{"id":294121,"date":"2023-12-27T13:47:03","date_gmt":"2023-12-27T12:47:03","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=294121"},"modified":"2023-12-27T13:47:03","modified_gmt":"2023-12-27T12:47:03","slug":"vseobecna-zdravotni-pojistovna-dostupnejsi-pece-detskeho-psychiatra-ale-i-zmeny-v-ockovani-proti-hpv-a-meningokokovym-infekcim-to-jsou-nektere-novinky-ve-zdravotni-peci-pro-rok-2024","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=294121","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Dostupn\u011bj\u0161\u00ed p\u00e9\u010de d\u011btsk\u00e9ho psychiatra, ale i zm\u011bny v o\u010dkov\u00e1n\u00ed proti HPV a meningokokov\u00fdm infekc\u00edm. To jsou n\u011bkter\u00e9 novinky ve zdravotn\u00ed p\u00e9\u010di pro rok 2024"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h4 class=\"-wm-MsoNormal\"><b>Pacienti se od ledna p\u0159\u00ed\u0161t\u00edho roku mohou v\u00a0ordinac\u00edch setkat s\u00a0n\u011bkter\u00fdmi novinkami. Zm\u011bny se t\u00fdkaj\u00ed nap\u0159\u00edklad jednodenn\u00ed chirurgie, kde se roz\u0161i\u0159uje seznam v\u00fdkon\u016f, po nich\u017e bude moci b\u00fdt pacient propu\u0161t\u011bn do dom\u00e1c\u00edho l\u00e9\u010den\u00ed. V\u00a0oblasti prevence se zase upravuje v\u011bkov\u00fd limit pro pln\u011b hrazen\u00e9 o\u010dkov\u00e1n\u00ed proti HPV, n\u00e1rok na n\u011bj vznikne u\u017e v\u00a011 letech, vyu\u017e\u00edt jej budou moci d\u00edvky i chlapci a\u017e do 15 let. Mu\u017ei star\u0161\u00ed 50 let se zase budou moci zapojit do popula\u010dn\u00edho screeningu karcinomu prostaty. N\u00ed\u017ee p\u0159in\u00e1\u0161\u00ed VZP p\u0159ehled n\u011bkter\u00fdch zm\u011bn.<\/b><\/h4>\n<p class=\"-wm-MsoNormal\"><b>\u00a0<\/b><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraph\">\n<h6><b>Jednodenn\u00ed p\u00e9\u010de pro dal\u0161\u00ed z\u00e1kroky<\/b><\/h6>\n<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\"><strong>V\u00a0r\u00e1mci tzv. jednodenn\u00ed p\u00e9\u010de jsou poskytov\u00e1ny takov\u00e9 zdravotn\u00ed slu\u017eby, kdy proveden\u00ed v\u00fdkonu a zdravotn\u00ed stav pacienta umo\u017e\u0148uje propu\u0161t\u011bn\u00ed ze zdravotnick\u00e9ho za\u0159\u00edzen\u00ed nejpozd\u011bji do 24\u00a0hodin od jeho p\u0159ijet\u00ed.<\/strong><b>\u00a0<strong>P\u00e9\u010de je poskytov\u00e1na v\u017edy pl\u00e1novan\u011b<\/strong>,\u00a0<\/b>tzn.<b>\u00a0<\/b>nejedn\u00e1 se o akutn\u00ed z\u00e1kroky.<\/p>\n<p class=\"-wm-MsoNormal\"><strong>P\u0159i v\u00fdb\u011bru v\u00fdkon\u016f<\/strong>\u00a0vhodn\u00fdch k jednodenn\u00ed p\u00e9\u010di na l\u016f\u017eku\u00a0<strong>je kladen d\u016fraz na minim\u00e1ln\u011b invazivn\u00ed v\u00fdkony, s\u00a0krat\u0161\u00ed\u00a0opera\u010dn\u00ed dobou<\/strong><b>\u00a0<\/b>(m\u00e9n\u011b ne\u017e 2 hodiny)\u00a0<strong>a s n\u00edzk\u00fdm rizikem ztr\u00e1ty krve<\/strong>. Z\u00e1sadn\u00ed je tak\u00e9 mo\u017enost zm\u00edrnit nap\u0159. poopera\u010dn\u00ed bolest po propu\u0161t\u011bn\u00ed pouze peror\u00e1ln\u00edmi analgetiky.