{"id":1448,"date":"2018-01-02T10:34:51","date_gmt":"2018-01-02T09:34:51","guid":{"rendered":"http:\/\/www.pacienti.cz\/?p=1448"},"modified":"2018-01-02T10:37:36","modified_gmt":"2018-01-02T09:37:36","slug":"vladni-prohlaseni-a-ceske-zdravotnictvi","status":"publish","type":"post","link":"https:\/\/www.pacienti.cz\/?p=1448","title":{"rendered":"Vl\u00e1dn\u00ed prohl\u00e1\u0161en\u00ed a \u010desk\u00e9 zdravotnictv\u00ed"},"content":{"rendered":"<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-191 size-full\" src=\"https:\/\/www.pacienti.cz\/wp-content\/uploads\/2015\/11\/mrazek_sm_1.jpg\" alt=\"\" width=\"148\" height=\"150\" \/><\/p>\n<h1><span style=\"color: #ff0000;\"><strong>Vl\u00e1dn\u00ed prohl\u00e1\u0161en\u00ed a \u010desk\u00e9 zdravotnictv\u00ed 2018<br \/>\n<\/strong><\/span><\/h1>\n<p>&nbsp;<\/p>\n<p>Ani p\u0159i prob\u00edhaj\u00edc\u00edm prvn\u00edm pokusu o p\u0159ijet\u00ed vl\u00e1dy sn\u011bmovnou nemohl Andrej Babi\u0161 ponechat zn\u011bn\u00ed vl\u00e1dn\u00edho prohl\u00e1\u0161en\u00ed na libov\u016fli ministr\u016f, a tak kapitola Zdravotnictv\u00ed v\u00edce odpov\u00edd\u00e1 snaze, aby vl\u00e1da pro\u0161la, ne\u017e naturelu ministra Vojt\u011bcha.\u00a0 I p\u0159esto n\u00e1m jej\u00ed autor d\u00e1v\u00e1 p\u0159\u00edle\u017eitost nesouhlasit od sam\u00e9ho za\u010d\u00e1tku. Ani tam a ani v dal\u0161\u00edm textu se nevyhnul opakov\u00e1n\u00ed blud\u016f, kter\u00e9 jsme se sna\u017eili v r\u00e1mci pr\u00e1ce Svazu pacient\u016f \u010cR vyvr\u00e1tit ji\u017e v dob\u011b, kdy pan ministr teprve vyr\u016fstal.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00dakolem ve\u0159ejn\u00e9ho zdavotnictv\u00ed je hospod\u00e1rn\u011b a spolehliv\u011b realizovat jistoty, kter\u00e9 \u00dastava \u010cR ob\u010dan\u016fm zaru\u010duje. Jde o napl\u0148ov\u00e1n\u00ed z\u00e1kona, p\u0159i kter\u00e9m pluralita poji\u0161\u0165oven a jejich konkurence nem\u00e1 smysl, pokud n\u00e1m jde o prosp\u011bch ob\u010dan\u016f a ne o z\u00e1jmy podnikatel\u016f ve zdravotnictv\u00ed. Tak\u017ee jedin\u00fd z\u00e1kon o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161\u0165ov\u00e1n\u00ed chceme, ale takov\u00fd, aby popisoval pr\u00e1ci jedin\u00e9 ve\u0159ejn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. Podle \u00dastavy \u010cR je jej\u00edm jedin\u00fdm \u00fakolem vyb\u00edrat\u00a0 pojistn\u00e9 a platit za garantovanou zdravotn\u00ed p\u00e9\u010di podle smluv uzav\u0159en\u00fdch s jej\u00edmi pokytovateli. Za existenci pot\u0159ebbn\u00e9 s\u00edt\u011b poskytovatel\u016f odpov\u00edd\u00e1 st\u00e1t\u00a0 a v p\u0159enesen\u00e9 p\u016fsobnosti samospr\u00e1va.<\/p>\n<p>&nbsp;<\/p>\n<p>Odm\u00edt\u00e1me polovi\u010dat\u00e1 \u0159e\u0161en\u00ed a zpochyb\u0148ov\u00e1n\u00ed \u00fastavn\u00edch z\u00e1ruk. Jedna poji\u0161\u0165ovna je nejhospod\u00e1rn\u011bj\u0161\u00edm \u0159e\u0161en\u00edm a velkou v\u00fdhodou p\u0159i uzav\u00edr\u00e1n\u00ed smluv.