{"id":63811,"date":"2026-05-03T22:32:17","date_gmt":"2026-05-03T20:32:17","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63811"},"modified":"2026-05-03T22:32:17","modified_gmt":"2026-05-03T20:32:17","slug":"prevence-nestaci-vcasne-zahajeni-lecby-je-priorita-vzp-spousti-pilotni-program-zamereny-na-casny-zachyt-a-lecbu-pacientu-s-chronickym-onemocnenim-ledvin","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63811","title":{"rendered":"Prevence nesta\u010d\u00ed, v\u010dasn\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby je priorita. VZP spou\u0161t\u00ed pilotn\u00ed program zam\u011b\u0159en\u00fd na \u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dbu pacient\u016f s chronick\u00fdm onemocn\u011bn\u00edm ledvin"},"content":{"rendered":"\n<p><strong>V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna ve spolupr\u00e1ci se v\u0161eobecn\u00fdmi praktick\u00fdmi l\u00e9ka\u0159i a nefrology spou\u0161t\u00ed 1. kv\u011btna pilotn\u00ed projekt zam\u011b\u0159en\u00fd na \u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dbu pacient\u016f s chronick\u00fdm onemocn\u011bn\u00edm ledvin. To se \u010dasto vyskytuje ve spojen\u00ed s diabetem, hypertenz\u00ed a dal\u0161\u00edmi civiliza\u010dn\u00edmi chorobami. Chronick\u00e9 onemocn\u011bn\u00ed ledvin se \u0159ad\u00ed mezi progresivn\u00ed onemocn\u011bn\u00ed a&nbsp;je spojen\u00e9 s \u0159adou komplikac\u00ed. V kone\u010dn\u00e9m st\u00e1diu m\u016f\u017ee skon\u010dit dial\u00fdzou nebo transplantac\u00ed.<\/strong><\/p>\n\n\n\n<p>\u201eV pilotn\u00edm projektu, kter\u00fd potrv\u00e1 do konce roku 2027, V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna otestuje zaveden\u00ed tzv. integrovan\u00e9 multidisciplin\u00e1rn\u00ed p\u00e9\u010de o pacienty s chronick\u00fdm onemocn\u011bn\u00edm ledvin. Prakti\u010dt\u00ed l\u00e9ka\u0159i budou moci u rizikov\u00fdch pacient\u016f prost\u0159ednictv\u00edm telemedic\u00edny konzultovat l\u00e9\u010dbu s&nbsp;nefrology z konzili\u00e1rn\u00edho t\u00fdmu, kte\u0159\u00ed na z\u00e1klad\u011b poskytnut\u00fdch \u00fadaj\u016f sestav\u00ed adekv\u00e1tn\u00ed l\u00e9\u010debn\u00fd pl\u00e1n. \u201eS&nbsp;v\u00fdsledky vy\u0161et\u0159en\u00ed tedy nebudou ob\u00edhat ordinace pacienti, ale pouze jejich data. To by m\u011blo p\u0159isp\u011bt k v\u010dasn\u00e9mu nastaven\u00ed a zah\u00e1jen\u00ed l\u00e9\u010dby, co\u017e je pro zvr\u00e1cen\u00ed progrese onemocn\u011bn\u00ed st\u011b\u017eejn\u00ed,\u201c \u0159\u00edk\u00e1&nbsp;<strong>Miroslav Jank\u016fj<\/strong>, pov\u011b\u0159en\u00fd n\u00e1m\u011bstek \u0159editele VZP pro zdravotn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n<p>Konzultace budou v pilotn\u00edm projektu poskytovat nefrologov\u00e9 z Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM). P\u0159ednosta Transplanta\u010dn\u00edho centra a Kliniky nefrologie IKEM&nbsp;<strong>prof. MUDr. Ond\u0159ej Viklick\u00fd, CSc.<\/strong>, dopl\u0148uje, \u017ee hlavn\u00edm probl\u00e9mem je kapacita nefrologick\u00fdch ambulanc\u00ed. K uspokojen\u00ed popt\u00e1vky po vy\u0161et\u0159en\u00edch v r\u00e1mci preventivn\u00edch prohl\u00eddek, kdy bude nov\u011b zji\u0161t\u011bno chronick\u00e9 onemocn\u011bn\u00ed ledvin, je nepochybn\u011b nedostate\u010dn\u00e1. Proto pilotn\u00ed projekt VZP po\u010d\u00edt\u00e1 s vytvo\u0159en\u00edm syst\u00e9mu telemedic\u00ednsk\u00fdch konzultac\u00ed mezi praktick\u00fdmi l\u00e9ka\u0159i a nefrology.<\/p>\n\n\n\n<p>V p\u0159\u00edpad\u011b zhor\u0161en\u00ed sledovan\u00fdch ukazatel\u016f nebo zachycen\u00ed nemoci ji\u017e v pokro\u010dilej\u0161\u00edm st\u00e1diu budou pacienti po konzultac\u00ed s konzili\u00e1rn\u00edm t\u00fdmem odesl\u00e1ni do nefrologick\u00e9 ambulance.<\/p>\n\n\n\n<p><em>\u201eP\u0159edpokl\u00e1d\u00e1me, \u017ee preventivn\u00ed vy\u0161et\u0159en\u00ed zam\u011b\u0159en\u00e9 na zhodnocen\u00ed funkce ledvin absolvuje zhruba 12&nbsp;tis\u00edc klient\u016f VZP. P\u0159i pr\u016fb\u011b\u017en\u00e9m vyhodnocov\u00e1n\u00ed projektu, je\u017e prob\u011bhne v \u010dervenci 2027, budeme posuzovat nejenom \u010detnost z\u00e1chytu onemocn\u011bn\u00ed, ale i v\u010dasnost konzultace praktick\u00e9ho l\u00e9ka\u0159e s&nbsp;konzili\u00e1rn\u00edm t\u00fdmem, nasazen\u00ed l\u00e9\u010dby a rychlost p\u0159evzet\u00ed pacienta do p\u00e9\u010de nefrologem v p\u0159\u00edpad\u011b, \u017ee to bude \u017e\u00e1douc\u00ed,\u201c<\/em>&nbsp;dopl\u0148uje&nbsp;<strong>Miroslav Jank\u016fj<\/strong>. Do pilotn\u00edho projektu se zapoj\u00ed asi 200 v\u0161eobecn\u011b praktick\u00fdch l\u00e9ka\u0159\u016f.