V \u010cesk\u00e9 republice je v posledn\u00ed dob\u011b patrn\u00e9 zrychlen\u00e9 \u0161\u00ed\u0159en\u00ed virov\u00e9 hepatitidy A, zn\u00e1m\u00e9 tak\u00e9 jako infek\u010dn\u00ed \u017eloutenka nebo nemoc \u0161pinav\u00fdch rukou. Podle informac\u00ed St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu (SZ\u00da) bylo letos do 28. b\u0159ezna evidov\u00e1no 320 p\u0159\u00edpad\u016f onemocn\u011bn\u00ed, co\u017e p\u0159edstavuje v\u00edce ne\u017e polovinu celkov\u00e9ho po\u010dtu infikovan\u00fdch za cel\u00fd lo\u0148sk\u00fd rok. Tento alarmuj\u00edc\u00ed trend p\u0159im\u011bl odborn\u00edky k vyd\u00e1n\u00ed doporu\u010den\u00ed zam\u011b\u0159en\u00e9ho na prevenci jak doma, tak p\u0159i cestov\u00e1n\u00ed do zahrani\u010d\u00ed.<\/p>\n\n\n\n
Podle \u0161\u00e9fa Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f Petra \u0160onky lid\u00e9, kte\u0159\u00ed nemaj\u00ed praktick\u00e9ho l\u00e9ka\u0159e, \u010dasto vyhled\u00e1vaj\u00ed p\u00e9\u010di na pohotovostech nebo u specialist\u016f, co\u017e prodra\u017euje cel\u00fd syst\u00e9m zdravotn\u00ed p\u00e9\u010de. V \u010cesku je aktu\u00e1ln\u011b aktivn\u00edch p\u0159ibli\u017en\u011b 5 000 ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro dosp\u011bl\u00e9, av\u0161ak vzhledem ke st\u00e1rnut\u00ed populace bude v p\u0159\u00ed\u0161t\u00edch deseti letech pot\u0159eba o p\u011btinu v\u00edce praktick\u00fdch l\u00e9ka\u0159\u016f. U d\u011btsk\u00fdch praktik\u016f je situace obdobn\u00e1 \u2013 dnes jich je asi 2 000 a p\u0159ibli\u017en\u011b 130 000 d\u011bt\u00ed nen\u00ed registrov\u00e1no u \u017e\u00e1dn\u00e9ho z nich.<\/p>\n\n\n\n
„V ide\u00e1ln\u00edm p\u0159\u00edpad\u011b by m\u011bl praktick\u00fd l\u00e9ka\u0159 b\u00fdt schopen vy\u0159e\u0161it p\u0159ev\u00e1\u017enou \u010d\u00e1st zdravotn\u00edch probl\u00e9m\u016f pacient\u016f a nasm\u011brovat je spr\u00e1vn\u011b v syst\u00e9mu, aby se nach\u00e1zeli ve spr\u00e1vn\u00e9m ordina\u010dn\u00edm prost\u0159ed\u00ed,“ uvedl \u0160onka. V sou\u010dasnosti v\u0161ak s\u00ed\u0165 ordinac\u00ed nen\u00ed dostate\u010dn\u011b rozs\u00e1hl\u00e1, aby pokryla vzr\u016fstaj\u00edc\u00ed popt\u00e1vku. Je tak\u00e9 nezbytn\u00e9 zam\u011b\u0159it se na lidi, kte\u0159\u00ed si mysl\u00ed, \u017ee registrace u praktick\u00e9ho l\u00e9ka\u0159e nen\u00ed pot\u0159eba. Podle \u0160onky je probl\u00e9m, \u017ee do syst\u00e9mu vstupuj\u00ed s chaotick\u00fdm p\u0159\u00edstupem, co\u017e vede k vy\u0161\u0161\u00edm n\u00e1klad\u016fm.<\/p>\n\n\n\n
Praktick\u00fd l\u00e9ka\u0159 by m\u011bl v ide\u00e1ln\u00edm p\u0159\u00edpad\u011b \u0159e\u0161it 80 procent zdravotn\u00edch probl\u00e9m\u016f populace a ke sv\u00e9 \u010dinnosti pot\u0159ebovat pouze 15 procent z celkov\u00e9ho rozpo\u010dtu. Z dal\u0161\u00edch 40 procent by m\u011bly \u010derpat b\u011b\u017en\u00e9 nemocnice a ambulantn\u00ed l\u00e9ka\u0159i, zat\u00edmco specializovan\u00e1 zdravotnick\u00e1 centra pokr\u00fdvaj\u00ed pouh\u00fdch 5 procent p\u00e9\u010de.<\/p>\n\n\n\n
