{"id":30026,"date":"2018-01-19T12:53:39","date_gmt":"2018-01-19T11:53:39","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30026"},"modified":"2018-01-19T12:53:39","modified_gmt":"2018-01-19T11:53:39","slug":"proc-mi-lekar-nenabizi-ockovani-proti-chripce","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30026","title":{"rendered":"Pro\u010d mi l\u00e9ka\u0159 nenab\u00edz\u00ed o\u010dkov\u00e1n\u00ed proti ch\u0159ipce?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA : Je pravda, \u017ee jsou prakti\u010dt\u00ed l\u00e9ka\u0159i odm\u011b\u0148ov\u00e1ni za proveden\u00e1 o\u010dkov\u00e1n\u00ed proti ch\u0159ipce a za preventivn\u00ed prohl\u00eddky? Pt\u00e1m se proto, \u017ee mi l\u00e9ka\u0159 ani jedno z toho aktivn\u011b nenab\u00edz\u00ed.<\/strong><!--more--><\/p>\n<p>ODPOV\u011a\u010e:<\/p>\n<p>Prakti\u010dt\u00ed l\u00e9ka\u0159i jsou k prov\u00e1d\u011bn\u00ed prevence a o\u010dkov\u00e1n\u00ed finan\u010dn\u011b motivov\u00e1ni, a to jak \u00fahradovou vyhl\u00e1\u0161kou, tak i V\u0161eobecnou zdravotn\u00ed poji\u0161\u0165ovnou v r\u00e1mci smluvn\u00edch vztah\u016f. Praktici jsou odm\u011b\u0148ov\u00e1ni tzv. kombinovanou kapita\u010dn\u011b-v\u00fdkonovou platbou, kter\u00e1 se skl\u00e1d\u00e1 ze dvou \u010d\u00e1st\u00ed \u2013 kapita\u010dn\u00ed platby a platby za proveden\u00e9 v\u00fdkony. V\u00fd\u0161e z\u00e1kladn\u00ed kapita\u010dn\u00ed sazby z\u00e1vis\u00ed na rozlo\u017een\u00ed a d\u00e9lce ordina\u010dn\u00ed doby a je stanovena tzv. \u00fahradovou vyhl\u00e1\u0161kou, kterou vyd\u00e1v\u00e1 MZ. U v\u0161eobecn\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f (tj. praktick\u00fdch l\u00e9ka\u0159\u016f pro dosp\u011bl\u00e9) \u010din\u00ed 54 K\u010d, 50 K\u010d nebo 48 K\u010d na m\u011bs\u00edc na jednoho p\u0159epo\u010dten\u00e9ho poji\u0161t\u011bnce. Kapita\u010dn\u00ed platba p\u0159edstavuje pau\u0161\u00e1l, kter\u00fd pokr\u00fdv\u00e1 n\u011bkter\u00e9 v\u00fdkony poskytovan\u00e9 zdravotn\u00ed p\u00e9\u010de a d\u00e1le nap\u0159. administrativn\u00ed \u00fakony, edukaci pacienta, telefonick\u00e9 konzultace s pacientem aj. Vedle toho je l\u00e9ka\u0159 odm\u011b\u0148ov\u00e1n za vybran\u00e9 proveden\u00e9 v\u00fdkony, mezi n\u011b\u017e pat\u0159\u00ed pr\u00e1v\u011b v\u00fdkony preventivn\u00edch prohl\u00eddek a o\u010dkov\u00e1n\u00ed, nebo p\u00e9\u010de o diabetiky a vyu\u017e\u00edv\u00e1n\u00ed tzv. POCT metod (CRP, INR a jin\u00e9), kter\u00e9 umo\u017e\u0148uj\u00ed podporu rozhodov\u00e1n\u00ed l\u00e9ka\u0159e p\u0159\u00edmo v ordinaci (nap\u0159. o antibiotick\u00e9 l\u00e9\u010db\u011b).