{"id":56079,"date":"2025-03-31T07:36:17","date_gmt":"2025-03-31T05:36:17","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=56079"},"modified":"2025-03-31T07:36:24","modified_gmt":"2025-03-31T05:36:24","slug":"milion-lidi-bez-praktickeho-lekare","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=56079","title":{"rendered":"Milion lid\u00ed bez praktick\u00e9ho l\u00e9ka\u0159e\u00a0\u00a0"},"content":{"rendered":"\n

\u010cT 1\u00a0– Ud\u00e1losti

Asi milion \u010cech\u016f nem\u00e1 sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. Chyb\u00ed hlavn\u011b ve venkovsk\u00fdch oblastech. Za posledn\u00edch p\u011bt let zaniklo p\u0159es 400 ordinac\u00ed pediatr\u016f a v\u00edc ne\u017e 370 ambulanc\u00ed v\u0161eobecn\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f, p\u0159itom pr\u00e1v\u011b oni hraj\u00ed kl\u00ed\u010dovou roli v prevenci, co\u017e je jedna z priorit rezortu.

Vladim\u00edr Marek, praktick\u00fd l\u00e9ka\u0159, Familymed
——————–
Tady vid\u00edte na\u0161i kartot\u00e9ku, tak tvo\u0159\u00ed to asi tady pom\u011brn\u011b velkou \u010d\u00e1st na\u0161\u00ed ordinace.

redaktorka \u010cT
——————–
Je v n\u00ed zdravotn\u00ed dokumentace 2 500 pacient\u016f, o kter\u00e9 Vladim\u00edr Marek pe\u010duje, ka\u017ed\u00fd den volaj\u00ed dal\u0161\u00ed, ale m\u00edsto u\u017e pro n\u011b nen\u00ed.

Vladim\u00edr Marek, praktick\u00fd l\u00e9ka\u0159, Familymed
——————–
A stane se n\u011bkdy, \u017ee n\u011bjak\u00fd star\u0161\u00ed kolega odejde a dost \u010dasto i bez n\u00e1hrady, tak\u017ee potom ti pacienti t\u0159eba nemaj\u00ed n\u011bjakou chvilku praktick\u00e9ho l\u00e9ka\u0159e, tak\u017ee oz\u00fdvaj\u00ed se, volaj\u00ed, ano.

redaktorka \u010cT
——————–
Sv\u00e9ho l\u00e9ka\u0159e nem\u00e1 asi 780 000 dosp\u011bl\u00fdch a 130 000 d\u011bt\u00ed. D\u016fvodem je hlavn\u011b jejich st\u00e1rnut\u00ed a odchody do d\u016fchodu. Upozornit na to m\u00e1 kampa\u0148. Kl\u00ed\u010dov\u00e9 je podle jejich z\u00e1stupc\u016f nav\u00fd\u0161en\u00ed po\u010dtu reziden\u010dn\u00edch m\u00edst, tedy st\u00e1tem dotovan\u00fdch pozic pro absolventy, letos jich \u0161kolu dokon\u010d\u00ed o \u010dtvrtinu v\u00edc ne\u017e vloni.

Petr \u0160onka, p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f
——————–
Reziden\u010dn\u00edch m\u00edst te\u010f m\u00e1me 140 a dok\u00e1zali bychom jich udat dvojn\u00e1sobek. Kdy\u017e porovn\u00e1me to dvojn\u00e1sobn\u00e9 nav\u00fd\u0161en\u00ed po\u010dtu rezidentsk\u00fdch m\u00edst, kter\u00fd by probl\u00e9m \u0159e\u0161il, znamen\u00e1 investici, \u0159ekn\u011bme, 400\u2013600 000 000 ro\u010dn\u011b, co\u017e vzhledem k celkov\u00e9mu rozpo\u010dtu\u00a0zdravotnictv\u00ed<\/strong>, kter\u00fd je v\u00edc ne\u017e 500 miliard, je vlastn\u011b \u00fapln\u011b bagateln\u00ed.

