{"id":55404,"date":"2025-03-03T05:27:52","date_gmt":"2025-03-03T04:27:52","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=55404"},"modified":"2025-03-03T05:28:03","modified_gmt":"2025-03-03T04:28:03","slug":"dlouhe-cekaci-lhuty-u-lekare","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=55404","title":{"rendered":"Dlouh\u00e9 \u010dekac\u00ed lh\u016fty u l\u00e9ka\u0159e\u00a0"},"content":{"rendered":"\n

\u010cT 1\u00a0– Ud\u00e1losti

Skoro \u010dtvrtina odborn\u00fdch ambulanc\u00ed d\u00e1v\u00e1 nov\u00fdm pacient\u016fm term\u00edn vy\u0161et\u0159en\u00ed za t\u0159i a v\u00edce m\u011bs\u00edc\u016f. Vypl\u00fdv\u00e1 to z intern\u00edho dotazn\u00edku jejich sdru\u017een\u00ed. Odpov\u011bd\u011blo p\u0159es 1000 ordinac\u00ed nap\u0159\u00ed\u010d specializacemi.

Aktu\u00e1ln\u00ed data se p\u0159ibli\u017en\u011b shoduj\u00ed s t\u011bmi, kter\u00e1 se objevila v pr\u016fzkumu z lo\u0148ska. Hrozbou je ale podle nich st\u00e1rnut\u00ed l\u00e9ka\u0159\u016f. Ministerstvo \u010dekac\u00ed lh\u016fty zat\u00edm nesleduje. Zm\u011bnit to m\u00e1 syst\u00e9m e \u017e\u00e1danek.

zdravotnice
——————–
14. dubna ve 13 hodin.

redaktorka \u010cT
——————–
Dal\u0161\u00ed z term\u00edn\u016f, tentokr\u00e1t u\u017e na vy\u0161et\u0159en\u00ed v\u00a0nemocnici<\/strong>. \u0160\u00e1rka Sch\u00f6nov\u00e1 douf\u00e1, \u017ee je to jedno z posledn\u00edch \u010dek\u00e1n\u00ed. Jej\u00ed sedmasedmdes\u00e1tilet\u00e1 matka m\u00e1 \u0161est let od operace p\u00e1te\u0159e znovu pot\u00ed\u017ee.

\u0160\u00e1rka Sch\u00f6nov\u00e1, matka
——————–
Takhle, maminka vlastn\u011b \u0159e\u0161\u00ed od jara, kdy se j\u00ed op\u011bt vr\u00e1tily n\u011bjak\u00e9 bolesti, ale ne\u017e se dostala k pan\u00ed doktorce na neurologii, ne\u017e ji tam odsud poslali na novou magnetickou rezonanci, na kterou tak\u00e9 \u010dekala, no, tak u\u017e se potom pohybujeme v \u0159\u00e1du t\u0159eba p\u016fl roku, t\u0159i \u010dtvrt\u011b roku, kdy m\u00e1 ten \u010dlov\u011bk n\u011bjak\u00e9 bolesti, kter\u00e9 \u0159e\u0161\u00ed t\u0159eba jenom\u00a0l\u00e9ky<\/strong>, kter\u00e9 jsou uti\u0161uj\u00edc\u00ed.

Pavel Kostka, neurolog, Praha
——————–
Mu vyst\u0159eluji z bedern\u00ed p\u00e1te\u0159e na p\u0159edn\u00ed stranu stehna bolest\u00ed.

redaktorka \u010cT
——————–
Tento pacient dostal term\u00edn u neurologa v Praze, d\u0159\u00edv \u0159\u00edk\u00e1, \u017ee doned\u00e1vna chodil jen k zuba\u0159i po c\u00e9vn\u00ed p\u0159\u00edhod\u011b. Na za\u010d\u00e1tku roku se mu ale rozb\u011bhla \u0159ada dal\u0161\u00edch probl\u00e9m\u016f. A m\u00e1 p\u0159ed sebou s\u00e9rii n\u00e1v\u0161t\u011bv u r\u016fzn\u00fdch specialist\u016f. Tady m\u011bl \u0161t\u011bst\u00ed.

