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<\/p>\n<\/p>\n
V\u00a0\u010cesku prob\u00edhaj\u00ed celkem \u010dty\u0159i tzv. screeningov\u00e9 programy. D\u00edky nim m\u00e1me v\u0161ichni od ur\u010dit\u00e9ho v\u011bku n\u00e1rok na bezplatn\u00e9 vy\u0161et\u0159en\u00ed zam\u011b\u0159en\u00e9 na konkr\u00e9tn\u00ed onkologickou diagn\u00f3zu, i kdy\u017e nem\u00e1me \u017e\u00e1dn\u00e9 zdravotn\u00ed pot\u00ed\u017ee \u010di podez\u0159en\u00ed na z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed. Pr\u00e1v\u011b tento preventivn\u00ed onkologick\u00fd screening m\u00e1 za \u00fakol nemoc bu\u010f vylou\u010dit, nebo ji zachytit v\u00a0ran\u00e9m stadiu tak, aby byla dob\u0159e a rychle l\u00e9\u010diteln\u00e1.<\/b><\/p>\n
Screeningov\u00e9 programy se zam\u011b\u0159uj\u00ed na prevenci n\u00e1dor\u016f d\u011blo\u017en\u00edho hrdla, prevenci n\u00e1dor\u016f prsu, prevenci n\u00e1dor\u016f tlust\u00e9ho st\u0159eva a\u00a0kone\u010dn\u00edku<\/b>\u00a0(kolorekta). Od 1. 1. 2022 je tak\u00e9 spu\u0161t\u011bn\u00a0popula\u010dn\u00ed pilotn\u00ed program \u010dasn\u00e9ho z\u00e1chytu karcinomu plic<\/b>. Tyto programy navazuj\u00ed na preventivn\u00ed prohl\u00eddky u\u00a0praktick\u00e9ho l\u00e9ka\u0159e a gynekologa.<\/p>\n
Screening n\u00e1dor\u016f d\u011blo\u017en\u00edho hrdla<\/b><\/p>\n
Jedenkr\u00e1t ro\u010dn\u011b m\u00e1 ka\u017ed\u00e1 \u017eena star\u0161\u00ed 15 let n\u00e1rok na\u00a0preventivn\u00ed gynekologickou prohl\u00eddku<\/a><\/strong>, kter\u00e1 je\u00a0hrazen\u00e1 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Krom\u011b klinick\u00fdch a jin\u00fdch vy\u0161et\u0159en\u00ed v\u00a0r\u00e1mci t\u00e9to prohl\u00eddky provede gynekolog prost\u0159ednictv\u00edm cytologick\u00e9ho vy\u0161et\u0159en\u00ed st\u011br z d\u011blo\u017en\u00edho hrdla, kter\u00fd n\u00e1sledn\u011b zas\u00edl\u00e1 k\u00a0vy\u0161et\u0159en\u00ed do\u00a0screeningov\u00e9 laborato\u0159e<\/a><\/strong>.<\/u><\/b><\/p>\n U \u017een ve v\u011bku\u00a035 a 45 let\u00a0se prov\u00e1d\u00ed tak\u00e9 screeningov\u00fd test na p\u0159\u00edtomnost HPV<\/a><\/strong>\u00a0v\u00a0cervik\u00e1ln\u00edm st\u011bru. Mo\u017enost\u00a0podstoupen\u00ed testu pro \u017eeny v\u00a0jin\u00e9 v\u011bkov\u00e9 kategorii je tak\u00e9 mo\u017en\u00e9, av\u0161ak tyto testy nejsou hrazeny z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho\u00a0poji\u0161t\u011bn\u00ed a \u017eeny si je mohou uhradit v\u00a0p\u0159\u00edpad\u011b z\u00e1jmu samy.<\/p>\n Screening n\u00e1dor\u016f prsu<\/b><\/p>\n Mamografick\u00e9 vy\u0161et\u0159en\u00ed je z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazeno v\u0161em \u017een\u00e1m od 45 let, a\u00a0to\u00a01x\u00a0za\u00a0dva roky. Na mamografick\u00e9 vy\u0161et\u0159en\u00ed odes\u00edl\u00e1 \u017eenu zpravidla registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 nebo registruj\u00edc\u00ed gynekolog. Samotn\u00e9 mamografick\u00e9 vy\u0161et\u0159en\u00ed pak prov\u00e1d\u00ed ve\u00a0specializovan\u00e9m screeningov\u00e9m mamografick\u00e9m pracovi\u0161ti<\/a>.