{"id":39448,"date":"2023-05-09T15:35:39","date_gmt":"2023-05-09T13:35:39","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39448"},"modified":"2023-05-09T15:35:40","modified_gmt":"2023-05-09T13:35:40","slug":"mladi-praktici-na-venkov-chteji-chybi-jim-ale-podpora","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39448","title":{"rendered":"Mlad\u00ed praktici na venkov cht\u011bj\u00ed, chyb\u00ed jim ale podpora"},"content":{"rendered":"\n

Chyb\u011bj\u00edc\u00ed praktici na venkov\u011b? Lid\u00e9 na vesnic\u00edch<\/strong> si st\u011b\u017euj\u00ed, \u017ee mus\u00ed za l\u00e9ka\u0159em daleko doj\u00ed\u017ed\u011bt. Mlad\u00ed l\u00e9ka\u0159i jsou p\u0159itom ochotn\u00ed opustit m\u011bsto a vydat se pracovat na venkov. Pot\u0159ebuj\u00ed v\u0161ak spr\u00e1vn\u011b nastaven\u00e9 podm\u00ednky pro pr\u00e1ci a \u017eivot. Samotn\u00e9 finan\u010dn\u00ed pob\u00eddky ze strany Ministerstva zdravotnictv\u00ed, kraj\u016f a\u00a0zdravotn\u00edch poji\u0161\u0165oven podle nich nejsou v\u0161e. Vych\u00e1z\u00ed to z\u00a0pr\u016fzkumu mezi dv\u011bma stovkami mlad\u00fdch praktik\u016f p\u0159ed atestac\u00ed, kter\u00fd provedla Pracovn\u00ed skupina venkovsk\u00e9ho l\u00e9ka\u0159stv\u00ed Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP. Mlad\u00ed praktici pova\u017euj\u00ed za d\u016fle\u017eit\u00e9 spojit pob\u00eddky s\u00a0podporou ze strany samospr\u00e1v. D\u016fle\u017eit\u00e1 je tak\u00e9 podpora dal\u0161\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed, a i zaji\u0161t\u011bn\u00ed vzd\u011bl\u00e1n\u00ed pro jejich d\u011bti a kvalifikovan\u00e9 pr\u00e1ce pro partnera \u010di partnerku. <\/strong><\/p>\n\n\n\n

Nedostatek praktick\u00fdch l\u00e9ka\u0159\u016f na venkov\u011b je jedn\u00edm z\u00a0probl\u00e9m\u016f zdravotn\u00ed p\u00e9\u010de v\u00a0\u010cesku. Pacienti st\u00e1rnou a s\u00a0nimi i jejich l\u00e9ka\u0159i \u2013 40 % praktik\u016f v\u00a0\u010cesk\u00e9 republice je ve v\u011bku nad 60 let. Genera\u010dn\u00ed obm\u011bnu obvykle zaji\u0161\u0165uj\u00ed nov\u011b atestovan\u00ed l\u00e9ka\u0159i, regiony mimo m\u011bsto v\u0161ak dopl\u00e1c\u00ed na jejich nerovnom\u011brn\u00e9 rozd\u011blen\u00ed, proto v\u00a0nich mnohdy praktici zoufale sch\u00e1zej\u00ed. Ka\u017ed\u00e1 zru\u0161en\u00e1 venkovsk\u00e1 praxe tak stovky pacient\u016f stav\u00ed do situace, kdy mus\u00ed za nov\u00fdm l\u00e9ka\u0159em doj\u00ed\u017ed\u011bt des\u00edtky kilometr\u016f, nebo v\u00a0krajn\u00edm p\u0159\u00edpad\u011b z\u016fstanou bez praktika \u00fapln\u011b. Mlad\u00ed l\u00e9ka\u0159i se ale p\u0159itom svou budoucnost spojit s\u00a0venkovem nezdr\u00e1haj\u00ed. <\/p>\n\n\n\n

\u201ePodle pr\u016fzkumu a\u017e 54 % mlad\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f zva\u017euje pr\u00e1ci na venkov\u011b, ov\u0161em za spr\u00e1vn\u00fdch podm\u00ednek pro jejich pr\u00e1ci. Sou\u010dasn\u00e9 formy podpory se p\u0159\u00edli\u0161 nepotk\u00e1vaj\u00ed s\u00a0t\u00edm, co by l\u00e9ka\u0159i pova\u017eovali za atraktivn\u00ed. Nap\u0159\u00edklad m\u00edsto jednor\u00e1zov\u00e9ho p\u0159\u00edsp\u011bvku na po\u0159\u00edzen\u00ed ordinace by sp\u00ed\u0161e uv\u00edtali dlouhodobou podporu ve form\u011b trval\u00e9 finan\u010dn\u00ed bonifikace zdravotn\u00edch poji\u0161\u0165oven za neatraktivitu venkova. S\u00a0t\u00edm by Ministerstvo zdravotnictv\u00ed, kraje a poji\u0161\u0165ovny m\u011bly po\u010d\u00edtat p\u0159i \u00favah\u00e1ch, jak dostat l\u00e9ka\u0159e do vzd\u00e1len\u011bj\u0161\u00edch oblast\u00ed,\u201c <\/em>vysv\u011btluje MUDr. David Halata, vedouc\u00ed Pracovn\u00ed skupiny venkovsk\u00e9ho l\u00e9ka\u0159stv\u00ed SVL \u010cLS JEP. <\/p>\n\n\n\n

