{"id":349132,"date":"2025-06-19T12:25:28","date_gmt":"2025-06-19T11:25:28","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=349132"},"modified":"2025-06-19T12:25:28","modified_gmt":"2025-06-19T11:25:28","slug":"vseobecna-zdravotni-pojistovna-novinka-u-gynekologu-zlepsi-dostupnost-pece-a-posili-prevenci","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=349132","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Novinka u gynekolog\u016f zlep\u0161\u00ed dostupnost p\u00e9\u010de a pos\u00edl\u00ed prevenci"},"content":{"rendered":"

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Dohoda zdravotn\u00edch poji\u0161\u0165oven s\u00a0gynekology zav\u00e1d\u00ed pro segment tzv. agregovanou platbu. Jedn\u00e1 se o posledn\u00ed segment z\u00a0tzv. prim\u00e1rn\u00ed p\u00e9\u010de, kter\u00fd tento zp\u016fsob \u00fahrady dosud nem\u011bl. Gynekologov\u00e9 tak nov\u011b od p\u0159\u00ed\u0161t\u00edho roku dostanou pravidelnou m\u011bs\u00ed\u010dn\u00ed platbu za ka\u017edou registrovanou pacientku. VZP \u010cR si od novinky slibuje lep\u0161\u00ed dostupnost p\u00e9\u010de a tak\u00e9 v\u011bt\u0161\u00ed d\u016fraz na prevenci. Platba bude podm\u00edn\u011bna absolvovanou preventivn\u00ed prohl\u00eddkou v\u00a0posledn\u00edch dvou letech, co\u017e je pro zm\u011bnu jin\u00fd, p\u0159\u00edsn\u011bj\u0161\u00ed p\u0159\u00edstup ne\u017e u ostatn\u00edch segment\u016f prim\u00e1rn\u00ed p\u00e9\u010de, u kter\u00fdch jsou platby podm\u00edn\u011bny jen registrac\u00ed.\u00a0<\/b><\/h6>\n

\u201eZ pohledu VZP \u010cR p\u0159in\u00e1\u0161\u00ed novinka velk\u00fd potenci\u00e1l pro registraci nov\u00fdch klientek. L\u00e9ka\u0159i budou p\u0159\u00edmo motivov\u00e1ni k\u00a0roz\u0161\u00ed\u0159en\u00ed kartot\u00e9ky,\u201c<\/em> \u0159\u00edk\u00e1\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di. Za nem\u00e9n\u011b podstatnou pova\u017euje podporu prevence, kdy budou jejich n\u00e1v\u0161t\u011bvnost hl\u00eddat tak\u00e9 ordinace. Pro \u00fahradu agregovan\u00e9 platby za registrovanou pacientku bude nutn\u00e9, aby tato \u017eena v\u00a0posledn\u00edch 24 m\u011bs\u00edc\u00edch alespo\u0148 jednou nav\u0161t\u00edvila ordinaci za \u00fa\u010delem preventivn\u00edho vy\u0161et\u0159en\u00ed (pozn.: na jednoro\u010dn\u00edm intervalu preventivn\u00edch prohl\u00eddek, viz n\u00ed\u017ee, se nic nem\u011bn\u00ed<\/i>).<\/p>\n

Novinku v\u00edtaj\u00ed tak\u00e9 poskytovatel\u00e9, p\u0159edseda \u010cesk\u00e9 gynekologick\u00e9 a porodnick\u00e9 spole\u010dnosti \u010cLS JEP\u00a0Vladim\u00edr Dvo\u0159\u00e1k\u00a0k\u00a0n\u00ed \u0159\u00edk\u00e1: \u201eZm\u011bnu \u00fahradov\u00e9ho mechanismu jsme l\u00e9ta diskutovali s\u00a0\u010dlenskou z\u00e1kladnou, z\u00e1stupci zdravotn\u00edch poji\u0161\u0165oven i Ministerstva zdravotnictv\u00ed. Jsme p\u0159esv\u011bd\u010deni, \u017ee jde o krok spr\u00e1vn\u00fdm sm\u011brem, ze kter\u00e9ho budou \u010desk\u00e9 \u017eeny benefitovat. V\u011b\u0159\u00edme, \u017ee krok k\u00a0odstran\u011bn\u00ed neod\u016fvodniteln\u00fdch rozd\u00edl\u016f mezi poskytovali a k p\u0159edv\u00eddatelnosti v\u00fddaj\u016f zdravotn\u00edch poji\u0161\u0165oven a p\u0159\u00edjm\u016f poskytovatel\u016f bude inspirac\u00ed pro ostatn\u00ed specializace, poji\u0161\u0165ovny i Ministerstvo zdravotnictv\u00ed.\u201c<\/em><\/p>\n