Podle aktu\u00e1ln\u00edch statistik odpov\u00edd\u00e1 leto\u0161n\u00ed rozpo\u010det ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed 528 miliard\u00e1m korun, z \u010deho\u017e 515 miliard korun je vyhrazeno p\u0159\u00edmo na zdravotn\u00ed p\u00e9\u010di. Na p\u00e9\u010di praktick\u00fdch l\u00e9ka\u0159\u016f je p\u0159itom ur\u010deno 30,7 miliardy korun, co\u017e p\u0159edstavuje m\u00e9n\u011b ne\u017e 6 procent celkov\u00e9ho rozpo\u010dtu.<\/p>\n\n\n\n
V r\u00e1mci kampan\u011b 11 milion\u016f d\u016fvod\u016f cht\u011bj\u00ed l\u00e9ka\u0159i represntovat specifick\u00e1 \u0159e\u0161en\u00ed pro jednotliv\u00e9 kraje, aby efektivn\u011b reagovali na st\u00e1le vzr\u016fstaj\u00edc\u00ed probl\u00e9m st\u00e1rnut\u00ed populace a zvy\u0161uj\u00edc\u00ed se prevalenci chronick\u00fdch onemocn\u011bn\u00ed. „T\u00edm, \u017ee navrhneme c\u00edlen\u00e1 opat\u0159en\u00ed, m\u016f\u017eeme prodlou\u017eit dobu \u017eivota pro\u017eit\u00e9ho ve zdrav\u00ed,“ zd\u016fraznil \u0160onka.<\/p>\n\n\n\n
Mezi navrhovan\u00e1 opat\u0159en\u00ed pat\u0159\u00ed tak\u00e9 vznik t\u00fdmov\u00fdch prax\u00ed, kde je zapojeno v\u00edce l\u00e9ka\u0159\u016f. Tyto praxe by m\u011bly poskytnout del\u0161\u00ed ordina\u010dn\u00ed hodiny a p\u0159isp\u011bt k efektivn\u011bj\u0161\u00edmu poskytov\u00e1n\u00ed prim\u00e1rn\u00ed p\u00e9\u010de. „Usilujeme o to, aby se do roku 2035 tento model stal standardn\u00edm zp\u016fsobem, jak\u00fdm bude prim\u00e1rn\u00ed p\u00e9\u010de poskytov\u00e1na,“ dodal \u0160onka s t\u00edm, \u017ee letos vzniklo ji\u017e 150 t\u00fdmov\u00fdch prax\u00ed.<\/p>\n\n\n\n
Co se t\u00fd\u010de prevence, \u0160onka uvedl, \u017ee v posledn\u00edch letech se poda\u0159ilo zv\u00fd\u0161it pod\u00edl lid\u00ed, kte\u0159\u00ed pravideln\u011b nav\u0161t\u011bvuj\u00ed preventivn\u00ed prohl\u00eddky, z 50 na 60 procent. Od \u010dervence by m\u011bla platit nov\u00e1 vyhl\u00e1\u0161ka, kter\u00e1 l\u00e9ka\u0159\u016fm umo\u017en\u00ed vy\u0161et\u0159it pacienty na v\u00edce laboratorn\u00edch parametrech a \u010dast\u011bji m\u011b\u0159it \u010dinnost srdce na EKG. „To podstatn\u011b p\u0159isp\u011bje k v\u010dasn\u00e9mu z\u00e1chytu chronick\u00fdch onemocn\u011bn\u00ed, jako jsou cukrovka nebo dislipid\u00e9mie,“ objasnil \u0160onka.<\/p>\n\n\n\n
Do budoucna se pl\u00e1nuje tak\u00e9 sd\u00edlen\u00ed v\u00fdsledk\u016f laboratorn\u00edch vy\u0161et\u0159en\u00ed mezi l\u00e9ka\u0159i, co\u017e m\u00e1 za c\u00edl eliminovat opakov\u00e1n\u00ed stejn\u00fdch test\u016f u pacient\u016f a p\u0159isp\u011bt tak k efektivn\u011bj\u0161\u00edmu vyu\u017e\u00edv\u00e1n\u00ed zdroj\u016f. „Tento krok by mohl p\u0159in\u00e9st v\u00fdznamn\u00e9 \u00faspory jak pro pacienty, tak pro cel\u00fd zdravotn\u00ed syst\u00e9m,“ dodal \u0160onka.<\/p>\n\n\n\n
