{"id":30036,"date":"2018-01-23T20:00:09","date_gmt":"2018-01-23T19:00:09","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30036"},"modified":"2018-01-23T20:00:09","modified_gmt":"2018-01-23T19:00:09","slug":"praktici-navstivili-noveho-ministra-navrhli-zmeny","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30036","title":{"rendered":"Praktici nav\u0161t\u00edvili nov\u00e9ho ministra, navrhli zm\u011bny"},"content":{"rendered":"

Pacient p\u0159ich\u00e1z\u00ed do ordinace praktick\u00e9ho l\u00e9ka\u0159e, ten mu zm\u011b\u0159\u00ed funkci plic s pomoc\u00ed spirometru, zjist\u00ed hladinu cukru v krvi, ud\u011bl\u00e1 \u201esono\u201c b\u0159icha, nato\u010d\u00ed EKG a p\u0159edep\u00ed\u0161e v\u0161echny pot\u0159ebn\u00e9 l\u00e9ky. Sci-fi? Ne, pouze jedna z \u010d\u00e1st\u00ed Koncepce zm\u011bn prim\u00e1rn\u00ed p\u00e9\u010de, kterou dnes z\u00e1stupci praktick\u00fdch l\u00e9ka\u0159\u016f p\u0159edstavili na prvn\u00ed n\u00e1v\u0161t\u011bv\u011b nov\u00e9mu ministru zdravotnictv\u00ed Adamu Vojt\u011bchovi.<\/strong>
\n
\n\u201eKoruna investovan\u00e1 do prim\u00e1rn\u00ed p\u00e9\u010de u\u0161et\u0159\u00ed a\u017e 7 korun p\u00e9\u010de n\u00e1sledn\u00e9. Potenci\u00e1l prim\u00e1rn\u00ed p\u00e9\u010de nen\u00ed zdaleka vyu\u017eit\u00fd, p\u0159esto\u017ee jde o nejlevn\u011bj\u0161\u00ed p\u00e9\u010di v r\u00e1mci zdravotn\u00edho syst\u00e9mu. \u010ce\u0161i v pr\u016fm\u011bru nav\u0161t\u00edv\u00ed l\u00e9ka\u0159e 11kr\u00e1t ro\u010dn\u011b, p\u0159itom soused\u016fm v Rakousku sta\u010d\u00ed 6 n\u00e1v\u0161t\u011bv, ve \u0160v\u00e9dsku dokonce 3. Na vin\u011b jsou n\u00edzk\u00e9 kompetence praktik\u016f, kte\u0159\u00ed mus\u00ed odes\u00edlat pacienta kv\u016fli ka\u017ed\u00e9 banalit\u011b \u010di p\u0159edeps\u00e1n\u00ed l\u00e9ku ke specialistovi. Roz\u0161\u00ed\u0159en\u00edm pravomoc\u00ed praktik\u016f v oblasti chronick\u00fdch onemocn\u011bn\u00ed, diagnostick\u00fdch v\u00fdkon\u016f a screeningu, nov\u00fdch v\u00fdkon\u016f v oblasti paliativn\u00ed medic\u00edny \u010di chronick\u00fdch bolest\u00ed by \u010desk\u00e9mu zdravotnictv\u00ed u\u0161et\u0159ilo ro\u010dn\u011b miliardy korun,\u201c shrnuje jeden z p\u0159edkladatel\u016f koncepce a p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f (SPL) MUDr. Petr \u0160onka.<\/p>\n