Vlastimil V\u00e1lek, vicepremi\u00e9r a ministr\u00a0zdravotnictv\u00ed<\/strong>, m\u00edstop\u0159edseda strany \/TOP 09\/
——————–
Stejn\u011b tak m\u016f\u017ee, mohou formou stipendia to reziden\u010dn\u00ed m\u00edsto platit kraje, municipality a nov\u011b podle z\u00e1kona 48 bude moci p\u0159isp\u00edvat i poji\u0161\u0165ovna zvl\u00e1\u0161t\u011b v t\u011bch regionech, kde je ta p\u00e9\u010de \u0161patn\u011b dostupn\u00e1.

redaktor \u010cT
——————–
T\u0159eba Pardubick\u00fd kraj nab\u00edz\u00ed l\u00e9ka\u0159\u016fm, kte\u0159\u00ed si v m\u00edstech, kde je nedostatek praktik\u016f, otev\u0159ou ordinaci, dotaci 900 000 K\u010d.

Pavel \u0160tefka, n\u00e1m\u011bstek hejtmana Pardubick\u00e9ho kraje pro\u00a0zdravotnictv\u00ed<\/strong>\u00a0\/ANO\/
——————–
L\u00e9ka\u0159 by dostal p\u016fl milionu a v ka\u017ed\u00e9m dal\u0161\u00edm roce po dobu \u010dty\u0159 let po 100 tis\u00edc\u00edch. Mysl\u00edme si, \u017ee v kombinaci s t\u00edm, \u017ee i t\u0159eba n\u011bkter\u00e9 m\u00edstn\u00ed samospr\u00e1vy nebo obce vypisuj\u00ed dota\u010dn\u00ed tituly, tak u\u017e by to mohlo b\u00fdt pro l\u00e9ka\u0159e zaj\u00edmav\u00e9.

redaktorka \u010cT
——————–
Do budoucna by mohly s\u00ed\u0165 prim\u00e1rn\u00ed p\u00e9\u010de pos\u00edlit i tzv. t\u00fdmov\u00e9 praxe, tedy pracovi\u0161t\u011b, kde spole\u010dn\u011b ordinuje v\u00edc l\u00e9ka\u0159\u016f, v\u010detn\u011b t\u011bch za\u010d\u00ednaj\u00edc\u00edch. O\u0161et\u0159\u00ed v\u00edc pacient\u016f a mohou se navz\u00e1jem zastupovat. \u00dasp\u011b\u0161n\u011b model funguje t\u0159eba v anglosask\u00fdch zem\u00edch. Redakce a Kl\u00e1ra Je\u0161inov\u00e1, \u010cesk\u00e1 televize.<\/p>\n\n\n\n

Negativa \u010desk\u00e9ho zdravotnictv\u00ed <\/a> <\/a><\/p>\n\n\n\n

\u010cT 1\u00a0– Ud\u00e1losti

Pr\u00e1v\u011b nedostatek l\u00e9ka\u0159\u016f bylo nej\u010dast\u011bji zmi\u0148ovan\u00fdm negativem tuzemsk\u00e9ho\u00a0zdravotnictv\u00ed<\/strong>\u00a0v pr\u016fzkumu spole\u010dnosti Ipsos pro Asociaci inovativn\u00edho farmaceutick\u00e9ho pr\u016fmyslu, kter\u00fd m\u00e1 \u010cesk\u00e1 televize k dispozici. Respondent\u016fm vadily taky dlouh\u00e9 \u010dekac\u00ed doby a v\u00edce ne\u017e p\u011btin\u011b i p\u0159\u00edstup l\u00e9ka\u0159\u016f k pacient\u016fm.

Naopak mezi klady nej\u010dast\u011bji osloven\u00ed zmi\u0148ovali bezplatnost, kvalitu p\u00e9\u010de a tak\u00e9 odbornou l\u00e9ka\u0159\u016f nebo dostate\u010dnou s\u00ed\u0165\u00a0nemocnic<\/strong>\u00a0a dal\u0161\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00ed.

Celkov\u011b lid\u00e9 tuzemsk\u00e9\u00a0zdravotnictv\u00ed<\/strong>\u00a0vn\u00edmaj\u00ed dob\u0159e. Podle pr\u016fzkumu je s n\u00edm spokojen\u00e1 v\u00edce ne\u017e polovina dot\u00e1zan\u00fdch, ale jsou tu rozd\u00edly. Pozitivn\u011b obor hodnot\u00ed hlavn\u011b vysoko\u0161kol\u00e1ci a mlad\u00ed, naopak star\u0161\u00ed lid\u00e9 jsou kriti\u010dt\u011bj\u0161\u00ed.<\/p>\n\n\n\n