Preventivn\u00ed prohl\u00eddky u gynekolog\u016f pat\u0159\u00ed k\u00a0t\u011bm nav\u0161t\u011bvovan\u011bj\u0161\u00edm, p\u0159esto je i zde velk\u00fd potenci\u00e1l ke zlep\u0161en\u00ed. \u201eVloni na preventivn\u00ed prohl\u00eddku u gynekologa zam\u00ed\u0159ilo 1\u00a0310 000 klientek VZP \u010cR. Zhruba 30\u201340 % \u017een tyto prohl\u00eddky zanedb\u00e1v\u00e1 nebo na n\u011b chod\u00ed nepravideln\u011b,\u201c<\/em> vypo\u010d\u00edt\u00e1v\u00e1\u00a0Jan Bodn\u00e1r,<\/p>\n

V\u00a0r\u00e1mci agregovan\u00e9 platby je ji\u017e zahrnuta ve\u0161ker\u00e1 z\u00e1kladn\u00ed p\u00e9\u010de o pacientku (v\u010detn\u011b v\u0161ech klinick\u00fdch a b\u011b\u017en\u00fdch ultrazvukov\u00fdch vy\u0161et\u0159en\u00ed), v\u00fdjimkou jsou n\u011bkter\u00e9 specifick\u00e9 v\u00fdkony, kter\u00e9 budou ordinaci i nad\u00e1le hrazeny na z\u00e1klad\u011b jejich vyk\u00e1z\u00e1n\u00ed zdravotn\u00ed poji\u0161\u0165ovn\u011b. K\u00a0nim pat\u0159\u00ed nap\u0159\u00edklad p\u00e9\u010de o t\u011bhotnou, l\u00e9\u010dba neplodnosti, urogynekologick\u00e9 slu\u017eby, jednodenn\u00ed v\u00fdkony apod.\u00a0 V\u00fd\u0161e agregovan\u00e9 platby bude bonifikov\u00e1na p\u0159i spln\u011bn\u00ed n\u011bkter\u00fdch dal\u0161\u00edch podm\u00ednek, jako je vhodn\u00e9 rozlo\u017een\u00ed ordina\u010dn\u00edch hodin nebo dolo\u017een\u00ed dal\u0161\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed l\u00e9ka\u0159\u016f.\u00a0Dohodu zdravotn\u00edch poji\u0161\u0165oven se segmentem gynekologie mus\u00ed je\u0161t\u011b potvrdit \u00fahradov\u00e1 vyhl\u00e1\u0161ka Ministerstva zdravotnictv\u00ed.<\/p>\n

\n
Preventivn\u00e9 prohl\u00eddka u gynekologa<\/b><\/h6>\n

Od sv\u00fdch 15 let m\u00e1 ka\u017ed\u00e1 \u017eena n\u00e1rok na bezplatnou preventivn\u00ed prohl\u00eddku u gynekologa, a\u00a0to\u00a0jedenkr\u00e1t za rok\u00a0(po uplynut\u00ed 11 m\u011bs\u00edc\u016f). Prohl\u00eddka je p\u0159izp\u016fsobena v\u011bku \u017eeny a tomu, zda je sexu\u00e1ln\u011b aktivn\u00ed.<\/p>\n

