{"id":308702,"date":"2024-05-27T08:47:20","date_gmt":"2024-05-27T07:47:20","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=308702"},"modified":"2024-05-27T08:47:20","modified_gmt":"2024-05-27T07:47:20","slug":"vseobecna-zdravotni-pojistovna-rozdil-mezi-zavodnim-a-praktickym-lekarem","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=308702","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Rozd\u00edl mezi z\u00e1vodn\u00edm a praktick\u00fdm l\u00e9ka\u0159em"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Jak\u00fd je rozd\u00edl mezi z\u00e1vodn\u00edm a praktick\u00fdm l\u00e9ka\u0159em?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Zjednodu\u0161en\u011b by se dalo shrnout, \u017ee hlavn\u00edmi rozd\u00edly mezi l\u00e9ka\u0159em pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb (d\u0159\u00edve z\u00e1vodn\u00ed l\u00e9ka\u0159) a praktick\u00fdm l\u00e9ka\u0159em jsou v\u00a0typu poskytovan\u00fdch zdravotn\u00edch slu\u017eeb, v\u00a0\u00fahrad\u011b za tyto slu\u017eby (tzn. s\u00a0k\u00fdm m\u00e1 dan\u00fd poskytovatel uzav\u0159enou smlouvu) a t\u00edm, kdo dan\u00e9ho poskytovatele m\u016f\u017ee vybrat.<\/p>\n

L\u00c9KA\u0158 PRACOVN\u011aL\u00c9KA\u0158SK\u00ddCH SLU\u017dEB<\/b><\/p>\n

Zam\u011bstnavatel m\u00e1 povinnost zajistit tzv. firemn\u00edho l\u00e9ka\u0159e \u2013\u00a0jedn\u00e1 se o l\u00e9ka\u0159e pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb, kter\u00e9ho si zam\u011bstnavatel vol\u00ed s\u00e1m<\/b>. T\u00edm m\u016f\u017ee b\u00fdt l\u00e9ka\u0159 v oboru v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed nebo l\u00e9ka\u0159 v oboru pracovn\u00ed l\u00e9ka\u0159stv\u00ed.<\/p>\n

Pr\u00e1va a povinnosti t\u00fdkaj\u00edc\u00ed se pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb jsou uvedeny zejm\u00e9na v z\u00e1kon\u011b o ochran\u011b ve\u0159ejn\u00e9ho zdrav\u00ed (\u010d. 258\/2000 Sb.), v z\u00e1kon\u011b o specifick\u00fdch slu\u017eb\u00e1ch (\u010d. 373\/2011 Sb.), ve vyhl\u00e1\u0161ce o\u00a0pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eb\u00e1ch (\u010d. 79\/2013 Sb.) a v\u00a0z\u00e1kon\u00edku pr\u00e1ce (\u010d. 262\/2006 Sb.).<\/p>\n

Co d\u011bl\u00e1 l\u00e9ka\u0159 pracovn\u011b l\u00e9ka\u0159sk\u00fdch slu\u017eeb?<\/b><\/p>\n

L\u00e9ka\u0159 pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb posuzuje zp\u016fsobilost zam\u011bstnance pro danou pracovn\u00ed pozici, prov\u00e1d\u00ed pracovn\u011bl\u00e9ka\u0159sk\u00e9 prohl\u00eddky zam\u011bstnanc\u016f, poskytuje odborn\u00e9 poradenstv\u00ed se\u00a0zam\u011b\u0159en\u00edm na\u00a0BOZP (bezpe\u010dnost a ochrana zdrav\u00ed p\u0159i pr\u00e1ci), zaji\u0161\u0165uje \u0161kolen\u00ed ur\u010den\u00fdch zam\u011bstnanc\u016f v prvn\u00ed pomoci,\u00a0je opr\u00e1vn\u011bn vystavovat l\u00e9ka\u0159sk\u00fd posudek na\u00a0zam\u011bstnance.<\/p>\n

