{"id":41492,"date":"2023-11-03T07:35:36","date_gmt":"2023-11-03T06:35:36","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41492"},"modified":"2023-11-03T07:35:37","modified_gmt":"2023-11-03T06:35:37","slug":"neodkladnou-peci-musi-poskytnout-kazdy-prakticky-lekar","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41492","title":{"rendered":"Neodkladnou p\u00e9\u010di mus\u00ed poskytnout ka\u017ed\u00fd praktick\u00fd l\u00e9ka\u0159\u00a0\u00a0"},"content":{"rendered":"\n<p>Dotaz: S man\u017eelem \u010d\u00e1st roku tr\u00e1v\u00edme na chat\u011b. Registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e m\u00e1me v m\u00edst\u011b trval\u00e9ho bydli\u0161t\u011b (100 km daleko). Je mo\u017en\u00e9 m\u00edt dv\u011b registrace, kdybychom pot\u0159ebovali p\u0159edepsat\u00a0<strong>l\u00e9ky<\/strong>, pt\u00e1 se \u010dten\u00e1\u0159ka.<br \/><\/p>\n\n\n\n<p>Odpov\u011b\u010f:<\/p>\n\n\n\n<p>&#8222;Podle z\u00e1kona o zdravotn\u00edch slu\u017eb\u00e1ch (\u010d. 372\/2011 Sb.) m\u016f\u017ee b\u00fdt poji\u0161t\u011bnec registrov\u00e1n pouze u jednoho poskytovatele ambulantn\u00ed p\u00e9\u010de. K jin\u00e9mu praktick\u00e9mu l\u00e9ka\u0159i se m\u016f\u017ee pacient p\u0159eregistrovat nejd\u0159\u00edve za t\u0159i m\u011bs\u00edce od p\u0159edchoz\u00ed registrace, v krat\u0161\u00edch intervalech to nen\u00ed mo\u017en\u00e9,&#8220; \u0159\u00edk\u00e1 V\u00edktorie Pl\u00edvov\u00e1, mluv\u010d\u00ed V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny (VZP).<br \/><br \/>Podle n\u00ed registrace pacienta u v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e mus\u00ed n\u00e1sledovat v\u017edy po tom, co l\u00e9ka\u0159 p\u0159ijme pacienta do sv\u00e9 pravideln\u00e9 p\u00e9\u010de. Pacient podepisuje tzv. registra\u010dn\u00ed list, kter\u00fd je potvrzen\u00edm pro pacienta o tom, \u017ee je registrov\u00e1n do pravideln\u00e9 dlouhodob\u00e9 p\u00e9\u010de u dan\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e.<br \/>Poji\u0161t\u011bnec, kter\u00fd se p\u0159echodn\u011b zdr\u017euje mimo m\u00edsto trval\u00e9ho bydli\u0161t\u011b (nap\u0159. na chat\u011b), se v p\u0159\u00edpad\u011b zdravotn\u00edch obt\u00ed\u017e\u00ed m\u016f\u017ee tak\u00e9 obr\u00e1tit na praktick\u00e9ho l\u00e9ka\u0159e v m\u00edst\u011b tohoto p\u0159echodn\u00e9ho pobytu. Poskytovatel nesm\u00ed odm\u00edtnout p\u0159ijet\u00ed pacienta do p\u00e9\u010de v p\u0159\u00edpad\u011b, \u017ee zdravotn\u00ed stav pacienta vy\u017eaduje poskytnut\u00ed neodkladn\u00e9 p\u00e9\u010de.<br \/>U tohoto praktick\u00e9ho l\u00e9ka\u0159e poji\u0161t\u011bnec nen\u00ed registrov\u00e1n a l\u00e9ka\u0159em poskytnut\u00e1 zdravotn\u00ed p\u00e9\u010de o neregistrovan\u00e9 poji\u0161t\u011bnce se pova\u017euje za nepravidelnou p\u00e9\u010di.<br \/>V p\u0159\u00edpad\u011b pacienta s chronick\u00fdm onemocn\u011bn\u00edm (nap\u0159. diabetes) je v\u017edy optim\u00e1ln\u00ed, aby zdravotn\u00ed p\u00e9\u010de v\u010detn\u011b p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f a kontrol chronick\u00e9 medikace prob\u00edhala u o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e, kter\u00fd m\u00e1 pacienta v pravideln\u00e9 p\u00e9\u010di.<br \/><br \/><strong>L\u00e9ky<\/strong>\u00a0dop\u0159edu<br \/><br \/>S ohledem na pl\u00e1novan\u00e9 obdob\u00ed p\u0159echodn\u00e9ho pobytu by m\u011bl m\u00edt dispenzarizovan\u00fd pacient pot\u0159ebnou z\u00e1sobu l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f zaji\u0161t\u011bnou. V ur\u010dit\u00fdch p\u0159\u00edpadech je mo\u017en\u00e9, aby o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 p\u0159edepsal chronick\u00e9mu pacientovi stejn\u00fd\u00a0<strong>l\u00e9k<\/strong>, ani\u017e by pacient musel nav\u0161t\u00edvit ordinaci l\u00e9ka\u0159e \u2013 toto rozhodnut\u00ed je v\u0161ak v kompetenci o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e.<br \/>Dispenzarizovan\u00fd pacient se p\u0159\u00edpadn\u011b tak\u00e9 m\u016f\u017ee obr\u00e1tit na praktick\u00e9ho l\u00e9ka\u0159e, u kter\u00e9ho nen\u00ed registrov\u00e1n, v m\u00edst\u011b p\u0159echodn\u00e9ho pobytu. Pro pot\u0159eby informovanosti l\u00e9ka\u0159e je doporu\u010deno, aby pacient m\u011bl k dispozici l\u00e9ka\u0159skou zpr\u00e1vu. L\u00e9ka\u0159 \u0159e\u0161\u00ed aktu\u00e1ln\u00ed zdravotn\u00ed stav pacienta a posuzuje, zda je nezbytn\u00e9 p\u0159edepsat medikaci, v z\u00e1vislosti na tomto aktu\u00e1ln\u00edm zdravotn\u00edm stavu pacienta. M\u00e1 tak\u00e9 pr\u00e1vo na to, stanovit l\u00e9\u010debn\u00fd postup.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: S man\u017eelem \u010d\u00e1st roku tr\u00e1v\u00edme na chat\u011b. Registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e m\u00e1me v m\u00edst\u011b trval\u00e9ho bydli\u0161t\u011b (100 km daleko). Je mo\u017en\u00e9 m\u00edt dv\u011b registrace, kdybychom <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=41492\" title=\"Neodkladnou p\u00e9\u010di mus\u00ed poskytnout ka\u017ed\u00fd praktick\u00fd l\u00e9ka\u0159\u00a0\u00a0\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14164,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,11],"tags":[],"class_list":["post-41492","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41492","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=41492"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41492\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14164"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}