{"id":3587,"date":"2013-02-12T10:04:40","date_gmt":"2013-02-12T09:04:40","guid":{"rendered":"http:\/\/www.ladislavjakl.cz\/?p=3587"},"modified":"2013-02-12T10:04:40","modified_gmt":"2013-02-12T09:04:40","slug":"novinky-ve-zdravotnictvi-min-luzek-organy-%e2%80%9ez-dovozu%e2%80%9c-lecebne-konopi%e2%80%a6-co-prijde-dal","status":"publish","type":"post","link":"https:\/\/www.ladislavjakl.cz\/?p=3587","title":{"rendered":"Novinky ve zdravotnictv\u00ed: m\u00ed\u0148 l\u016f\u017eek, org\u00e1ny \u201ez dovozu\u201c, l\u00e9\u010debn\u00e9 konop\u00ed\u2026 Co p\u0159ijde d\u00e1l?"},"content":{"rendered":"

Zdrav\u00ed si za pen\u00edze nekoup\u00ed\u0161\u2026 Ale bez pen\u011bz t\u011b nikdo nebude uzdravovat. A pr\u00e1v\u011b proto v\u00e1m Pen\u00edze.cz p\u0159in\u00e1\u0161ej\u00ed p\u0159ehled novinek, kter\u00e9 n\u00e1s v oblasti zdravotnictv\u00ed \u010dekaj\u00ed. Ministr Heger m\u00e1 odv\u00e1\u017en\u00e9 vize: znovu tla\u010d\u00ed na \u00fapln\u00fd z\u00e1kaz kou\u0159en\u00ed v restaurac\u00edch a chce v hospod\u00e1ch povinn\u011b aspo\u0148 jedno nealko levn\u011bj\u0161\u00ed ne\u017e pivo.<\/p>\n

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P\u0159in\u00e1\u0161\u00edme p\u0159ehled novinek ve zdravotnictv\u00ed: t\u011bch, kter\u00e9 n\u00e1s letos jistojist\u011b neminou, i t\u011bch, kter\u00e9 chyst\u00e1 ministr zdravotnictv\u00ed Leo\u0161 Heger do budoucna a kter\u00e9 taky m\u016f\u017eou z\u016fstat jen jeho p\u0159\u00e1n\u00edm.<\/p>\n

Zmiz\u00ed \u0161est tis\u00edc nemocni\u010dn\u00edch l\u016f\u017eek<\/strong><\/p>\n

Za\u010dn\u011bme t\u00edm, co je jasn\u00e9 u\u017e te\u010f. Ve zdravotnictv\u00ed se bude i v\u00a0roce 2013 \u0161et\u0159it. \u0160krtat se budou p\u0159edev\u0161\u00edm nemocni\u010dn\u00ed l\u016f\u017eka \u2013 zdravotn\u00ed poji\u0161\u0165ovny rozhodly, \u017ee v\u00a0pr\u016fb\u011bhu leto\u0161n\u00edho roku jich z\u00a0 nemocnic zmiz\u00ed zhruba \u0161est tis\u00edc. Dvan\u00e1ct nemocnic v\u00a0pr\u016fb\u011bhu roku p\u0159estane akutn\u00ed l\u016f\u017ekovou p\u00e9\u010di \u00fapln\u011b nab\u00edzet. Konkr\u00e9tn\u011b jde o \u0161pit\u00e1ly v\u00a0Ti\u0161nov\u011b, Sedl\u010danech, Duchov\u011b, Tanvaldu, Hustope\u010d\u00edch, Sedl\u010danech,\u00a0plze\u0148skou Nemocnici u Sv. Ji\u0159\u00ed, kladenskou P-P kliniku, PP Hospital v\u00a0Brnyd\u00fdse, kardiologii na Bulovce, pra\u017esk\u00e9 GynCentrum a centrum Iscare. Po \u201eze\u0161t\u00edhlovac\u00ed k\u016f\u0159e\u201c m\u00e1 z\u016fstat v\u00a0\u010desk\u00fdch \u0161pit\u00e1lech asi pades\u00e1t tis\u00edc l\u016f\u017eek. Podle ministerstva zdravotnictv\u00ed je to po\u0159\u00e1d dost na to, aby zdravotn\u00ed p\u00e9\u010de v\u00a0\u010cesku nebyla ohro\u017eena.<\/p>\n