<\/p>\n<p>V \u00fahradov\u00e9 vyhl\u00e1\u0161ce jsou l\u00e9ka\u0159i motivov\u00e1ni k poskytov\u00e1n\u00ed preventivn\u00ed p\u00e9\u010de takto: pokud v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159 provedl v roce 2017 preventivn\u00ed prohl\u00eddku u alespo\u0148 30 % sv\u00fdch registrovan\u00fdch poji\u0161t\u011bnc\u016f ve v\u011bku od 40 do 80 let, bude mu podle \u00fahradov\u00e9 vyhl\u00e1\u0161ky zp\u011btn\u011b nav\u00fd\u0161ena kapita\u010dn\u00ed sazba o 0,50 K\u010d. Tot\u00e9\u017e plat\u00ed i pro rok 2018. Pro v\u00fdkony preventivn\u00edch prohl\u00eddek a o\u010dkov\u00e1n\u00ed (kter\u00e9 nejsou zahrnut\u00e9 do kapita\u010dn\u00ed platby a vykazuj\u00ed se zvl\u00e1\u0161\u0165) nav\u00edc stanov\u00ed \u00fahradov\u00e1 vyhl\u00e1\u0161ka vy\u0161\u0161\u00ed bodov\u00e9 ohodnocen\u00ed, ne\u017e za jin\u00e9 v\u00fdkony vykazovan\u00e9 mimo kapitaci.<\/p>\n<p>VZP pak podporuje v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159e je\u0161t\u011b nad r\u00e1mec \u00fahradov\u00e9 vyhl\u00e1\u0161ky. Mohou z\u00edskat dal\u0161\u00ed finan\u010dn\u00ed ohodnocen\u00ed v r\u00e1mci Programu kvality p\u00e9\u010de AKORD. To je bonifika\u010dn\u00ed program, jeho\u017e prost\u0159ednictv\u00edm je ji\u017e n\u011bkolik let sledov\u00e1na kvalita poskytovan\u00fdch hrazen\u00fdch slu\u017eeb. P\u0159i spln\u011bn\u00ed vstupn\u00edch podm\u00ednek, mezi n\u011b\u017e je nap\u0159. za\u0159azeno krit\u00e9rium poskytov\u00e1n\u00ed preventivn\u00edch prohl\u00eddek v p\u0159edchoz\u00edch dvou letech \u010di elektronick\u00e1 komunikace jak s VZP, tak s pacienty, z\u00edsk\u00e1v\u00e1 l\u00e9ka\u0159 nav\u00fd\u0161en\u00ed hodnoty kapita\u010dn\u00ed sazby o 2\u20133 K\u010d v z\u00e1vislosti na rozlo\u017een\u00ed a d\u00e9lce ordina\u010dn\u00ed doby.<\/p>\n<p>D\u00e1le v p\u0159\u00edpad\u011b spln\u011bn\u00ed tzv. indik\u00e1tor\u016f dobr\u00e9 praxe v programu AKORD m\u016f\u017ee praktick\u00fd l\u00e9ka\u0159 z\u00edskat dal\u0161\u00ed motiva\u010dn\u00ed bonifikaci. Mezi indik\u00e1tory dobr\u00e9 praxe je za\u0159azeno nap\u0159\u00edklad poskytov\u00e1n\u00ed p\u00e9\u010de o poji\u0161t\u011bnce s chronick\u00fdm onemocn\u011bn\u00edm diabetes mellitus, zaji\u0161\u0165ov\u00e1n\u00ed screeningu kolorekt\u00e1ln\u00edho karcinomu, o\u010dkov\u00e1n\u00ed proti ch\u0159ipce, dodr\u017eov\u00e1n\u00ed metodiky pravideln\u00e9ho o\u010dkov\u00e1n\u00ed, \u010di racion\u00e1ln\u00ed preskripce.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA : Je pravda, \u017ee jsou prakti\u010dt\u00ed l\u00e9ka\u0159i odm\u011b\u0148ov\u00e1ni za proveden\u00e1 o\u010dkov\u00e1n\u00ed proti ch\u0159ipce a za preventivn\u00ed prohl\u00eddky? Pt\u00e1m se proto, \u017ee mi l\u00e9ka\u0159 ani <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=30026\" title=\"Pro\u010d mi l\u00e9ka\u0159 nenab\u00edz\u00ed o\u010dkov\u00e1n\u00ed proti ch\u0159ipce?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30026","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30026","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=30026"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30026\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30026"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30026"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30026"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}