Radio\u017eurn\u00e1l <\/p>\n\n\n\n
Radio\u017eurn\u00e1l \u010cesk\u00e9\u00a0zdravotnictv\u00ed\u00a0pot\u0159ebuje zm\u011bnu. Upozor\u0148uje na to nov\u00e1 platforma pro udr\u017eiteln\u00e9\u00a0zdravotnictv\u00ed, ve kter\u00e9 se spojili z\u00e1stupci pacient\u016f, zam\u011bstnavatel\u016f a mlad\u00fdch profesion\u00e1l\u016f. Zm\u011bny jsou podle nich pot\u0159ebn\u00e9 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15438,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-55979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55979","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=55979"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55979\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15438"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55979"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55979"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\u010cesk\u00e9\u00a0zdravotnictv\u00ed<\/strong>\u00a0pot\u0159ebuje zm\u011bnu. Upozor\u0148uje na to nov\u00e1 platforma pro udr\u017eiteln\u00e9\u00a0zdravotnictv\u00ed<\/strong>, ve kter\u00e9 se spojili z\u00e1stupci pacient\u016f, zam\u011bstnavatel\u016f a mlad\u00fdch profesion\u00e1l\u016f. Zm\u011bny jsou podle nich pot\u0159ebn\u00e9 kv\u016fli rostouc\u00edm demografick\u00fdm a ekonomick\u00fdm tlak\u016fm a sni\u017euj\u00edc\u00ed se efektivit\u011b zdravotnick\u00e9ho syst\u00e9mu. Mezi zakl\u00e1daj\u00edc\u00edmi \u010dleny platformy jsou nap\u0159\u00edklad spolek Mlad\u00ed l\u00e9ka\u0159i, Hlas onkologick\u00fdch pacient\u016f nebo N\u00e1rodn\u00ed asociace pacientsk\u00fdch organizac\u00ed. A j\u00e1 zdrav\u00edm tajemn\u00edka Nov\u00e9 platformy Ladislava \u0160vece, dobr\u00fd den.
V\u00edm, \u017ee nen\u00ed moc \u010dasu, ale d\u00e1 se v kostce \u0159\u00edct, co vy vlastn\u011b konkr\u00e9tn\u011b kritizujete na tom sou\u010dasn\u00e9m syst\u00e9mu\u00a0zdravotnictv\u00ed<\/strong>?
Ladislav \u0160vec, tajemn\u00edk
——————–
J\u00e1 mysl\u00edm, \u017ee to je velmi dobr\u00e1 ot\u00e1zka. My p\u0159ed sebou m\u00e1me ty demografick\u00e9 zm\u011bny a dal\u0161\u00ed v\u00fdzvy, o kter\u00fdch jste hovo\u0159ila, abychom se s nimi dok\u00e1zali vypo\u0159\u00e1dat, m\u011bli bychom v horizontu dal\u0161\u00edch dvou dek\u00e1d p\u0159ibli\u017en\u011b zv\u00fd\u0161it v\u00fdkonnost a vnit\u0159n\u00ed produktivitu syst\u00e9mu asi o 50 %, to znamen\u00e1 tam, kde jsme schopni dneska se stejn\u00fdmi person\u00e1ln\u00edmi finan\u010dn\u00edmi n\u00e1klady o\u0161et\u0159it 10 lid\u00ed, m\u011bli bychom b\u00fdt schopni na konci p\u0159\u00ed\u0161t\u00ed dek\u00e1dy o\u0161et\u0159it lid\u00ed 15. A na to, abychom vlastn\u011b n\u011b\u010deho takov\u00e9ho dos\u00e1hli, bychom m\u011bli m\u00edt syst\u00e9m, ve kter\u00e9m je mo\u017en\u00e9 efektivitu a produktivitu sledovat, \u0159\u00eddit, zvy\u0161ovat. A bohu\u017eel \u010d\u00edsla, kter\u00e1 m\u00e1me, n\u00e1m ukazuj\u00ed, \u017ee jdeme bohu\u017eel opa\u010dn\u00fdm sm\u011brem a \u017ee ten trend je obr\u00e1cen\u00fd, \u017ee my vyd\u00e1v\u00e1me st\u00e1le v\u00edce, v\u00edce pen\u011bz ve zdravotnick\u00e9m syst\u00e9mu, ale dostupnost nebo kvalita p\u00e9\u010de se n\u011bjak z\u00e1sadn\u00edm zp\u016fsobem, stejn\u011b jako produkce toho zdravotn\u00edho syst\u00e9mu nezvy\u0161uje, nelep\u0161\u00ed. A abychom dos\u00e1hli obratu, abychom se nau\u010dili ten syst\u00e9m v\u016fbec \u0159\u00eddit, koordinovat, rozv\u00edjet, mus\u00edme bohu\u017eel s\u00e1hnout asi do n\u011bkter\u00fdch z t\u011bch z\u00e1kladn\u00edch parametr\u016f a paradigmat syst\u00e9mu\u00a0zdravotnictv\u00ed<\/strong>, jeho organizace a financov\u00e1n\u00ed.