Pr\u016fzkum potvrdil i to, \u017ee dlouhodob\u011b je p\u0159i v\u00fdb\u011bru m\u00edsta ordinace pro mlad\u00e9 l\u00e9ka\u0159e z\u00e1sadn\u00ed dostupn\u00e1 kvalifikovan\u00e1 pr\u00e1ce pro partnera a\u00a0kvalitn\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed pro d\u011bti. \u201eNov\u011b ale mlad\u00ed l\u00e9ka\u0159i velmi \u010dasto uv\u00e1d\u011bli i dostupnost navazuj\u00edc\u00ed p\u00e9\u010de pro sv\u00e9 pacienty, kter\u00e1 na mnoha m\u00edstech \u010cesk\u00e9 republiky v\u00e1zne. L\u00e9ka\u0159i pak vn\u00edmaj\u00ed v\u011bt\u0161\u00ed n\u00e1roky ze strany pacient\u016f, ale tak\u00e9 tlak zdravotn\u00edch poji\u0161\u0165oven na rozsah poskytovan\u00e9 zdravotn\u00ed p\u00e9\u010de. Ty ale p\u0159itom nejsou ochotny hradit n\u011bkter\u00e1 dnes ji\u017e b\u011b\u017en\u00e1 vy\u0161et\u0159en\u00ed ve venkovsk\u00e9 ordinaci, jako je nap\u0159. vy\u0161et\u0159en\u00ed ultrazvukem,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Halata.<\/p>\n\n\n\n

Jednou z\u00a0p\u0159\u00ed\u010din nedostate\u010dn\u00e9ho z\u00e1jmu mlad\u00fdch praktik\u016f o\u00a0venkovsk\u00e9 oblasti je podle expert\u016f i to, \u017ee b\u011bhem studia medic\u00edny se o n\u011bm mnoho nedozv\u00ed. Podle pr\u016fzkumu sly\u0161elo o venkovsk\u00e9m l\u00e9ka\u0159stv\u00ed pouze 7 % respondent\u016f. \u201eV\u00fduku oboru v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed na l\u00e9ka\u0159sk\u00fdch fakult\u00e1ch pova\u017euje za nedostate\u010dnou 82 % respondent\u016f, jej\u00ed obsah ani rozsah ji\u017e neodpov\u00edd\u00e1 dne\u0161n\u00edm standard\u016fm v \u0159ad\u011b jin\u00fdch zem\u00ed Evropy. Syst\u00e9m pot\u0159ebuje v\u011bt\u0161\u00ed po\u010det praktick\u00fdch l\u00e9ka\u0159\u016f, p\u0159\u00edpadn\u00e9 zm\u011bny v\u00a0u\u010debn\u00edch pl\u00e1nech ale tento po\u017eadavek v\u016fbec nezohled\u0148uj\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Kate\u0159ina Javorsk\u00e1, \u010dlenka v\u00fdboru SVL, postgradu\u00e1ln\u00ed studentka oboru Ve\u0159ejn\u00e9 zdravotnictv\u00ed na L\u00e9ka\u0159sk\u00e9 fakult\u011b v\u00a0Hradci Kr\u00e1lov\u00e9. Podle n\u00ed by mohly pomoci st\u00e1\u017ee pro mediky v\u00a0ordinac\u00edch venkovsk\u00fdch l\u00e9ka\u0159\u016f ji\u017e b\u011bhem studia. To ostatn\u011b letos na ja\u0159e \u00fasp\u011b\u0161n\u011b nab\u00eddla v r\u00e1mci projektu \u201eSta\u0148 se praktikem v Kr\u00e1lov\u00e9hradeck\u00e9m kraji!\u201c L\u00e9ka\u0159sk\u00e1 fakulta v\u00a0Hradci Kr\u00e1lov\u00e9, IPVZ, SVL \u010cLS JEP ve spolupr\u00e1ci s\u00a0Kr\u00e1lov\u00e9hradeck\u00fdm krajem.<\/p>\n\n\n\n

