{"id":238410,"date":"2021-10-20T15:54:00","date_gmt":"2021-10-20T14:54:00","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=238410"},"modified":"2021-10-20T15:59:13","modified_gmt":"2021-10-20T14:59:13","slug":"infoservis-cechum-se-behem-pandemie-zhorsil-zdravotni-stav-odkladali-navstevu-lekare","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=238410","title":{"rendered":"INFOSERVIS: Lidem v \u010cesku se v pr\u016fb\u011bhu pandemie zhor\u0161il zdravotn\u00ed stav, odkl\u00e1dali n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e"},"content":{"rendered":"

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Zna\u010dn\u00e1 \u010d\u00e1st \u010cech\u016f poc\u00edtila vliv pandemie onemocn\u011bn\u00ed covid-19 na sv\u00e9m zdravotn\u00edm stavu. Kv\u016fli protiepidemick\u00fdm opat\u0159en\u00edm a strachu z n\u00e1kazy tak\u00e9 t\u00e9m\u011b\u0159 ka\u017ed\u00fd t\u0159et\u00ed \u010dlov\u011bk sn\u00ed\u017eil po\u010det n\u00e1v\u0161t\u011bv u l\u00e9ka\u0159e, to potvrzuj\u00ed i data z pr\u016fzkumu mezi \u010dleny Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR. Podle nich ni\u017e\u0161\u00ed mno\u017estv\u00ed pacient\u016f v ordinac\u00edch zaznamenalo 90 % praktik\u016f.<\/b><\/h6>\n

A\u017e dva ze t\u0159\u00ed l\u00e9ka\u0159\u016f se setkali s t\u00edm, \u017ee odlo\u017een\u00e1 osobn\u00ed prohl\u00eddka vedla k v\u00e1\u017en\u00e9mu zhor\u0161en\u00ed zdravotn\u00edho stavu. T\u0159etina \u010cech\u016f nechod\u00ed pravideln\u011b ani na preventivn\u00ed prohl\u00eddky a nepova\u017euje je za d\u016fle\u017eit\u00e9. Vypl\u00fdv\u00e1 to z pr\u016fzkum\u016f mezi praktick\u00fdmi l\u00e9ka\u0159i a ve\u0159ejnost\u00ed v\u00a0r\u00e1mci osv\u011btov\u00e9 kampan\u011b\u00a0D\u0159\u00edv ne\u017e bude pozd\u011b, kterou dnes spou\u0161t\u00ed Ministerstvo zdravotnictv\u00ed s partnery.<\/p>\n

Za hlavn\u00ed d\u016fvody zhor\u0161en\u00ed zdravotn\u00edho stavu \u010cech\u016f pokl\u00e1daj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i hlavn\u011b soci\u00e1ln\u00ed izolaci, neaktivitu a stres, kter\u00fd zp\u016fsobila nov\u00e1 nejist\u00e1 situace a lockdown (58 %). Dal\u0161\u00edmi p\u0159\u00ed\u010dinami bylo odlo\u017een\u00ed pl\u00e1novan\u00fdch v\u00fdkon\u016f (58 %), postcovidov\u00e9 probl\u00e9my (51 %) a ne\u0159e\u0161en\u00ed pot\u00ed\u017e\u00ed s\u00a0l\u00e9ka\u0159em (50 %).<\/p>\n

Pr\u016fzkum mezi praktick\u00fdmi l\u00e9ka\u0159i potvrdil, \u017ee koronavirus velmi zm\u011bnil podobu zdravotn\u00ed p\u00e9\u010de. Kv\u016fli strachu z\u00a0n\u00e1kazy (73 %) a koronavirov\u00fdm opat\u0159en\u00edm chodil do ordinace men\u0161\u00ed po\u010det \u010cech\u016f. Lid\u00e9, kte\u0159\u00ed k\u00a0l\u00e9ka\u0159i chodili osobn\u011b, p\u0159ich\u00e1zeli v\u011bt\u0161inou po p\u0159edchoz\u00ed domluv\u011b ve smluven\u00e9m \u010dase (38 %). Prudce naopak narostl objem vzd\u00e1len\u00e9 komunikace mezi l\u00e9ka\u0159em a pacienty. T\u00e9m\u011b\u0159 ka\u017ed\u00fd praktick\u00fd l\u00e9ka\u0159 (96 %) v\u00a0dob\u011b pandemie zaznamenal zv\u00fd\u0161en\u00fd z\u00e1jem pacient\u016f o telefonick\u00e9 (89 %) nebo e-mailov\u00e9 (66 %) konzultace zdravotn\u00edho stavu.<\/p>\n