, moder\u00e1torka
——————–
Vl\u00e1da m\u00e1 strategii rozvoje p\u00e9\u010de o zdrav\u00ed Zdrav\u00ed 2030, kter\u00e1 n\u011bjak\u00fdm zp\u016fsobem definuje, kudy se m\u00e1\u00a0zdravotnictv\u00ed<\/strong>\u00a0ub\u00edrat. Znamen\u00e1 to, \u017ee ta koncepce je \u0161patn\u011b, anebo \u017ee se prost\u011b nedodr\u017euje, \u017ee se podle n\u00ed nejede?
Ladislav \u0160vec, tajemn\u00edk
——————–
J\u00e1 si mysl\u00edm, \u017ee do velk\u00e9 m\u00edry ty st\u00e1tn\u00ed koncepce a strategie popisuj\u00ed st\u00e1vaj\u00edc\u00ed stav a \u0159\u00edkaj\u00ed, pod\u00edvejte se do jak\u00e9ho stavu jsme se v tuhle chv\u00edli dostali a co v\u0161echno je \u0161patn\u011b, ale nenab\u00edz\u00ed p\u0159\u00edli\u0161 cest \u0159e\u0161en\u00ed. P\u0159i\u010dem\u017e j\u00e1 tvrd\u00edm, a nejenom j\u00e1, ale \u0159ada m\u00fdch koleg\u016f a expert\u016f, \u017ee probl\u00e9m je v nastaven\u00ed z\u00e1klad\u016f syst\u00e9mu. Zjednodu\u0161en\u011b \u0159e\u010deno, \u017ee jsme zde sice p\u0159ed 25 nebo 30 lety p\u0159evzali syst\u00e9m pluralitn\u00edho ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed s v\u00edcero poji\u0161\u0165ovnami, ale \u017ee nepln\u00ed \u00fapln\u011b dokonale svou roli. A \u017ee co pot\u0159ebujeme, je vr\u00e1tit se vlastn\u011b k tomu, co byl jeho p\u016fvodn\u00ed c\u00edl, p\u016fvodn\u00ed smysl a naplnit ho obsahem, odd\u011blit politick\u00e9 zpr\u00e1vy, p\u0159ej\u00edt od toho ka\u017edoro\u010dn\u00edho, \u0159ekn\u011bme arbitr\u00e1rn\u00edho politick\u00e9ho p\u0159erozd\u011blov\u00e1n\u00ed pen\u011bz k sout\u011b\u017ei poji\u0161\u0165oven, k sout\u011b\u017ei poskytovatel\u016f, proto\u017ee jenom sout\u011b\u017e motivuje ty jednotliv\u00e9 subjekty a \u00fa\u010dastn\u00edky k tomu, aby se zlep\u0161ovaly a aby tak\u00e9 tla\u010dily ostatn\u00ed k tomu zlep\u0161ov\u00e1n\u00ed.
moder\u00e1torka
——————–
Ano a co je nutn\u00e9 k tomu, aby se tohle stalo?