<\/p>\n\n\n\n<p><em>\u201eJedn\u00edm z hlavn\u00edch c\u00edl\u016f programu je umo\u017en\u011bn\u00ed preskripce inovativn\u00ed renoprotektivn\u00ed terapie praktick\u00fdm l\u00e9ka\u0159\u016fm. Ale i pot\u00e9, co budou prakti\u010dt\u00ed l\u00e9ka\u0159i moci ps\u00e1t v\u0161echny nefroprotektivn\u00ed l\u00e9ky bez omezen\u00ed, z\u016fstane vytvo\u0159en\u00e1 platforma p\u00e1te\u0159\u00ed komunikace pro telemedic\u00ednskou konzultaci mezi praktick\u00fdmi l\u00e9ka\u0159i a vyt\u00ed\u017een\u00fdmi odborn\u00fdmi l\u00e9ka\u0159i, a to nejenom nefrology,\u201c<\/em>&nbsp;\u0159\u00edk\u00e1&nbsp;<strong>prof. Viklick\u00fd<\/strong>.<\/p>\n\n\n\n<p>Lid\u00e9 star\u0161\u00ed 50 let absolvuj\u00ed nov\u011b v r\u00e1mci preventivn\u00ed prohl\u00eddky u praktick\u00e9ho l\u00e9ka\u0159e ve dvoulet\u00fdch intervalech laboratorn\u00ed vy\u0161et\u0159en\u00ed funkce ledvin. Toto vy\u0161et\u0159en\u00ed pak bez ohledu na v\u011bk podstupuj\u00ed jedenkr\u00e1t ro\u010dn\u011b tak\u00e9 pacienti trp\u00edc\u00ed diabetem, vysok\u00fdm krevn\u00edm tlakem nebo kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm, z\u00e1rove\u0148 je sou\u010d\u00e1st\u00ed i vstupn\u00edch preventivn\u00edch prohl\u00eddek a\u0165 u\u017e z d\u016fvodu p\u0159echodu od pediatra nebo zm\u011bny registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e.&nbsp;<em>\u201eV\u010dasn\u00fd z\u00e1chyt nemoci je samoz\u0159ejm\u011b d\u016fle\u017eit\u00fd, pro n\u00e1s je ale nem\u00e9n\u011b z\u00e1sadn\u00ed zajistit pro na\u0161e klienty v co nejkrat\u0161\u00edm \u010dasov\u00e9m intervalu i adekv\u00e1tn\u00ed l\u00e9\u010dbu. Chceme zabr\u00e1nit tomu, aby pacienti n\u00e1sledn\u011b bloudili syst\u00e9mem \u010di se jim v d\u016fsledku nezaji\u0161t\u011bn\u00ed l\u00e9\u010dby nemoc zhor\u0161ila,\u201c<\/em>&nbsp;\u0159\u00edk\u00e1&nbsp;<strong>Miroslav Jank\u016fj<\/strong>.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.vzp.cz\/pojistenci\/prevence\/nemoci\/chronicke-onemocneni-ledvin\"><strong>Chronick\u00e9 onemocn\u011bn\u00ed ledvin<\/strong><\/a>&nbsp;je spojeno se zv\u00fd\u0161en\u00fdm rizikem kardiovaskul\u00e1rn\u00edch komplikac\u00ed, jako je infarkt, mrtvice, srde\u010dn\u00ed selh\u00e1n\u00ed nebo kardiovaskul\u00e1rn\u00ed \u00famrt\u00ed, se zv\u00fd\u0161en\u00fdm rizikem hospitalizac\u00ed a mnoha komplikacemi, jako jsou infekce, an\u00e9mie nebo porucha kostn\u00edho metabolismu. Je tedy hrozbou jak pro zdrav\u00ed populace, tak pro zna\u010dnou budouc\u00ed ekonomickou z\u00e1t\u011b\u017e zdravotn\u00edho syst\u00e9mu. V tuto chv\u00edli se o\u010dek\u00e1v\u00e1, \u017ee se b\u011bhem patn\u00e1cti let stane p\u00e1tou nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed pacient\u016f. I proto VZP p\u0159ich\u00e1z\u00ed s pilotn\u00edm programem zam\u011b\u0159en\u00fdm na \u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dbu chronick\u00e9ho onemocn\u011bn\u00ed ledvin.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna ve spolupr\u00e1ci se v\u0161eobecn\u00fdmi praktick\u00fdmi l\u00e9ka\u0159i a nefrology spou\u0161t\u00ed 1. kv\u011btna pilotn\u00ed projekt zam\u011b\u0159en\u00fd na \u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dbu pacient\u016f s chronick\u00fdm <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=63811\" title=\"Prevence nesta\u010d\u00ed, v\u010dasn\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby je priorita. VZP spou\u0161t\u00ed pilotn\u00ed program zam\u011b\u0159en\u00fd na \u010dasn\u00fd z\u00e1chyt a l\u00e9\u010dbu pacient\u016f s chronick\u00fdm onemocn\u011bn\u00edm ledvin\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61847,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-63811","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\/63811","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=63811"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63811\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61847"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}