Co je sou\u010d\u00e1st\u00ed zdravotn\u00ed prohl\u00eddky?<\/b><\/p>\n

C\u00edlem zdravotn\u00ed prohl\u00eddky je zhodnocen\u00ed zdravotn\u00edho stavu zam\u011bstnance (uchaze\u010de o zam\u011bstn\u00e1n\u00ed), vliv pracovn\u00edho v\u00fdkonu, prost\u0159ed\u00ed a podm\u00ednek na zdrav\u00ed zam\u011bstnance a odhalen\u00ed p\u0159\u00edpadn\u00fdch pracovn\u00edch rizik, kter\u00e1 by mohla po\u0161kodit zdrav\u00ed zam\u011bstnance.\u00a0Proveden\u00ed pracovn\u011bl\u00e9ka\u0159sk\u00e9 prohl\u00eddky zahrnuje proveden\u00ed z\u00e1kladn\u00edho vy\u0161et\u0159en\u00ed, zhodnocen\u00ed v\u00fdsledk\u016f zdravotn\u00edho stavu, p\u0159\u00edpadn\u011b vy\u017e\u00e1d\u00e1n\u00ed a\u00a0zhodnocen\u00ed odborn\u00fdch vy\u0161et\u0159en\u00ed, proveden\u00ed z\u00e1znamu do zdravotnick\u00e9 dokumentace, zpracov\u00e1n\u00ed l\u00e9ka\u0159sk\u00e9ho posudku atd.<\/p>\n

Pro\u010d mus\u00edm absolvovat vy\u0161et\u0159en\u00ed u \u201efiremn\u00edho\u201c l\u00e9ka\u0159e?<\/b><\/p>\n

Ka\u017ed\u00fd uchaze\u010d o zam\u011bstn\u00e1n\u00ed mus\u00ed p\u0159ed n\u00e1stupem do\u00a0nov\u00e9ho zam\u011bstn\u00e1n\u00ed absolvovat vstupn\u00ed prohl\u00eddku u l\u00e9ka\u0159e pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb. Zam\u011bstnanci pak mus\u00ed absolvovat dal\u0161\u00ed typy prohl\u00eddek (periodickou, mimo\u0159\u00e1dnou, v\u00fdstupn\u00ed) v\u00a0z\u00e1konem stanoven\u00fdch intervalech a dle pracovn\u00edho za\u0159azen\u00ed do\u00a0jednotliv\u00fdch kategori\u00edch (podle toho, jak velk\u00e1 je pravd\u011bpodobnost zdravotn\u00edch rizik p\u0159i v\u00fdkonu dan\u00e9 pr\u00e1ce).<\/p>\n

\u00dahrada poskytnut\u00fdch pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb<\/b><\/p>\n

L\u00e9ka\u0159 pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb je poskytovatelem zdravotn\u00ed slu\u017eeb, kter\u00fd m\u00e1 uzav\u0159enou smlouvu se\u00a0zam\u011bstnavatelem.<\/b>\u00a0Vstupn\u00ed prohl\u00eddku hrad\u00ed zam\u011bstnavatel pouze v p\u0159\u00edpad\u011b, \u017ee\u00a0je\u00a0uchaze\u010d o\u00a0zam\u011bstn\u00e1n\u00ed na pracovn\u00ed m\u00edsto p\u0159ijat<\/b>, v opa\u010dn\u00e9m p\u0159\u00edpad\u011b si vstupn\u00ed prohl\u00eddku hrad\u00ed uchaze\u010d s\u00e1m.\u00a0Ostatn\u00ed typy prohl\u00eddek hrad\u00ed zam\u011bstnavatel.<\/b><\/p>\n