\u201eV\u017edy \u0159\u00edk\u00e1m, \u017ee nejlep\u0161\u00ed je ta nemoc, kter\u00e1 v\u016fbec nevznikne, anebo pokud ji\u017e vznikne, tak ji podchytit na \u00fapln\u00e9m po\u010d\u00e1tku, aby bylo mo\u017eno ji \u0159e\u0161it a d\u016fsledky pak nebyly fat\u00e1ln\u00ed. Bohu\u017eel situace s\u00a0covidem prevenci zcela utlumila, a proto nyn\u00ed bijeme na poplach. P\u0159esto\u017ee n\u00e1\u0161 b\u011b\u017en\u00fd \u017eivot se po pandemii vr\u00e1til u\u017e t\u00e9m\u011b\u0159 k\u00a0norm\u00e1lu, v\u00a0ordinac\u00edch praktick\u00fdch l\u00e9ka\u0159\u016f to vid\u011bt nen\u00ed. Cht\u011bl bych proto po\u017e\u00e1dat ob\u010dany, pe\u010dujte o sv\u00e9 zdrav\u00ed, cho\u010fte pravideln\u011b k\u00a0l\u00e9ka\u0159i na prohl\u00eddky a pokud c\u00edt\u00edte zdravotn\u00ed probl\u00e9m, co nejd\u0159\u00edve vyhledejte l\u00e9ka\u0159skou pomoc. Zdrav\u00ed je to nejcenn\u011bj\u0161\u00ed, co m\u00e1me, a m\u00e1me ho jen jedno<\/i>,\u201c zd\u016fraznil ministr zdravotnictv\u00ed Adam Vojt\u011bch s\u00a0t\u00edm, \u017ee ob\u010dan\u00e9 maj\u00ed hrazen\u00e9 cel\u00e9 spektrum preventivn\u00edch prohl\u00eddek a screeningov\u00fdch program\u016f.<\/p>\n

P\u0159esto\u017ee vzd\u00e1len\u00e9 konzultace ulevily zv\u00fd\u0161en\u00e9mu rizikov\u00e9mu v\u00fdskytu pacient\u016f v\u00a0ordinac\u00edch a nemocnic\u00edch a umo\u017enili kontakt pacient\u016f a l\u00e9ka\u0159\u016f v\u00a0dob\u011b pandemie, nemohou z\u00a0dlouhodob\u00e9ho pohledu plnohodnotn\u011b nahradit osobn\u00ed n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e. \u010ctvrtina l\u00e9ka\u0159\u016f (26 %) tuto formu nepova\u017euje za plnohodnotnou n\u00e1hradu osobn\u00ed l\u00e9ka\u0159sk\u00e9 prohl\u00eddky. Zbytek l\u00e9ka\u0159\u016f (72 %) by ji vyu\u017eil pouze k \u0159e\u0161en\u00ed m\u00e9n\u011b v\u00e1\u017en\u00fdch nebo dlouhodob\u011b l\u00e9\u010den\u00fdch obt\u00ed\u017e\u00ed stejn\u00fdm l\u00e9\u010div\u00fdm p\u0159\u00edpravkem p\u0159i nezm\u011bn\u011bn\u00e9m stavu. Osobn\u00ed prohl\u00eddky umo\u017en\u00ed odhalit nemoci v jejich z\u00e1rodku, p\u0159\u00edpadn\u011b p\u0159ij\u00edt s nov\u00fdmi \u0159e\u0161en\u00edmi a pomoci pacientovi na z\u00e1klad\u011b hlub\u0161\u00ed zp\u011btn\u00e9 vazby a porozum\u011bn\u00ed.<\/p>\n

\u201eKomunikace mezi pacienty a l\u00e9ka\u0159i se v\u00a0dob\u011b pandemie p\u0159esunula do online prostoru. A j\u00e1 to moc v\u00edt\u00e1m, mysl\u00edm, \u017ee v\u00a0dan\u00e9 situaci to mnoh\u00e9 zachr\u00e1nilo. Pod\u00edvejme se na eRecept, kter\u00fd umo\u017enil pokra\u010dov\u00e1n\u00ed v\u00a0l\u00e9\u010db\u011b pacient\u016f. Komunikace na d\u00e1lku v\u0161ak nem\u016f\u017ee b\u00fdt jedin\u00e1 komunikace s\u00a0l\u00e9ka\u0159em. Je to dopln\u011bk k\u00a0pravideln\u00fdm osobn\u00edm n\u00e1v\u0161t\u011bv\u00e1m,\u201c\u00a0<\/i>doplnil ministr.<\/p>\n