Zvy\u0161uj\u00edc\u00ed se trend p\u0159\u00edpad\u016f \u017eloutenky typu A a dal\u0161\u00edch infek\u010dn\u00edch onemocn\u011bn\u00ed v posledn\u00edch letech ukazuje na nal\u00e9havou pot\u0159ebu zlep\u0161it hygienick\u00e9 standardy a preventivn\u00ed opat\u0159en\u00ed nap\u0159\u00ed\u010d \u010ceskou republikou. Hygienici i prakti\u010dt\u00ed l\u00e9ka\u0159i proto vyz\u00fdvaj\u00ed k o\u010dkov\u00e1n\u00ed, kter\u00e9 zaji\u0161\u0165uje dlouhodobou ochranu a pom\u016f\u017ee zabr\u00e1nit \u0161\u00ed\u0159en\u00ed nemoc\u00ed.<\/p>\n\n\n\n
Celkov\u011b se o\u010dek\u00e1v\u00e1, \u017ee s rostouc\u00edmi pot\u0159ebami populace a st\u00e1rnut\u00ed obyvatel bude nutn\u00e9 prov\u00e9st z\u00e1sadn\u00ed zm\u011bny ve zdravotnick\u00e9m syst\u00e9mu, aby mohl efektivn\u011b reagovat na m\u011bn\u00edc\u00ed se v\u00fdzvy. Praktick\u00e1 p\u00e9\u010de by m\u011bla hr\u00e1t kl\u00ed\u010dovou roli v tomto procesu, a proto je d\u016fle\u017eit\u00e9 investovat nejen do rozvoje ordinac\u00ed, ale tak\u00e9 do vzd\u011bl\u00e1v\u00e1n\u00ed a podpory zdravotnick\u00e9ho person\u00e1lu.<\/p>\n\n\n\n
Sn\u00ed\u017een\u00ed po\u010dtu lid\u00ed bez pravideln\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e je nezbytn\u00e9 pro zaji\u0161t\u011bn\u00ed kvality zdravotn\u00ed p\u00e9\u010de a minimalizaci preventabiln\u00edch probl\u00e9m\u016f. T\u00edmto sm\u011brem se mus\u00ed ub\u00edrat nejen \u010desk\u00fd zdravotnick\u00fd syst\u00e9m, ale i jeho legislativa a politika. Pokra\u010duj\u00edc\u00ed c\u00edle dostupnosti a kvality zdravotn\u00ed p\u00e9\u010de pro ka\u017ed\u00e9ho ob\u010dana jsou z\u00e1sadn\u00ed pro zdrav\u011bj\u0161\u00ed budoucnost cel\u00e9 spole\u010dnosti.<\/p>\n\n\n\n
Zdroj: \u010cTK<\/p>\n","protected":false},"excerpt":{"rendered":"
V \u010cesk\u00e9 republice je v posledn\u00ed dob\u011b patrn\u00e9 zrychlen\u00e9 \u0161\u00ed\u0159en\u00ed virov\u00e9 hepatitidy A, zn\u00e1m\u00e9 tak\u00e9 jako infek\u010dn\u00ed \u017eloutenka nebo nemoc \u0161pinav\u00fdch rukou. Podle informac\u00ed St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu (SZ\u00da) bylo letos do 28. b\u0159ezna evidov\u00e1no 320 …\u010d\u00edst d\u00e1le<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":282,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/posts\/281"}],"collection":[{"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/comments?post=281"}],"version-history":[{"count":1,"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/posts\/281\/revisions"}],"predecessor-version":[{"id":283,"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/posts\/281\/revisions\/283"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/media\/282"}],"wp:attachment":[{"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/media?parent=281"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/categories?post=281"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nasregion-ustecko.cz\/index.php\/wp-json\/wp\/v2\/tags?post=281"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}