V\u0160EOBECN\u00dd PRAKTICK\u00dd L\u00c9KA\u0158<\/b><\/p>\n

V\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159 je poskytovatelem tzv. prim\u00e1rn\u00ed p\u00e9\u010de, ke kter\u00e9mu se poji\u0161t\u011bnec dobrovoln\u011b registruje. Poji\u0161t\u011bnec si\u00a0sv\u00e9ho registruj\u00edc\u00edho v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e m\u016f\u017ee vybrat s\u00e1m<\/b>\u00a0(tzn. m\u00e1 pr\u00e1vo na v\u00fdb\u011br ambulantn\u00edho l\u00e9ka\u0159e),\u00a0p\u0159eregistrovat se k\u00a0nov\u00e9mu praktick\u00e9mu l\u00e9ka\u0159i m\u016f\u017ee nejd\u0159\u00edve za 3 m\u011bs\u00edce od p\u0159edchoz\u00ed<\/b>\u00a0registrace.<\/b>\u00a0V\u017edy je platn\u00e1 posledn\u00ed proveden\u00e1 registrace, resp. posledn\u00ed vypln\u011bn\u00fd a podepsan\u00fd registra\u010dn\u00ed list\u00a0(v\u00edce informac\u00ed\u00a0zde<\/a>).<\/strong><\/p>\n

Pr\u00e1va a povinnosti t\u00fdkaj\u00edc\u00ed se v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159stv\u00ed stanovuje p\u0159edev\u0161\u00edm z\u00e1kon o\u00a0zdravotn\u00edch slu\u017eb\u00e1ch (\u010d. 372\/2011 Sb.) a d\u00e1le nap\u0159. z\u00e1kon o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed (\u010d.\u00a048\/1997 Sb.). Obsah a frekvence preventivn\u00edch prohl\u00eddek jsou definov\u00e1ny ve vyhl\u00e1\u0161ce o\u00a0preventivn\u00edch prohl\u00eddk\u00e1ch (\u010d. 70\/2012 Sb.).<\/p>\n

Co d\u011bl\u00e1 v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159?<\/b><\/p>\n

V\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159 je l\u00e9ka\u0159 prim\u00e1rn\u00ed p\u00e9\u010de, kter\u00fd m\u00e1 zaregistrovan\u00e9 pacienty ve sv\u00e9 dlouhodob\u00e9 a\u00a0pravideln\u00e9 p\u00e9\u010di. M\u011bl by b\u00fdt prioritn\u011b prvn\u00edm kontaktem pacienta se zdravotn\u00edmi slu\u017ebami. Poskytuje pacient\u016fm komplexn\u00ed preventivn\u00ed p\u00e9\u010di \u2013 l\u00e9\u010d\u00ed akutn\u00ed a chronick\u00e1 onemocn\u011bn\u00ed, prov\u00e1d\u00ed v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky, doporu\u010duje screeningov\u00e1 vy\u0161et\u0159en\u00ed, zprost\u0159edkov\u00e1v\u00e1 specializovanou p\u00e9\u010di, prov\u00e1d\u00ed edukaci pacient\u016f v\u00a0oblasti zdrav\u00ed, p\u0159edepisuje l\u00e9ky podle diagn\u00f3zy pacienta atd. Ve\u0161ker\u00e9 informace zapisuje do zdravotnick\u00e9 dokumentace pacienta.<\/p>\n

Pracovn\u011bl\u00e9ka\u0159sk\u00e9 prohl\u00eddky m\u016f\u017ee praktick\u00fd l\u00e9ka\u0159 prov\u00e1d\u011bt pouze na \u017e\u00e1dost zam\u011bstnavatele a\u00a0v\u00a0p\u0159\u00edpad\u011b, \u017ee zam\u011bstnanec vykon\u00e1v\u00e1 pr\u00e1ci za\u0159azenou do I. kategorie, a dle z\u00e1kona nejsou pro tento druh pr\u00e1ce vy\u017eadov\u00e1ny \u017e\u00e1dn\u00e9 speci\u00e1ln\u00ed podm\u00ednky zdravotn\u00ed zp\u016fsobilosti.<\/p>\n