S\u00a0p\u0159\u00edpady, kdy bylo v\u00e1\u017en\u00e9 zhor\u0161en\u00ed zdravotn\u00ed stavu zp\u016fsobeno odd\u00e1len\u00edm n\u00e1v\u0161t\u011bvy l\u00e9ka\u0159e, se setkali v\u00a0posledn\u00edm roce dva ze t\u0159\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f (66 %). 10 % z nich se b\u011bhem pandemie s\u00a0takov\u00fdmi p\u0159\u00edpady setk\u00e1valo dokonce minim\u00e1ln\u011b u \u010dtvrtiny vy\u0161et\u0159ovan\u00fdch.<\/p>\n

\u201eD\u00edky pravideln\u00fdm preventivn\u00edm prohl\u00eddk\u00e1m dok\u00e1\u017ee l\u00e9ka\u0159 odhalit v\u00e1\u017en\u00e1 onemocn\u011bn\u00ed v\u00a0ran\u00fdch st\u00e1di\u00edch, nebo dokonce jejich vzniku zabr\u00e1nit. B\u011bhem \u010dasu vyhrazen\u00e9m na preventivn\u00ed prohl\u00eddku se m\u016f\u017ee pacientovi maxim\u00e1ln\u011b v\u011bnovat a zamyslet se nad jeho zdravotn\u00edm stavem komplexn\u011bji ne\u017e to umo\u017enuje b\u011b\u017en\u00e1 n\u00e1v\u0161t\u011bva ordinace. Je to vlastn\u011b takov\u00e1 inventura zdravotn\u00edho stavu pacienta. B\u011bhem covidu jsme si ov\u011b\u0159ili, \u017ee distan\u010dn\u00ed konzultace m\u016f\u017ee b\u00fdt ve vhodn\u00fdch situac\u00edch u\u017eite\u010dn\u00fdm n\u00e1strojem, ale p\u0159esv\u011bd\u010dili jsme se, \u017ee nem\u016f\u017ee dlouhodob\u011bji nahradit plnohodnotn\u00fd kontakt l\u00e9ka\u0159e s\u00a0pacientem, kter\u00fd je mo\u017en\u00fd pouze p\u0159i fyzick\u00e9 p\u0159\u00edtomnosti pacienta v\u00a0ordinaci. A\u010d je vzd\u00e1len\u00e1 konzultace pro pacienty pohodln\u00e1, m\u00e1 svoje limity, kter\u00e9 znamenaj\u00ed vy\u0161\u0161\u00ed riziko p\u0159\u00edpadn\u00e9 chyby. Distan\u010dn\u00ed komunikace s\u00a0pacientem nen\u00ed \u010dasovou \u00fasporou pro l\u00e9ka\u0159e a kone\u010dn\u00e9m d\u016fsledku \u010dasto ani pro pacienta, proto\u017ee v\u00a0\u0159ad\u011b p\u0159\u00edpad\u016f m\u016f\u017ee jeho cestu ke spr\u00e1vn\u00e9 diagn\u00f3ze a l\u00e9\u010db\u011b sp\u00ed\u0161e prodlou\u017eit,\u201c<\/i>\u00a0\u0159ekl p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f Petr \u0160onka.<\/p>\n

Co se t\u00fdk\u00e1 konkr\u00e9tn\u00edch onemocn\u011bn\u00ed, jejich\u017e v\u00fdskyt v\u00a0populaci dle praktick\u00fdch l\u00e9ka\u0159\u016f vlivem pandemie narostl, m\u016f\u017eeme hovo\u0159it p\u0159edev\u0161\u00edm diabetes (37 %), srde\u010dn\u00ed onemocn\u011bn\u00ed (36 %) a onkologick\u00e1 onemocn\u011bn\u00ed (33 %). Markantn\u00ed byl tak\u00e9 v\u00fdskyt nov\u011b diagnostikovan\u00fdch psychologick\u00fdch obt\u00ed\u017e\u00ed, kter\u00e9 u sv\u00fdch pacient\u016f pozorovala necel\u00e1 t\u0159etina (31 %) praktick\u00fdch l\u00e9ka\u0159\u016f.<\/p>\n

