{"id":76,"date":"2009-07-09T20:36:02","date_gmt":"2009-07-09T18:36:02","guid":{"rendered":"http:\/\/www.pacienti.cz\/?page_id=76"},"modified":"2017-03-16T01:31:56","modified_gmt":"2017-03-16T00:31:56","slug":"pacientsky-ombudsman","status":"publish","type":"page","link":"https:\/\/www.pacienti.cz\/?page_id=76","title":{"rendered":"Pacientsk\u00fd ombudsman"},"content":{"rendered":"<h1><span style=\"color: #800080;\"><strong><a href=\"https:\/\/www.pacienti.cz\/wp-content\/uploads\/2009\/07\/autonomy-298474__180.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-514 alignleft\" src=\"https:\/\/www.pacienti.cz\/wp-content\/uploads\/2009\/07\/autonomy-298474__180.jpg\" alt=\"autonomy-298474__180\" width=\"254\" height=\"180\" \/><\/a>Pacientsk\u00fd ombudsman v \u010cesk\u00e9 republice<\/strong><\/span><\/h1>\n<p><strong>\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Kvalita zdravotnick\u00fdch slu\u017eeb se v posledn\u00edch dvou a\u017e t\u0159ech desetilet\u00edch celosv\u011btov\u011b stala jednou z\u00a0priorit nejen z\u00a0hlediska v\u00fdzkumu, ale i praktick\u00e9 realizace ve zdravotnictv\u00ed. Jedn\u00edm z\u00a0v\u016fd\u010d\u00edch trend\u016f \u0159\u00edzen\u00ed zdravotnictv\u00ed je orientace na kvalitu poskytovan\u00e9 zdravotn\u00ed p\u00e9\u010de a na kvalitu vztah\u016f ve zdravotnictv\u00ed (Zdrav\u00ed\u00a0 pro v\u0161echny do roku 2000, Ljubla\u0148ska charta WHO z roku 1996, Zdrav\u00ed 21 \u2013 c\u00edl 16).<\/p>\n<p>Jedn\u00edm z\u00a0ukazatel\u016f kvality poskytovan\u00e9 p\u00e9\u010de je i m\u00edra autonomie pacienta, kter\u00e1 je definov\u00e1na jeho pr\u00e1vem na informace o nemoci a alternativn\u00edch l\u00e9\u010debn\u00fdch variant\u00e1ch, pr\u00e1vem konzultovat l\u00e9\u010dbu, povinnost\u00ed l\u00e9ka\u0159e m\u00edt pacient\u016fv informovan\u00fd souhlas v\u00a0kontextu testov\u00e1n\u00ed a l\u00e9\u010dby a pr\u00e1vem pacienta odm\u00edtnout l\u00e9\u010dbu (Silva, A., Valentine, N.,\u00a0 2001).<\/p>\n<p>Podm\u00ednky dal\u0161\u00edho rozvoje zaji\u0161\u0165ov\u00e1n\u00ed kvality\u00a0 zdravotnick\u00fdch slu\u017eeb jsou spat\u0159ov\u00e1ny mimo jin\u00e9 v p\u0159\u00edprav\u011b a implementaci program\u016f pro zvy\u0161ov\u00e1n\u00ed kvality, v\u00a0rozvoji n\u00e1stroj\u016f pro napln\u011bn\u00ed pr\u00e1v pacient\u016f (dostupnost, spravedlnost, informovanost, kvalita, svobodn\u00e1 volba poskytovatele slu\u017eeb ).<\/p>\n<p>Pro \u010ceskou republiku je v\u00a0tomto sm\u011bru v\u00fdznamn\u00fdm dokumentem <strong>\u00damluva na ochranu lidsk\u00fdch pr\u00e1v a d\u016fstojnosti lidsk\u00e9 bytosti<\/strong> v\u00a0souvislosti s\u00a0aplikac\u00ed biologie a medic\u00edny, kter\u00e1 vstoupila v\u00a0platnost 1. \u0159\u00edjna 2001.