Miroslav Kulh\u00e1nek, pacient
——————–
Byl jsem vystra\u0161en praktikem, \u017ee \u010dekac\u00ed doba je od dvou a\u017e do \u0161esti m\u011bs\u00edc\u016f, co\u017e m\u011b vyd\u011bsilo, ale zavolal jsem tady na tuhle neurologii a pan\u00ed sestra mi \u0159ekla, \u017ee m\u00e1m p\u0159ij\u00edt v p\u00e1tek.

Pavel Kostka, neurolog, Praha
——————–
Pacient se objedn\u00e1val v situaci, kdy zrovna si jeden pacient odhl\u00e1sil, tak\u017ee to bylo mimo\u0159\u00e1dn\u00e9. Dneska je standardn\u00ed objednac\u00ed doba na duben a jsme v Praze. Praha nebo velk\u00e1 m\u011bsta jsou na tom l\u00edp.

redaktorka \u010cT
——————–
O to v\u00edc pak ale c\u00edt\u00ed, kdy\u017e skon\u010d\u00ed n\u011bkter\u00fd z neurolog\u016f ve st\u0159edn\u00edch \u010cech\u00e1ch. T\u0159eba, kdy\u017e odch\u00e1z\u00ed do penze. S\u00e1m Pavel Kostka ordinuje v d\u016fchodov\u00e9m v\u011bku. Jen 8 % jeho koleg\u016f zvl\u00e1d\u00e1 objedn\u00e1vat nov\u00e9 term\u00edny do dvou t\u00fddn\u016f.

Zorjan Bojko, p\u0159edseda Sdru\u017een\u00ed ambulantn\u00edch specialist\u016f
——————–
Nedoch\u00e1z\u00ed k v\u00fdznamn\u00e9mu prohlubov\u00e1n\u00ed probl\u00e9m\u016f proti roku 23, kter\u00fd vid\u00edme tady p\u0159ed sebou na t\u00e9 obrazovce. Nicm\u00e9n\u011b jak vid\u00edme, tak vlastn\u011b a\u017e sem lesem sahaj\u00ed obory, kde t\u0159etina a v\u00edce l\u00e9ka\u0159\u016f jsou 60+. A \u0159ekl bych, \u017ee jako \u0159e\u0161en\u00ed se mus\u00ed vymyslet hodn\u011b brzo.

V\u00e1clav Pl\u00e1ten\u00edk, n\u00e1m\u011bstek ministra\u00a0zdravotnictv\u00ed<\/strong>\u00a0\/KDU-\u010cSL\/
——————–
Co budeme v p\u0159\u00ed\u0161t\u00edm roce pilotovat, tzv. e-\u017e\u00e1danka, kter\u00e1 bude elektronicky monitorovat p\u0159es tuto pacienta budeme moci centr\u00e1ln\u011b m\u011b\u0159it \u010dekac\u00ed lh\u016fty a poji\u0161\u0165ovny, a ministerstvo bude moci t\u00edm p\u00e1dem l\u00e9pe koordinovat tu s\u00ed\u0165 poskytovatel\u016f zdravotn\u00edch slu\u017eeb.

redaktorka \u010cT
——————–
Sdru\u017een\u00ed ambulantn\u00edch specialist\u016f \u017e\u00e1d\u00e1 \u00fapravy ve vzd\u011bl\u00e1v\u00e1n\u00ed i ve financov\u00e1n\u00ed. Podle ministerstva maj\u00ed vyu\u017e\u00edt bonusy za prodlou\u017een\u00ed ordina\u010dn\u00ed doby.

