Od ledna zahrne v\u00edce test\u016f i osobn\u00ed l\u00e9\u010debn\u00fd pl\u00e1n<\/p>\n\n\n\n
Praha, 25. 9. 2025 \u2013 Preventivn\u00ed prohl\u00eddka padne na\u0161im pacient\u016fm jako ulit\u00e1 \u2013 \u0159\u00edkaj\u00ed prakti\u010dt\u00ed
l\u00e9ka\u0159i, kte\u0159\u00ed tak upozor\u0148uj\u00ed na zm\u011bny, je\u017e za\u010dnou platit od 1. ledna p\u0159\u00ed\u0161t\u00edho roku. V\u00edce
laboratorn\u00edch test\u016f, zam\u011b\u0159en\u00ed na konkr\u00e9tn\u00ed zdravotn\u00ed rizika podle v\u011bku pacient\u016f \u010di osobn\u00ed l\u00e9\u010debn\u00fd
pl\u00e1n \u2013 to jsou jen n\u011bkter\u00e9 novinky, kter\u00fdch se od ledna do\u010dkaj\u00ed miliony \u010cech\u016f u sv\u00fdch l\u00e9ka\u0159\u016f.
Praktici zm\u011bny a v\u011bt\u0161\u00ed pravomoci v\u00edtaj\u00ed \u2013 nejl\u00e9pe toti\u017e znaj\u00ed osobn\u00ed a rodinnou zdravotn\u00ed historii
pacient\u016f a maj\u00ed \u2013 jako jedin\u00ed \u2013 k dispozici jejich kompletn\u00ed dokumentaci. Podle nich je to ale jen
prvn\u00ed krok na cest\u011b za napln\u011bn\u00edm c\u00edl\u016f reformy prim\u00e1rn\u00ed p\u00e9\u010de, po kter\u00e9m mus\u00ed rychle n\u00e1sledovat
kroky dal\u0161\u00ed.<\/p>\n\n\n\n
\u201eO zm\u011bnu n\u00e1pln\u011b preventivn\u00edch prohl\u00eddek jsme usilovali dlouhou dobu. Prevence \u2013 a tak\u00e9 screening
a o\u010dkov\u00e1n\u00ed \u2013 mus\u00ed b\u00fdt \u0161it\u00e9 na m\u00edru ka\u017ed\u00e9mu pacientovi a prohl\u00eddky mus\u00ed b\u00fdt komplexn\u011bj\u0161\u00ed,\u201c \u0159\u00edk\u00e1
MUDr. Petr \u0160onka, p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f (SPL). \u201eNovela vyhl\u00e1\u0161ky \u010d. 70\/2012 Sb.,
o preventivn\u00edch prohl\u00eddk\u00e1ch, na\u0161e po\u017eadavky zohled\u0148uje a v\u00fdznamn\u011b posiluje prim\u00e1rn\u00ed p\u00e9\u010di, kter\u00e1
je z\u00e1kladem ka\u017ed\u00e9ho zdravotn\u00edho syst\u00e9mu,\u201c dopl\u0148uje MUDr. \u0160onka.<\/p>\n\n\n\n
Od 1. ledna 2026 budou prakti\u010dt\u00ed l\u00e9ka\u0159i p\u0159i prevenc\u00edch \u010dast\u011bji prov\u00e1d\u011bt laboratorn\u00ed testy, jako je
m\u011b\u0159en\u00ed cukru a tuk\u016f v krvi nebo srde\u010dn\u00ed aktivity (EKG). D\u00edky tomu v\u010das odhal\u00ed rizika, kter\u00e1 vedou
nap\u0159\u00edklad k onemocn\u011bn\u00ed srdce nebo ledvin. Nov\u011b budou prakti\u010dt\u00ed l\u00e9ka\u0159i po ka\u017ed\u00e9 preventivn\u00ed
prohl\u00eddce p\u0159ipravovat pro pacienty osobn\u00ed pl\u00e1n p\u00e9\u010de o zdrav\u00ed. Ten bude obsahovat i doporu\u010den\u00ed,
jak\u00e1 o\u010dkov\u00e1n\u00ed jsou pro n\u011b vhodn\u00e1.<\/p>\n\n\n\n
\u201ePreventivn\u00ed prohl\u00eddka je pravidelnou inventurou zdravotn\u00edho stavu a m\u011bla by b\u00fdt co nejd\u016fkladn\u011bj\u0161\u00ed.
