{"id":30233,"date":"2018-03-04T11:57:03","date_gmt":"2018-03-04T10:57:03","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30233"},"modified":"2018-03-04T11:57:03","modified_gmt":"2018-03-04T10:57:03","slug":"choditka-ci-berle-pacienti-casto-nedostanou-ty-ktere-predepise-lekar","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30233","title":{"rendered":"Chod\u00edtka \u010di berle. Pacienti \u010dasto nedostanou ty, kter\u00e9 p\u0159edep\u00ed\u0161e l\u00e9ka\u0159"},"content":{"rendered":"<p><strong>T\u0159etina pom\u016fcek, ze kter\u00fdch mohou l\u00e9ka\u0159i vyb\u00edrat, ve skute\u010dnosti na trhu nen\u00ed P Ministerstvo se chyst\u00e1 ud\u011blat mezi zdravotnick\u00fdmi prost\u0159edky po\u0159\u00e1dek<\/strong><!--more--><\/p>\n<p>Probl\u00e9m, se kter\u00fdm bojuj\u00ed des\u00edtky \u010desk\u00fdch pacient\u016f: doktor jim sice p\u0159edepsal pevn\u00e9 chod\u00edtko, o kter\u00e9 by se m\u011bli bezpe\u010dn\u011b op\u0159\u00edt, v prodejn\u011b jim ale vydaj\u00ed lehk\u00fd skl\u00e1dac\u00ed v\u00fdrobek. &#8222;Tak\u017ee jakmile ud\u011blaj\u00ed prvn\u00ed kroky, upadnou,&#8220; popisuje pra\u017esk\u00fd praktick\u00fd l\u00e9ka\u0159 Jan Jel\u00ednek.<br \/>\nPodobn\u00e9 je to se sluchadly, glukometry nebo berlemi. Tak\u00e9 tyto pom\u016fcky prodejci \u010dasto zam\u011b\u0148uj\u00ed. &#8222;Pacient tak nakonec dostane n\u011bco \u00fapln\u011b jin\u00e9ho, ne\u017e mu l\u00e9ka\u0159 p\u016fvodn\u011b doporu\u010dil.<br \/>\nMnohdy samoz\u0159ejm\u011b m\u00e9n\u011b vhodn\u00e9ho,&#8220; p\u0159id\u00e1v\u00e1 svou zku\u0161enost p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f Petr \u0160onka.<\/p>\n<p>FIKTIVN\u00cd POM\u016eCKY<\/p>\n<p>D\u016fvodem ale nen\u00ed snaha obchodn\u00edk\u016f vyd\u011blat. Probl\u00e9m je sp\u00ed\u0161 v tom, \u017ee \u010d\u00e1st zdravotnick\u00fdch prost\u0159edk\u016f na trhu jednodu\u0161e nen\u00ed. A\u010dkoliv je v\u00fdrobce u \u010desk\u00fdch \u00fa\u0159ad\u016f zaregistroval, do prodejen je nakonec nikdy nedodal. Nebo je po kr\u00e1tk\u00e9 dob\u011b st\u00e1hl.<br \/>\n&#8222;V ofici\u00e1ln\u00edm seznamu ale vedeny st\u00e1le jsou a n\u011bkter\u00e9 maj\u00ed dokonce p\u0159iznanou \u00fahradu od poji\u0161\u0165oven,&#8220; pokra\u010duje \u0160onka. L\u00e9ka\u0159i tak s nimi st\u00e1le po\u010d\u00edtaj\u00ed.<br \/>\nTo by se m\u011blo zm\u011bnit.<br \/>\n\u0160onka vyzval ministerstvo zdravotnictv\u00ed, aby ud\u011blalo v pom\u016fck\u00e1ch po\u0159\u00e1dek. &#8222;Fiktivn\u00edch&#8220; polo\u017eek je toti\u017e podle n\u011bj v seznamu dokonce t\u0159etina. &#8222;Ministerstvo by proto m\u011blo za\u0159\u00eddit, aby se do sazebn\u00edku poji\u0161\u0165oven dost\u00e1valy jen takov\u00e9 zdravotnick\u00e9 prost\u0159edky, u kter\u00fdch bude v\u00fdrobce garantovat dostupnost na trhu,&#8220; \u0159ekl \u0160onka.<br \/>\nVeden\u00ed resortu zdravotnictv\u00ed souhlas\u00ed. &#8222;S reviz\u00ed po\u010d\u00edt\u00e1me,&#8220; potvrdil poradce ministra zdravotnictv\u00ed pro oblast zdravotnick\u00fdch prost\u0159edk\u016f Jakub Kr\u00e1l. Vy\u0159e\u0161it by se m\u011bly i dal\u0161\u00ed sporn\u00e9 v\u011bci \u2013 nap\u0159\u00edklad zp\u016fsob, jak se pom\u016fck\u00e1m stanov\u00ed \u00fahrada z poji\u0161t\u011bn\u00ed. Ostatn\u011b ministerstvo se t\u00edm zab\u00fdvat mus\u00ed \u2013 \u00fastavn\u00ed soud toti\u017e loni na ja\u0159e shledal, \u017ee jsou dne\u0161n\u00ed pravidla nepr\u016fhledn\u00e1.