{"id":30105,"date":"2018-02-04T21:14:33","date_gmt":"2018-02-04T20:14:33","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30105"},"modified":"2018-02-04T21:14:33","modified_gmt":"2018-02-04T20:14:33","slug":"invalide-cekaji-na-razitko-mesice-posudkovych-lekaru-je-zoufale-malo","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30105","title":{"rendered":"Invalid\u00e9 \u010dekaj\u00ed na raz\u00edtko m\u011bs\u00edce. Posudkov\u00fdch l\u00e9ka\u0159\u016f je zoufale m\u00e1lo"},"content":{"rendered":"<p><strong>Na jejich rozhodnut\u00ed z\u00e1visej\u00ed tis\u00edce lid\u00ed, kte\u0159\u00ed \u010dekaj\u00ed na <span class=\"highlight\">invalidn\u00ed<\/span> d\u016fchod nebo p\u0159\u00edsp\u011bvek na p\u00e9\u010di.\u00a0 P\u0159esto se \u0159ady posudkov\u00fdch l\u00e9ka\u0159\u016f nebezpe\u010dn\u011b ten\u010d\u00ed. Na \u00fa\u0159adech u\u017e jich chyb\u00ed v\u00edce ne\u017e \u0161edes\u00e1t \u2013 tedy asi p\u011btina. Podle veden\u00ed resortu pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed tak hroz\u00ed naprost\u00fd kolaps posudkov\u00e9 slu\u017eby.<\/strong><!--more--><\/p>\n<p>&nbsp;<\/p>\n<p>&#8222;Situaci proto mus\u00edme urgentn\u011b \u0159e\u0161it,&#8220; \u0159ekla ministryn\u011b Jaroslava N\u011bmcov\u00e1 (ANO).<br \/>\nPrvn\u00ed dv\u011b opat\u0159en\u00ed, kter\u00e1 vymysleli je\u0161t\u011b jej\u00ed p\u0159edch\u016fdci, u\u017e za\u010dala platit: posudkov\u00fdm l\u00e9ka\u0159\u016fm se po dlouh\u00fdch letech zvedl plat a jejich \u0159ady tak\u00e9 za\u010dali posilovat externist\u00e9. Dal\u0161\u00ed kroky by m\u011bla p\u0159ipravit nov\u011b vytvo\u0159en\u00e1 pracovn\u00ed skupina. Krom\u011b odborn\u00edk\u016f z ministerstva v n\u00ed zasednou tak\u00e9 ombudsmanka, prakti\u010dt\u00ed dokto\u0159i nebo z\u00e1stupci <span class=\"highlight\">zdravotn\u011b<\/span> <span class=\"highlight\">posti\u017een\u00fdch<\/span>.<\/p>\n<p>VY\u0160\u0160\u00cd ODM\u011aNA<\/p>\n<p>&#8222;Na zm\u011bn\u00e1ch postupn\u011b pracujeme. Od ledna jsme nav\u00fd\u0161ili odm\u011bny posudkov\u00fdm l\u00e9ka\u0159\u016fm, a to na \u00farove\u0148 jejich koleg\u016f ve zdravotnictv\u00ed. Pokud by toti\u017e z\u016fstaly ni\u017e\u0161\u00ed, nikdo by k n\u00e1m pracovat nep\u0159i\u0161el,&#8220; potvrdila n\u00e1m\u011bstkyn\u011b pro soci\u00e1ln\u011b pojistn\u00e9 syst\u00e9my Iva Merhautov\u00e1.