Ladislav \u0160vec, tajemn\u00edk
——————–
Nap\u0159\u00edklad v prv\u00e9 f\u00e1zi, ur\u010dit\u00e1 depolitizace toho syst\u00e9mu, my jsme p\u0159evzali strukturu n\u011bmeckou, \u0159ekn\u011bme, kdy\u017e se budeme bavit o syst\u00e9mu zdravotn\u00edho poji\u0161t\u011bn\u00ed a v tom n\u011bmeck\u00e9m prostoru je celkem b\u011b\u017en\u00e9 a je to naprosto racion\u00e1ln\u00ed, \u017ee ty instituce a t\u00edm p\u00e1dem i tu organizaci a financov\u00e1n\u00ed syst\u00e9mu ovl\u00e1daj\u00ed ti, co ty prost\u0159edky vlastn\u00ed \u010dinnost\u00ed z\u00edsk\u00e1vaj\u00ed a do toho syst\u00e9mu pos\u00edlaj\u00ed, to znamen\u00e1 poji\u0161t\u011bnci, zam\u011bstnanci, zam\u011bstnavatel\u00e9. U n\u00e1s ale velkou \u010d\u00e1st toho syst\u00e9mu fakticky ovl\u00e1daj\u00ed reprezentanti politick\u00fdch stran a jejich nominanti, pota\u017emo st\u00e1tn\u00ed \u00fa\u0159edn\u00edci. A doch\u00e1z\u00ed tady mimo jin\u00e9 tak\u00e9 k pom\u011brn\u011b z\u00e1sadn\u00edmu konfliktu z\u00e1jm\u016f, proto\u017ee se pohybujeme, \u0159ekn\u011bme, v pr\u016fmyslu zdravotnick\u00e9m, kde \u010d\u00e1st toho pr\u016fmyslu je zaji\u0161\u0165ov\u00e1na subjekty vlastn\u011bn\u00fdmi st\u00e1ty a st\u00e1t z\u00e1rove\u0148 rozhoduje o tom, jak\u00fdm zp\u016fsobem a v jak\u00e9 v\u00fd\u0161i maj\u00ed b\u00fdt redistribuov\u00e1ny celkov\u00e9 prost\u0159edky v tomto syst\u00e9mu, a to samoz\u0159ejm\u011b vyvol\u00e1v\u00e1 nerovn\u00e9 prost\u0159ed\u00ed.
moder\u00e1torka
——————–
Je\u0161t\u011b kr\u00e1tce, jak\u00fdm zp\u016fsobem chcete ty va\u0161e navrhovan\u00e9 zm\u011bny prosazovat?
Ladislav \u0160vec, tajemn\u00edk
——————–
Je to samoz\u0159ejm\u011b b\u011bh na del\u0161\u00ed tra\u0165 a je to velk\u00fd \u00fakol, velk\u00fd \u00fakol spo\u010d\u00edvaj\u00edc\u00ed ve vysv\u011btlov\u00e1n\u00ed pot\u0159eby zm\u011bn v tom, \u017ee ty demografick\u00e1, nejenom demografick\u00e9 hrozby jsou u\u017e doopravdy p\u0159\u00edmo p\u0159ed n\u00e1mi.
V\u011bra \u0160techrov\u00e1, moder\u00e1torka
——————–
To znamen\u00e1, \u017ee my nejsme je\u0161t\u011b ani tam, abychom uznali, \u017ee ty zm\u011bny pot\u0159ebujeme nebo na\u0161e politick\u00e1 reprezentace?
Ladislav \u0160vec, tajemn\u00edk
——————–
J\u00e1 si mysl\u00edm, \u017ee, nebo ob\u00e1v\u00e1m se, \u017ee vlastn\u011b s populac\u00ed, s lidmi, s ve\u0159ejnost\u00ed nen\u00ed st\u00e1le dostate\u010dn\u011b jasn\u011b komunikov\u00e1no, co p\u0159ed n\u00e1mi je, \u017ee za 10, 15 let p\u0159ibude milion lid\u00ed po dosa\u017een\u00ed v\u011bku zdrav\u00e9ho do\u017eit\u00ed, kte\u0159\u00ed budou po\u017eadovat a pot\u0159ebovat pravidelnou p\u00e9\u010di.
moder\u00e1torka
——————–
A, \u017ee populace st\u00e1rne.
Ladislav \u0160vec, tajemn\u00edk
——————–
Populace st\u00e1rne, ale budou tak\u00e9 ub\u00fdvat lid\u00e9, kte\u0159\u00ed na tu p\u00e9\u010di vlastn\u011b vyd\u011bl\u00e1vaj\u00ed, proto\u017ee tak jako milion lid\u00ed v ur\u010dit\u00e9m v\u011bku p\u0159ibude, tak zase milion lid\u00ed ve v\u011bku produktivn\u00edm u\u017e tady nebude.
moder\u00e1torka
——————–
My o tom jist\u011b budeme je\u0161t\u011b mluvit mnohokr\u00e1t. Ladislav \u0160vec, tajemn\u00edk Platformy pro udr\u017eiteln\u00e9\u00a0zdravotnictv\u00ed<\/strong>. D\u00edky, na sly\u0161enou.
<\/p>\n","protected":false},"excerpt":{"rendered":"