Praktici tak\u00e9 ministra po\u017e\u00e1dali, aby svolal t\u0159\u00edstrannou sch\u016fzku se z\u00e1stupci poji\u0161\u0165oven. Sch\u016fzka by m\u011bla vyjasnit, jak vy\u0159e\u0161it d\u00edry v dostupnosti l\u00e9ka\u0159sk\u00e9 p\u00e9\u010de. \u201eZa s\u00ed\u0165 l\u00e9ka\u0159\u016f dle z\u00e1kona odpov\u00eddaj\u00ed poji\u0161\u0165ovny, v praxi to v\u0161ak vypad\u00e1 tak, \u017ee se \u201evzbud\u00ed\u201c, a\u017e kdy\u017e nastane probl\u00e9m a l\u00e9ka\u0159 v dan\u00e9 oblasti chyb\u00ed \u2013 to je pozd\u011b,\u201c \u0159\u00edk\u00e1 p\u0159edseda Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) doc. MUDr. Svatopluk B\u00fdma, CSc. Podle n\u011bj je praxe takov\u00e1, \u017ee si bu\u010f odch\u00e1zej\u00edc\u00ed l\u00e9ka\u0159 za sebe najde n\u00e1hradu, nebo se mu to nepovede a jeho pacienti ne\u00fam\u011brn\u011b zat\u00ed\u017e\u00ed nejbli\u017e\u0161\u00edho praktika nebo za p\u00e9\u010d\u00ed cestuj\u00ed des\u00edtky kilometr\u016f do nejbli\u017e\u0161\u00edho m\u011bsta. Z\u00e1kon lidem garantuje, \u017ee se k l\u00e9ka\u0159i dostanou do 35 minut, to ale v \u0159ad\u011b m\u00edst neplat\u00ed. \u201e\u0158e\u0161en\u00ed je p\u0159itom nasnad\u011b \u2013 \u010derstv\u011b dostudovan\u00ed l\u00e9ka\u0159i se hl\u00e1s\u00ed na specializa\u010dn\u00ed p\u0159\u00edpravu na Institut postgradu\u00e1ln\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed ve zdravotnictv\u00ed (IPVZ), kter\u00fd pat\u0159\u00ed pod MZ\u010cR. Nen\u00ed nic jednodu\u0161\u0161\u00edho, ne\u017e aby poji\u0161\u0165ovny a kraje za\u010daly s l\u00e9ka\u0159i komunikovat pr\u00e1v\u011b ve chv\u00edli, kdy se specializuj\u00ed na vybran\u00fd obor. Mohou jim poskytnout p\u0159ehled voln\u00fdch m\u00edst v republice, poskytnou komplexn\u00ed informace, kde z\u00edskat p\u0159\u00edsp\u011bvek nebo dotaci,\u201c dopl\u0148uje doc. B\u00fdma. Nedostatek l\u00e9ka\u0159\u016f toti\u017e p\u00e1l\u00ed starosty m\u011bst, p\u0159edstavitele kraj\u016f, a ti mlad\u00e9 l\u00e9ka\u0159e l\u00e1kaj\u00ed finan\u010dn\u00edmi pob\u00eddkami. V \u010cesk\u00e9 republice v sou\u010dasnosti chyb\u00ed p\u0159ibli\u017en\u011b 1000 l\u00e9ka\u0159\u016f v\u0161ech specializac\u00ed, nejo\u017eehav\u011bji jejich nedostatek poci\u0165uje Rakovnicko, St\u0159edo\u010desk\u00fd kraj, \u010di Mostecko. Podle \u00dastavu zdravotnick\u00fdch informac\u00ed a statistik bude po roce 2020 ka\u017ed\u00fd p\u00e1t\u00fd doktor v ordinaci v d\u016fchodov\u00e9m v\u011bku. S nedostatkem l\u00e9ka\u0159\u016f se pot\u00fdk\u00e1 p\u0159ibli\u017en\u011b t\u0159etina obc\u00ed, dal\u0161\u00ed t\u0159etina probl\u00e9my avizovala v bl\u00edzk\u00e9m \u010dase. V sou\u010dasnosti na jednoho praktika p\u0159ipad\u00e1 pr\u016fm\u011brn\u011b 1600 pacient\u016f.<\/p>\n

Praktick\u00fd l\u00e9ka\u0159 v sou\u010dasnosti vy\u0159e\u0161\u00ed pot\u00ed\u017ee zhruba 80 % pacient\u016f, 20 % putuje d\u00e1le zdravotnick\u00fdm syst\u00e9mem. V\u0161eobecn\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i a prakti\u010dt\u00ed l\u00e9ka\u0159i pro d\u011bti a dorost spot\u0159ebuj\u00ed necel\u00fdch 6 % prost\u0159edk\u016f z \u010desk\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Podle \u00fadaj\u016f Organizace pro hospod\u00e1\u0159skou spolupr\u00e1ci a rozvoj (OECD) \u010din\u00ed pod\u00edl praktik\u016f na celkov\u00e9m po\u010dtu l\u00e9ka\u0159\u016f v \u010cesk\u00e9 republice 19 %. Pro srovn\u00e1n\u00ed v Rakousku tento pod\u00edl dosahuje 33 %, ve Francii 47 %.<\/p>\n

