{"id":39939,"date":"2023-06-01T10:17:21","date_gmt":"2023-06-01T08:17:21","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39939"},"modified":"2023-06-01T10:17:22","modified_gmt":"2023-06-01T08:17:22","slug":"praktici-zubari-a-gynekologove-se-spojili-chteji-zmenu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39939","title":{"rendered":"Praktici, zuba\u0159i a gynekologov\u00e9 se spojili \u2013 cht\u011bj\u00ed zm\u011bnu"},"content":{"rendered":"\n

Praktici, zuba\u0159i a gynekologov\u00e9 se rozhodli spojit s\u00edly a zakl\u00e1daj\u00ed Koalici pro prim\u00e1rn\u00ed p\u00e9\u010di. Ta podle nich ch\u0159adne a pot\u0159ebuje z\u00e1sadn\u00ed zm\u011bny, na kter\u00fdch cht\u011bj\u00ed spolupracovat se zdravotn\u00edmi poji\u0161\u0165ovnami a ministerstvem zdravotnictv\u00ed. <\/strong><\/p>\n\n\n\n

Proto se v\u010dera jejich z\u00e1stupci setkali u kulat\u00e9ho stolu s\u00a0n\u00e1zvem \u201eBudoucnost prim\u00e1rn\u00ed p\u00e9\u010de v\u00a0\u010cesk\u00e9 republice\u201c s\u00a0ministrem zdravotnictv\u00ed Vlastimilem V\u00e1lkem, jeho n\u00e1m\u011bstkem Jakubem Dvo\u0159\u00e1\u010dkem, gener\u00e1ln\u00edm \u0159editelem VZP Zde\u0148kem Kab\u00e1tkem a \u0159editelkou zdravotn\u00ed sekce Svazu zdravotn\u00edch poji\u0161\u0165oven Renatou Knorovou.<\/strong><\/p>\n\n\n\n

\u201ePrim\u00e1rn\u00ed p\u00e9\u010de se u n\u00e1s pomalu rozpad\u00e1. P\u0159itom jde o kl\u00ed\u010dov\u00fd segment, bez kter\u00e9ho nem\u016f\u017ee \u017e\u00e1dn\u00e9 zdravotnictv\u00ed dob\u0159e fungovat. L\u00e9ka\u0159i prim\u00e1rn\u00ed p\u00e9\u010de \u2013 tedy praktici, gynekologov\u00e9 a zubn\u00ed l\u00e9ka\u0159i \u2013 zvl\u00e1dnou vy\u0159e\u0161it a\u017e 80 % zdravotn\u00edch probl\u00e9m\u016f, se kter\u00fdmi se ob\u010dan\u00e9 obrac\u00ed na zdravotn\u00ed syst\u00e9m. Jenom v\u00a0roce 2022 spole\u010dn\u011b provedli v\u00edce ne\u017e 70 milion\u016f o\u0161et\u0159en\u00ed. Zat\u00edmco ve vysp\u011bl\u00fdch zem\u00edch je na prim\u00e1rn\u00ed p\u00e9\u010di vy\u010dlen\u011bno a\u017e 20 % zdravotnick\u00e9ho rozpo\u010dtu, u n\u00e1s je tento pod\u00edl p\u0159ibli\u017en\u011b polovi\u010dn\u00ed,\u201c <\/em>upozor\u0148uje p\u0159edseda Sdru\u017een\u00ed soukrom\u00fdch gynekolog\u016f \u010cR MUDr. Vladim\u00edr Dvo\u0159\u00e1k.<\/em><\/p>\n\n\n\n

Podle p\u0159edsedy Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR MUDr. Petra \u0160onky sice celkov\u00fd objem pen\u011bz sm\u011b\u0159uj\u00edc\u00ed do\u00a0\u010desk\u00e9ho zdravotnictv\u00ed v\u00a0posledn\u00edch letech v\u00fdznamn\u011b narostl, ale pod\u00edl prost\u0159edk\u016f vynalo\u017een\u00fdch na prim\u00e1rn\u00ed p\u00e9\u010di neroste. \u201eNaopak v\u00a0posledn\u00edm roce se v\u00a0segmentu praktick\u00fdch l\u00e9ka\u0159\u016f dokonce sn\u00ed\u017eil, a to je t\u0159eba zm\u011bnit,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. \u0160onka.<\/em><\/p>\n\n\n\n