<\/p>\n<p>&nbsp;<\/p>\n<p>Svaz pacient\u016f zcela odm\u00edt\u00e1, aby na org\u00e1ny ve\u0159ejn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny m\u011bli vliv zam\u011bstnavatel\u00e9. Tvrzen\u00ed, \u017ee na to maj\u00ed pr\u00e1vo, proto\u017ee zdravotn\u00ed p\u00e9\u010di plat\u00ed, je hloup\u00e1 a neopr\u00e1vn\u011bn\u00e1 doktrina zalo\u017een\u00e1 na l\u017ei. Zam\u011bstnavatel sice pos\u00edlaj\u00ed odvody z mezd a plat\u016f, ale jsou to pen\u00edze, kter\u00e9 vyd\u011blali zam\u011bstnanci, ze sv\u00e9ho neplat\u00ed zam\u011bstnavatel nic. Nesouhlas\u00edme ani s politick\u00fdm obsazov\u00e1n\u00edm org\u00e1n\u016f VZP, syst\u00e9m ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed mus\u00ed kontrolovat odvolateln\u00ed z\u00e1stupci poji\u0161t\u011bnc\u016f a VZP, jako jedin\u00e1 a st\u00e1tn\u00ed ve\u0159ejn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna, mus\u00ed b\u00fdt pod p\u0159\u00edsnou odbornou st\u00e1tn\u00ed kontrolou.<\/p>\n<p>&nbsp;<\/p>\n<p>Znovu se v prohl\u00e1\u0161en\u00ed vrac\u00ed star\u00e1 hloupost, \u017ee informace o kvalit\u011b p\u00e9\u010de v jednotliv\u00fdch nemocnic\u00edch pomohou pacient\u016fm. Pacienti si nemohou vybrat a d\u00e1t se o\u0161et\u0159it jen v t\u011bch lep\u0161\u00edch nemocnic\u00edch, proto\u017ee by to nedovolila kapacita t\u011bch nemocnic a \u010dasto ani jejich vzd\u00e1lenost. Informace o kvalit\u011b jsou\u00a0 pot\u0159ebn\u00e9 k tomu, aby se \u0159\u00edd\u00edc\u00ed a dozorov\u00e9 org\u00e1ny postaraly o n\u00e1pravu chyb a dos\u00e1hlo se dobr\u00e9 kvality p\u00e9\u010de ve v\u0161ech nemocnic\u00edch.<\/p>\n<p>&nbsp;<\/p>\n<p>Prohla\u0161ovat, \u017ee budou odm\u011b\u0148ov\u00e1ni ti, kte\u0159\u00ed budou pe\u010dovat\u00a0 o sv\u00e9 zdrav\u00ed, jsou pr\u00e1zdn\u00e1 slova, kdy\u017e se zat\u00edm vl\u00e1dy nezmohly ani na provozov\u00e1n\u00ed zdravotn\u00ed osv\u011bty aspo\u0148 takov\u00e9, jakou dok\u00e1zali provozovat komunist\u00e9, a na\u0161i poslanci se nemohou shodnout ani na trochu d\u016fsledn\u00fdch z\u00e1konech na ochranu zdrav\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p>V\u00e1\u017en\u00fdm varov\u00e1n\u00edm je, \u017ee se prohl\u00e1\u0161en\u00ed l\u00edb\u00ed Stomatologick\u00e9 komo\u0159e veden\u00e9 Romanem \u0160muclerem. Pr\u00e1v\u011b p\u00e9\u010de o zuby pot\u0159ebuje radik\u00e1ln\u00ed zm\u011bnu, aby se i p\u0159es odpor Stomatologick\u00e9 komory dostala do souladu s \u00dastavou \u010cR.<\/p>\n<p>&nbsp;<\/p>\n<p>Prohl\u00e1\u0161en\u00ed se nezab\u00fdv\u00e1 zlep\u0161en\u00edm spolupr\u00e1ce nemocnic, jejich lep\u0161\u00edm vyu\u017eit\u00edm jako op\u011brn\u00fdch bod\u016f syst\u00e9mu l\u00e9ka\u0159sk\u00fdch pohotovost\u00ed a pos\u00edlen\u00edm person\u00e1ln\u00edho zaji\u0161t\u011bn\u00ed nemocnic. Nevyvrac\u00ed podez\u0159en\u00ed, \u017ee auto\u0159i textu st\u00e1le nech\u00e1pou devasta\u010dn\u00ed \u00fa\u010dinek z\u00e1niku okresn\u00edch nemocnic na \u017eivot venkova.<\/p>\n<p>Potvrzuje se t\u00edm, \u017ee autor konceptu m\u00e1 velk\u00e9 mezery v erudici, prakticky \u017e\u00e1dn\u00e9 zku\u0161enosti a u Hrobon\u011b se nau\u010dil jen n\u011bkolik pochybn\u00fdch fr\u00e1z\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p>Z ot\u00e1zek, kter\u00e9 souvis\u00ed s pen\u011bzi, vypadaj\u00ed hroziv\u011b dva sm\u011bry. Jednak jsou to n\u00e1znaky hled\u00e1n\u00ed toho, co by se dalo ze solid\u00e1rn\u00edho hrazen\u00ed vylou\u010dit a d\u00e1le dob\u0159e patrn\u00e1 celkov\u00e1 neschopnost orientovat se v ekonomice, co\u017e u t\u00fdmu s Babi\u0161em v pozad\u00ed dost p\u0159ekvapuje. Z oboj\u00edho plyne:<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>Komer\u010dn\u00ed p\u0159ipoji\u0161t\u011bn\u00ed na \u010d\u00e1st p\u00e9\u010de je poru\u0161en\u00edm \u00fastavn\u00edho principu solid\u00e1rn\u00edho hrazen\u00ed p\u00e9\u010de a vede ke zv\u00fd\u0161en\u00ed n\u00e1klad\u016f na zdravotn\u00ed p\u00e9\u010di.