<br \/>\nDoposud si toti\u017e za\u010d\u00ednaj\u00edc\u00ed dokto\u0159i p\u0159i\u0161li na \u00fa\u0159adu jen na 25 tis\u00edc korun hrub\u00e9ho m\u011bs\u00ed\u010dn\u011b. Posudkov\u00fdm l\u00e9ka\u0159\u016fm nav\u00edc za\u010dali pom\u00e1hat odborn\u00ed asistenti a smluvn\u00ed l\u00e9ka\u0159i \u2013 tedy lid\u00e9, kte\u0159\u00ed nejsou ve slu\u017eebn\u00edm pom\u011bru a nepo\u017eaduje se po nich atestace z posudkov\u00e9ho l\u00e9ka\u0159stv\u00ed. Prvn\u00ed z nich nastoupili pr\u00e1v\u011b tento m\u011bs\u00edc. Za \u00fakol maj\u00ed vypracov\u00e1vat podklady, o kter\u00e9 se pak posudkov\u00fd l\u00e9ka\u0159 op\u0159e.<br \/>\nAsociace posudkov\u00fdch l\u00e9ka\u0159\u016f ale upozor\u0148uje na to, \u017ee toto \u0159e\u0161en\u00ed m\u016f\u017ee b\u00fdt jen nouzov\u00e9. &#8222;Jde jen o kr\u00e1tkodobou provozn\u00ed z\u00e1platu.<br \/>\n\u00dabytek by se nem\u011bl dlouhodob\u011b \u0159e\u0161it n\u00e1hradn\u00edm person\u00e1lem. Ministerstvo by m\u011blo naopak do oboru po\u0159\u00e1dn\u011b investovat tak, aby se na\u0161lo dostatek skute\u010dn\u011b kvalifikovan\u00fdch sil,&#8220; uvedla asociace v prohl\u00e1\u0161en\u00ed. St\u00e1t se toti\u017e podle n\u00ed bez l\u00e9ka\u0159\u016f s pot\u0159ebnou atestac\u00ed rozhodn\u011b neobejde.<br \/>\nProbl\u00e9my s l\u00e9ka\u0159skou posudkovou slu\u017ebou \u0159e\u0161\u00ed ministerstvo pr\u00e1ce l\u00e9ta. Nedostatek odborn\u00edk\u016f toti\u017e brzd\u00ed vy\u0159izov\u00e1n\u00ed <span class=\"highlight\">invalidn\u00edch<\/span> d\u016fchod\u016f a p\u0159\u00edsp\u011bvk\u016f na p\u00e9\u010di. Lid\u00e9 \u010dekaj\u00ed na raz\u00edtko dlouh\u00e9 m\u011bs\u00edce. &#8222;Nevypracovan\u00fdch posudk\u016f, u nich\u017e ji\u017e uplynula z\u00e1konn\u00e1 lh\u016fta, eviduje l\u00e9ka\u0159sk\u00e1 posudkov\u00e1 slu\u017eba t\u00e9m\u011b\u0159 dev\u011bt tis\u00edc.<br \/>\nOdvolac\u00ed komise pak takov\u00fdch p\u0159\u00edpad\u016f hl\u00e1s\u00ed \u010dty\u0159i a p\u016fl tis\u00edce,&#8220; p\u0159izn\u00e1v\u00e1 mluv\u010d\u00ed resortu Petr Sulek. \u010casto jde p\u0159itom o invalidy, kte\u0159\u00ed se bez p\u0159\u00edsp\u011bvku st\u00e1tu neobejdou. Bez posudku ale na n\u011bj nedos\u00e1hnou.<br \/>\nRukama posudkov\u00fdch l\u00e9ka\u0159\u016f projde ka\u017edoro\u010dn\u011b t\u00e9m\u011b\u0159 400 tis\u00edc \u017e\u00e1dost\u00ed. Na z\u00e1klad\u011b jejich rozhodnut\u00ed se pak rozd\u011bluj\u00ed miliardy. Jen <span class=\"highlight\">invalidn\u00edm<\/span> d\u016fchodc\u016fm st\u00e1t loni poslal zhruba 43 miliard korun a lidem, kte\u0159\u00ed pob\u00edraj\u00ed p\u0159\u00edsp\u011bvky na p\u00e9\u010di, poskytl v\u00edce ne\u017e 25 miliard korun. D\u00e1vky pro osoby se zdravotn\u00edm posti\u017een\u00edm spolykaly kolem dvou miliard korun.