<\/p>\n<p class=\"-wm-MsoNormal\">Seznam v\u00fdkon\u016f definovan\u00fdch \u00fahradovou vyhl\u00e1\u0161kou, u nich\u017e je mo\u017en\u00e9 p\u0159istoupit na jednodenn\u00ed p\u00e9\u010di se pro p\u0159\u00ed\u0161t\u00ed rok pom\u011brn\u011b v\u00fdznamn\u011b rozroste na 47 typ\u016f z\u00e1krok\u016f, pat\u0159it mezi n\u011b budou nap\u0159\u00edklad jednoduch\u00e9 operace k\u00fdly, hemoroid\u016f, laparoskopick\u00e1 operace slep\u00e9ho st\u0159eva, nen\u00e1ro\u010dn\u00e9 operace ramene \u010di kolene atd. Nov\u011b se bude jednat o operace prov\u00e1d\u011bn\u00e9 v\u00a0r\u00e1mci ORL, gynekologie \u010di ortopedie, dosud to byly operace zejm\u00e9na chirurgick\u00e9.<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraph\">\n<h6><b>Vzd\u00e1len\u00fd kontakt s\u00a0d\u011btsk\u00fdm psychiatrem<\/b><\/h6>\n<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">D\u011bt\u0161t\u00ed a\u00a0dorostov\u00ed psychiat\u0159i budou moci od\u00a0p\u0159\u00ed\u0161t\u00edho roku poskytovat sv\u00fdm pacient\u016fm novou zdravotn\u00ed slu\u017ebu, a\u00a0to tzv. &#8220;Distan\u010dn\u00ed kontakt v\u00a0pedopsychiatrii&#8221;. Jedn\u00e1 se o zaji\u0161t\u011bn\u00ed vzd\u00e1len\u00e9ho kontaktu l\u00e9ka\u0159e s\u00a0pacientem za vyu\u017eit\u00ed informa\u010dn\u00edch a komunika\u010dn\u00edch technologi\u00ed (obrazu\/kamery).<\/p>\n<p class=\"-wm-MsoNormal\">Rozhodnut\u00ed, zda je v\u00a0konkr\u00e9tn\u00ed situaci vhodn\u00e9 zajistit kontakt s\u00a0pacientem ze vzd\u00e1len\u00e9ho p\u0159\u00edstupu, bude v\u017edy na o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159i. Vyu\u017e\u00edt (vzd\u00e1len\u00fd kontakt) bude mo\u017en\u00e9 v podstat\u011b u kter\u00e9koli z psychiatrick\u00fdch diagn\u00f3z d\u011bt\u00ed a mladistv\u00fdch.<\/p>\n<p class=\"-wm-MsoNormal\">Kontakt bude slou\u017eit nap\u0159\u00edklad ke konzultac\u00edm n\u00e1hl\u00e9ho zhor\u0161en\u00ed zdravotn\u00edho stavu pacienta, k \u00fa\u010dinku medikace \u010di jej\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f, p\u0159i atace \u010di k\u00a0akutn\u00ed krizov\u00e9 intervenci. C\u00edlovou skupinou v\u00fdkonu jsou d\u011bti a adolescenti do 18 let.<\/p>\n<p class=\"-wm-MsoNormal\">Vyu\u017e\u00edt tuto mo\u017enost v\u00a0r\u00e1mci l\u00e9\u010dby \u010di sledov\u00e1n\u00ed pacienta bude moci pouze o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159, tzn. l\u00e9ka\u0159, kter\u00fd pacienta ji\u017e d\u0159\u00edve osobn\u011b vy\u0161et\u0159il (nem\u016f\u017ee j\u00edt o prvn\u00ed kontakt l\u00e9ka\u0159e a pacienta).<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraph\">\n<h6><b>Bonifikace zdravotn\u00ed p\u00e9\u010de o d\u011bti a mladistv\u00e9<\/b><\/h6>\n<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">\u00dahradov\u00e1 vyhl\u00e1\u0161ka a seznam v\u00fdkon\u016f zav\u00e1d\u011bj\u00ed od ledna 2024 nov\u00e9 bonifikace za p\u00e9\u010di o d\u011bti a mladistv\u00e9, a to plo\u0161n\u011b pro poskytovatele v naprost\u00e9 v\u011bt\u0161in\u011b segment\u016f (net\u00fdk\u00e1 se nap\u0159. laboratorn\u00ed p\u00e9\u010de). Tyto nov\u00e9 tzv. bonifika\u010dn\u00ed v\u00fdkony bude l\u00e9ka\u0159 vykazovat ke klasick\u00e9mu vy\u0161et\u0159en\u00ed.<\/p>\n<p class=\"-wm-MsoNormal\">Nejv\u00edce bonifikov\u00e1na bude od nov\u00e9ho roku p\u00e9\u010de o d\u011bti do 6 let (208 K\u010d), d\u00e1le od 6 do 12 let (156 K\u010d) a nakonec od 12 do 18 let (104 K\u010d). Pokud d\u00edt\u011b vy\u017eaduje v\u00edce vy\u0161et\u0159en\u00ed b\u011bhem jednoho dne ve v\u00edce odbornostech, pak je bonifikov\u00e1no o\u0161et\u0159en\u00ed v\u00a0ka\u017ed\u00e9 odbornosti.