<\/li>\n<li>P\u0159edstava, \u017ee na ve\u0159ejn\u00e9 zdravotnictv\u00ed by m\u011blo p\u0159ipadnout kolem 10% HDP je spr\u00e1vn\u00e1, ale m\u011blo by se toho dos\u00e1hnout pouze zv\u00fd\u0161en\u00edm ceny pr\u00e1ce na \u00farove\u0148 ve sv\u011bt\u011b obvyklou. Odv\u00e1d\u011bt 13.5% z mezd je dost, ale ty mzdy jsou v \u010cR jen asi 70% t\u00e9 \u010d\u00e1sti HDP, kter\u00e1 by na n\u011b m\u011bla p\u0159ipadat.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Je nepochybn\u00e9, \u017ee vl\u00e1da by se m\u011bla zam\u011b\u0159it na celkov\u00e9 zv\u00fd\u0161en\u00ed mezd a plat\u016f, proto\u017ee to povede i k pos\u00edlen\u00ed zdroj\u016f pro zdravotnictv\u00ed a n\u00e1klady na to budou z velk\u00e9 \u010d\u00e1sti hrazeny od\u010derp\u00e1v\u00e1n\u00edm bezd\u016fvodn\u00fdch zisk\u016f, kter\u00e9 odch\u00e1zej\u00ed do zahrani\u010d\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p>Pravideln\u00e1 valorizace plateb pojistn\u00e9ho za st\u00e1tn\u00ed poji\u0161t\u011bnce nemus\u00ed b\u00fdt spolehliv\u00fdm \u0159e\u0161en\u00edm. Ustanoven\u00ed \u017ee tyto platby se ka\u017ed\u00fd rok maj\u00ed upravovat tak, aby byla zaru\u010dena vyrovnan\u00e1 bilance poji\u0161\u0165ovny pln\u00edc\u00ed z\u00e1kon, je cenn\u011bj\u0161\u00ed a nem\u011blo by v prohl\u00e1\u0161en\u00ed chyb\u011bt.<\/p>\n<p>&nbsp;<\/p>\n<p>Poctiv\u00e9 \u00famysly vl\u00e1dy by m\u011bl dokumentovat z\u00e1m\u011br prosadit kone\u010dn\u011b z\u00e1kon o soustav\u011b ve\u0159ejn\u00fdch neziskov\u00fdch nemocnic.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Ing. Josef Mr\u00e1zek, CSc.<\/p>\n<p>viceprezident Svazu pacient\u016f \u010cR<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vl\u00e1dn\u00ed prohl\u00e1\u0161en\u00ed a \u010desk\u00e9 zdravotnictv\u00ed 2018 &nbsp; Ani p\u0159i prob\u00edhaj\u00edc\u00edm prvn\u00edm pokusu o p\u0159ijet\u00ed vl\u00e1dy sn\u011bmovnou nemohl Andrej Babi\u0161 ponechat zn\u011bn\u00ed vl\u00e1dn\u00edho prohl\u00e1\u0161en\u00ed na libov\u016fli ministr\u016f, a tak kapitola Zdravotnictv\u00ed v\u00edce odpov\u00edd\u00e1 snaze, aby vl\u00e1da pro\u0161la, ne\u017e naturelu ministra Vojt\u011bcha.\u00a0 I p\u0159esto n\u00e1m jej\u00ed autor d\u00e1v\u00e1 p\u0159\u00edle\u017eitost nesouhlasit od sam\u00e9ho za\u010d\u00e1tku. Ani tam a ani [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":547,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[],"_links":{"self":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/posts\/1448"}],"collection":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"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=1448"}],"version-history":[{"count":1,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/posts\/1448\/revisions"}],"predecessor-version":[{"id":1449,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/posts\/1448\/revisions\/1449"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=\/wp\/v2\/media\/547"}],"wp:attachment":[{"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1448"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1448"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pacienti.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1448"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}