Nedostatek praktick\u00fdch l\u00e9ka\u0159\u016f <\/a> <\/a><\/p>\n\n\n\n

NOVA\u00a0– Televizn\u00ed noviny

T\u00e9m\u011b\u0159 milion lid\u00ed v \u010cesk\u00e9 republice nem\u00e1 podle ministerstva\u00a0zdravotnictv\u00ed<\/strong>\u00a0sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. Z toho je zhruba 130 000 d\u011bt\u00ed. \u0158e\u0161en\u00edm by mohla b\u00fdt v\u011bt\u0161\u00ed st\u00e1tn\u00ed nebo krajsk\u00e1 podpora pro mlad\u00e9 l\u00e9ka\u0159e v m\u00edstech, kde je jich nedostatek a tzv. t\u00fdmov\u00e9 praxe. Zku\u0161en\u00fd l\u00e9ka\u0159 by dohl\u00ed\u017eel na n\u011bkolik mlad\u00fdch l\u00e9ka\u0159\u016f p\u0159ed atestac\u00ed.

Naj\u00edt praktick\u00e9ho l\u00e9ka\u0159e je \u010dasto nadlidsk\u00fd \u00fakol, zejm\u00e9na v men\u0161\u00edch m\u011bstech a na venkov\u011b, kde mnoho ordinac\u00ed nep\u0159ij\u00edm\u00e1 nov\u00e9 pacienty nebo kde l\u00e9ka\u0159i odch\u00e1zej\u00ed do d\u016fchodu. Lid\u00e9 pak obvol\u00e1vaj\u00ed des\u00edtky ordinac\u00ed, cestuj\u00ed do vzd\u00e1len\u011bj\u0161\u00edch m\u011bst nebo se spol\u00e9haj\u00ed na p\u0159et\u00ed\u017een\u00e9 pohotovosti.

Petr \u0160onka, p\u0159edseda, Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR
——————–
Ten celkov\u00fd po\u010det lid\u00ed, kter\u00fd nemaj\u00ed praktick\u00e9ho l\u00e9ka\u0159e je asi milion. Z toho je asi 130 000 d\u011bt\u00ed.

Alena \u0160ebkov\u00e1, p\u0159edsedkyn\u011b, Odborn\u00e1 spole\u010dnost praktick\u00fdch d\u011btsk\u00fdch l\u00e9ka\u0159\u016f \u010cLS
——————–
Ten pr\u016fm\u011brn\u00fd v\u011bk d\u011btsk\u00fdch praktik\u016f je kolem 60 let a bohu\u017eel se st\u00e1le zvy\u0161uje pod\u00edl t\u011bch, kte\u0159\u00ed u\u017e jsou ve skute\u010dn\u011b d\u016fchodov\u00e9m v\u011bku.

Hana Hnykov\u00e1, m\u00edstostarostka m\u011bsta \u017dlutice \/Hn. za harm. rozvoj obc\u00ed a m\u011bst\/
——————–
\/soc. s\u00ed\u0165\/ „Naprosto katastrof\u00e1ln\u00ed situace je, co se t\u00fdk\u00e1 praktick\u00e9ho l\u00e9ka\u0159e pro dosp\u011bl\u00e9, kdy nem\u00e1me ani jednoho.“

Vlastimil V\u00e1lek, ministr\u00a0zdravotnictv\u00ed<\/strong>\u00a0\/TOP 09\/
——————–
M\u00e1me webovou str\u00e1nku dostupn\u00e1 p\u00e9\u010de.mzcr.cz, tam ka\u017ed\u00fd ob\u010dan, kter\u00fd nem\u016f\u017ee jaksi dos\u00e1hnout na dostupnou p\u00e9\u010di, m\u016f\u017ee napsat sv\u016fj po\u017eadavek a poji\u0161\u0165ovny po\u017eadavek \u0159e\u0161\u00ed.

redaktorka
——————–
Podle z\u00e1kona, mus\u00ed zdravotn\u00ed poji\u0161\u0165ovny ka\u017ed\u00e9mu zajistit praktick\u00e9ho l\u00e9ka\u0159e v dojezdov\u00e9 vzd\u00e1lenosti do 35 minut. Probl\u00e9m je, \u017ee poji\u0161\u0165ovn\u011b trv\u00e1 i m\u011bs\u00edce, ne\u017e l\u00e9ka\u0159e najde. Nejv\u00edce j\u00ed chyb\u00ed na Karlovarsku, Morav\u011b a severu \u010cech a poji\u0161\u0165ovny se proto sna\u017e\u00ed motivovat l\u00e9ka\u0159e k otev\u0159en\u00ed ordinac\u00ed v t\u011bchto oblastech.