Nedostatky ale odborn\u00edci vid\u00ed i ve vzd\u011bl\u00e1v\u00e1n\u00ed l\u00e9ka\u0159\u016f, kte\u0159\u00ed u\u017e si prim\u00e1rn\u00ed p\u00e9\u010di vybrali za sv\u016fj obor a\u00a0v\u00a0ordinac\u00edch praktik\u016f se p\u0159ipravuj\u00ed k atestaci. \u201eNe v\u017edy se jim toti\u017e \u0161kolitel v\u011bnuje tak, jak by bylo pot\u0159eba \u2013 p\u0159itom mlad\u00ed l\u00e9ka\u0159i se cht\u011bj\u00ed vzd\u011bl\u00e1vat a pot\u0159ebuj\u00ed, aby jim v\u011bdomosti n\u011bkdo p\u0159ed\u00e1val p\u0159i samotn\u00e9 pr\u00e1ci,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Ludmila Bezd\u00ed\u010dkov\u00e1, \u010dlenka v\u00fdboru SVL a vedouc\u00ed katedry V\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159stv\u00ed Institutu postgradu\u00e1ln\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed ve zdravotnictv\u00ed. Proto podle n\u00ed SVL od leto\u0161n\u00edho jara vytvo\u0159ila skupinu krajsk\u00fdch z\u00e1stupc\u016f pro \u0161kolen\u00ed. Ti maj\u00ed za \u00fakol dohl\u00ed\u017eet na kvalitu v\u00fduky l\u00e9ka\u0159\u016f v p\u0159\u00edprav\u011b a spolupracovat se z\u00e1stupci kraj\u016f a zdravotnick\u00fdch za\u0159\u00edzen\u00ed na podpo\u0159e mlad\u00e9 generace. <\/p>\n\n\n\n

Podle MUDr. Halaty je tak\u00e9 velmi zaj\u00edmav\u00e9, \u017ee 64 % mlad\u00fdch praktik\u016f v pr\u016fzkumu preferovalo tzv. sdru\u017een\u00e9 praxe, tedy t\u00fdm prim\u00e1rn\u00ed p\u00e9\u010de slo\u017een\u00fd z v\u00edce l\u00e9ka\u0159\u016f, sester a dal\u0161\u00edho person\u00e1lu na jednom m\u00edst\u011b. \u201eMlad\u00ed l\u00e9ka\u0159i tak\u00e9 uv\u00e1d\u011bli, \u017ee by uv\u00edtali mo\u017enost \u010d\u00e1ste\u010dn\u00fdch \u00favazk\u016f, a to jak \u017eeny \u2013 v\u00a082 % p\u0159\u00edpad\u016f, tak p\u0159ekvapiv\u011b i mu\u017ei \u2013\u00a0t\u00e9m\u011b\u0159 v 65 % p\u0159\u00edpad\u016f. <\/em><\/p>\n\n\n\n

V\u00a0\u010cesku jsou p\u0159itom sdru\u017een\u00e9 praxe a pr\u00e1ce na \u010d\u00e1ste\u010dn\u00e9 \u00favazky v\u00a0prim\u00e1rn\u00ed p\u00e9\u010di vz\u00e1cnost\u00ed, p\u0159evl\u00e1daj\u00edc\u00edm modelem je jeden l\u00e9ka\u0159, jedna sestra, kter\u00fd z principu \u010d\u00e1ste\u010dn\u00e9 \u00favazky neumo\u017e\u0148uje. Snaha o jejich genera\u010dn\u00ed obm\u011bnu za st\u00e1vaj\u00edc\u00edch podm\u00ednek tak b\u00fdv\u00e1 i p\u0159es r\u016fzn\u00e9 pob\u00eddky \u010dasto marn\u00e1 a m\u00edj\u00ed se \u00fa\u010dinkem,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Halata s\u00a0t\u00edm, \u017ee jejich podpora ze strany st\u00e1tu by mohla p\u0159isp\u011bt k\u00a0zabezpe\u010den\u00ed vstupu v\u011bt\u0161\u00edho po\u010dtu l\u00e9ka\u0159\u016f do oboru v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Chyb\u011bj\u00edc\u00ed praktici na venkov\u011b? Lid\u00e9 na vesnic\u00edch si st\u011b\u017euj\u00ed, \u017ee mus\u00ed za l\u00e9ka\u0159em daleko doj\u00ed\u017ed\u011bt. Mlad\u00ed l\u00e9ka\u0159i jsou p\u0159itom ochotn\u00ed opustit m\u011bsto a vydat se […]<\/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":[7],"tags":[],"class_list":["post-39448","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39448","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=39448"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39448\/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=39448"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39448"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39448"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}