\u00a0\u00a0 Dle t\u00e9to \u00famluvy jsou smluvn\u00ed strany <u>\u201epovinny zajistit ka\u017ed\u00e9mu bez diskriminace \u00factu k\u00a0integrit\u011b jeho bytosti a ostatn\u00ed pr\u00e1va a z\u00e1kladn\u00ed svobody p\u0159i aplikaci biologie a medic\u00edny. Ka\u017ed\u00e1 smluvn\u00ed strana p\u0159ijme do sv\u00e9ho pr\u00e1vn\u00edho \u0159\u00e1du opat\u0159en\u00ed nezbytn\u00e1 pro zaji\u0161t\u011bn\u00ed \u00fa\u010dinnosti ustanoven\u00ed t\u00e9to \u00damluvy\u201c<\/u> (\u010dl.1 \u00damluvy).<\/p>\n<p>C\u00edlem je vytvo\u0159en\u00ed funk\u010dn\u00edho syst\u00e9mu vy\u0159izov\u00e1n\u00ed st\u00ed\u017enost\u00ed pacient\u016f, tak jak to p\u0159edpokl\u00e1d\u00e1 ji\u017e zmi\u0148ovan\u00e1 \u00damluva o lidsk\u00fdch pr\u00e1vech a biomedic\u00edn\u011b, tak\u00a0 i p\u016fvodn\u00ed n\u00e1vrh MZ &#8211; <u><strong>Koncepce p\u00e9\u010de o zdrav\u00ed v\u00a0\u010cR v\u00a0letech 2004 -2006<\/strong>:<\/u><\/p>\n<p style=\"padding-left: 30px;\"><em>&#8222;Nedo\u0159e\u0161enou oblast\u00ed z\u016fst\u00e1v\u00e1 vy\u0159izov\u00e1n\u00ed st\u00ed\u017enost\u00ed pacient\u016f, kter\u00e9 je pon\u011bkud paradoxn\u011b sv\u011b\u0159eno \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komo\u0159e. V\u00a0tomto sm\u011bru by bylo vhodn\u011bj\u0161\u00ed vytvo\u0159it nov\u00e9 n\u00e1stroje nap\u0159. pacientsk\u00fd ombudsman v\u00a0nemocnici a vy\u0159izov\u00e1n\u00ed st\u00ed\u017enost\u00ed v\u00a0oblasti ambulantn\u00edch slu\u017eeb s\u00a0pomoc\u00ed zdravotn\u00edch poji\u0161\u0165oven. V\u011bt\u0161ina p\u0159\u00ed\u010din st\u00ed\u017enost\u00ed tkv\u00ed v\u00a0komunika\u010dn\u00edch pot\u00ed\u017e\u00edch a je zn\u00e1mo, \u017ee je lze pom\u011brn\u011b rychle \u0159e\u0161it co nejbl\u00ed\u017ee a co nejrychleji m\u00edstu jejich vzniku. Prostor pro \u0159e\u0161en\u00ed t\u011bchto d\u016fle\u017eit\u00fdch krok\u016f ve v\u00fdvoji \u010desk\u00e9ho zdravotnick\u00e9ho pr\u00e1va je v\u00a0r\u00e1mci p\u0159ipravovan\u00e9ho n\u00e1vrhu z\u00e1kona o zdravotn\u00ed p\u00e9\u010di&#8220;<\/em> (n\u00e1vrh Koncepce p\u00e9\u010de o zdrav\u00ed, 7.11.2004, s. 46).<\/p>\n<p>&nbsp;<\/p>\n<p>Svaz pacient\u016f \u010cR ji\u017e n\u011bkolik let po\u017eaduje po ministerstvu zdravotnictv\u00ed z\u0159\u00edzen\u00ed <strong>CENTR\u00c1LN\u00cdHO REGISTRU ST\u00cd\u017dNOST\u00cd,<\/strong> \u017eel ze strany tohoto org\u00e1nu st\u00e1tn\u00ed spr\u00e1vy nen\u00ed \u017e\u00e1dn\u00e1 odezva.<\/p>\n<p>\u00da\u0159ad pacientsk\u00e9ho ombudsmana bude slou\u017eit k h\u00e1jen\u00ed pr\u00e1v a z\u00e1jm\u016f pacient\u016f ve vztahu k p\u00e9\u010di o zdrav\u00ed.\u00a0 Bezplatn\u00e9 slu\u017eby pacientsk\u00fdch ombudsman\u016f vyu\u017eij\u00ed zejm\u00e9na hospitalizovan\u00ed pacienti v\u00a0l\u016f\u017ekov\u00fdch zdravotnick\u00fdch za\u0159\u00edzen\u00edch, v\u010detn\u011b pacient\u016f hospitalizovan\u00fdch v\u00a0psychiatrick\u00fdch l\u00e9\u010debn\u00e1ch, jejich\u017e ochrana pr\u00e1v v\u00a0pr\u016fb\u011bhu l\u00e9\u010dby je velmi nedostate\u010dn\u00e1:<\/p>\n<p style=\"padding-left: 30px;\">&#8222;<em>V\u00a0mnoha p\u0159\u00edpadech lid\u00e9 s\u00a0psychick\u00fdmi probl\u00e9my nemaj\u00ed stejn\u00e9, rovn\u00e9 p\u0159\u00edle\u017eitosti pr\u00e1v\u011b v\u00a0d\u016fsledku takov\u00e9 diskriminace.