{"id":352388,"date":"2025-07-30T08:43:54","date_gmt":"2025-07-30T07:43:54","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=352388"},"modified":"2025-07-30T08:43:54","modified_gmt":"2025-07-30T07:43:54","slug":"vseobecna-zdravotni-pojistovna-vzp-otevira-pacientum-cestu-k-onkologicke-peci-i-mimo-velka-centra","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=352388","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: VZP otev\u00edr\u00e1 pacient\u016fm cestu k onkologick\u00e9 p\u00e9\u010di i mimo velk\u00e1 centra"},"content":{"rendered":"

\"\"<\/p>\n

Inovativn\u00ed onkologick\u00e1 l\u00e9\u010dba n\u011bkter\u00fdch diagn\u00f3z dostupn\u00e1 zejm\u00e9na v komplexn\u00edch onkologick\u00fdch centrech se postupn\u011b dost\u00e1v\u00e1 bl\u00ed\u017ee pacientovi, a to na \u00farove\u0148 region\u00e1ln\u00edch onkologick\u00fdch center. VZP \u010cR umo\u017e\u0148uje, aby byla pacient\u016fm nap\u0159. s karcinomem prsu, prostaty, kolorekta, plic pod\u00e1v\u00e1na l\u00e9\u010dba bl\u00ed\u017ee jejich domova. T\u011bmto region\u00e1ln\u00edm pracovi\u0161t\u00edm VZP \u010cR pro tuto l\u00e9\u010dbu vyhradila samostatn\u00e9 rozpo\u010dty. Od 1. 9. 2025 bude v p\u0159\u00edpad\u011b karcinomu prsu a prostaty roz\u0161\u00ed\u0159en seznam l\u00e9k\u016f, kter\u00e9 bude mo\u017eno pod\u00e1vat v region\u00e1ln\u011b dostupn\u011bj\u0161\u00edch centrech. V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna p\u0159istoupila po dohod\u011b s \u010ceskou onkologickou spole\u010dnost\u00ed pr\u00e1v\u011b k t\u011bmto dv\u011bma diagn\u00f3z\u00e1m, kter\u00e9 pat\u0159\u00ed k nej\u010dast\u011bji se vyskytuj\u00edc\u00edm onkologick\u00fdm onemocn\u011bn\u00edm.<\/h6>\n

Tato tzv. delegovan\u00e1 preskripce je p\u0159\u00ednosem zejm\u00e9na pro pacienty. \u201eU onkologick\u00fdch diagn\u00f3z m\u016f\u017ee b\u00fdt l\u00e9\u010dba pacientem l\u00e9pe \u010di h\u016f\u0159e tolerov\u00e1na. A je pak velk\u00fd rozd\u00edl, pokud jsme schopni l\u00e9k zajistit ve 30 km vzd\u00e1len\u00e9 nemocnici, nebo kdy\u017e za l\u00e9\u010dbou mus\u00ed pacient cestovat 100 km do nejbli\u017e\u0161\u00edho krajsk\u00e9ho m\u011bsta,\u201c<\/em> vysv\u011btluje\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di hlavn\u00ed motivaci V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny k rozvoln\u011bn\u00ed pod\u00e1v\u00e1n\u00ed n\u011bkter\u00fdch onkologick\u00fdch l\u00e9k\u016f.<\/p>\n