Ke gynekologovi za 35 minut<\/strong><\/p>\n

Zm\u011bny prod\u011blaly od prvn\u00edho ledna tak\u00e9 \u201edojezdov\u00e9 doby\u201c \u2013 kter\u00e9 v\u00a0\u010cesku plat\u00ed za jedno z\u00a0krit\u00e9ri\u00ed dostupnosti zdravotn\u00ed p\u00e9\u010de. Jednodu\u0161e \u0159e\u010deno: vyjad\u0159uj\u00ed maxim\u00e1ln\u00ed \u010das, za kter\u00fd se autem nebo hromadn\u00fdm dopravn\u00edm prost\u0159edkem mus\u00edte b\u00fdt schopni dostat k\u00a0doktorovi. K\u00a0praktick\u00e9mu a d\u011btsk\u00e9mu l\u00e9ka\u0159i, k\u00a0zuba\u0159i, gynekologovi a do l\u00e9k\u00e1rny se letos mus\u00edte b\u00fdt schopni dostat autem do p\u016fl hodiny a p\u011bti minut. Na urologii, chirurgii, fyzioterapii nebo na rentgen byste to m\u011bli m\u00edt maxim\u00e1ln\u011b t\u0159i \u010dtvrt\u011b hodiny. Na psychiatrii nanejv\u00fd\u0161 hodinu. A na plastiku dvakr\u00e1t tolik. Podrobn\u011bj\u0161\u00ed informace o dal\u0161\u00edch specializac\u00edch \u2013 v\u010detn\u011b l\u016f\u017ekov\u00e9 p\u00e9\u010de \u2013 najdete v\u00a0boxu.<\/p>\n

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Maxim\u00e1ln\u00ed dojezdov\u00e1 doba<\/strong><\/p>\n

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– ambulantn\u00ed p\u00e9\u010de<\/p>\n\n\n\n\n\n\n\n\n
dojezdov\u00e1 doba<\/td>\nobor nebo slu\u017eba<\/td>\n<\/tr>\n
35 min<\/td>\npraktick\u00fd l\u00e9ka\u0159, v\u010detn\u011b d\u011btsk\u00fdch, gynekologie a porodnictv\u00ed, zuba\u0159, l\u00e9k\u00e1rna<\/td>\n<\/tr>\n
45 min<\/td>\ndiabetolog, chirurg, urolog, neurolog, o\u010dn\u00ed, kr\u010dn\u00ed, u\u0161n\u00ed, ortoped, radiolog, ultrazvuk, rentgen, skiagrafie, rehabilitace, fyzioterapie, vnit\u0159n\u00ed l\u00e9ka\u0159stv\u00ed<\/td>\n<\/tr>\n
60 min<\/td>\ngastroenterolog, kardiolog, pneumolog a ftizeolog, hematologie a transf\u00fazn\u00ed l\u00e9ka\u0159stv\u00ed, revmatolog, hemodial\u00fdza, psychiatri, psycholog, logoped, dermatovenerolog<\/td>\n<\/tr>\n
90 min<\/td>\nalergologie a klinick\u00e1 imunologie, angiolog, endokrinolog, klinick\u00fd nefrolog, d\u011btsk\u00e1 onkologie, d\u011btsk\u00e1 a dorostov\u00e1 chirurgie, d\u011btsk\u00e1 psychiatrie, d\u011btsk\u00e1 neurologie, ortodoncie, po\u010d\u00edta\u010dov\u00e1 tomografie<\/td>\n<\/tr>\n
120 min<\/td>\nd\u011btsk\u00e1 gynekologie, foniatrie a audiologie, radia\u010dn\u00ed onkologie magnetick\u00e1 rezonance, nukle\u00e1rn\u00ed medic\u00edna, kardiochirurg, neurochirurg, c\u00e9vn\u00ed chirurgie, infek\u010dn\u00ed l\u00e9ka\u0159stv\u00ed, l\u00e9ka\u0159sk\u00e1 genetika, plastick\u00fd chirurg, geriatr, sexuolog<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