\u201ePrim\u00e1rn\u00ed p\u00e9\u010de zaji\u0161tuje pravideln\u00fd a dostupn\u00fd zdravotn\u00ed servis v\u00edce ne\u017e deseti milion\u016fm \u010cech\u016f. Ti ka\u017ed\u00fd den pot\u0159ebuj\u00ed sv\u00e9ho stomatologa, praktika a gynekologa. Je to obvykle jejich prvn\u00ed a mnohdy tak\u00e9 jedin\u00fd kontakt se zdravotn\u00edm syst\u00e9mem. Dostupnost, funk\u010dnost a kvalita prim\u00e1rn\u00ed p\u00e9\u010de je proto pro b\u011b\u017en\u00e9ho ob\u010dana m\u011b\u0159\u00edtkem, podle n\u011bho\u017e hodnot\u00ed \u00farove\u0148 \u010desk\u00e9ho zdravotnictv\u00ed,\u201c <\/em>vysv\u011btluje prezident \u010cesk\u00e9 stomatologick\u00e9 komory doc. MUDr. Roman \u0160mucler.<\/em><\/p>\n\n\n\n

Podle \u010dlen\u016f Koalice je t\u0159eba ud\u011blat \u0159adu z\u00e1sadn\u00edch zm\u011bn, kter\u00e9 dostanou prim\u00e1rn\u00ed p\u00e9\u010di v n\u011bkolika n\u00e1sleduj\u00edc\u00edch letech na \u00farove\u0148 obvyklou ve vysp\u011bl\u00fdch evropsk\u00fdch zem\u00edch \u2013 tedy i zjednodu\u0161it a zkr\u00e1tit specializa\u010dn\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a zastavit rozpad jejich s\u00edt\u011b. \u201ePokud maminka nem\u016f\u017ee pro sv\u00e9ho novorozence naj\u00edt d\u011btsk\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, t\u011b\u017eko ji uspokoj\u00ed fakt, \u017ee m\u00e1me v \u010cR vynikaj\u00edc\u00ed p\u00e9\u010di o pacienty se vz\u00e1cn\u00fdmi onemocn\u011bn\u00edmi. Co je to platn\u00e9, \u017ee je \u010desk\u00e1 medic\u00edna v \u0159ad\u011b obor\u016f na \u0161pi\u010dkov\u00e9 evropsk\u00e9 \u00farovni, kdy\u017e nejsme schopni b\u011b\u017en\u00fdm lidem zajistit z\u00e1kladn\u00ed p\u00e9\u010di? Pot\u0159ebujeme rychle pos\u00edlit kapacity ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost ve v\u0161ech regionech \u010cR,\u201c <\/em>pokra\u010duje MUDr. Ilona H\u00fclleov\u00e1, p\u0159edsedkyn\u011b Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost \u010cR. P\u0159ipom\u00edn\u00e1, \u017ee od roku 2017 zaniklo 600 prax\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti. \u201eA nyn\u00ed jich je v \u010cesku m\u00e9n\u011b ne\u017e 1800, n\u00ed\u017e u\u017e j\u00edt nem\u016f\u017eeme.\u201c<\/em><\/p>\n\n\n\n

Podle \u010dlen\u016f Koalice je t\u0159eba ud\u011blat \u0159adu zm\u011bn, kter\u00e9 dostanou prim\u00e1rn\u00ed p\u00e9\u010di v dal\u0161\u00edch letech na \u00farove\u0148 obvyklou ve vysp\u011bl\u00fdch evropsk\u00fdch zem\u00edch: zam\u011b\u0159it se nap\u0159\u00edklad na podporu sdru\u017een\u00fdch prax\u00ed, kter\u00e9 mohou ve velmi kr\u00e1tk\u00e9 dob\u011b pos\u00edlit kapacity a dostupnost p\u00e9\u010de t\u00edm, \u017ee do syst\u00e9mu p\u0159ivedou alespo\u0148 na \u010d\u00e1ste\u010dn\u00e9 \u00favazky l\u00e9ka\u0159ky, kter\u00e9 jsou na rodi\u010dovsk\u00fdch dovolen\u00fdch. V jejich dal\u0161\u00edm rozvoji vid\u00ed Koalice cestu, jak stabilizovat prim\u00e1rn\u00ed p\u00e9\u010di a zajistit plynulou genera\u010dn\u00ed v\u00fdm\u011bnu p\u0159i zachov\u00e1n\u00ed pot\u0159ebn\u00e9 kontinuity p\u00e9\u010de. Je tak\u00e9 t\u0159eba posilovat roli prim\u00e1rn\u00ed p\u00e9\u010de v oblasti prevence a screeningov\u00fdch program\u016f a d\u00e1le roz\u0161i\u0159ovat jej\u00ed kompetence, aby mohla nab\u00edzet lidem co nej\u0161ir\u0161\u00ed slu\u017eby. Nejpal\u010div\u011bj\u0161\u00edm probl\u00e9mem v t\u00e9to oblasti je existence tzv. preskrip\u010dn\u00edch onemocn\u011bn\u00ed, kter\u00e9 praktik\u016fm znemo\u017e\u0148uj\u00ed p\u0159edepisovat pacient\u016fm i zcela b\u011b\u017en\u00e9 l\u00e9ky. Ministr zdravotnictv\u00ed Vlastimil V\u00e1lek zru\u0161en\u00ed preskrip\u010dn\u00edch omezen\u00ed v diskuzi p\u0159ipustil.<\/p>\n\n\n\n