P\u0159i preventivn\u00ed prohl\u00eddce l\u00e9ka\u0159 dopln\u00ed osobn\u00ed i rodinnou anamn\u00e9zu pacientky, zejm\u00e9na ohledn\u011b rizikov\u00fdch faktor\u016f. Samotn\u00e9 vy\u0161et\u0159en\u00ed pohlavn\u00edch org\u00e1n\u016f m\u016f\u017ee b\u00fdt dopln\u011bno vy\u0161et\u0159en\u00edm ultrazvukov\u00fdm. L\u00e9ka\u0159 m\u00e1 tak\u00e9 prohl\u00e9dnout k\u016f\u017ei a pohmatem vy\u0161et\u0159it m\u00edzn\u00ed uzliny v oblasti pohlavn\u00edch org\u00e1n\u016f. Sou\u010d\u00e1st\u00ed preventivn\u00ed prohl\u00eddky po registraci u gynekologa je pou\u010den\u00ed o\u00a0samovy\u0161et\u0159en\u00ed prs\u016f<\/a><\/strong>. U \u017een od 25 let l\u00e9ka\u0159 provede t\u00e9\u017e klinick\u00e9 vy\u0161et\u0159en\u00ed prs\u016f, pokud maj\u00ed v rodin\u011b v\u00fdskyt zhoubn\u00e9ho n\u00e1doru prsu nebo maj\u00ed jin\u00e9 rizikov\u00e9 faktory.<\/p>\n

P\u0159i preventivn\u00ed prohl\u00eddce se z\u00e1rove\u0148 prov\u00e1d\u00edscreening karcinomu d\u011blo\u017en\u00edho hrdla\u00a0\u2013 l\u00e9ka\u0159 odebere\u00a0st\u011br z povrchu<\/a><\/strong>\u00a0d\u011blo\u017en\u00edho \u010d\u00edpku a ode\u0161le ho k cytologick\u00e9mu vy\u0161et\u0159en\u00ed do laborato\u0159e. Od 1. 1. 2021 se u \u017een s\u00a0negativn\u00edm v\u00fdsledkem cytologie prov\u00e1d\u00ed ve v\u011bku 35 a 45 let, od 1. 1. 2024 tak\u00e9 \u017een\u00e1m ve v\u011bku 55 let \u00a0screeningov\u00fd test na p\u0159\u00edtomnost HPV<\/a><\/strong>, co\u017e je virus, kter\u00fd mj. m\u016f\u017ee zp\u016fsobit rakovinu d\u011blo\u017en\u00edho hrdla.<\/p>\n

Gynekolog se m\u00e1 starat i o dal\u0161\u00ed screeningov\u00e1 vy\u0161et\u0159en\u00ed \u017eeny pro prevenci rakoviny. M\u00e1 j\u00ed p\u0159edat doporu\u010den\u00ed na mamografii (od 45 let 1x za 2 roky) a zajistit screening karcinomu tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku (speci\u00e1ln\u00ed test na okultn\u00ed krv\u00e1cen\u00ed ve stolici \u2013 od 1. 1. 2025 hrazeno poji\u0161t\u011bnc\u016fm od 50 let 1x za dva roky \u2013 nebo screeningov\u00e1 kolonoskopie jednou za 10 let). Tat\u00e1\u017e vy\u0161et\u0159en\u00ed ale m\u016f\u017ee \u017een\u00e1m prov\u00e9st, resp. d\u00e1t jim na n\u011b doporu\u010den\u00ed i praktick\u00fd l\u00e9ka\u0159, a proto je gynekolog nezaji\u0161\u0165uje, pokud z nich m\u00e1 k dispozici v\u00fdsledky.<\/p>\n<\/div>\n

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

\n

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

Dohoda zdravotn\u00edch <\/p>\n","protected":false},"author":2,"featured_media":349133,"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\/2025\/06\/19\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/349132"}],"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=349132"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/349132\/revisions"}],"predecessor-version":[{"id":349134,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/349132\/revisions\/349134"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/349133"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=349132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=349132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=349132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}