– l\u016f\u017ekov\u00e1 p\u00e9\u010de<\/strong><\/p>\n\n\n\n\n\n\n\n
dojezdov\u00e1 doba<\/td>\nobor nebo slu\u017eba<\/td>\n<\/tr>\n
60 min<\/td>\nanesteziologie a intenzivn\u00ed medic\u00edna, gynekologie a porodnictv\u00ed, neonatologie, d\u011btsk\u00e9 l\u00e9ka\u0159stv\u00ed, chirurgie, vnit\u0159n\u00ed l\u00e9ka\u0159stv\u00ed, dlouhodob\u00e1 p\u00e9\u010de (o\u0161et\u0159ovatelsk\u00e1 p\u00e9\u010de)<\/td>\n<\/tr>\n
75 min<\/td>\nneurologie, ortopedie, pneumologie a ftizeologie, rehabilita\u010dn\u00ed a fyzik\u00e1ln\u00ed medic\u00edna (akutn\u00ed l\u016f\u017ekov\u00e1 p\u00e9\u010de), urologie<\/td>\n<\/tr>\n
120 min<\/td>\ntraumatologie, klinick\u00e1 onkologie, dermatovenerologie, infek\u010dn\u00ed l\u00e9ka\u0159stv\u00ed, oftalmologie, o\u010dn\u00ed, u\u0161n\u00ed, kr\u010dn\u00ed, psychiatrie, n\u00e1sledn\u00e1 l\u016f\u017ekov\u00e1 p\u00e9\u010de (l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de)<\/td>\n<\/tr>\n
180 min<\/td>\nkardiochirurgie, neurochirurgie, c\u00e9vn\u00ed chirurgie, radia\u010dn\u00ed onkologie, geriatrie<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n
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Maxim\u00e1ln\u00ed \u010dekac\u00ed doba<\/strong><\/p>\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n
N\u00e1hrada ky\u010deln\u00edho kloubu<\/td>\n52 t\u00fddn\u016f<\/td>\n<\/tr>\n
N\u00e1hrada kolenn\u00edho kloubu<\/td>\n52 t\u00fddn\u016f<\/td>\n<\/tr>\n
Operace \u0161ed\u00e9ho z\u00e1kalu<\/td>\n30 t\u00fddn\u016f<\/td>\n<\/tr>\n
Echokardiografie<\/td>\n10 t\u00fddn\u016f<\/td>\n<\/tr>\n
Artroskopie<\/td>\n8 t\u00fddn\u016f<\/td>\n<\/tr>\n
Angiografie nekoron\u00e1rn\u00edch tepen<\/td>\n8 t\u00fddn\u016f<\/td>\n<\/tr>\n
Mamografick\u00e9 vy\u0161et\u0159en\u00ed<\/td>\n6 t\u00fddn\u016f<\/td>\n<\/tr>\n
Magnetick\u00e1 rezonance<\/td>\n5 t\u00fddn\u016f<\/td>\n<\/tr>\n
Endoskopie<\/td>\n4 t\u00fddny<\/td>\n<\/tr>\n
Po\u010d\u00edta\u010dov\u00e1 tomografie<\/td>\n3 t\u00fddny<\/td>\n<\/tr>\n
Skiagrafie a sonografie<\/td>\n2 t\u00fddny<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n