<\/p>\n<p class=\"-wm-MsoNormal\">Specifick\u00e1 bonifikace se pak bude t\u00fdkat d\u011btsk\u00fdch psychiatr\u016f, a to za \u00fa\u010delem zv\u00fd\u0161en\u00ed dostupnosti t\u011bchto zdravotn\u00edch slu\u017eeb (tzn. pro roz\u0161\u00ed\u0159en\u00ed ordina\u010dn\u00edch hodin, nav\u00fd\u0161en\u00ed kapacit apod.). Druhou takovou slupinou jsou\u00a0<a name=\"-wm-_Hlk151989169\"><\/a>stomatologov\u00e9. U nich dojde k\u00a0nav\u00fd\u0161en\u00ed tzv. agregovan\u00e9 platby za ka\u017ed\u00e9ho registrovan\u00e9ho poji\u0161t\u011bnce ve v\u011bku do 18 let.<\/p>\n<p class=\"-wm-MsoNormal\"><b>\u00a0<\/b><\/p>\n<h6 class=\"-wm-MsoNormal\"><b><u>Novinky v\u00a0oblasti prevence<\/u><\/b><\/h6>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraph\">\n<h6><b>Prevence proti HPV<\/b><\/h6>\n<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">HPV viry zp\u016fsobuj\u00ed nejen rakovinu d\u011blo\u017en\u00edho hrdla, ale nap\u0159\u00edklad tak\u00e9 genit\u00e1ln\u00ed bradavice a \u0159adu dal\u0161\u00edch chorob. O\u010dkovat by se proto proti HPV tedy m\u011bli d\u00edvky i chlapci.\u00a0Z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je dnes pln\u011b hrazeno, pokud je zah\u00e1jeno mezi 13.\u00a0 a\u00a014.\u00a0rokem v\u011bku. Od ledna se v\u011bkov\u00fd interval roz\u0161\u00ed\u0159\u00ed a o\u010dkov\u00e1n\u00ed bude pln\u011b hrazeno, pokud bude zah\u00e1jeno ve v\u011bku od 11 let a\u017e do 15 let.<\/p>\n<p class=\"-wm-MsoNormal\">Ostatn\u00edm klient\u016fm do 18 let, u kter\u00fdch nebude spln\u011bna podm\u00ednka pro \u00fahradu (tzn. klient\u016fm, kte\u0159\u00ed zah\u00e1j\u00ed o\u010dkov\u00e1n\u00ed mimo toto v\u011bkov\u00e9 rozmez\u00ed) VZP nab\u00edz\u00ed letos p\u0159\u00edsp\u011bvek 1\u00a0000 K\u010d, od ledna 2024 u\u017e 1 500 korun.<\/p>\n<p class=\"-wm-MsoNormal\">V\u00a0r\u00e1mci preventivn\u00ed gynekologick\u00e9 prohl\u00eddky, kterou by m\u011bly \u017eeny absolvovat jednou za rok, je prov\u00e1d\u011bno cytologick\u00e9 vy\u0161et\u0159en\u00ed karcinomu d\u011blo\u017en\u00edho hrdla. Krom\u011b toho je aktu\u00e1ln\u011b u \u017een ve v\u011bku 35 let a 45 let v\u00a0r\u00e1mci gynekologick\u00e9 preventivn\u00ed prohl\u00eddky hrazen i HPV DNA test, kter\u00fd zvy\u0161uje v\u00fdznamnou m\u011brou citlivost a bezpe\u010dnost screeningu karcinomu d\u011blo\u017en\u00edho hrdla.\u00a0<strong>Nov\u011b se bude toto vy\u0161et\u0159en\u00ed hradit i \u017een\u00e1m ve v\u011bku 55 let (<\/strong>\u017een\u00e1m, kter\u00e9 maj\u00ed sporn\u00fd \u010di pozitivn\u00ed v\u00fdsledek cytologie, jsou samoz\u0159ejm\u011b hrazena v\u0161echna indikovan\u00e1 vy\u0161et\u0159en\u00ed bez omezen\u00ed v\u011bku).<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraph\">\n<h6><b>Screening karcinomu prostaty<\/b><\/h6>\n<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">V\u00a0roce 2024 bude zah\u00e1jen popula\u010dn\u00ed program \u010dasn\u00e9ho z\u00e1chytu karcinomu prostaty, jde o pilotn\u00ed program Ministerstva zdravotnictv\u00ed \u010cR. Ur\u010den bude mu\u017e\u016fm zejm\u00e9na ve v\u011bku od 50 do 69 let (p\u0159\u00edpadn\u011b i star\u0161\u00edm, dle posouzen\u00ed l\u00e9ka\u0159e). Zapojen\u00ed do screeningu jim nab\u00eddne jejich registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 nebo o\u0161et\u0159uj\u00edc\u00ed urolog.