159esn\u011b znamen\u00e1 &#8222;mimo\u0159\u00e1dn\u00fd&#8220; a &#8222;jedin\u00e1 mo\u017en\u00e1 l\u00e9\u010dba&#8220;.<\/p>\n<p>P\u0159\u00edpady, kdy poji\u0161\u0165ovny l\u00e9\u010dbu zam\u00edtnou, proto\u017ee pacient nespln\u00ed v\u0161echna krit\u00e9ria pro jej\u00ed propl\u00e1cen\u00ed, jsou \u010dasto medializovan\u00e9. Jen letos jich bylo n\u011bkolik a t\u00fdkaly se r\u016fzn\u00fdch zdravotn\u00edch poji\u0161\u0165oven. V n\u011bkter\u00fdch p\u0159\u00edpadech se pacienti proplacen\u00ed p\u00e9\u010de pot\u00e9 domohli, dal\u0161\u00ed se za\u010d\u00ednaj\u00ed se sv\u00fdmi poji\u0161\u0165ovnami soudit.<\/p>\n<p>Nej\u010dast\u011bji poji\u0161t\u011bnci na v\u00fdjimku podle paragrafu 16 \u017e\u00e1daj\u00ed o takzvanou biologickou l\u00e9\u010dbu ve specializovan\u00fdch centrech. Tyto modern\u00ed l\u00e9ky p\u016fsob\u00ed jen na molekuly a pochody, kter\u00e9 jsou typick\u00e9 pro bu\u0148ky spojen\u00e9 s n\u00e1dorov\u00fdm nebo autoimunitn\u00edm onemocn\u011bn\u00edm a v bu\u0148k\u00e1ch norm\u00e1ln\u00edch tk\u00e1n\u00ed se bu\u010f nevyskytuj\u00ed v\u016fbec, nebo jen v mal\u00e9 m\u00ed\u0159e. L\u00e9\u010diva zlep\u0161uj\u00ed \u010di opravuj\u00ed schopnost sebeobrany organismu. Pou\u017e\u00edvaj\u00ed se nap\u0159\u00edklad pro l\u00e9\u010dbu autoimunitn\u00edch chorob, jako jsou lup\u00e9nka, revmatoidn\u00ed artritida a roztrou\u0161en\u00e1 skler\u00f3za, nebo rakoviny.<\/p>\n<p>&#8222;Zhruba 20 miliard d\u00e1me za l\u00e9ky pro t\u00e9m\u011b\u0159 \u0161est milion\u016f poji\u0161t\u011bnc\u016f. Deset miliard d\u00e1me za centrovou p\u00e9\u010di pro 35.000 pacient\u016f. To je jedna t\u0159etina,&#8220; \u0159ekl \u0159editel odboru \u00fahrad VZP Ji\u0159\u00ed Mr\u00e1zek. N\u00e1klady na tyto l\u00e9ky vyr\u00e1b\u011bn\u00e9 z bun\u011bk \u017eiv\u00fdch organism\u016f rostou v posledn\u00edch letech meziro\u010dn\u011b \u0159\u00e1dov\u011b o miliardy korun. N\u00e1vrh \u00fahradov\u00e9 vyhl\u00e1\u0161ky pro p\u0159\u00ed\u0161t\u00ed rok po\u010d\u00edt\u00e1 s r\u016fstem o 1,5 miliardy.<\/p>\n<p>Podle n\u00e1m\u011bstkyn\u011b \u0159editele pro ekonomiku a finance Fakultn\u00ed nemocnice Ostrava Petry Lampartov\u00e9 by leto\u0161n\u00ed \u00fahrady nemusely b\u00fdt meziro\u010dn\u011b o tolik vy\u0161\u0161\u00ed, jako byly v p\u0159edchoz\u00edch letech kv\u016fi sn\u00ed\u017een\u00ed \u00fahradov\u00fdch cen ze strany St\u00e1tn\u00edho \u00fastavu pro kontrolu l\u00e9\u010div a vyu\u017e\u00edv\u00e1n\u00ed klinick\u00fdch studi\u00ed, z nich\u017e se specializovan\u00e9 l\u00e9ky hrad\u00ed. Ceny sni\u017euje i zav\u00e1d\u011bn\u00ed nov\u00fdch l\u00e9k\u016f se stejn\u00fdm slo\u017een\u00edm jako centrov\u00e1 l\u00e9\u010diva v p\u0159\u00edpad\u011b, \u017ee jim skon\u010d\u00ed patentov\u00e1 ochrana.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Pro placen\u00ed drah\u00e9 specializovan\u00e9 p\u00e9\u010de zdravotn\u00edmi poji\u0161\u0165ovnami maj\u00ed b\u00fdt podle odborn\u00edk\u016f jasn\u00e1 pravidla. Nyn\u00ed se platba p\u00e9\u010de o pacienty, kte\u0159\u00ed nespln\u00ed pot\u0159ebn\u00e1 krit\u00e9ria, \u010dasto individu\u00e1ln\u011b <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29393\" title=\"Odborn\u00edci: Pro placen\u00ed drah\u00e9 p\u00e9\u010de maj\u00ed b\u00fdt pravidla, ne v\u00fdjimky\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":22956,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29393","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\/29393","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=29393"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29393\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/22956"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}