{"id":30980,"date":"2018-10-19T15:40:47","date_gmt":"2018-10-19T13:40:47","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30980"},"modified":"2018-10-19T15:40:47","modified_gmt":"2018-10-19T13:40:47","slug":"dohoda-onkologu-s-praktickymi-lekari-a-mz-cr-vylecene-onkologicke-pacienty-budou-dale-sledovat-jejich-praktici","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30980","title":{"rendered":"Dohoda onkolog\u016f s praktick\u00fdmi l\u00e9ka\u0159i a MZ \u010cR: Vyl\u00e9\u010den\u00e9 onkologick\u00e9 pacienty budou d\u00e1le sledovat jejich praktici"},"content":{"rendered":"

Vybran\u00e9 pacienty, kte\u0159\u00ed \u00fasp\u011b\u0161n\u011b absolvovali onkologickou l\u00e9\u010dbu, bude nad\u00e1le sledovat jejich praktik. Dohodli se na tom prakti\u010dt\u00ed l\u00e9ka\u0159i s \u010desk\u00fdmi onkology a jejich domluvu posv\u011btil ministr zdravotnictv\u00ed Adam Vojt\u011bch. Tato dohoda specialist\u016f s praktick\u00fdmi l\u00e9ka\u0159i o rozd\u011blen\u00ed kompetenc\u00ed za\u010dne platit od 1. 1. 2019 a je sou\u010d\u00e1st\u00ed reformy, skrze ni\u017e se dost\u00e1v\u00e1 praktick\u00fdm l\u00e9ka\u0159\u016fm v\u00edce pravomoc\u00ed i v jin\u00fdch terapeutick\u00fdch oblastech.<\/strong>
\n
\n\u201eDohoda mezi praktick\u00fdmi l\u00e9ka\u0159i a onkology je dal\u0161\u00edm krokem na\u0161\u00ed reformy prim\u00e1rn\u00ed p\u00e9\u010de, kter\u00e1 m\u00e1 za c\u00edl pos\u00edlit kompetence praktick\u00fdch l\u00e9ka\u0159\u016f, aby se specialist\u016fm dostalo v\u00edce prostoru pro l\u00e9\u010dbu pacient\u016f s onkologick\u00fdm onemocn\u011bn\u00edm, zat\u00edmco ty vyl\u00e9\u010den\u00e9 neztrat\u00ed z dohledu jejich praktik v m\u00edst\u011b bydli\u0161t\u011b. Zlep\u0161\u00ed se tak nejen dostupnost, ale tak\u00e9 organizace p\u00e9\u010de o pacienta,\u201c uv\u00e1d\u00ed k t\u00e9matu ministr zdravotnictv\u00ed Adam Vojt\u011bch a dod\u00e1v\u00e1: \u201eTato dohoda je precedentem a p\u0159\u00edkladem dobr\u00e9 praxe pro hled\u00e1n\u00ed racion\u00e1ln\u011bj\u0161\u00ed organizace p\u00e9\u010de o pacienty a rozd\u011blen\u00ed kompetenc\u00ed mezi prim\u00e1rn\u00ed p\u00e9\u010d\u00ed a specialisty tak\u00e9 v dal\u0161\u00edch oborech.\u201c<\/p>\n

\u201eD\u00edky t\u00e9to dohod\u011b dojde k zlep\u0161en\u00ed organizace, usnadn\u011bn\u00ed p\u00e9\u010de o onkologick\u00e9 pacienty a zv\u00fd\u0161en\u00ed jejich komfortu. Pacient po skon\u010den\u00ed l\u00e9\u010dby nebude muset nad\u00e1le doj\u00ed\u017ed\u011bt do onkologick\u00fdch center na rutinn\u00ed kontroly. P\u00e9\u010di o tyto pacienty p\u0159evezme praktick\u00fd l\u00e9ka\u0159, kter\u00fd bude d\u00e1l prov\u00e1d\u011bt pravideln\u00e1 kontroln\u00ed vy\u0161et\u0159en\u00ed v\u010detn\u011b pot\u0159ebn\u00fdch laboratorn\u00edch test\u016f a zobrazovac\u00edch vy\u0161et\u0159en\u00ed jako je CT nebo USG,\u201c \u0159\u00edk\u00e1 p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f MUDr. Petr \u0160onka.<\/p>\n

Podle p\u0159edsedkyn\u011b \u010cesk\u00e9 onkologick\u00e9 spole\u010dnosti doc. MUDr. Jany Prausov\u00e9, Ph.D., MBA, dnes onkologov\u00e9 sleduj\u00ed kolem p\u016fl milionu pacient\u016f, kte\u0159\u00ed prod\u011bl\u00e1vaj\u00ed nebo prod\u011blali malign\u00ed onemocn\u011bn\u00ed. \u201eNa\u0161e l\u00e9\u010debn\u00e9 v\u00fdsledky jsou st\u00e1le lep\u0161\u00ed. Po\u010det pacient\u016f, kter\u00e9 m\u00e1me v p\u00e9\u010di, se tak bude neust\u00e1le zvy\u0161ovat a hroz\u00ed, \u017ee Komplexn\u00ed onkologick\u00e1 centra by mohla m\u00edt v budoucnu probl\u00e9my s kapacitou pracovi\u0161\u0165,\u201c vysv\u011btluje d\u016fvody pl\u00e1novan\u00fdch zm\u011bn doc. Prausov\u00e1.<\/p>\n