Z\u00e1sadn\u00ed zm\u011bny v prim\u00e1rn\u00ed p\u00e9\u010di se ale dle l\u00e9ka\u0159\u016f neobejdou bez investic do infrastruktury. \u0158ada ordinac\u00ed podle nich funguje v nevyhovuj\u00edc\u00edch prostorech, kter\u00e9 z\u00e1sadn\u011b limituj\u00ed jejich rozvoj i provoz v z\u00e1t\u011b\u017eov\u00fdch situac\u00edch. To se dle l\u00e9ka\u0159\u016f uk\u00e1zalo v dob\u011b pandemie covidu-19. Tehdy chyb\u011bj\u00edc\u00ed infek\u010dn\u00ed \u010dek\u00e1rny a vy\u0161et\u0159ovny komplikovaly fungov\u00e1n\u00ed ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f. \u201eI p\u0159esto byla prim\u00e1rn\u00ed p\u00e9\u010de p\u0159i rozd\u011blov\u00e1n\u00ed evropsk\u00fdch pen\u011bz ur\u010den\u00fdch na pos\u00edlen\u00ed a obnovu zdravotn\u00edho syt\u00e9mu po covidu-19 zcela opomenuta a finan\u010dn\u00ed zdroje pro rozvoj infrastruktury bude t\u0159eba teprve naj\u00edt.<\/em> Jsme p\u0159ipraveni plnit roli, kter\u00e1 je obvykl\u00e1 ve vysp\u011bl\u00fdch zem\u00edch, um\u00edme a chceme p\u0159eb\u00edrat kompetence specializovan\u00e9 ambulantn\u00ed i l\u016f\u017ekov\u00e9 p\u00e9\u010de, a zlep\u0161it t\u00edm pr\u016fchodnost a kapacitu na\u0161eho zdravotn\u00edho syst\u00e9mu. Je to jedin\u00e1 mo\u017en\u00e1 cesta, jak udr\u017eet dostupnou a ekonomicky udr\u017eitelnou zdravotn\u00ed p\u00e9\u010di pro ob\u010dany \u010cR v dob\u011b rychl\u00e9ho st\u00e1rnut\u00ed populace, rostouc\u00edch n\u00e1klad\u016f a omezen\u00fdch person\u00e1ln\u00edch zdroj\u016f. P\u0159ich\u00e1z\u00edme s konstruktivn\u00edmi n\u00e1vrhy z\u00e1sadn\u00edch zm\u011bn v prim\u00e1rn\u00ed p\u00e9\u010di, kter\u00e9 tento l\u00e9ta zanedb\u00e1van\u00fd segment postav\u00ed znovu na nohy. Nep\u016fjde to ale bez investic a aktivn\u00ed podpory ministerstva a zdravotn\u00edch poji\u0161\u0165oven,\u201c <\/em>shrnuje MUDr. \u0160onka.<\/p>\n\n\n\n

Pot\u0159ebu zm\u011bnit prim\u00e1rn\u00ed p\u00e9\u010di si uv\u011bdomuje i nejv\u011bt\u0161\u00ed \u010desk\u00e1 zdravotn\u00ed poji\u0161\u0165ovna VZP. Dle slov sv\u00e9ho \u0159editele Zde\u0148ka Kab\u00e1tka se nebr\u00e1n\u00ed nav\u00fd\u0161en\u00ed objemu pen\u011bz do tohoto sektoru, jen mus\u00ed prok\u00e1zat p\u0159\u00ednos pro poji\u0161t\u011bnce. <\/p>\n","protected":false},"excerpt":{"rendered":"

Praktici, zuba\u0159i a gynekologov\u00e9 se rozhodli spojit s\u00edly a zakl\u00e1daj\u00ed Koalici pro prim\u00e1rn\u00ed p\u00e9\u010di. Ta podle nich ch\u0159adne a pot\u0159ebuje z\u00e1sadn\u00ed zm\u011bny, na kter\u00fdch cht\u011bj\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18804,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-39939","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\/39939","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=39939"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39939\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18804"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}