\u00a0 Lidsk\u00e1 pr\u00e1va a d\u016fstojnost, \u00facta a respekt k\u00a0lidem, kte\u0159\u00ed trp\u00ed psychick\u00fdmi nemocemi, mus\u00ed b\u00fdt chr\u00e1n\u011bny. Probl\u00e9mem vy\u010dle\u0148ov\u00e1n\u00ed u\u017eivatel\u016f psychosoci\u00e1ln\u00edch slu\u017eeb, a\u0165 ji\u017e jsou v \u00fastavech \u010di instituc\u00edch, \u010di ve spole\u010dnosti, se mus\u00edme zab\u00fdvat v\u0161emi mo\u017en\u00fdmi zp\u016fsoby\u201c\u00a0\u00a0 <\/em>(Ak\u010dn\u00ed pl\u00e1n du\u0161evn\u00edho zdrav\u00ed pro Evropu, WHO, 14.1.2005).<\/p>\n<p>&nbsp;<\/p>\n<p>Z\u00e1kladn\u00edm \u00fakolem kancel\u00e1\u0159e pacientsk\u00e9ho ombudsmana bude \u0159e\u0161it jednotliv\u00e9 kauzy pacient\u016f. Pacient mus\u00ed po ukon\u010den\u00ed kauzy nab\u00fdt p\u0159esv\u011bd\u010den\u00ed, \u017ee v\u0161e, co bylo mo\u017en\u00e9 u\u010dinit v\u00a0jeho prosp\u011bch, bylo u\u010din\u011bno. Mus\u00ed b\u00fdt sezn\u00e1men se v\u0161emi pr\u00e1vn\u00edmi okolnostmi sv\u00e9ho p\u0159\u00edpadu a navr\u017een\u00fdmi \u0159e\u0161en\u00edmi.<\/p>\n<p>Jsme p\u0159esv\u011bd\u010deni, \u017ee institut\u00a0 pacientsk\u00e9ho ombudsmana, obdobn\u011b jako v\u00a0jin\u00fdch st\u00e1tech Evropsk\u00e9 unie, svou existenc\u00ed p\u0159isp\u011bje k\u00a0v\u011bt\u0161\u00ed spokojenosti pacient\u016f, zajist\u00ed ochranu jejich pr\u00e1v a z\u00e1jm\u016f a v neposledn\u00ed \u0159ad\u011b bude slou\u017eit k\u00a0zlep\u0161en\u00ed vztah\u016f mezi pacienty a zdravotnick\u00fdm person\u00e1lem, t\u00edm, \u017ee bude mediovat jejich vz\u00e1jemn\u00e1 nedorozum\u011bn\u00ed a spory.<\/p>\n<p>Proto jsme se i my ve Svazu pacient\u016f \u010cR rozhodli pro zalo\u017een\u00ed institutu pacientsk\u00fd ombudsman. Jako pr\u016fkopnici chceme p\u0159isp\u011bt k\u00a0zaveden\u00ed t\u00e9to pro pacienty pot\u0159ebn\u00e9 instituce. Snad to pom\u016f\u017ee k\u00a0uz\u00e1kon\u011bn\u00ed t\u00e9to instituce, aby provoz kancel\u00e1\u0159\u00ed pac. ombudsman\u016f v\u00a0kraj\u00edch hradily zdravotn\u00ed poji\u0161\u0165ovny nebo p\u0159\u00edmo st\u00e1tn\u00ed rozpo\u010det.<\/p>\n<p>&nbsp;<\/p>\n<p>Plze\u0148 9. \u010dervence 2009<\/p>\n<p><strong>Svaz pacient\u016f \u010cR<\/strong><\/p>\n<p>pacientsky.ombudsman@pacienti.cz<\/p>\n<p><a href=\"https:\/\/www.pacienti.cz\/\">www.pacienti.cz<\/a><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #ff0000;\"><b>\u00a7 27 Ombudsman pacient\u016f v\u00a0Norsku<a href=\"https:\/\/www.pacienti.cz\/wp-content\/uploads\/2009\/07\/right-597119__180.