Marie Pol\u00e1kov\u00e1, alergolo\u017eka, Brno
——————–
Re\u00e1ln\u011b se samoz\u0159ejm\u011b t\u011bm pacient\u016fm v\u011bnuj\u00ed i mimo tu ordina\u010dn\u00ed dobu a \u010dasov\u011b si mysl\u00edm, \u017ee u\u017e ani v alergologii a v jin\u00fdch oborech by toto u\u017e ne\u0161lo n\u011bjak nav\u00fd\u0161it a zvl\u00e1dat, aby byla zaji\u0161t\u011bna kvalita p\u00e9\u010de.

redaktorka \u010cT
——————–
Na brn\u011bnskou alergologii se te\u010f zvy\u0161uje n\u00e1por. Za\u010d\u00edn\u00e1 pylov\u00e1 sezona. Nov\u00fdm pacient\u016fm d\u00e1vaj\u00ed term\u00edn a\u017e na jej\u00edm konci, na p\u0159elomu \u010dervna a \u010dervence.

Na prvn\u00ed neakutn\u00ed vy\u0161et\u0159en\u00ed zvl\u00e1dne nov\u00e9ho pacienta pozvat do dvou t\u00fddn\u016f ka\u017ed\u00e1 p\u00e1t\u00e1 specializovan\u00e1 ordinace. Zhruba 40 % ambulanc\u00ed d\u00e1v\u00e1 term\u00edny do jednoho m\u011bs\u00edce, co\u017e je podle sdru\u017een\u00ed je\u0161t\u011b dosta\u010duj\u00edc\u00ed \u010dekac\u00ed lh\u016fta, v pr\u016fm\u011bru 22 % specialist\u016f ale nab\u00edz\u00ed vy\u0161et\u0159en\u00ed a\u017e za \u010dtvrt roku a pozd\u011bji. Jde v\u011bt\u0161inou o d\u011btsk\u00e9 psychiatry. Jde o polovinu nefrolog\u016f nebo 2\/5 u\u017e zm\u00edn\u011bn\u00fdch alergolog\u016f. Mezi odbornosti s nejdel\u0161\u00edmi \u010dekac\u00edmi lh\u016ftami se \u0159ad\u00ed taky endokrinologov\u00e9 anebo o\u010dn\u00ed l\u00e9ka\u0159i. A pr\u00e1v\u011b s preventivn\u00edm vy\u0161et\u0159ov\u00e1n\u00edm o\u010d\u00ed pom\u00e1haj\u00ed u pacient\u016f s cukrovkou i diabetologov\u00e9. S vyu\u017eit\u00edm um\u011bl\u00e9 inteligence m\u016f\u017eou odhalit za\u010d\u00ednaj\u00edc\u00ed onemocn\u011bn\u00ed s\u00edtnice, kter\u00e9 b\u00fdv\u00e1 u diabetik\u016f \u010dastou komplikac\u00ed. Z\u00e1kladn\u00ed m\u011b\u0159en\u00ed prov\u00e1d\u00ed skoro dv\u011b stovky pracovi\u0161\u0165. Jich tak\u00e9 ale kv\u016fli st\u00e1rnut\u00ed l\u00e9ka\u0159\u016f ub\u00fdv\u00e1, zat\u00edmco po\u010det pacient\u016f roste.

Eva K\u00e1brlov\u00e1, zdravotn\u00ed sestra, Diabetologick\u00e9 centrum, VFN v Praze
——————–
Bradu i \u010delo do t\u00e9 obru\u010de.

redaktorka \u010cT
——————–
Vy\u0161et\u0159en\u00ed podobn\u00e9 tomu, na kter\u00e9 Pavel Hartig chodil d\u0159\u00edv k o\u010dn\u00edmu, te\u010f mu z\u00e1kladn\u00ed hodnoty m\u011b\u0159\u00ed sestra na diabetologii.

Eva K\u00e1brlov\u00e1, zdravotn\u00ed sestra, Diabetologick\u00e9 centrum, VFN v Praze
——————–
Tohleto vy\u0161et\u0159en\u00ed je vy\u0161et\u0159en\u00ed um\u011blou inteligenc\u00ed. Tak\u017ee m\u016fj \u00fakol je hlavn\u011b nastavit spr\u00e1vn\u011b pozici toho pacienta t\u00e9 hlavy tak, aby tedy to oko tam bylo dob\u0159e patrn\u00e9 a dob\u0159e m\u011b\u0159iteln\u00e9.

redaktorka \u010cT
——————–
Na ka\u017ed\u00e9 oko dva sn\u00edmky. Do t\u0159\u00ed minut uk\u00e1\u017ee p\u0159\u00edstroj v\u00fdsledky na barevn\u00e9 \u0161k\u00e1le.