Pacienty zn\u00e1me nejl\u00e9pe. V\u00edme, s jak\u00fdmi pot\u00ed\u017eemi se pot\u00fdkali a pot\u00fdkaj\u00ed jak oni sami, tak jejich
rodina a z jak\u00e9ho soci\u00e1ln\u00edho prost\u0159ed\u00ed poch\u00e1zej\u00ed. V ot\u00e1zk\u00e1ch zdrav\u00ed jsme tak jejich nejbli\u017e\u0161\u00ed r\u00e1dci a
pr\u016fvodci zdravotn\u00edm syst\u00e9mem,\u201c vysv\u011btluje p\u0159edseda SPL.<\/p>\n\n\n\n
\u201eJako jedin\u00ed zdravotni\u010dt\u00ed profesion\u00e1lov\u00e9 m\u00e1me p\u0159\u00edstup ke kompletn\u00edm zdravotn\u00edm z\u00e1znam\u016fm pacient\u016f \u2013 v\u00edme tak, co je v minulosti tr\u00e1pilo, jak\u00e9 u\u017e\u00edvali l\u00e9ky, jestli na n\u011b nem\u011bli \u0161patn\u00e9 reakce, jak\u00e9 z\u00e1kroky absolvovali a s jak\u00fdm v\u00fdsledkem. Prevenci tak m\u016f\u017eeme s ka\u017ed\u00fdm pacientem \u0159e\u0161it individu\u00e1ln\u011b,\u201c dopl\u0148uje doc. MUDr. Svatopluk B\u00fdma, CSc., p\u0159edseda Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP.<\/p>\n\n\n\n
Pr\u00e1v\u011b z t\u011bchto d\u016fvod\u016f se podle obou spole\u010dnost\u00ed mus\u00ed preventivn\u00ed prohl\u00eddky, z\u00e1kladn\u00ed screening
a o\u010dkov\u00e1n\u00ed soust\u0159edit do ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f a\u0165 u\u017e pro dosp\u011bl\u00e9, \u010di pro d\u011bti a dorost. \u201eR\u016fst
a v\u00fdvoj d\u011btsk\u00fdch pacient\u016f sledujeme od narozen\u00ed a zn\u00e1me zdravotn\u00ed historii jejich rodin. Um\u00edme tak
nejl\u00e9pe posoudit, co je pro d\u011bti v r\u00e1mci prevence a o\u010dkov\u00e1n\u00ed vhodn\u00e9,\u201c souhlas\u00ed p\u0159edsedkyn\u011b
Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost MUDr. Ilona H\u00fclleov\u00e1.<\/p>\n\n\n\n
\u201eSnahy vytrh\u00e1vat n\u011bkter\u00e9 v\u00fdkony z kontextu preventivn\u00edch prohl\u00eddek a prov\u00e1d\u011bt je n\u00e1hodn\u011b
nekvalifikovan\u00fdm zp\u016fsobem, nap\u0159\u00edklad v l\u00e9k\u00e1rn\u00e1ch, jsou proto naprost\u00fdm nepochopen\u00edm smyslu
prevence. M\u016f\u017ee to ohrozit cel\u00fd syst\u00e9m preventivn\u00ed p\u00e9\u010de v \u010cR a pacienty to zbyte\u010dn\u011b mate,\u201c \u0159\u00edk\u00e1
MUDr. \u0160onka a dod\u00e1v\u00e1, \u017ee by uv\u00edtal, kdyby osv\u011btu spojenou s d\u016fle\u017eitost\u00ed prim\u00e1rn\u00ed p\u00e9\u010de \u0161\u00ed\u0159ily
i zdravotn\u00ed poji\u0161\u0165ovny a st\u00e1t.<\/p>\n\n\n\n
Prakti\u010dt\u00ed l\u00e9ka\u0159i v ordinac\u00edch ro\u010dn\u011b provedou v\u00edce ne\u017e milion preventivn\u00edch prohl\u00eddek u d\u011bt\u00ed
a dorostu a p\u0159ibli\u017en\u011b 2,5 milionu preventivn\u00edch prohl\u00eddek u dosp\u011bl\u00fdch. V lo\u0148sk\u00e9 sez\u00f3n\u011b nao\u010dkovali
jenom proti ch\u0159ipce t\u00e9m\u011b\u0159 763 000 osob. Pokud by se popt\u00e1vka po o\u010dkov\u00e1n\u00ed zv\u00fd\u0161ila, zvl\u00e1dli by
podle p\u0159edsedy SPL proo\u010dkovat v ordinac\u00edch v\u00edce lid\u00ed. \u010ce\u0161i si pr\u00e1ci praktik\u016f chv\u00e1l\u00ed a d\u016fv\u011b\u0159uj\u00ed jim, jak