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-516 alignright\" src=\"https:\/\/www.pacienti.cz\/wp-content\/uploads\/2009\/07\/right-597119__180.jpg\" alt=\"right-597119__180\" width=\"191\" height=\"180\" \/><\/a><\/b><\/span><\/h3>\n<p><b>\u00a0<\/b><\/p>\n<ol>\n<li>Ombudsman pacient\u016f p\u016fsob\u00ed v\u00a0oblasti zaji\u0161\u0165ov\u00e1n\u00ed pr\u00e1v pacient\u016f, jejich z\u00e1jm\u016f a z\u00e1konn\u00fdch pr\u00e1v ve vztahu ke zdravotnick\u00fdm slu\u017eb\u00e1m a p\u0159isp\u00edv\u00e1 tak ke zvy\u0161ov\u00e1n\u00ed kvality zdravotnick\u00fdch slu\u017eeb.<\/li>\n<li>Ka\u017ed\u00fd region\u00e1ln\u00ed \u00fa\u0159ad ustav\u00ed ombudsmana pacient\u016f v\u00fdhradn\u011b pro oblast zdravotn\u00ed p\u00e9\u010de. Ombudsman vykon\u00e1v\u00e1 sv\u00e9 \u00fakoly nez\u00e1visle.<\/li>\n<li>Ombudsman pacient\u016f se uj\u00edm\u00e1 p\u0159\u00edpad\u016f t\u00fdkaj\u00edc\u00edch se poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de ve\u0159ejnosti, a to bu\u010f na \u00fastn\u00ed \u017e\u00e1dost nebo p\u00edsemnou \u017e\u00e1dost nebo z\u00a0vlastn\u00edho rozhodnut\u00ed.<\/li>\n<li>Ombudsmana pacient\u016f m\u016f\u017ee kontaktovat jak\u00e1koli osoba s\u00a0\u017e\u00e1dost\u00ed, aby se ujal ur\u010dit\u00e9ho p\u0159\u00edpadu. Osoby, kter\u00e9 se obracej\u00ed na ombudsmana pacient\u016f, tak mohou u\u010dinit anonymn\u011b.<\/li>\n<li>Ombudsman pacient\u016f s\u00e1m rozhodne, zda \u017e\u00e1dost je zalo\u017eena na d\u016fvodech oprav\u0148uj\u00edc\u00edch k\u00a0zah\u00e1jen\u00ed \u0159\u00edzen\u00ed. Pokud ombudsman rozhodne, \u017ee p\u0159\u00edpad nevy\u017eaduje \u0161et\u0159en\u00ed, osoba, je\u017e o \u0161et\u0159en\u00ed po\u017e\u00e1dala, bude informov\u00e1na v\u010detn\u011b vysv\u011btlen\u00ed d\u016fvod\u016f rozhodnut\u00ed.<\/li>\n<li>Ve\u0159ejn\u00e9 instituce i jin\u00e9 instituce, kter\u00e9 poskytuj\u00ed slu\u017eby ve\u0159ejnosti, poskytnou ombudsmanovi pot\u0159ebn\u00e9 informace v\u00a0souladu s\u00a0jeho \u00fakoly. Na pr\u00e1vo ombudsmana po\u017eadovat informace se p\u0159im\u011b\u0159en\u011b vztahuje z\u00e1kon o postupech v\u00a0ob\u010dansko-pr\u00e1vn\u00edm \u0159\u00edzen\u00ed.<\/li>\n<li>Ombudsman pacient\u016f mus\u00ed m\u00edt p\u0159\u00edstup do v\u0161ech budov, v\u00a0nich\u017e jsou poskytov\u00e1ny zdravotn\u00ed slu\u017eby ve\u0159ejnosti.<\/li>\n<li>V\u00a0p\u0159im\u011b\u0159en\u00e9 m\u00ed\u0159e ombudsman pacient\u016f poskytne ka\u017ed\u00e9mu, kdo o to po\u017e\u00e1d\u00e1, informace v\u00a0ot\u00e1zk\u00e1ch, je\u017e jsou sou\u010d\u00e1st\u00ed jeho p\u016fsoben\u00ed v\u00a0\u00fa\u0159adu.<\/li>\n<li>Ombudsman pacient\u016f je opr\u00e1vn\u011bn poskytovat sv\u016fj n\u00e1zor ve v\u011bcech, je\u017e spadaj\u00ed do jeho \u00fakol\u016f, a navrhovat konkr\u00e9tn\u00ed opat\u0159en\u00ed ke zlep\u0161en\u00ed. Ombudsman pacient\u016f ur\u010d\u00ed, ke kter\u00e9 instituci bude sm\u011brovat sv\u00e1 stanoviska.<\/li>\n<li>(\u2026)<\/li>\n<li>Ombudsman pacient\u016f mus\u00ed ozn\u00e1mit kontroln\u00edm (spr\u00e1vn\u00edm) \u00fa\u0159ad\u016fm, co je t\u0159eba kontrolovat.