<\/strong><\/p>\n Screening kolorekta<\/b><\/p>\n Poji\u0161t\u011bnci ve v\u011bku od 50 do 55 let maj\u00ed z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazen\u00fd test na okultn\u00ed krv\u00e1cen\u00ed do stolice (TOKS) 1x ro\u010dn\u011b, poji\u0161t\u011bnci od 55 let jednou za dva roky. Tento test m\u016f\u017ee prov\u00e1d\u011bt p\u0159\u00edmo ve\u00a0sv\u00e9 ordinaci registruj\u00edc\u00ed poskytovatel prim\u00e1rn\u00ed p\u00e9\u010de (praktick\u00fd l\u00e9ka\u0159, gynekolog). Pokud nedisponuje registruj\u00edc\u00ed poskytovatel p\u0159\u00edslu\u0161n\u00fdm p\u0159\u00edstrojem, m\u016f\u017ee odeslat vzorek pro proveden\u00ed TOKS do laborato\u0159e. TOKS je mo\u017en\u00e9 nahradit screeningovou kolonoskopi\u00ed provedenou v\u00a0akreditovan\u00fdch pracovi\u0161t\u00edch<\/a><\/strong>\u00a01x\u00a0za\u00a010 let. Screeningov\u00e9 kolonoskopick\u00e9 vy\u0161et\u0159en\u00ed m\u016f\u017ee indikovat poji\u0161t\u011bnci praktick\u00fd l\u00e9ka\u0159, resp. gynekolog. Screeningov\u00e9 kolonoskopick\u00e9 vy\u0161et\u0159en\u00ed je takt\u00e9\u017e indikov\u00e1no v\u00a0p\u0159\u00edpad\u011b pozitivn\u00edho v\u00fdsledku TOKS.<\/p>\n Screening plic \u2013 pilotn\u00ed projekt<\/b><\/p>\n V\u00a0r\u00e1mci\u00a0pilotn\u00edho projektu programu \u010dasn\u00e9ho z\u00e1chytu karcinomu plic<\/a><\/strong>\u00a0se mohou nechat vy\u0161et\u0159it sou\u010dasn\u00ed i b\u00fdval\u00ed siln\u00ed ku\u0159\u00e1ci ve v\u011bku 55 a\u017e 74 let (tzn. \u017ee kou\u0159ili 20 cigaret denn\u011b po dobu alespo\u0148 20 let). Indikovat pacienta k\u00a0vy\u0161et\u0159en\u00ed (pomoc\u00ed n\u00edzkod\u00e1vkov\u00e9ho CT) na\u00a0akreditovan\u00e9m pracovi\u0161ti<\/a><\/strong>\u00a0m\u016f\u017ee praktick\u00fd l\u00e9ka\u0159 \u010di\u00a0pneumolog.<\/p>\n Kde takov\u00e9 vy\u0161et\u0159en\u00ed provedou?<\/b><\/p>\n Ve\u0161ker\u00e1 screeningov\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou pacientovi indikov\u00e1na<\/b>\u00a0(tzn. pacient pat\u0159\u00ed do dan\u00e9 v\u011bkov\u00e9 kategorie, p\u0159\u00edpadn\u011b m\u00e1 k vy\u0161et\u0159en\u00ed doporu\u010den\u00ed od sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, gynekologa apod.),\u00a0jsou hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b>. Jako v\u017edy je nutn\u00e9, aby\u00a0byla provedena ve\u00a0smluvn\u00edm zdravotnick\u00e9m za\u0159\u00edzen\u00ed<\/b>,\u00a0<\/b>tzn.\u00a0v za\u0159\u00edzen\u00ed, kter\u00e9 m\u00e1 smlouvu se\u00a0zdravotn\u00ed poji\u0161\u0165ovnou pacienta.<\/p>\n P\u0159i\u0161el mi dopis od VZP<\/b><\/p>\n VZP od roku 2014 zas\u00edl\u00e1 sv\u00fdm klient\u016fm zvac\u00ed dopis na\u00a0screeningov\u00e1 vy\u0161et\u0159en\u00ed n\u00e1dor\u016f prsu, kolorekta, d\u011blo\u017en\u00edho hrdla.