<br \/>\nPoji\u0161\u0165ovna sice lidem na n\u011bkter\u00e9 pom\u016fcky p\u0159isp\u00edv\u00e1, ale nen\u00ed jasn\u00e9, podle jak\u00e9ho kl\u00ed\u010de je vyb\u00edr\u00e1. &#8222;Proplat\u00ed v\u017edy jen nejlevn\u011bj\u0161\u00ed variantu na trhu, a to ze t\u0159\u00ed \u010dtvrtin. Nehled\u00ed p\u0159itom na to, jestli je v\u00fdrobek pro dan\u00e9ho pacienta vhodn\u00fd, nebo ne,&#8220; vysv\u011btluje sen\u00e1torka a l\u00e9ka\u0159ka Alena Dernerov\u00e1, kter\u00e1 se na soudce spolu s dal\u0161\u00edmi kolegy z horn\u00ed komory obracela.<br \/>\nO tom, kter\u00e1 pom\u016fcka je nejlevn\u011bj\u0161\u00ed, se ale nerozhoduje v sout\u011b\u017ei. Dodavatele si poji\u0161\u0165ovna vyb\u00edr\u00e1 v neve\u0159ejn\u00e9m jedn\u00e1n\u00ed s v\u00fdrobci. Nasmlouvan\u00e1 cena se nav\u00edc pr\u016fb\u011b\u017en\u011b upravuje podle pr\u016fzkumu trhu \u2013 pacient tak mnohdy dop\u0159edu nev\u00ed, jak\u00fd prost\u0159edek dostane a kolik na n\u011bj bude dopl\u00e1cet.<br \/>\nSoudci proto rozhodli, \u017ee se pravidla mus\u00ed zm\u011bnit. Z\u00e1konod\u00e1rc\u016fm na to dali rok a p\u016fl. Ministerstvo u\u017e proto na nov\u00e9 norm\u011b pracuje, prosadit ji mus\u00ed do konce tohoto roku. Jinak nastane kolaps \u2013 sou\u010dasn\u00e1 z\u00e1konn\u00e1 ustanoven\u00ed p\u0159estanou platit a zdravotnick\u00e9 pom\u016fcky u\u017e nebudou m\u00edt stanovenou cenu a \u00fahradu.<br \/>\n&#8222;U\u017e m\u00e1me p\u0159ipraven\u00e9 paragrafov\u00e9 zn\u011bn\u00ed z\u00e1kona, poslali jsme ho do p\u0159ipom\u00ednkov\u00e9ho \u0159\u00edzen\u00ed,&#8220; tvrd\u00ed Jakub Kr\u00e1l. Vl\u00e1da by m\u011bla normu projednat v \u010dervnu, poslanci do pr\u00e1zdnin. &#8222;K sen\u00e1tor\u016fm by se m\u011bla dostat v \u0159\u00edjnu,&#8220; doplnil.<br \/>\nPodle nov\u00e9ho z\u00e1kona se v\u0161echny pom\u016fcky rozt\u0159\u00edd\u00ed do skupin na z\u00e1klad\u011b toho, k \u010demu slou\u017e\u00ed. Ka\u017ed\u00e1 skupina pak dostane svou cenu a \u00fahradu. Tu navrhne s\u00e1m v\u00fdrobce, rozporovat ji ale budou moci poji\u0161\u0165ovny, odborn\u00e1 ve\u0159ejnost i pacientsk\u00e9 organizace. Kone\u010dn\u00e9 slovo bude m\u00edt St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div. Odvolac\u00edm org\u00e1nem v p\u0159\u00edpad\u011b neshod bude ministerstvo zdravotnictv\u00ed. &#8222;V\u0161echna \u0159\u00edzen\u00ed budou p\u0159ezkoumateln\u00e1,&#8220; dodal Kr\u00e1l.<\/p>\n<p>Vy\u0161lo tak\u00e9 v: \u010ceskolipsk\u00fd den\u00edk; D\u011b\u010d\u00ednsk\u00fd den\u00edk; Chomutovsk\u00fd den\u00edk; Libereck\u00fd den\u00edk; Jabloneck\u00fd den\u00edk<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>T\u0159etina pom\u016fcek, ze kter\u00fdch mohou l\u00e9ka\u0159i vyb\u00edrat, ve skute\u010dnosti na trhu nen\u00ed P Ministerstvo se chyst\u00e1 ud\u011blat mezi zdravotnick\u00fdmi prost\u0159edky po\u0159\u00e1dek<\/p>\n<\/div>","protected":false},"author":1,"featured_media":30234,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30233","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\/30233","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=30233"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30233\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/30234"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30233"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}