<\/p>\n<p>SD\u00cdLEN\u00cd DOKTOR\u016e<\/p>\n<p>Do budoucna by mohly &#8222;posudk\u00e1\u0159\u016fm&#8220; p\u0159ib\u00fdt i dal\u0161\u00ed pravomoce. Ministerstva pr\u00e1ce a zdravotnictv\u00ed toti\u017e uva\u017euj\u00ed o tom, \u017ee by propojily \u010dinnosti posudkov\u00fdch a revizn\u00edch l\u00e9ka\u0159\u016f \u2013 tedy odborn\u00edk\u016f, kte\u0159\u00ed sed\u00ed ve zdravotn\u00edch poji\u0161\u0165ovn\u00e1ch a rozhoduj\u00ed o n\u00e1roc\u00edch poji\u0161t\u011bnc\u016f. &#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. Propojen\u00ed by tedy byl 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; \u0159ekl p\u0159ed \u010dasem Den\u00edku n\u00e1m\u011bstek ministra zdravotnictv\u00ed Roman Prymula.<\/p>\n<p>Kolik odborn\u00edk\u016f chyb\u00ed?<\/p>\n<p>296 posudkov\u00fdch l\u00e9ka\u0159\u016f dnes p\u016fsob\u00ed v \u010cesku<\/p>\n<p>362 s tolika m\u00edsty pro posudkov\u00e9 l\u00e9ka\u0159e po\u010d\u00edt\u00e1 ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed (p\u011btina je tedy neobsazen\u00e1)<\/p>\n<p>380 tis\u00edc posudk\u016f loni vypracovali l\u00e9ka\u0159i okresn\u00edch spr\u00e1v soci\u00e1ln\u00edho zabezpe\u010den\u00ed<\/p>\n<p>9 tis\u00edc posudk\u016f nebylo vy\u0159\u00edzeno v z\u00e1konn\u00e9 lh\u016ft\u011b<\/p>\n<p>Zdroj: <span class=\"highlight\">MPSV<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>\u010ceskobud\u011bjovick\u00fd den\u00edk; Jind\u0159ichohradeck\u00fd den\u00edk; P\u00edseck\u00fd den\u00edk; \u010ceskokrumlovsk\u00fd den\u00edk; Prachatick\u00fd den\u00edk; Strakonick\u00fd den\u00edk; T\u00e1borsk\u00fd den\u00edk; Bene\u0161ovsk\u00fd den\u00edk; Nymbursk\u00fd den\u00edk; Boleslavsk\u00fd den\u00edk; M\u011blnick\u00fd den\u00edk; Kutnohorsk\u00fd den\u00edk; Kol\u00ednsk\u00fd den\u00edk; Rakovnick\u00fd den\u00edk; Berounsk\u00fd den\u00edk; Kladensk\u00fd den\u00edk; P\u0159\u00edbramsk\u00fd den\u00edk<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Na jejich rozhodnut\u00ed z\u00e1visej\u00ed tis\u00edce lid\u00ed, kte\u0159\u00ed \u010dekaj\u00ed na invalidn\u00ed d\u016fchod nebo p\u0159\u00edsp\u011bvek na p\u00e9\u010di.\u00a0 P\u0159esto se \u0159ady posudkov\u00fdch l\u00e9ka\u0159\u016f nebezpe\u010dn\u011b ten\u010d\u00ed. Na \u00fa\u0159adech u\u017e <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=30105\" title=\"Invalid\u00e9 \u010dekaj\u00ed na raz\u00edtko m\u011bs\u00edce. Posudkov\u00fdch l\u00e9ka\u0159\u016f je zoufale m\u00e1lo\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30105","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\/30105","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=30105"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30105\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30105"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30105"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}