O SPL
\nSPL \u010cR je nez\u00e1vislou dobrovolnou organizac\u00ed, sdru\u017euj\u00edc\u00ed na profesn\u00edm principu v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159e pro dosp\u011bl\u00e9, vykon\u00e1vaj\u00edc\u00ed praxi v \u010cR. Jeho posl\u00e1n\u00edm je rozvoj v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159stv\u00ed jako oboru a prim\u00e1rn\u00ed p\u00e9\u010de jako z\u00e1kladn\u00edho \u010dl\u00e1nku zdravotn\u00edho syst\u00e9mu, zlep\u0161ov\u00e1n\u00ed podm\u00ednek i kvality \u010dinnosti praktick\u00fdch l\u00e9ka\u0159\u016f, h\u00e1jen\u00ed jejich z\u00e1jm\u016f, podpora a pomoc p\u0159i v\u00fdkonu jejich povol\u00e1n\u00ed. V sou\u010dasn\u00e9 dob\u011b m\u00e1 SPL 4800 \u010dlen\u016f (p\u0159ibli\u017en\u011b 90 % z celkov\u00e9ho po\u010dtu praktick\u00fdch l\u00e9ka\u0159\u016f pro dosp\u011bl\u00e9 v \u010cR), co\u017e z n\u011bj \u010din\u00ed v\u016fbec nejv\u011bt\u0161\u00ed dobrovolnou organizaci l\u00e9ka\u0159\u016f v \u010cR. V\u00edce na www.splcr.cz.<\/p>\n

O SVL \u010cLS JEP
\nOdborn\u00e1 spole\u010dnost vznikla v roce 1979. V sou\u010dasnosti se SVL pod\u00edl\u00ed na tvorb\u011b doporu\u010den\u00fdch l\u00e9\u010debn\u00fdch postup\u016f, aktualizuje koncepci oboru, je partnerem pro jedn\u00e1n\u00ed v dohodovac\u00edch \u0159\u00edzen\u00edch jak o kompetenc\u00edch praktick\u00e9ho l\u00e9ka\u0159e, tak o cen\u011b jeho pr\u00e1ce. Odborn\u00ed z\u00e1stupci spole\u010dnosti jsou zv\u00e1ni ke koncepc\u00edm \u0159ady preventivn\u00edch program\u016f. V sou\u010dasnosti nap\u0159. k programu celoplo\u0161n\u00e9ho screeningu rakoviny tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku a aktivit\u00e1m v oblasti prevence karcinomu prsu. \u0158ada praktik\u016f se pod\u00edlela na v\u00fdzkumu odhalov\u00e1n\u00ed karcinomu prostaty nebo nap\u0159. na v\u00fdznamn\u00e9 epidemiologick\u00e9 studii prevalence Helicobacter pylori a na dal\u0161\u00edch. SVL po\u0159\u00e1d\u00e1 vzd\u011bl\u00e1vac\u00ed semin\u00e1\u0159e pro praktick\u00e9 l\u00e9ka\u0159e v syst\u00e9mu celo\u017eivotn\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed. Spole\u010dnost vyd\u00e1v\u00e1 \u010dasopis Practicus, kter\u00fd vych\u00e1z\u00ed 10x ro\u010dn\u011b. V\u00edce informac\u00ed: www.svl.cz.<\/p>\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

Pacient p\u0159ich\u00e1z\u00ed do ordinace praktick\u00e9ho l\u00e9ka\u0159e, ten mu zm\u011b\u0159\u00ed funkci plic s pomoc\u00ed spirometru, zjist\u00ed hladinu cukru v krvi, ud\u011bl\u00e1 \u201esono\u201c b\u0159icha, nato\u010d\u00ed EKG a […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29148,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-30036","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\/30036","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=30036"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30036\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29148"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}