Eva K\u00e1brlov\u00e1, zdravotn\u00ed sestra, Diabetologick\u00e9 centrum, VFN v Praze
——————–
Ta zelen\u00e1 plus lehounce ta \u017elut\u00e1, je to je\u0161t\u011b v po\u0159\u00e1dku.

redaktorka \u010cT
——————–
V tomhle rozmez\u00ed skon\u010dil i Pavel Hartig. Dal\u0161\u00ed kontrola zraku ho \u010dek\u00e1 za rok. U tzv. diabetick\u00e9 retinopatie doporu\u010dovan\u00fd interval.

Pavel Hartig, pacient s diabetem prvn\u00edho typu
——————–
Loni poprv\u00fd jsem byl vlastn\u011b u\u017e u diabetologa v ordinaci, kde jsem se teda taky objednal se \u017e\u00e1dankou v\u0161echno, ale vlastn\u011b nemusel jsem si u\u017e hledat \u017e\u00e1dn\u00fdho jako o\u010dn\u00edho, prost\u011b chod\u00edm na jedno m\u00edsto, pro m\u011b jednodu\u0161\u0161\u00ed.

Martin Pr\u00e1zn\u00fd, p\u0159edseda \u010cesk\u00e9 diabetologick\u00e9 spole\u010dnosti \u010cLS JEP
——————–
My jsme zjistili, \u017ee vlastn\u011b skoro polovina pacient\u016f, a mo\u017en\u00e1 je\u0161t\u011b o trochu v\u00edc to vy\u0161et\u0159en\u00ed ud\u011bl\u00e1no nem\u00e1. A je tam v\u00edce faktor\u016f, pacienti na vy\u0161et\u0159en\u00ed obvykle neradi chod\u00ed k o\u010dn\u00edm l\u00e9ka\u0159\u016fm, proto\u017ee se \u010dasto prov\u00e1d\u00ed v mydri\u00e1ze, to znamen\u00e1, rozkapou se o\u010di. Je tam problematika n\u011bkdy term\u00edn\u016f. A zhor\u0161ilo se n\u00e1m to hodn\u011b za covidu.

Viktoria Pl\u00edvov\u00e1, mluv\u010d\u00ed, VZP
——————–
Tento program jsme spustili pr\u00e1v\u011b kv\u016fli tomu, abychom zkr\u00e1tili ty \u010dekac\u00ed doby na p\u0159\u00edslu\u0161n\u00e9 vy\u0161et\u0159en\u00ed a abychom p\u0159isp\u011bli k tomu, \u017ee ta p\u0159\u00edpadn\u00e1 retinopatie u pacienta zachycena v\u010das.

redaktorka \u010cT
——————–
Za dva roky fungov\u00e1n\u00ed programu diabetologov\u00e9 p\u0159em\u011b\u0159ili na 100 000 pacient\u016f, 13 % z nich u\u017e m\u011blo na s\u00edtnici zm\u011bny. Ty p\u0159edali do p\u00e9\u010de o\u010dn\u00edch l\u00e9ka\u0159\u016f. <\/p>\n\n\n\n

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

\u010cT 1\u00a0– Ud\u00e1losti Skoro \u010dtvrtina odborn\u00fdch ambulanc\u00ed d\u00e1v\u00e1 nov\u00fdm pacient\u016fm term\u00edn vy\u0161et\u0159en\u00ed za t\u0159i a v\u00edce m\u011bs\u00edc\u016f. Vypl\u00fdv\u00e1 to z intern\u00edho dotazn\u00edku jejich sdru\u017een\u00ed. Odpov\u011bd\u011blo […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":13238,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-55404","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\/55404","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=55404"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55404\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/13238"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}