<\/p>\n<p class=\"-wm-MsoNormal\">Hlavn\u00edm ukazatelem p\u0159\u00edpadn\u00e9ho rizika je laboratorn\u00ed rozbor krve, pro zji\u0161t\u011bn\u00ed hladiny tzv. PSA. Na z\u00e1klad\u011b jej\u00ed hodnoty bude n\u00e1sledovat doporu\u010den\u00fd postup dle Metodiky \u010dasn\u00e9ho z\u00e1chytu MZ \u010cR (nap\u0159. sonografie, magnetick\u00e1 rezonance atd.)<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraph\">\n<h6><b>Hrazen\u00e9 o\u010dkov\u00e1n\u00ed proti meningokok\u016fm se roz\u0161i\u0159uje<\/b><\/h6>\n<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">Bakterie meningokoka se \u0161\u00ed\u0159\u00ed kap\u00e9nkovou infekc\u00ed a po\u010d\u00e1te\u010dn\u00ed p\u0159\u00edznaky jsou jen t\u011b\u017ece odli\u0161iteln\u00e9 od virov\u00fdch onemocn\u011bn\u00ed, jako je nap\u0159\u00edklad ch\u0159ipka. Onemocn\u011bn\u00ed p\u0159itom m\u016f\u017ee m\u00edt i velmi komplikovan\u00fd pr\u016fb\u011bh. Z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed maj\u00ed vakc\u00ednu proti meningokoku B dnes pln\u011b hrazenou kojenci, je-li o\u010dkov\u00e1n\u00ed zah\u00e1jeno do 12\u00a0m\u011bs\u00edc\u016f v\u011bku, a d\u00e1le adolescenti, je-li o\u010dkov\u00e1n\u00ed zah\u00e1jeno od 14. do 15. roku v\u011bku. Nov\u011b se tato v\u011bkov\u00e1 kategorie roz\u0161i\u0159uje od 14. do 16. roku v\u011bku.<\/p>\n<p class=\"-wm-MsoNormal\">O\u010dkov\u00e1n\u00ed proti meningokoku A,\u00a0C,\u00a0W,\u00a0Y je pln\u011b hrazeno od\u00a0dovr\u0161en\u00ed 1. do dovr\u0161en\u00ed 2. roku v\u011bku, nebo pak od dovr\u0161en\u00ed 14. do dovr\u0161en\u00ed 15. roku v\u011bku). Nov\u011b se tato v\u011bkov\u00e1 kategorie roz\u0161i\u0159uje od dovr\u0161en\u00ed 14. do dovr\u0161en\u00ed 16. roku v\u011bku.\u00a0 O\u010dkov\u00e1n\u00ed je tak\u00e9 hrazeno v\u00a0p\u0159\u00edpad\u011b rizikov\u00fdch skupin (v\u017edy do v\u00fd\u0161e ekonomicky nejm\u00e9n\u011b n\u00e1ro\u010dn\u00e9 varianty o\u010dkovac\u00ed l\u00e1tky.)<\/p>\n<p class=\"-wm-MsoNormal\">O\u00a0p\u0159\u00edsp\u011bvek na o\u010dkov\u00e1n\u00ed proti meningokokov\u00e9 n\u00e1kaze typu B ve v\u00fd\u0161i 1\u00a0500 K\u010d (a od ledna 2024 ve v\u00fd\u0161i 2\u00a0000 K\u010d) a ACWY ve v\u00fd\u0161i 1\u00a0000 K\u010d (\u010d\u00e1stka z\u016fst\u00e1v\u00e1 pro 2024 stejn\u00e1) mohou \u017e\u00e1dat jak d\u011bti, tak dosp\u011bl\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p>(tz-vzp)<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pacienti se <\/p>\n","protected":false},"author":2,"featured_media":294122,"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\/12\/27\/ram-vzp-zmeny.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/294121"}],"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=294121"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/294121\/revisions"}],"predecessor-version":[{"id":294123,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/294121\/revisions\/294123"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/294122"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=294121"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=294121"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=294121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}