\u201eNa z\u00e1klad\u011b zku\u0161enost\u00ed z\u00a0na\u0161ich l\u00e9k\u00e1ren, kter\u00e9 znaj\u00ed sv\u00e9 pravideln\u00e9 pacienty, mohu potvrdit, \u017ee zejm\u00e9na za prvn\u00ed covidov\u00e9 vlny zanedb\u00e1vali chroni\u010dt\u00ed pacienti medikaci \u2013 zkr\u00e1tka si p\u0159estali chodit pro recepty, a tedy i pro sv\u00e9 l\u00e9ky<\/i>,\u201c \u0159\u00edk\u00e1 za Asociaci provozovatel\u016f l\u00e9k\u00e1rensk\u00fdch s\u00edt\u00ed p\u0159edseda jej\u00edho p\u0159edstavenstva Daniel Hor\u00e1k a dod\u00e1v\u00e1: \u201eNa druhou stranu jsme ale u p\u0159\u00edpravk\u016f ve voln\u00e9m prodeji pozorovali n\u00e1r\u016fst z\u00e1jmu o samol\u00e9\u010dbu, kde byli na\u0161i l\u00e9k\u00e1rn\u00edci skv\u011bl\u00fdmi konzultanty. Ti ostatn\u011b po celou dobu covidu prokazovali, \u017ee jsou jako profesion\u00e1lov\u00e9 d\u016fle\u017eitou sou\u010d\u00e1st\u00ed prvn\u00ed zdravotnick\u00e9 linie<\/i>.\u201c<\/p>\n

Bez ohledu na pandemii pr\u016fzkumy uk\u00e1zaly, \u017ee velk\u00e9 mno\u017estv\u00ed \u010cech\u016f nen\u00ed d\u016fsledn\u00e9 v\u00a0prevenci \u2013 v\u00edce ne\u017e \u010dtvrtina \u010cech\u016f chod\u00ed na preventivn\u00ed prohl\u00eddky nepravideln\u011b a ka\u017ed\u00fd des\u00e1t\u00fd \u010cech dokonce \u0159e\u0161\u00ed pouze akutn\u00ed probl\u00e9my a prevenci ne\u0159e\u0161\u00ed v\u016fbec. M\u00e9n\u011b se o sv\u00e9 zdrav\u00ed staraj\u00ed mu\u017ei \u2013 prohl\u00eddky zanedb\u00e1v\u00e1 a\u017e 40 %, u \u017een je to o necel\u00fdch deset procent m\u00e9n\u011b. Alarmuj\u00edc\u00edm zji\u0161t\u011bn\u00edm je, \u017ee preventivn\u00ed prohl\u00eddky nepova\u017euje za d\u016fle\u017eit\u00e9 t\u00e9m\u011b\u0159 polovina lid\u00ed ve skupin\u011b od 27 do 44 let \u2013 tedy mlad\u0161\u00ed lid\u00e9 v\u00a0produktivn\u00edm v\u011bku. Pr\u00e1v\u011b prevence p\u0159itom m\u016f\u017ee zabr\u00e1nit vzniku z\u00e1va\u017en\u011bj\u0161\u00edch a dlouhodob\u00fdch zdravotn\u00edch probl\u00e9m\u016f.<\/p>\n

\u201ePandemick\u00e1 situace m\u016f\u017ee postihnout zdrav\u00ed \u010dlov\u011bka v\u00a0r\u016fzn\u00fdch podob\u00e1ch. I p\u0159es strach z\u00a0n\u00e1kazy je d\u016fle\u017eit\u00e9 pe\u010dovat o sv\u016fj zdravotn\u00ed stav a nep\u0159ech\u00e1zet zdravotn\u00ed obt\u00ed\u017ee. Pravideln\u00e1 prevence m\u016f\u017ee v\u010das odhalit probl\u00e9my, kter\u00e9 se mohou v\u00a0dlouhodob\u00e9m horizontu uk\u00e1zat jako v\u00e1\u017en\u00e9. Proto je z\u00e1sadn\u00ed na pravidelnou n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e db\u00e1t,\u201c<\/i>\u00a0okomentoval zji\u0161t\u011bn\u00ed Filip Vrubel, v\u00fdkonn\u00fd \u0159editel \u010cesk\u00e9 asociace farmaceutick\u00fdch firem, kter\u00e1 je hlavn\u00edm partnerem projektu.<\/p>\n