P\u0159ipom\u00edn\u00e1 ale, \u017ee ne v\u0161echny l\u00e9\u010div\u00e9 p\u0159\u00edpravky je mo\u017en\u00e9 takto delegovat na region\u00e1ln\u00ed onkologick\u00e1 centra, ka\u017ed\u00e1 kategorie l\u00e9k\u016f mus\u00ed b\u00fdt pe\u010dliv\u011b prodiskutov\u00e1na zejm\u00e9na s odbornou spole\u010dnost\u00ed: \u201eNa prvn\u00edm m\u00edst\u011b mus\u00ed b\u00fdt samoz\u0159ejm\u011b bezpe\u010dnost pacienta. Jedn\u00e1 se o z\u00e1va\u017en\u00e9 diagn\u00f3zy, kde se \u010dasto s pod\u00e1n\u00edm l\u00e9ku v\u00e1\u017e\u00ed konkr\u00e9tn\u00ed podm\u00ednky stanoven\u00e9 v\u00fdrobcem. Mohou b\u00fdt pod\u00e1v\u00e1ny nap\u0159\u00edklad pouze na pracovi\u0161t\u00edch s dostate\u010dn\u011b zaji\u0161t\u011bnou n\u00e1vaznou p\u00e9\u010d\u00ed, p\u0159\u00edpadn\u011b si p\u0159\u00edmo vy\u017eaduj\u00ed multidisciplin\u00e1rn\u00ed t\u00fdm pro p\u0159\u00edpad nep\u0159edv\u00eddan\u00fdch komplikac\u00ed.\u201c<\/em><\/p>\n

Delegovanou preskripci v\u00edtaj\u00ed tak\u00e9 onkologov\u00e9: \u201eTento v\u00fdznamn\u00fd krok V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny p\u0159inese zlep\u0161en\u00ed dostupnosti a komfortu l\u00e9\u010dby pro nemocn\u00e9 s onkologick\u00fdmi onemocn\u011bn\u00edmi hned ve t\u0159ech oblastech. Prvou je dostupnost nejmodern\u011bj\u0161\u00edch l\u00e9\u010debn\u00fdch postup\u016f, kdy n\u011bkte\u0159\u00ed nemocn\u00ed nemohou \u010di odm\u00edtaj\u00ed cestovat za inovativn\u00ed centrovou l\u00e9\u010dbou. Druhou je zlep\u0161en\u00ed situace v chronicky p\u0159et\u00ed\u017een\u00fdch komplexn\u00edch onkologick\u00fdch centrech, tedy z m\u011bs\u00ed\u010dn\u00edch n\u00e1v\u0161t\u011bv t\u011bchto center se stanou minim\u00e1ln\u011b t\u0159\u00edm\u011bs\u00ed\u010dn\u00ed, t\u00edm se zkr\u00e1t\u00ed v komplexn\u00edch centrech objednac\u00ed doby pro nov\u00e9 nemocn\u00e9,\u201c<\/em> vypo\u010d\u00edt\u00e1v\u00e1 prof.\u00a0Jind\u0159ich F\u00ednek, m\u00edstop\u0159edseda\u00a0 V\u00fdboru \u010cesk\u00e9 onkologick\u00e9 spole\u010dnosti \u010cLS JEP a p\u0159id\u00e1v\u00e1 i t\u0159et\u00ed v\u00fdhodu delegovan\u00e9 preskripce, kter\u00e1 podle n\u011bj spo\u010d\u00edv\u00e1 v pos\u00edlen\u00ed role Region\u00e1ln\u00edch onkologick\u00fdch center: \u201eRegion\u00e1ln\u00ed pracovi\u0161t\u011b z\u00edsk\u00e1vaj\u00ed\u00a0 novou aktivn\u00ed roli v p\u00e9\u010di o onkologicky nemocn\u00e9, p\u0159\u00edchodem nov\u00fdch inovativn\u00edch l\u00e9k\u016f se st\u00e1vaj\u00ed atraktivn\u00edmi pro mlad\u00e9 l\u00e9ka\u0159e, kte\u0159\u00ed\u00a0 nebudou m\u00edt d\u016fvod\u00a0 je opou\u0161t\u011bt\u00a0 sm\u011brem do velk\u00fdch center.\u201c<\/em> Region\u00e1ln\u00ed centra se tak podle n\u011bj stanou plnohodnotnou sou\u010d\u00e1st\u00ed s\u00edt\u011b onkologick\u00fdch center v \u010cesk\u00e9 republice, i kdy\u017e budou nad\u00e1le pracovat pod metodick\u00fdm veden\u00edm a dohledem Komplexn\u00edch center.<\/p>\n