ukazuje dotazn\u00edkov\u00e9 \u0161et\u0159en\u00ed v r\u00e1mci mezin\u00e1rodn\u00edho projektu PaRIS.<\/p>\n\n\n\n
\u201eZ\u00fa\u010dastnilo se ho v\u00edce ne\u017e 4 000 pacient\u016f ze 110 ordinac\u00ed nap\u0159\u00ed\u010d celou \u010ceskou republikou. A\u017e 96 % chronicky nemocn\u00fdch pacient\u016f uvedlo, \u017ee m\u00e1 s p\u00e9\u010d\u00ed sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e pozitivn\u00ed zku\u0161enost,\u201c p\u0159ibli\u017euje MUDr. Norbert Kr\u00e1l, p\u0159ednosta \u00dastavu v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed 1. LF UK.<\/p>\n\n\n\n
Pr\u016fzkum tak\u00e9 uk\u00e1zal, \u017ee v tuzemsku m\u00e1 a\u017e 75 % lid\u00ed s chronick\u00fdmi nemocemi del\u0161\u00ed ne\u017e p\u011btiletou
registraci u stejn\u00e9ho praktika \u2013 co\u017e je v\u00fdrazn\u011b v\u00edc ne\u017e pr\u016fm\u011br ostatn\u00edch zem\u00ed zapojen\u00fdch do
projektu. N\u00e1zory ob\u010dan\u016f na p\u00e9\u010di praktik\u016f a prevenci pravideln\u011b monitoruje tak\u00e9 SVL. \u201eV lo\u0148sk\u00e9m
roce t\u00e9m\u011b\u0159 polovina dot\u00e1zan\u00fdch uvedla, \u017ee prevence je stejn\u011b d\u016fle\u017eit\u00e1 jako l\u00e9\u010dba nemoc\u00ed. Dal\u0161\u00edch
30,7 % respondent\u016f se domn\u00edv\u00e1, \u017ee prevence je pro n\u011b d\u016fle\u017eit\u011bj\u0161\u00ed ne\u017e l\u00e9\u010dba. Spokojenost s na\u0161\u00ed p\u00e9\u010d\u00ed
pak vyj\u00e1d\u0159ilo v\u00edce ne\u017e 90 % osloven\u00fdch,\u201c p\u0159ibli\u017euje doc. B\u00fdma.<\/p>\n\n\n\n
\u201eV\u011b\u0159\u00edme, \u017ee kvalitn\u011bj\u0161\u00ed prevence a individu\u00e1ln\u00ed p\u0159\u00edstup k pacient\u016fm d\u016fv\u011bru ob\u010dan\u016f v prim\u00e1rn\u00ed p\u00e9\u010di
je\u0161t\u011b zv\u00fd\u0161\u00ed. Prevence je z\u00e1sadn\u00ed kompetenc\u00ed praktik\u016f a chystan\u00e9 zm\u011bny jejich roli pos\u00edl\u00ed. To je
i kl\u00ed\u010dov\u00fd bod reformy prim\u00e1rn\u00ed p\u00e9\u010de, kter\u00e1 za\u010dala v roce 2018 a kterou je pot\u0159eba urychlen\u011b
dokon\u010dit,\u201c zd\u016fraz\u0148uje MUDr. \u0160onka. <\/p>\n\n\n\n
V tuzemsku v sou\u010dasn\u00e9 dob\u011b nem\u00e1 sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e
v\u00edce ne\u017e milion lid\u00ed, a prim\u00e1rn\u00ed p\u00e9\u010de tak nen\u00ed dostupn\u00e1 v\u0161em. \u201eV r\u00e1mci reformy usilujeme o to, aby
po\u010det pracovn\u00edch \u00favazk\u016f praktik\u016f do roku 2035 vzrostl o tis\u00edc. Mus\u00ed se ale tak\u00e9 nav\u00fd\u0161it po\u010det
reziden\u010dn\u00edch m\u00edst, kter\u00e1 slou\u017e\u00ed ke specializa\u010dn\u00edmu vzd\u011bl\u00e1v\u00e1n\u00ed mlad\u00fdch l\u00e9ka\u0159\u016f. V sou\u010dasn\u00e9 dob\u011b
jejich po\u010det nedok\u00e1\u017ee pokr\u00fdt popt\u00e1vku \u0161kolenc\u016f ani \u0161kolitel\u016f, kter\u00e1 je dvojn\u00e1sobn\u00e1,\u201c \u0159\u00edk\u00e1 p\u0159edseda
SPL.<\/p>\n\n\n\n