\u010cekac\u00ed lh\u016fty na operace dostaly strop<\/strong><\/p>\n

Jasn\u011b stanoven\u00fd limit dostaly od prvn\u00edho ledna poprv\u00e9 tak\u00e9 \u010dekac\u00ed doby na operace \u2013 t\u00fdk\u00e1 se to ov\u0161em jen vybran\u00fdch z\u00e1krok\u016f. Tak nap\u0159\u00edklad \u2013 na n\u00e1hradu ky\u010deln\u00edho kloubu nesm\u00edte \u010dekat d\u00e9le ne\u017e pades\u00e1t dva t\u00fddn\u016f. Na odstran\u011bn\u00ed \u0161ed\u00e9ho z\u00e1kalu t\u0159icet t\u00fddn\u016f a na sonografick\u00e9 vy\u0161et\u0159en\u00ed maxim\u00e1ln\u011b \u010dtrn\u00e1ct dn\u00ed. Tabulku dal\u0161\u00edch maxim\u00e1ln\u00edch \u010dekac\u00edch dob najdete v boxu vpravo. P\u0159\u00edli\u0161 se v\u0161ak neradujte, prozat\u00edmn\u00ed zpr\u00e1vy z nemocnic \u0159\u00edkaj\u00ed, \u017ee teorie je v\u011bc jedna, praxe druh\u00e1. Nemocnice tvrd\u00ed, \u017ee na dodr\u017een\u00ed stanoven\u00fdch lh\u016ft jim chyb\u011bj\u00ed pen\u00edze od poji\u0161\u0165oven. V mnoha \u0161pit\u00e1lech se tak pacienti mus\u00ed nad\u00e1le obr\u0148ovat trp\u011blivost\u00ed \u2013 v\u00fdjimkou pr\u00fd nen\u00ed ani \u010dekat na ky\u010deln\u00ed kloub t\u0159i roky.<\/p>\n

Pr\u00e1ce na dohodu po roce op\u011bt bez vstupn\u00ed prohl\u00eddky<\/strong><\/p>\n

Od dubnalo\u0148sk\u00e9ho roku byly povinn\u00e9 vstupn\u00ed l\u00e9ka\u0159sk\u00e9 prohl\u00eddky i u \u201eprac\u00ed na dohodu\u201c \u2013 tedy dohodu o pracovn\u00ed \u010dinnosti a dohodu o proveden\u00ed pr\u00e1ce. Tato povinnost se ov\u0161em rok pot\u00e9 \u2013 \u010dili v dubnu 2013 \u2013 zase ru\u0161\u00ed. V\u00fdjimkou jsou pouze pr\u00e1ce ve zdravotn\u011b z\u00e1vadn\u00e9m prost\u0159ed\u00ed \u2013 zde se vstupn\u00ed l\u00e9ka\u0159sk\u00e9 prohl\u00eddce ani do budoucna nevyhnete.<\/p>\n

Konec povinn\u00e9ho souhlasu rodi\u010d\u016f<\/strong><\/p>\n

Loni vyprovokovalo velk\u00fd rozruch zaveden\u00ed povinn\u00e9ho souhlasu obou rodi\u010d\u016f s ka\u017ed\u00fdm l\u00e9ka\u0159sk\u00fdm z\u00e1krokem na d\u00edt\u011bti \u2013 a to v\u010detn\u011b nepovinn\u00fdch o\u010dkov\u00e1n\u00ed. Probl\u00e9my to p\u016fsobilo hlavn\u011b rodi\u010d\u016fm, kte\u0159\u00ed spolu ne\u017eij\u00ed. Nehled\u011b na ty, kte\u0159\u00ed o sob\u011b ani nev\u011bd\u00ed nebo se nem\u016f\u017eou vyst\u00e1t. Od dubna proto bude v\u0161echno jinak: l\u00e9ka\u0159\u016fm bude sta\u010dit souhlas d\u00edt\u011bte. Teprve pokud nebude dost vyzr\u00e1l\u00e9, aby se dok\u00e1zalo rozhodnout, dojde na n\u011bkter\u00e9ho z rodi\u010d\u016f \u2013 kter\u00fd ale bude moct zplnomocnit i prarodi\u010de nebo t\u0159eba ch\u016fvu. V akutn\u00edch p\u0159\u00edpadech pak bude moct rozhodnout l\u00e9ka\u0159 s\u00e1m. Pr\u00e1vo rodi\u010d\u016f na informace o l\u00e9\u010db\u011b d\u00edt\u011bte v\u0161ak z\u016fst\u00e1v\u00e1 nedot\u010deno.<\/p>\n

