{"id":232304,"date":"2021-08-09T08:23:31","date_gmt":"2021-08-09T07:23:31","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=232304"},"modified":"2021-08-09T08:23:31","modified_gmt":"2021-08-09T07:23:31","slug":"vseobecna-zdravotni-pojistovna-co-je-pozitivni-list-vzp","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=232304","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Co je pozitivn\u00ed list VZP?"},"content":{"rendered":"

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OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
Co je \u201epozitivn\u00ed list\u201c VZP? M\u016fj l\u00e9ka\u0159 mi zm\u011bnil p\u0159edepisovan\u00fd l\u00e9k, pr\u00fd tak, aby to bylo v souladu s pozitivn\u00edm listem VZP.<\/h6>\n
ODPOV\u011a\u010e<\/h6>\n

Pozitivn\u00ed list VZP \u010cR je seznam l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f ur\u010den\u00fdch v\u011bt\u0161inou pro b\u011b\u017en\u00e1 onemocn\u011bn\u00ed, kter\u00e9 jsou ekonomicky v\u00fdhodn\u00e9 jak pro zdravotn\u00ed poji\u0161\u0165ovnu, tak pro pacienta. Pozitivn\u00ed list VZP \u010cR toti\u017e obsahuje l\u00e9\u010div\u00e9 p\u0159\u00edpravky pln\u011b hrazen\u00e9, tj. s nulov\u00fdm doplatkem pro pacienta.<\/p>\n

Na Pozitivn\u00ed list jsou za\u0159azov\u00e1ny l\u00e9\u010div\u00e9 p\u0159\u00edpravky, jejich\u017e v\u00fdrobce poji\u0161\u0165ovn\u011b nab\u00eddl slevu z ofici\u00e1ln\u00ed ceny. Tyto slevy dojedn\u00e1v\u00e1 VZP nejen pro sebe, ale pro v\u0161echny poji\u0161\u0165ovny, tak\u017ee u\u0161et\u0159\u00ed cel\u00fd syst\u00e9m ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Za\u0159azen\u00ed konkr\u00e9tn\u00edho l\u00e9\u010diva na seznam \u201edoporu\u010den\u00fdch\u201c je v\u00fdhodn\u00e9 samoz\u0159ejm\u011b i pro v\u00fdrobce, nebo\u0165 mu stoup\u00e1 prodej.<\/p>\n

Pozitivn\u00ed list VZP m\u00e1 charakter doporu\u010den\u00ed, kter\u00e9 je ur\u010deno poskytovatel\u016fm zdravotn\u00edch slu\u017eeb pro preskripci ekonomicky nejm\u00e9n\u011b n\u00e1ro\u010dn\u00fdch variant l\u00e9\u010div. Volba vhodn\u00e9 terapie je ale nad\u00e1le pln\u011b v kompetenci o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e a ten nen\u00ed povinen p\u0159edepisovat jen l\u00e9\u010diva ze seznamu.<\/p>\n

Tento seznam, kter\u00fd VZP m\u011bs\u00ed\u010dn\u011b aktualizuje pro pot\u0159eby sv\u00fdch smluvn\u00edch partner\u016f, je ve\u0159ejn\u011b dostupn\u00fd na webov\u00fdch str\u00e1nk\u00e1ch VZP \u010cR. Na l\u00e9\u010div\u00fd p\u0159\u00edpravek z Pozitivn\u00edho listu upozor\u0148uje tak\u00e9 software, kter\u00fdm disponuje v\u011bt\u0161ina zdravotnick\u00fdch za\u0159\u00edzen\u00ed \u2013 l\u00e9ka\u0159i se zde uk\u00e1\u017ee seznam l\u00e9\u010div, kde je p\u0159\u00edpravek z Pozitivn\u00edho listu ozna\u010den ikonkou VZP. K p\u0159edepisov\u00e1n\u00ed l\u00e9\u010div podle Pozitivn\u00edho listu jsou l\u00e9ka\u0159i motivov\u00e1ni; konkr\u00e9tn\u011b v r\u00e1mci programu BONUS podporuje VZP ty praktick\u00e9 l\u00e9ka\u0159e, ambulantn\u00ed specialisty a gynekology, kte\u0159\u00ed ve sv\u00e9 preskripci preferuj\u00ed l\u00e9\u010diva z Pozitivn\u00edho listu VZP \u010cR. Maj\u00ed n\u00e1rok na bonus p\u0159i v\u00fdpo\u010dtu p\u0159\u00edpadn\u00e9 regula\u010dn\u00ed sr\u00e1\u017eky u n\u00e1klad\u016f za l\u00e9\u010div\u00e9 p\u0159\u00edpravky.<\/p>\n

O\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159i rovn\u011b\u017e b\u011b\u017en\u011b \u2013 i mimo Pozitivn\u00ed list \u2013 vyu\u017e\u00edvaj\u00ed tzv. generickou substituci, kdy nam\u00edsto p\u016fvodn\u00edho patentovan\u00e9ho origin\u00e1lu l\u00e9\u010div\u00e9ho p\u0159\u00edpravku p\u0159edep\u00ed\u0161ou p\u0159\u00edpravek se stejnou \u00fa\u010dinnou l\u00e1tkou, o stejn\u00e9 s\u00edle, se stejnou cestou pod\u00e1n\u00ed, ve stejn\u00e9 l\u00e9kov\u00e9 form\u011b, ale od jin\u00e9ho v\u00fdrobce. Generickou substituci lze prov\u00e9st \u2013 se souhlasem pacienta \u2013 i p\u0159i v\u00fddeji l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f v l\u00e9k\u00e1rn\u011b. V p\u0159\u00edpad\u011b, \u017ee o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 z medic\u00ednsk\u00fdch d\u016fvod\u016f trv\u00e1 na v\u00fddeji p\u0159esn\u011b toho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku, kter\u00fd p\u0159edepsal, ozna\u010duje recept p\u0159\u00edznakem \u201eNezam\u011b\u0148ovat\u201c.<\/p>\n

Generick\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky jsou z hlediska \u00fa\u010dinnosti a bezpe\u010dnosti plnohodnotnou n\u00e1hradou origin\u00e1ln\u00edho p\u0159\u00edpravku. Jsou v\u0161ak ekonomicky v\u00fdhodn\u011bj\u0161\u00ed variantou a t\u00edm zlep\u0161uj\u00ed dostupnost l\u00e9\u010dby pro pacienty. Z toho d\u016fvodu jsou pacienty, l\u00e9ka\u0159i i zdravotn\u00edmi poji\u0161\u0165ovnami preferov\u00e1ny.<\/p>\n

(tzvzp)<\/strong><\/p>\n

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