Co je sou\u010d\u00e1st\u00ed v\u0161eobecn\u00e9 preventivn\u00ed prohl\u00eddky u dosp\u011bl\u00e9ho?<\/b><\/p>\n

V\u0161eobecn\u00e1 preventivn\u00ed prohl\u00eddka je prov\u00e1d\u011bna jedenkr\u00e1t za dva roky. T\u00fdk\u00e1 se poji\u0161t\u011bnc\u016f od 18 let (nejpozd\u011bji od 19 let). Praktick\u00fd l\u00e9ka\u0159 s\u00a0pacientem dopln\u00ed anamn\u00e9zu a zkontroluje o\u010dkov\u00e1n\u00ed. V\u00a0r\u00e1mci prohl\u00eddky je provedeno komplexn\u00ed fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed, zm\u011b\u0159en\u00ed krevn\u00edho tlaku, vy\u0161et\u0159en\u00ed pohmatem \u0161t\u00edtn\u00e9 \u017el\u00e1zy, kontrola poklepem a poslechem srdce a plic, zji\u0161t\u011bn\u00ed indexu t\u011blesn\u00e9 hmotnosti (BMI), orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed zraku, sluchu a k\u016f\u017ee. Sou\u010d\u00e1st\u00ed je tak\u00e9 onkologick\u00e1 prevence \u2013 zhodnocuj\u00ed se rizika z hlediska aktualizovan\u00e9 rodinn\u00e9, osobn\u00ed a pracovn\u00ed anamn\u00e9zy. D\u00e1le l\u00e9ka\u0159 zkontroluje a zajist\u00ed p\u0159edepsan\u00e1 preventivn\u00ed vy\u0161et\u0159en\u00ed, kter\u00e1 se prov\u00e1d\u011bj\u00ed v\u017edy ve stanoven\u00e9 v\u011bkov\u00e9 kategorii (nap\u0159. vy\u0161et\u0159en\u00ed EKG, cholesterolu, screeningov\u00e1 vy\u0161et\u0159en\u00ed zhoubn\u00fdch n\u00e1dor\u016f atd.).<\/p>\n

\u00dahrada poskytnut\u00e9 zdravotn\u00ed p\u00e9\u010de praktick\u00fdm l\u00e9ka\u0159em<\/b><\/p>\n

Praktick\u00fd l\u00e9ka\u0159 je poskytovatelem zdravotn\u00ed p\u00e9\u010de, kter\u00fd m\u00e1 uzav\u0159enou smlouvu se zdravotn\u00ed poji\u0161\u0165ovnou poji\u0161t\u011bnce, tzn. jedn\u00e1 se o smluvn\u00edho poskytovatele.<\/b>\u00a0Z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed jsou hrazena ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed indikovan\u00e1 o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em \u2013 vy\u0161et\u0159en\u00ed a odb\u011bry je\u00a0nutn\u00e9 prov\u00e9st ve\u00a0smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch a u smluvn\u00edch poskytovatel\u016f.<\/b><\/p>\n

Dopl\u0148uj\u00edc\u00ed informace<\/u><\/i><\/p>\n

Jedn\u00e1 se zjednodu\u0161en\u00fd popis \u010dinnosti l\u00e9ka\u0159e pracovn\u011bl\u00e9ka\u0159sk\u00fdch slu\u017eeb a v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, nikoliv p\u0159esn\u00fd v\u00fdklad poskytovan\u00fdch zdravotn\u00edch slu\u017eeb a odborn\u00fdch vy\u0161et\u0159en\u00ed.<\/i><\/p>\n

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

\n

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

OT\u00c1ZKA: Jak\u00fd <\/p>\n","protected":false},"author":2,"featured_media":308704,"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\/2024\/05\/27\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/308702"}],"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=308702"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/308702\/revisions"}],"predecessor-version":[{"id":308705,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/308702\/revisions\/308705"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/308704"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=308702"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=308702"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=308702"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}