{"id":346942,"date":"2025-05-28T08:13:41","date_gmt":"2025-05-28T07:13:41","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=346942"},"modified":"2025-05-28T08:13:41","modified_gmt":"2025-05-28T07:13:41","slug":"aktuality-tymovych-praxi-praktiku-i-pediatru-pribyva-vzp-uz-uzavrela-smlouvu-se-170-ordinacemi","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=346942","title":{"rendered":"AKTUALITY: T\u00fdmov\u00fdch prax\u00ed praktik\u016f i pediatr\u016f p\u0159ib\u00fdv\u00e1, VZP u\u017e uzav\u0159ela smlouvu se 170 ordinacemi"},"content":{"rendered":"

\"\"<\/p>\n

Od roku 2025 byla pro v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159e a praktick\u00e9 l\u00e9ka\u0159e pro d\u011bti a dorost zavedena mo\u017enost provozov\u00e1n\u00ed tzv. t\u00fdmov\u00fdch prax\u00ed. Roz\u0161\u00ed\u0159en\u00e9 ordinace maj\u00ed za c\u00edl registrovat v\u00edce pacient\u016f, tedy zajistit lep\u0161\u00ed dostupnost p\u00e9\u010de t\u011bchto odbornost\u00ed. Princip t\u00fdmov\u00e9 praxe spo\u010d\u00edv\u00e1 v\u00a0tom, \u017ee na jednom pracovi\u0161ti p\u016fsob\u00ed v\u00edce l\u00e9ka\u0159\u016f. V\u00fdhodn\u011bj\u0161\u00ed podm\u00ednky od zdravotn\u00edch poji\u0161\u0165oven pak ordinace z\u00edsk\u00e1, pokud v\u00a0dan\u00e9m roce nav\u00fd\u0161\u00ed kapacity poji\u0161t\u011bnc\u016f p\u0159ijat\u00fdch do p\u00e9\u010de, tj. zaregistruje alespo\u0148 200 nov\u00fdch pacient\u016f* p\u0159i dvou cel\u00fdch \u00favazc\u00edch l\u00e9ka\u0159\u016f, resp. 400 pacient\u016f v\u00a0p\u0159\u00edpad\u011b t\u0159\u00ed \u00favazk\u016f.<\/b><\/h6>\n

\u201eRealisticky lze o\u010dek\u00e1vat, \u017ee t\u00fdmov\u00fdch prax\u00ed by mohlo vzniknout kolem dvou set. Podle m\u00e9ho odhadu by v\u00a0sou\u010dtu mohly zajistit a\u017e 40\u00a0000 nov\u00fdch m\u00edst pro registraci dal\u0161\u00edch pacient\u016f. To by v\u00fdrazn\u011b p\u0159isp\u011blo ke zlep\u0161en\u00ed dostupnosti prim\u00e1rn\u00ed p\u00e9\u010de,\u201c<\/i>\u00a0\u0159\u00edk\u00e1\u00a0Tom Philipp, p\u0159edseda Spr\u00e1vn\u00ed rady VZP \u010cR. Nejv\u00edce t\u00fdmov\u00fdch prax\u00ed zat\u00edm vznik\u00e1 v\u00a0ordinac\u00edch v\u0161eobecn\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f (139), nej\u010dast\u011bji jsou otv\u00edr\u00e1ny v\u00a0Praze (32) a Moravskoslezsk\u00e9m kraji (22). Tak\u00e9 v\u00a0p\u0159\u00edpad\u011b ordinac\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost vznikly t\u00fdmov\u00e9 praxe ve v\u011bt\u0161in\u011b kraj\u016f, by\u0165 je jejich celkov\u00fd po\u010det zat\u00edm ni\u017e\u0161\u00ed (31). V\u00a0sou\u010dtu tak VZP od nov\u00e9ho roku uzav\u0159ela 170 smluv na t\u00fdmov\u00e9 praxe, jejich po\u010det ale st\u00e1le nen\u00ed kone\u010dn\u00fd, \u017e\u00e1dosti mohou poskytovatel\u00e9 st\u00e1le pod\u00e1vat.<\/p>\n

\u00a0\u201eT\u00fdmov\u00e9 praxe dok\u00e1\u017e\u00ed mobilizovat pracovn\u00ed s\u00edlu, s\u00a0n\u00ed\u017e jsme dosud neum\u011bli \u00fapln\u011b efektivn\u011b nakl\u00e1dat. Jedn\u00e1 se nap\u0159\u00edklad o l\u00e9ka\u0159ky pe\u010duj\u00edc\u00ed o mal\u00e9 d\u011bti, nebo p\u0159\u00edmo na mate\u0159sk\u00e9, kter\u00e9 uv\u00edtaj\u00ed mo\u017enost zkr\u00e1cen\u00fdch \u00favazk\u016f, m\u016f\u017ee se jednat o l\u00e9ka\u0159e, kte\u0159\u00ed d\u00edky men\u0161\u00edmu \u00favazku mohou skloubit pr\u00e1ci v\u00a0praxi i s\u00a0prac\u00ed v\u00a0nemocnici atd.,\u201c<\/i>\u00a0\u0159\u00edk\u00e1\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di.\u00a0 T\u00fdmov\u00e9 praxe podle n\u011bj mohou vyhovovat tak\u00e9 za\u010d\u00ednaj\u00edc\u00edm l\u00e9ka\u0159\u016fm, kte\u0159\u00ed maj\u00ed d\u00edky p\u0159\u00edtomnosti zku\u0161en\u011bj\u0161\u00edho kolegy na pracovi\u0161ti mo\u017enost rychl\u00e9 konzultace komplikovan\u011bj\u0161\u00edch p\u0159\u00edpad\u016f a l\u00e9pe se tak do budoucna p\u0159ipravit na provozov\u00e1n\u00ed samostatn\u00e9 praxe.<\/p>\n

