{"id":265295,"date":"2022-10-17T09:19:26","date_gmt":"2022-10-17T08:19:26","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=265295"},"modified":"2022-10-17T09:19:26","modified_gmt":"2022-10-17T08:19:26","slug":"vseobecna-zdravotni-pojistovna-k-cemu-je-dobre-vysetreni-crp-za-jakych-podminek-je-pojistovnou-hrazeno","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=265295","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: K \u010demu je dobr\u00e9 vy\u0161et\u0159en\u00ed CRP? Za jak\u00fdch podm\u00ednek je poji\u0161\u0165ovnou hrazeno?"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
K \u010demu je dobr\u00e9 vy\u0161et\u0159en\u00ed CRP? Za jak\u00fdch podm\u00ednek je poji\u0161\u0165ovnou hrazeno?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

P\u0159i<\/b>\u00a0vy\u0161et\u0159en\u00ed CRP<\/b>\u00a0(C-reaktivn\u00ed protein)\u00a0se stanovuje hladina specifick\u00e9 b\u00edlkoviny v krvi, kter\u00e1 se zvy\u0161uje<\/b>\u00a0p\u0159edev\u0161\u00edm\u00a0p\u0159i<\/b>\u00a0akutn\u00ed bakteri\u00e1ln\u00ed infekci\u00a0<\/b>(m\u00e9n\u011b obvykle tak\u00e9 mykotick\u00e9 infekci). Naproti tomu\u00a0virov\u00e9 infekce\u00a0<\/b>b\u00fdvaj\u00ed charakterizov\u00e1ny\u00a0relativn\u011b mal\u00fdm vzestupem CRP<\/b>.\u00a0Stanoven\u00ed v\u00fd\u0161e CRP proto<\/b>\u00a0napom\u00e1h\u00e1 v rozhodnut\u00ed, zda zah\u00e1jit l\u00e9\u010dbu antibiotiky<\/b>. \u00dasp\u011b\u0161n\u00e1 antibiotick\u00e1 terapie se pak projev\u00ed rychl\u00fdm poklesem CRP, naopak p\u0159i ne\u00fasp\u011b\u0161n\u00e9 l\u00e9\u010db\u011b p\u0159etrv\u00e1v\u00e1 zv\u00fd\u0161en\u00ed CRP.<\/p>\n

\u0158ada praktick\u00fdch l\u00e9ka\u0159\u016f, hlavn\u011b d\u011btsk\u00fdch, b\u011b\u017en\u011b vyu\u017e\u00edv\u00e1 mo\u017enost prov\u00e1d\u011bt stanoven\u00ed CRP p\u0159\u00edmo ve sv\u00e9 ordinaci<\/b>, tzv.\u00a0v\u00a0re\u017eimu POCT (Point of Care Testing).\u00a0V\u00fdhodou POCT vy\u0161et\u0159en\u00ed je rychlost dosa\u017een\u00fdch\u00a0<\/b>v\u00fdsledk\u016f a t\u00edm p\u00e1dem zefektivn\u011bn\u00ed diagnostick\u00e9ho procesu u akutn\u00edch pot\u00ed\u017e\u00ed. Takov\u00e9 vy\u0161et\u0159en\u00ed ale\u00a0neprov\u00e1d\u00ed automaticky ka\u017ed\u00fd praktick\u00fd l\u00e9ka\u0159<\/b>. Poji\u0161\u0165ovna p\u0159\u00edslu\u0161n\u00e9 v\u00fdkony l\u00e9ka\u0159i nasmlouv\u00e1 a\u00a0n\u00e1sledn\u011b hrad\u00ed jen p\u0159i spln\u011bn\u00ed stanoven\u00fdch podm\u00ednek \u2013 smyslem tohoto opat\u0159en\u00ed je zajistit pot\u0159ebnou kvalitu dan\u00e9ho vy\u0161et\u0159en\u00ed. (Poji\u0161\u0165ovna p\u0159\u00edslu\u0161n\u00e9 v\u00fdkony hrad\u00ed praktick\u00fdm l\u00e9ka\u0159\u016fm pro d\u011bti a\u00a0dorost i\u00a0v\u0161eobecn\u00fdm praktick\u00fdm l\u00e9ka\u0159\u016fm nad r\u00e1mec\u00a0kapita\u010dn\u00ed platby<\/a><\/strong>.)<\/p>\n

L\u00e9ka\u0159,\u00a0kter\u00fd nem\u00e1 p\u0159\u00edslu\u0161n\u00e9 v\u00fdkony uveden\u00e9 ve smlouv\u011b<\/b>\u00a0s\u00a0poji\u0161\u0165ovnou, zajist\u00ed v p\u0159\u00edpad\u011b pot\u0159eby pacientovi vy\u0161et\u0159en\u00ed\u00a0CRP v\u00a0laboratorn\u00edm re\u017eimu, tj.\u00a0odesl\u00e1n\u00edm vzorku krve do laborato\u0159e. Toto vy\u0161et\u0159en\u00ed CRP v\u00a0extern\u00ed laborato\u0159i je samoz\u0159ejm\u011b tak\u00e9 hrazeno z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b>.<\/p>\n

V\u00a0p\u0159\u00edpad\u011b, \u017ee je vy\u0161et\u0159en\u00ed CRP p\u0159edeps\u00e1no (indikov\u00e1no) l\u00e9ka\u0159em, zdravotn\u00ed poji\u0161\u0165ovna ho hrad\u00ed, a pacient za n\u011bj nic neplat\u00ed (ani nep\u0159ipl\u00e1c\u00ed). Plat\u00ed to\u00a0jak p\u0159\u00edpad\u011b, kdy je CRP test proveden p\u0159\u00edmo l\u00e9ka\u0159em v\u00a0jeho ordinaci, tak v\u00a0extern\u00ed laborato\u0159i. L\u00e9ka\u0159 po pacientovi m\u016f\u017ee po\u017eadovat platbu pouze v\u00a0p\u0159\u00edpad\u011b, \u017ee k\u00a0vy\u0161et\u0159en\u00ed CRP neshled\u00e1v\u00e1 \u017e\u00e1dn\u00fd zdravotn\u00ed d\u016fvod, tedy zdravotn\u00ed indikaci, a vy\u0161et\u0159en\u00ed je provedeno jen na \u017e\u00e1dost pacienta.<\/b><\/p>\n

(tz-vzp)<\/strong><\/p>\n

\n

 <\/p>\n

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

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