Org\u00e1ny \u201ez dovozu\u201c<\/strong><\/p>\n

Dal\u0161\u00ed leto\u0161n\u00ed novinku zav\u00e1d\u00ed novela transplanta\u010dn\u00edho z\u00e1kona, kter\u00e1 pr\u00e1v\u011b \u010dek\u00e1 na podpis prezidenta. \u010cesk\u00fdm pacient\u016fm by podle n\u00ed mohly b\u00fdt transplantov\u00e1ny org\u00e1ny i od cizinc\u016f, (v r\u00e1mci Evropsk\u00e9 unie), kte\u0159\u00ed u n\u00e1s zem\u0159ou. Pokud bude cizinec dr\u017eitelem d\u00e1rcovsk\u00e9 karty, bude to automaticky znamenat, \u017ee s d\u00e1rcovstv\u00edm souhlas\u00ed. V jin\u00fdch p\u0159\u00edpadech bude nejprve pot\u0159eba ov\u011b\u0159it (nap\u0159\u00edklad p\u0159es Koordina\u010dn\u00ed st\u0159edisko transplantac\u00ed), zda tento \u010dlov\u011bk d\u0159\u00edve nevyslovil s transplantac\u00ed v\u00fdslovn\u00fd nesouhlas (stejn\u011b jako p\u0159i d\u00e1rcovstv\u00ed od m\u00edstn\u00edch zem\u0159el\u00fdch toti\u017e plat\u00ed \u2013 \u017ee \u201eml\u010den\u00ed\u201c se v t\u00e9to situaci pova\u017euje za \u201eano\u201c). Nutn\u00e9 tak\u00e9 bude kontaktovat poz\u016fstal\u00e9.<\/p>\n

Poz\u016fstal\u00fdm po d\u00e1rc\u00edch org\u00e1n\u016f bude st\u00e1t tak\u00e9 p\u0159isp\u00edvat na poh\u0159eb \u2013 p\u011bt tis\u00edc korun. \u017dij\u00edc\u00edm d\u00e1rc\u016fm zase zajist\u00ed lep\u0161\u00ed komfort \u2013 uhrad\u00ed jim u\u0161lou mzdu. A to a\u017e ve v\u00fd\u0161i dvaceti \u010dty\u0159 tis\u00edc korun m\u011bs\u00ed\u010dn\u011b. V da\u0148ov\u00e9m p\u0159izn\u00e1n\u00ed nav\u00edc nov\u011b bude moct d\u00e1rce uplatnit odpo\u010ditatelnou polo\u017eku ve v\u00fd\u0161i dvaceti tis\u00edc.<\/p>\n