<\/li>\n<li>(\u2026)<\/li>\n<\/ol>\n<div><\/div>\n<div><\/div>\n<h4><strong>Pozn\u00e1mka:<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<p>Krom\u011b takov\u00fdchto ombudsman\u016f p\u016fsob\u00ed v\u00a0z\u00e1pad. zem\u00edch \u2013 skandin\u00e1vsk\u00fdch, Rakousku, Francii aj. \u2013 i zvl\u00e1\u0161tn\u00ed komise pro p\u0159ezkum st\u00ed\u017enost\u00ed pacient\u016f v\u010d. mimosoudn\u00ed mo\u017enosti od\u0161kodn\u011bn\u00ed pacienta.<\/p>\n<p>U pojet\u00ed ombudsman\u016f existuj\u00ed n\u011bkter\u00e9 d\u00edl\u010d\u00ed nuance mezi zem\u011bmi: nap\u0159. Ma\u010farsko v\u00a0oblasti zdravotn\u00ed p\u00e9\u010de definovalo \u010dinnost ombudsmana jen na v\u00fdslovnou \u017e\u00e1dost pacienta nebo j\u00edm pov\u011b\u0159en\u00e9 osoby, podobn\u011b v\u00a0SRN a Rakousku za\u010d\u00edn\u00e1 ombudsman pro zdravotn\u00ed p\u00e9\u010di p\u016fsobit a\u017e na \u017e\u00e1dost pacienta, nicm\u00e9n\u011b v\u00a0oblasti psychiatrick\u00e9 p\u00e9\u010de \u010di p\u00e9\u010de o dlouhodob\u011b nemocn\u00e9 \u2013 zvl\u00e1\u0161\u0165 oslaben\u00ed senio\u0159i apod. \u2013 p\u016fsob\u00ed speci\u00e1ln\u00ed ombudsmani i z\u00a0vlastn\u00edho rozhodnut\u00ed \u010di na podn\u011bt jin\u00fdch osob, nejen na \u017e\u00e1dost pacienta.<\/p>\n<p>V\u00a0\u0159ad\u011b zem\u00ed existuje i z\u00e1kon. princip, podle n\u011bho\u017e nemocnice od\u0161kodn\u00ed pacienta, i kdy\u017e se neprok\u00e1\u017ee zavin\u011bn\u00ed konkr\u00e9tn\u00ed osobou z\u00a0\u0159ad person\u00e1lu, ale je s\u00a0vysokou pravd\u011bpodobnost\u00ed vina na stran\u011b zdrav. za\u0159\u00edzen\u00ed.)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pacientsk\u00fd ombudsman v \u010cesk\u00e9 republice \u00a0 &nbsp; &nbsp; &nbsp; &nbsp; Kvalita zdravotnick\u00fdch slu\u017eeb se v posledn\u00edch dvou a\u017e t\u0159ech desetilet\u00edch celosv\u011btov\u011b stala jednou z\u00a0priorit nejen z\u00a0hlediska v\u00fdzkumu, ale i praktick\u00e9 realizace ve zdravotnictv\u00ed. Jedn\u00edm z\u00a0v\u016fd\u010d\u00edch trend\u016f \u0159\u00edzen\u00ed zdravotnictv\u00ed je orientace na kvalitu poskytovan\u00e9 zdravotn\u00ed p\u00e9\u010de a na kvalitu vztah\u016f ve zdravotnictv\u00ed (Zdrav\u00ed\u00a0 pro v\u0161echny do [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1215,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/pages\/76"}],"collection":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=76"}],"version-history":[{"count":7,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/pages\/76\/revisions"}],"predecessor-version":[{"id":518,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/pages\/76\/revisions\/518"}],"up":[{"embeddable":true,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/pages\/1215"}],"wp:attachment":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=76"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}