Centra vysoce specializovan\u00e9 onkologick\u00e9 p\u00e9\u010de jsou dnes bu\u010f u velk\u00fdch fakultn\u00edch nemocnic nebo nemocnic krajsk\u00fdch. Speci\u00e1ln\u00ed l\u00e9ky tak pacienti dost\u00e1vaj\u00ed v celkem 16 centrech. \u201eP\u0159enesen\u00edm mo\u017enosti preskripce na dal\u0161\u00ed nemocnice se v p\u0159\u00edpad\u011b n\u011bkter\u00fdch p\u0159\u00edpravk\u016f dost\u00e1v\u00e1me a\u017e na dal\u0161\u00edch\u00a023 za\u0159\u00edzen\u00ed, co\u017e v\u00fdznamn\u011b zahust\u00ed sou\u010dasnou s\u00ed\u0165,\u201c<\/em> uzav\u00edr\u00e1\u00a0Jan Bodn\u00e1r.<\/p>\n

P\u0159edt\u00edm, ne\u017e je pacient p\u0159ed\u00e1n do p\u00e9\u010de region\u00e1ln\u00edho centra, mus\u00ed prob\u011bhnout konzultace jeho zdravotn\u00edho stavu v r\u00e1mci tzv. multidisciplin\u00e1rn\u00edho t\u00fdmu komplexn\u00edho onkologick\u00e9ho centra, kdy skupina odborn\u00edk\u016f doporu\u010d\u00ed nejvhodn\u011bj\u0161\u00ed zp\u016fsob l\u00e9\u010dby a n\u00e1sledn\u011b je pacient\u016fv zdravotn\u00ed stav a pr\u016fb\u011bh l\u00e9\u010dby pravideln\u011b referov\u00e1n zp\u011bt do vy\u0161\u0161\u00edho pracovi\u0161t\u011b.<\/p>\n

Region\u00e1ln\u00ed onkologick\u00e1 centra maj\u00ed s V\u0161eobecnou zdravotn\u00ed poji\u0161\u0165ovnou uzav\u0159eny Zvl\u00e1\u0161tn\u00ed smlouvy pro centrovou l\u00e9\u010dbu, VZP \u010cR pro tyto \u00fa\u010dely vyhradila do ka\u017ed\u00e9ho takov\u00e9ho region\u00e1ln\u00edho onkologick\u00e9ho centra samostatn\u00fd rozpo\u010det nastaven\u00fd dle odhadu po\u010dtu indikovan\u00fdch pacient\u016f takto l\u00e9\u010den\u00fdch v konkr\u00e9tn\u00edm za\u0159\u00edzen\u00ed a spektra nasmlouvan\u00fdch l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f. Komplexn\u00ed onkologick\u00e1 centra, kter\u00e1 deleguj\u00ed pod\u00e1v\u00e1n\u00ed vybran\u00fdch onkologick\u00fdch l\u00e9k\u016f na spolupracuj\u00edc\u00ed pracovi\u0161t\u011b, pak vlastn\u00ed stanoven\u00e9 rozpo\u010dty pro centrovou l\u00e9\u010dbu nemaj\u00ed kr\u00e1cen\u00e9. Fakticky jde tedy o nav\u00fd\u0161en\u00ed rozpo\u010dt\u016f na centrovou l\u00e9\u010dbu pro klienty VZP \u010cR.<\/p>\n

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

\n

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

Inovativn\u00ed onkologick\u00e1 <\/p>\n","protected":false},"author":2,"featured_media":352389,"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\/07\/29\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352388"}],"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=352388"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352388\/revisions"}],"predecessor-version":[{"id":352390,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352388\/revisions\/352390"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/352389"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=352388"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=352388"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=352388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}