Praktici tak\u00e9 dlouhodob\u011b volaj\u00ed po \u00fapln\u00e9m zru\u0161en\u00ed preskrip\u010dn\u00edch omezen\u00ed na l\u00e9ky. \u201eSt\u00e1le
nem\u016f\u017eeme p\u0159edepisovat t\u0159etinu l\u00e9k\u016f dostupn\u00fdch na trhu. To nikde v Evrop\u011b nem\u00e1 obdoby. Pacienty
tak zbyte\u010dn\u011b pos\u00edl\u00e1me pro p\u0159edpis k ambulantn\u00edm specialist\u016fm, nap\u0159\u00edklad pro l\u00e9ky na cukrovku,
poruchu metabolismu tuk\u016f, na srde\u010dn\u00ed selh\u00e1n\u00ed nebo chronick\u00e9 onemocn\u011bn\u00ed ledvin. Ke zru\u0161en\u00ed
preskrip\u010dn\u00edch omezen\u00ed u praktik\u016f do\u0161lo ned\u00e1vno v Rakousku, N\u011bmecku nebo Polsku \u2013 a uk\u00e1zalo se,
\u017ee to zdravotn\u00ed syst\u00e9m neohrozilo, pr\u00e1v\u011b naopak,\u201c vysv\u011btluje MUDr. \u0160onka.<\/p>\n\n\n\n
Lid\u00e9 by podle n\u011bj uv\u00edtali i to, kdyby praktici z\u00e1kladn\u00ed l\u00e9ky vyd\u00e1vali p\u0159\u00edmo v ordinac\u00edch. \u201eVy\u0159e\u0161ilo by to
mimo jin\u00e9 \u010dast\u00e9 stesky pacient\u016f na z\u00e1m\u011bnu l\u00e9k\u016f zejm\u00e9na v l\u00e9k\u00e1rensk\u00fdch \u0159et\u011bzc\u00edch. Pacient\u016fm
v nich \u010dasto vyd\u00e1vaj\u00ed jin\u00e9 prepar\u00e1ty, ne\u017e jim l\u00e9ka\u0159 p\u0159edepsal,\u201c popisuje p\u0159edseda SPL.<\/p>\n\n\n\n
D\u00edky zm\u011bn\u011b n\u00e1pln\u011b podle n\u011bj bude \u010desk\u00fd syst\u00e9m prevence jedn\u00edm z nejd\u016fkladn\u011bj\u0161\u00edch v Evrop\u011b. \u201eTo
je ale jen prvn\u00ed krok. Pokud m\u00e1 prim\u00e1rn\u00ed p\u00e9\u010de p\u0159in\u00e9st to, co od n\u00ed o\u010dek\u00e1v\u00e1me, tedy v\u00fdznamn\u011b zlep\u0161it
zdravotn\u00ed stav \u010desk\u00e9 populace a prodlou\u017eit d\u00e9lku \u017eivota lid\u00ed ve zdrav\u00ed \u2013 v \u010dem\u017e za vysp\u011bl\u00fdmi zem\u011bmi
st\u00e1le zaost\u00e1v\u00e1me \u2013 je pot\u0159eba praktik\u016fm rozv\u00e1zat ruce ve farmakoterapii chronick\u00fdch onemocn\u011bn\u00ed
a d\u00e1t jim k dispozici modern\u00ed l\u00e9ky pro l\u00e9\u010dbu diabetu, dyslipidemie, srde\u010dn\u00edho selh\u00e1n\u00ed a chronick\u00e9ho
onemocn\u011bn\u00ed ledvin, kter\u00e9 prakti\u010dt\u00ed l\u00e9ka\u0159i st\u00e1le nemohou pou\u017e\u00edvat,\u201c uzav\u00edr\u00e1 MUDr. \u0160onka.<\/p>\n","protected":false},"excerpt":{"rendered":"
Od ledna zahrne v\u00edce test\u016f i osobn\u00ed l\u00e9\u010debn\u00fd pl\u00e1n Praha, 25. 9. 2025 \u2013 Preventivn\u00ed prohl\u00eddka padne na\u0161im pacient\u016fm jako ulit\u00e1 \u2013 \u0159\u00edkaj\u00ed prakti\u010dt\u00edl\u00e9ka\u0159i, kte\u0159\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-60893","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\/60893","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=60893"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60893\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60893"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60893"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}