Martin Balada, prezident Svazu zdravotn\u00edch poji\u0161\u0165oven
——————–
Poji\u0161\u0165ovny proto tedy v r\u00e1mci sv\u00e9 smluvn\u00ed politiky nab\u00edzej\u00ed r\u016fzn\u00e9 bonusov\u00e9 programy i nav\u00fd\u0161en\u00ed plateb tak, aby vlastn\u011b v t\u011bch, \u0159ekn\u011bme, rizikov\u00fdch oblastech tu dostupnost zajistili.

Vlastimil V\u00e1lek, ministr\u00a0zdravotnictv\u00ed<\/strong>\u00a0\/TOP 09\/
——————–
T\u00edm, \u017ee dojde k nav\u00fd\u0161en\u00ed po\u010dtu absolvent\u016f l\u00e9ka\u0159sk\u00fdch fakult v leto\u0161n\u00edm roce o 350, bude m\u00edt daleko v\u00edce z\u00e1jemc\u016f.

Zuzana Dumbrovsk\u00e1, redaktorka
——————–
Pomoci by mohlo podle praktik\u016f v\u00edce reziden\u010dn\u00edch m\u00edst, tedy dotovan\u00fdch m\u00edst pro l\u00e9ka\u0159e p\u0159ed atestac\u00ed, te\u010f jich je 140. Zapot\u0159eb\u00ed by byl ale pr\u00fd minim\u00e1ln\u011b dvojn\u00e1sobek. S t\u00edm by mohly pomoci jednotliv\u00e9 kraje.

Petr \u0160onka, p\u0159edseda, Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR
——————–
Podle t\u011bch kraj\u016f by podle m\u011b m\u011bla b\u00fdt takov\u00e1, \u017ee by v podstat\u011b pomohly bu\u010f s kofinancov\u00e1n\u00edm t\u011bch reziden\u010dn\u00edch m\u00edst, anebo vytvo\u0159ili svoje vlastn\u00ed reziden\u010dn\u00ed m\u00edsta pro ty, pro ty oblasti, kde je t\u0159eba nedostupnost praktick\u00fdch l\u00e9ka\u0159\u016f.

Vlastimil V\u00e1lek, ministr\u00a0zdravotnictv\u00ed<\/strong>\u00a0\/TOP 09\/
——————–
Kraje nebo m\u011bsta tedy ze sv\u00fdch rozpo\u010dt\u016f mohou financovat stipendijn\u00ed pobyty, pr\u00e1v\u011b tato m\u00edsta pro l\u00e9ka\u0159e, co si ty obory vyberou. Bychom cht\u011bli m\u00edt mo\u017enost, aby tot\u00e9\u017e mohly d\u011blat zdravotn\u00ed poji\u0161\u0165ovny.

redaktorka
——————–
A mo\u017enost\u00ed jsou i tzv. t\u00fdmov\u00e9 praxe.

Ilona H\u00fclleov\u00e1, p\u0159edsedkyn\u011b Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost \u010cR
——————–
Mlad\u00fd l\u00e9ka\u0159 m\u016f\u017ee pracovat s kolegou, kter\u00fd ji\u017e provozuje praxi, v\u011bt\u0161inou je to seniorn\u00ed l\u00e9ka\u0159, m\u016f\u017ee tam pracovat na \u010d\u00e1ste\u010dn\u00fd \u00favazek nebo na cel\u00fd \u00favazek, m\u016f\u017ee tam pracovat i l\u00e9ka\u0159 v p\u0159\u00edprav\u011b, o\u0161et\u0159it v\u00edc t\u011bch d\u011bt\u00ed, v\u011bnovat se t\u011bm chronick\u00fdm probl\u00e9m\u016fm.

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

\u010cT 1\u00a0– Ud\u00e1losti Asi milion \u010cech\u016f nem\u00e1 sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. Chyb\u00ed hlavn\u011b ve venkovsk\u00fdch oblastech. Za posledn\u00edch p\u011bt let zaniklo p\u0159es 400 ordinac\u00ed pediatr\u016f a […]<\/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":[11],"tags":[],"class_list":["post-56079","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56079","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=56079"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56079\/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=56079"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56079"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}