Rozsah a frekvence kontroln\u00edch vy\u0161et\u0159en\u00ed jsou p\u0159esn\u011b d\u00e1ny doporu\u010den\u00fdm postupem, na kter\u00e9m se dohodli onkologov\u00e9 s praktick\u00fdmi l\u00e9ka\u0159i. C\u00edlem vy\u0161et\u0159en\u00ed je zachytit v\u010das p\u0159\u00edpadnou recidivu onkologick\u00e9ho onemocn\u011bn\u00ed \u010di n\u00e1dorovou duplicitu. \u201eBudeme ale tak\u00e9 sledovat pozdn\u00ed n\u00e1sledky prod\u011blan\u00e9 onkologick\u00e9 l\u00e9\u010dby nebo jin\u00e1 p\u0159idru\u017een\u00e1 onemocn\u011bn\u00ed, nap\u0159\u00edklad kardiovaskul\u00e1rn\u00ed, jimi\u017e jsou n\u011bkte\u0159\u00ed pacienti po onkologick\u00e9 l\u00e9\u010db\u011b ohro\u017eeni v\u00edce ne\u017e ostatn\u00ed,“ dod\u00e1v\u00e1 doc. MUDr. Svatopluk B\u00fdma, CSc., p\u0159edseda spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP.<\/p>\n

Podle MUDr. \u0160onky je z\u00e1rove\u0148 zaru\u010dena mo\u017enost rychl\u00e9ho p\u0159ed\u00e1n\u00ed pacienta zp\u011bt do p\u00e9\u010de onkologick\u00e9ho centra, pokud nastane situace, kter\u00e1 si to vy\u017e\u00e1d\u00e1. „Ze zm\u011bny bude profitovat pacient, kter\u00fd nebude muset cestovat na vy\u0161et\u0159en\u00ed do krajsk\u00e9ho m\u011bsta a potom je\u0161t\u011b jednou znovu, aby se dozv\u011bd\u011bl, \u017ee jeho v\u00fdsledky jsou v po\u0159\u00e1dku. P\u00e9\u010de mu bude poskytnuta v m\u00e9n\u011b stresuj\u00edc\u00edm prost\u0159ed\u00ed a l\u00e9ka\u0159em, kter\u00e9ho zn\u00e1. Z\u00e1rove\u0148 to ulev\u00ed p\u0159et\u00ed\u017een\u00fdm onkologick\u00fdm centrum, kter\u00fdm zbude v\u00edce \u010dasu na p\u00e9\u010di o nov\u00e9 pacienty a o ty, kte\u0159\u00ed jsou v aktivn\u00ed onkologick\u00e9 l\u00e9\u010db\u011b,“ dopl\u0148uje p\u0159edseda SPL.<\/p>\n

Do p\u00e9\u010de praktika tak budou od ledna postupn\u011b p\u0159ech\u00e1zet ti lid\u00e9, kte\u0159\u00ed prod\u011blali nap\u0159\u00edklad malign\u00ed melanom, n\u00e1dor varlat, karcinom prostaty, plic, prsu, \u017ealudku, d\u011blo\u017en\u00edho hrdla, d\u011blo\u017en\u00edho \u010d\u00edpku a t\u011bla, gastrointest\u00e1ln\u00ed strom\u00e1ln\u00ed tumor, n\u00e1dor na mozku, krku a hlavy, kolorekt\u00e1ln\u00ed, ovari\u00e1ln\u00ed, ren\u00e1ln\u00ed karcinom a an\u00e1ln\u00ed karcinom v kompletn\u00ed remisi.<\/p>\n

Doporu\u010den\u00e9 diagnostick\u00e9 a terapeutick\u00e9 postupy pro vybran\u00e1 onkologick\u00e1 onemocn\u011bn\u00ed pro praktick\u00e9 l\u00e9ka\u0159e sestavili p\u0159edsedkyn\u011b \u010cesk\u00e9 onkologick\u00e9 spole\u010dnosti \u010cLS JEP doc. MUDr. Jana Prausov\u00e1, Ph.D. MBA, MUDr. Katar\u00edna Petr\u00e1kov\u00e1, Ph D., z Masarykova onkologick\u00e9ho \u00fastavu, doc. MUDr. Svatopluk B\u00fdma, p\u0159edseda Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP a MUDr. Petr \u0160onka, p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f.<\/p>\n

Krom\u011b doporu\u010den\u00fdch postup\u016f budou zavedeny rovn\u011b\u017e dva nov\u00e9 pot\u0159ebn\u00e9 v\u00fdkony, skrze n\u011b\u017e budou prakti\u010dt\u00ed l\u00e9ka\u0159i vykazovat p\u00e9\u010di o onkologick\u00e9 pacienty v remisi \u2013 01186 P\u0159evzet\u00ed pacienta po onkologick\u00e9 l\u00e9\u010db\u011b do p\u00e9\u010de PL a 01188 N\u00e1sledn\u00e1 prohl\u00eddka pacienta s onkologick\u00fdm onemocn\u011bn\u00edm. Pro praktiky budou tak\u00e9 organizov\u00e1ny krajsk\u00e9 vzd\u011bl\u00e1vac\u00ed akce, kde se l\u00e9ka\u0159i pou\u010d\u00ed o pot\u0159ebn\u00fdch souvislostech nov\u00e9 organizace p\u00e9\u010de. Dal\u0161\u00ed informace o p\u0159ipravovan\u00fdch akc\u00edch z\u00edskaj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i mj. na webu Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR.<\/p>\n

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

Vybran\u00e9 pacienty, kte\u0159\u00ed \u00fasp\u011b\u0161n\u011b absolvovali onkologickou l\u00e9\u010dbu, bude nad\u00e1le sledovat jejich praktik. Dohodli se na tom prakti\u010dt\u00ed l\u00e9ka\u0159i s \u010desk\u00fdmi onkology a jejich domluvu posv\u011btil […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-30980","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30980","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=30980"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30980\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30980"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30980"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30980"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}