Konop\u00ed v apatyce koup\u00ed! Ale draze<\/strong><\/p>\n

Na konci ledna schv\u00e1lil Sen\u00e1t nov\u00fd z\u00e1kon o l\u00e9\u010divech. Posv\u011btil tak mo\u017enost, aby marihuana leg\u00e1ln\u011b slou\u017eila jako l\u00e9k. Konop\u00ed si lid\u00e9 budou moct kupovat v l\u00e9k\u00e1rn\u00e1ch \u2013 ov\u0161em pouze na elektronick\u00fd p\u0159edpis. Pacient si ho ov\u0161em bude pln\u011b hradit s\u00e1m, z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed se na n\u011bj p\u0159isp\u00edvat nebude \u2013 poji\u0161\u0165ovny jsou toti\u017e zat\u00edm proti. Odhaduje se, \u017ee m\u011bs\u00ed\u010dn\u00ed d\u00e1vka by nap\u0159\u00edklad pacienta s roztrou\u0161enou skler\u00f3zou nebo Parkinsonovou chorobou mohla vyj\u00edt a\u017e na deset tis\u00edc korun. Kritici upozor\u0148uj\u00ed, \u017ee neleg\u00e1ln\u00ed cestou lze marihuanu po\u0159\u00eddit podstatn\u011b levn\u011bji \u2013 a \u017ee ji tud\u00ed\u017e nemocn\u00ed budou vyu\u017e\u00edvat i nad\u00e1le sp\u00ed\u0161.<\/p>\n

Dohled nad dovozem a distribuc\u00ed konop\u00ed bude m\u00edt jako u jin\u00fdch l\u00e9\u010div na starosti St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div \u2013 kter\u00fd bude tak\u00e9 vyd\u00e1vat licence tuzemsk\u00fdch p\u011bstitel\u016fm.<\/p>\n

Tolik k novink\u00e1m, o kter\u00fdch je pro leto\u0161n\u00ed rok u\u017e v\u00edce m\u00e9n\u011b jasno. Te\u010f se poj\u010fme pod\u00edvat do vzd\u00e1len\u011bj\u0161\u00ed budoucnosti. Za\u010d\u00e1tkem ledna ministr Heger p\u0159edstavil n\u00e1vrh nov\u00e9ho z\u00e1kona o ochran\u011b p\u0159ed \u0161kodami p\u016fsoben\u00fdmi n\u00e1vykov\u00fdmi l\u00e1tkami. A najde se v n\u011bm leccos zaj\u00edmav\u00e9ho.<\/p>\n

Co n\u00e1s \u010dek\u00e1 d\u00e1l?<\/strong><\/p>\n

\u201eC\u00edlem tohoto nov\u00e9ho z\u00e1kona je dal\u0161\u00ed pos\u00edlen\u00ed ochrany ve\u0159ejn\u00e9ho zdrav\u00ed, zejm\u00e9na u d\u011bt\u00ed a mladistv\u00fdch. Ob\u010dan\u00e9 by se tak mohli do\u010dkat zaveden\u00ed \u00fapln\u00e9ho z\u00e1kazu kou\u0159en\u00ed na dal\u0161\u00edch typech m\u00edst \u010di v\u00fdrazn\u00e9ho omezen\u00ed dostupnosti alkoholu pro d\u011bti a ml\u00e1de\u017e. Z\u00e1kon rovn\u011b\u017e zkvalit\u0148uje pr\u00e1vn\u00ed r\u00e1mec vedouc\u00ed k zefektivn\u011bn\u00ed vymahatelnosti jeho dodr\u017eov\u00e1n\u00ed. N\u00e1vrh z\u00e1kona se nach\u00e1z\u00ed v po\u010d\u00e1te\u010dn\u00ed f\u00e1zi legislativn\u00edho procesu, po \u0159\u00e1dn\u00e9m p\u0159ipom\u00ednkov\u00e9m \u0159\u00edzen\u00ed bude p\u0159edlo\u017een vl\u00e1d\u011b \u010cR,\u201c ozn\u00e1milo Ministerstvo zdravotnictv\u00ed. A o\u010d vlastn\u011b kr\u00e1\u010d\u00ed? P\u0159ehled n\u00e1vrh\u016f ministra Hegera pro p\u0159\u00ed\u0161t\u00ed rok p\u0159in\u00e1\u0161\u00edme aspo\u0148 stru\u010dn\u011b:<\/p>\n