\u00a0Poskytovatel mus\u00ed o uzav\u0159en\u00ed smluvn\u00edho dodatku na t\u00fdmovou praxi aktivn\u011b s\u00e1m po\u017e\u00e1dat a z\u00e1rove\u0148 dolo\u017eit pln\u011bn\u00ed stanoven\u00fdch podm\u00ednek jako je person\u00e1ln\u00ed zabezpe\u010den\u00ed, \u00favazky, ordina\u010dn\u00ed hodiny, p\u0159\u00edstrojov\u00e9 vybaven\u00ed atp. Pot\u00e9 je \u017e\u00e1dost VZP projedn\u00e1na a v\u00a0p\u0159\u00edpad\u011b spln\u011bn\u00ed podm\u00ednek je schv\u00e1lena.<\/p>\n

Jak funguj\u00ed praxe v\u00a0praxi?<\/b><\/p>\n

V\u00a0t\u00fdmov\u00e9 praxi pracuj\u00ed minim\u00e1ln\u011b dva l\u00e9ka\u0159i, z\u00a0nich\u017e alespo\u0148 jeden mus\u00ed m\u00edt specializovanou zp\u016fsobilost v\u00a0p\u0159\u00edslu\u0161n\u00e9m oboru (VPL \u010di PLDD) a druh\u00fd minim\u00e1ln\u011b certifik\u00e1t o absolvov\u00e1n\u00ed z\u00e1kladn\u00edho kmene. L\u00e9ka\u0159 se specializovanou zp\u016fsobilost\u00ed mus\u00ed b\u00fdt na pracovi\u0161ti p\u0159\u00edtomen po celou ordina\u010dn\u00ed dobu, tj. minim\u00e1ln\u011b 30 hodin rozlo\u017een\u00fdch do 5 pracovn\u00edch dn\u016f t\u00fddn\u011b. Druh\u00fd l\u00e9ka\u0159 mus\u00ed b\u00fdt na pracovi\u0161ti p\u0159\u00edtomen v\u00a0\u00favazku minim\u00e1ln\u011b p\u011btinov\u00fd (0,2). Celkov\u00fd \u00favazek pracovi\u0161t\u011b nesm\u00ed p\u0159es\u00e1hnout t\u0159i cel\u00e9 \u00favazky.<\/p>\n

Bonifikace a\u017e 200\u00a0000 K\u010d m\u011bs\u00ed\u010dn\u011b<\/b><\/p>\n

T\u00fdmov\u00e9 praxe obdr\u017e\u00ed od zdravotn\u00edch poji\u0161\u0165oven bonifikaci formou m\u011bs\u00ed\u010dn\u00edch z\u00e1loh. \u010c\u00e1stka se li\u0161\u00ed podle v\u00fd\u0161e l\u00e9ka\u0159sk\u00fdch \u00favazk\u016f. Celkem mohou v t\u00fdmov\u00e9 praxi pracovat l\u00e9ka\u0159i do v\u00fd\u0161e a\u017e t\u0159\u00ed \u00favazk\u016f, v\u00fd\u0161e m\u011bs\u00ed\u010dn\u00ed bonifikace nad r\u00e1mec b\u011b\u017en\u00fdch plateb od poji\u0161\u0165oven je pak 200\u00a0000 korun (v sou\u010dtu od v\u0161ech zdravotn\u00edch poji\u0161\u0165oven). Vy\u00fa\u010dtov\u00e1n\u00ed z\u00e1loh prob\u011bhne po skon\u010den\u00ed roku 2025. Podm\u00ednkou, kterou mus\u00ed ordinace splnit, je registrace 400 nov\u00fdch pacient\u016f (v p\u0159\u00edpad\u011b dvou cel\u00fdch \u00favazk\u016f je to 200 pacient\u016f). V\u00a0p\u0159\u00edpad\u011b nedodr\u017een\u00ed t\u00e9to podm\u00ednky je z\u00e1loha v\u00a0r\u00e1mci vy\u00fa\u010dtov\u00e1n\u00ed adekv\u00e1tn\u011b kr\u00e1cena s ohledem na skute\u010dn\u00fd po\u010det registrovan\u00fdch poji\u0161t\u011bnc\u016f.<\/p>\n

VZP uhradila poskytovatel\u016fm od po\u010d\u00e1tku roku z\u00e1lohy ve v\u00fd\u0161i 25,3 mil. K\u010d.<\/b><\/p>\n

\u00a0<\/b><\/p>\n

*<\/b>pozn. jedn\u00e1 se o tzv. p\u0159epo\u010dten\u00e9 poji\u0161t\u011bnce, ka\u017ed\u00fd poji\u0161t\u011bnec je hodnocen\u00fd v\u011bkov\u00fdm indexem, nap\u0159. senior ve v\u011bku 65 let m\u00e1 index 1,80, poji\u0161t\u011bnec ve v\u011bku 21 let m\u00e1 index 0,9 atd.)<\/i><\/p>\n

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

\n

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

Od roku <\/p>\n","protected":false},"author":2,"featured_media":346944,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[179],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2025\/05\/27\/nove-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/346942"}],"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=346942"}],"version-history":[{"count":3,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/346942\/revisions"}],"predecessor-version":[{"id":346969,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/346942\/revisions\/346969"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/346944"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=346942"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=346942"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=346942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}