V\u00edce ne\u017e polovina \u010cech\u016f u\u017e\u00edv\u00e1 n\u011bjak\u00fd l\u00e9k na l\u00e9ka\u0159sk\u00fd p\u0159edpis. Nejv\u00edce je tomu tak logicky v\u00a0nejstar\u0161\u00ed v\u011bkov\u00e9 skupin\u011b, kde l\u00e9k na recept pot\u0159ebuje 8 z\u00a010 lid\u00ed, nicm\u00e9n\u011b i\u00a0u\u00a0nejmlad\u0161\u00ed skupiny 18\u201326 let je to pom\u011brn\u011b velk\u00fd pod\u00edl \u2013 40 %. Lid\u00e9 si velmi osvojili z\u00edsk\u00e1v\u00e1n\u00ed l\u00e9k\u016f formou eReceptu \u2013 ten vyu\u017eilo p\u0159es 80 procent respondent\u016f. Alarmuj\u00edc\u00ed je informace, \u017ee v\u00edce ne\u017e 7 procent u\u017eivatel\u016f l\u00e9k\u016f na p\u0159edpis si b\u011bhem pandemie zm\u011bnilo jejich d\u00e1vkov\u00e1n\u00ed, \u010di l\u00e9ky \u00fapln\u011b vysadilo, a to bez p\u0159edchoz\u00ed konzultace s\u00a0l\u00e9ka\u0159em. <\/i><\/b>\u201eBez souhlasu l\u00e9ka\u0159e by s\u00e1m pacient nem\u011bl nijak upravovat d\u00e1vkov\u00e1n\u00ed, \u010di dokonce l\u00e9ky \u00fapln\u011b vysazovat. M\u016f\u017ee to m\u00edt dlouhodob\u00e9 n\u00e1sledky na zdrav\u00ed pacienta, kter\u00e9 se pak budou t\u011b\u017ece napravovat,\u201c<\/i>\u00a0doplnil Vrubel.<\/p>\n

O kampani D\u0159\u00edv ne\u017e bude pozd\u011b:<\/u><\/b><\/h6>\n

Kampa\u0148 vznikla s\u00a0c\u00edlem podpo\u0159it z\u00e1jem o prevenci mezi \u0161irokou ve\u0159ejnost\u00ed. V\u00a0d\u016fsledku pandemie onemocn\u011bn\u00ed covid-19 lid\u00e9 v\u00fdznamn\u011b omezili n\u00e1v\u0161t\u011bvy\u00a0praktick\u00fdch l\u00e9ka\u0159\u016f a odkl\u00e1dali prevenci i \u0159e\u0161en\u00ed zdravotn\u00edch probl\u00e9m\u016f. Kampa\u0148 s\u00a0n\u00e1zvem \u201eD\u0159\u00edv ne\u017e bude pozd\u011b\u201c m\u00e1 ambici tento stav zm\u011bnit a vr\u00e1tit ob\u010dany do ordinac\u00ed l\u00e9ka\u0159\u016f.<\/p>\n

Projekt vznikl ve spolupr\u00e1ci Ministerstva zdravotnictv\u00ed, Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f, \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky a \u010cesk\u00e9 asociace farmaceutic\u00edch firem.<\/p>\n

V\u00edce informac\u00ed naleznete na\u00a0https:\/\/www.drivnezbudepozde.cz\/<\/a><\/strong><\/p>\n

O pr\u016fzkumech<\/u><\/b><\/h6>\n

P\u0159\u00edstup \u010desk\u00e9 ve\u0159ejnosti ke zdravotn\u00ed p\u00e9\u010di a sv\u00e9mu zdravotn\u00edmu stavu v dob\u011b pandemie, Ipsos 2021<\/b>: Pr\u016fzkum realizovala \u010cesk\u00e1 asociace farmaceutick\u00fdch firem prost\u0159ednictv\u00edm online panelu v\u00fdzkumn\u00e9 agentury IPSOS a z\u00fa\u010dastnilo se jej 1050 respondent\u016f reprezentativn\u00edho vzorku populace \u010cesk\u00e9 republiky.<\/p>\n

Poznatky praktick\u00fdch l\u00e9ka\u0159\u016f ke zdravotn\u00ed p\u00e9\u010di b\u011bhem pandemie, Survio 2021:<\/b>\u00a0Pr\u016fzkum mezi praktick\u00fdmi l\u00e9ka\u0159i zrealizovala \u010cesk\u00e1 asociace farmaceutick\u00fdch firem spole\u010dn\u011b se Sdru\u017een\u00edm praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR prost\u0159ednictv\u00edm on-line dotazn\u00edku spole\u010dnosti Survio. Sb\u011br dat prob\u00edhal po dobu 22 dn\u00ed od 4. do 25. \u010dervence 202 a z\u00fa\u010dastnilo se jej 410 praktick\u00fdch l\u00e9ka\u0159\u016f z \u010cesk\u00e9 republiky.<\/p>\n

Kompletn\u00ed v\u00fdsledky pr\u016fzkum\u016f naleznete\u00a0ZDE<\/a><\/strong>.<\/p>\n

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

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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