\u00a0C\u00edlem projektu tohoto adresn\u00e9ho zvan\u00ed je\u00a0oslovit ty\u00a0poji\u0161t\u011bnce, kte\u0159\u00ed maj\u00ed na\u00a0screeningov\u00e1 vy\u0161et\u0159en\u00ed n\u00e1rok a zanedb\u00e1vaj\u00ed je a\u00a0opakovan\u011b se jich ne\u00fa\u010dastn\u00ed.\u00a0<\/b>VZP ro\u010dn\u011b po\u0161le n\u011bkolik set tis\u00edc takov\u00fd dopis\u016f, kde sv\u00e9 klienty upozor\u0148uje na d\u016fle\u017eitost prevence a vyz\u00fdv\u00e1 je k\u00a0\u00fa\u010dasti na vy\u0161et\u0159en\u00ed.<\/p>\n P\u0159\u00edsp\u011bvky z\u00a0fondu prevence<\/b><\/p>\n VZP sv\u00e9 klienty odm\u011b\u0148uje za \u00fa\u010dast na\u00a0screeningov\u00fdch vy\u0161et\u0159en\u00edch speci\u00e1ln\u00edm bonusem. Klient\u016fm nad 18 let, kte\u0159\u00ed se z\u00fa\u010dastnili v posledn\u00edch 24 m\u011bs\u00edc\u00edch alespo\u0148 jednoho z\u00a0vy\u0161et\u0159en\u00ed v\u00a0r\u00e1mci screeningov\u00fdch program\u016f<\/b>\u00a0(screening n\u00e1dor\u016f prsu, kolorekta, d\u011blo\u017en\u00edho hrdla, plic),\u00a0odm\u011bn\u00ed VZP p\u0159\u00edsp\u011bvkem 1\u00a0000 K\u010d. Ten mohou vyu\u017e\u00edt dle sv\u00e9ho uv\u00e1\u017een\u00ed na\u00a0<\/b>rehabilita\u010dn\u00ed a\u00a0rekondi\u010dn\u00ed aktivity<\/a><\/strong>,\u00a0nap\u0159.\u00a0na\u00a0mas\u00e1\u017e, pobyt v\u00a0soln\u00e9 jeskyni, j\u00f3gu, plav\u00e1n\u00ed\u00a0<\/b>atd. Od ledna 2024 VZP p\u0159\u00edsp\u011bvek dokonce zdvojn\u00e1sob\u00ed, v\u00a0p\u0159\u00ed\u0161t\u00edm roce bude u VZP tento bonus \u010dinit 2\u00a0000 korun.<\/p>\n Dal\u0161\u00ed p\u0159\u00edsp\u011bvky podporuj\u00edc\u00ed onkologickou prevenci<\/u><\/p>\n VZP nem\u00e1 zaveden \u017e\u00e1dn\u00fd limit pro \u010derp\u00e1n\u00ed p\u0159\u00edsp\u011bvk\u016f na jednoho klienta, p\u0159\u00edsp\u011bvky a benefity tak lze voln\u011b kombinovat a s\u010d\u00edtat, dle pot\u0159eby a v\u00fdb\u011bru ka\u017ed\u00e9ho<\/b>. Podrobnosti a podm\u00ednky \u010derp\u00e1n\u00ed jsou uvedeny u jednotliv\u00fdch p\u0159\u00edsp\u011bvk\u016f na webu VZP\u00a0v\u00a0sekci V\u00fdhody a p\u0159\u00edsp\u011bvky<\/a><\/strong>.<\/p>\n <\/p>\n (vzp)<\/strong><\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" OT\u00c1ZKA T\u00ddDNE <\/p>\n","protected":false},"author":2,"featured_media":288150,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2023\/10\/02\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/288148"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=288148"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/288148\/revisions"}],"predecessor-version":[{"id":288149,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/288148\/revisions\/288149"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/288150"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=288148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=288148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=288148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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