{"id":365825,"date":"2026-01-08T08:46:07","date_gmt":"2026-01-08T07:46:07","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=365825"},"modified":"2026-01-08T08:46:07","modified_gmt":"2026-01-08T07:46:07","slug":"vseobecna-zdravotni-pojistovna-celkovou-anestezii-pro-potrebne-pacienty-nove-zajisti-desitky-stomatologickych-ordinaci","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=365825","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Celkovou anestezii pro pot\u0159ebn\u00e9 pacienty nov\u011b zajist\u00ed des\u00edtky stomatologick\u00fdch ordinac\u00ed"},"content":{"rendered":"

\"\"<\/p>\n

Pilotn\u00ed projekt, do n\u011bho\u017e se zapojily des\u00edtky stomatologick\u00fdch ordinac\u00ed, nab\u00edz\u00ed v od\u016fvodn\u011bn\u00fdch p\u0159\u00edpadech stomatologick\u00e9 z\u00e1kroky v celkov\u00e9 anestezii. Do n\u00ed se v r\u00e1mci tohoto projektu zahrnuje tak\u00e9 analgosedace, a to i mimo velk\u00e9 nemocnice. Dnes se takov\u00fd postup praktikuje u jednotek poskytovatel\u016f nap\u0159\u00ed\u010d \u010ceskem. <\/b><\/h6>\n

Roz\u0161\u00ed\u0159en\u00ed dostupnosti tohoto typu p\u00e9\u010de tak bylo pro VZP hlavn\u00ed motivac\u00ed k podpo\u0159e pilotn\u00edho projektu, kter\u00fd definovala ve spolupr\u00e1ci s \u010ceskou stomatologickou komorou. Ten by m\u011bl trvat jeden rok, pokud se osv\u011bd\u010d\u00ed, je V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna p\u0159ipravena slu\u017eby p\u0159i spln\u011bn\u00ed podm\u00ednek za\u0159adit mezi standardn\u011b hrazen\u00e9. Celkov\u00e1 anestezie \u010di analgosedace ve stomatologii je ur\u010dena zejm\u00e9na d\u011btsk\u00fdm pacient\u016fm nebo pacient\u016fm, u nich\u017e s ohledem na celkov\u00fd zdravotn\u00ed stav nelze postupovat jinak.<\/p>\n

\u201eVe stomatologick\u00e9 praxi se to t\u00fdk\u00e1 p\u0159\u00edpad\u016f, kdy je nedostate\u010dn\u00e1 spolupr\u00e1ce vzhledem k v\u011bku d\u00edt\u011bte, jeho v\u00fdvoji a tak\u00e9 rozsahu n\u00e1lez\u016f, d\u00e1le u ment\u00e1ln\u00edch nebo psychick\u00fdch posti\u017een\u00ed, poruch chov\u00e1n\u00ed nebo jin\u00e9ho typu nemo\u017enosti o\u0161et\u0159en\u00ed v lok\u00e1ln\u00ed anestezii, jde tedy o p\u0159\u00edpady, kde m\u00e1 o\u0161et\u0159en\u00ed v celkov\u00e9 anestezii ve stomatologii sv\u00e9 m\u00edsto,\u201c<\/em> \u0159\u00edk\u00e1\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP pro zdravotn\u00ed p\u00e9\u010di, a dod\u00e1v\u00e1: \u201eFaktem je, \u017ee tyto zdravotn\u00ed slu\u017eby dosud byly h\u016f\u0159e dostupn\u00e9, zapojen\u00edm\u00a0 des\u00edtek stomatologick\u00fdch ordinac\u00ed se dostanou bl\u00ed\u017ee pacientovi.\u201c<\/em> \u00da\u010dast v projektu vyjde letos VZP podle odhad\u016f na zhruba 22 milion\u016f korun.<\/p>\n

Aktu\u00e1ln\u011b VZP po\u010d\u00edt\u00e1 se zapojen\u00edm 45 stomatologick\u00fdch ordinac\u00ed, kter\u00e9 u\u017e projevily o \u00fa\u010dast v programu z\u00e1jem. S t\u011bmito ordinacemi budou v pr\u016fb\u011bhu ledna do\u0159e\u0161eny ve\u0161ker\u00e9 administrativn\u00ed n\u00e1le\u017eitost, tedy \u00fahrady za\u010dnou postupn\u011b nab\u00edhat od 1. 1. 2026. \u201e\u00dahrada zapojen\u00e9 ordinaci zahrnuje ve\u0161ker\u00e9 hrazen\u00e9 stomatologick\u00e9 slu\u017eby, anesteziologickou p\u00e9\u010di i poz\u00e1krokov\u00e9 sledov\u00e1n\u00ed klienta na dosp\u00e1vac\u00edm l\u016f\u017eku, tedy poskytovatel nesm\u00ed od pacienta po\u017eadovat \u017e\u00e1dn\u00fd doplatek. P\u0159esn\u00e1 v\u00fd\u0161e \u00fahrady se pak bude odv\u00edjet od d\u00e9lky \u010dasu samotn\u00e9ho stomatologick\u00e9ho v\u00fdkonu,\u201c<\/em> dod\u00e1v\u00e1\u00a0Jan Bodn\u00e1r.<\/p>\n

Do projektu jsou zapojeny jak n\u011bkter\u00e9 ambulance v r\u00e1mci nemocni\u010dn\u00edch poskytovatel\u016f, tak p\u0159edev\u0161\u00edm ambulantn\u00ed poskytovatel\u00e9, kte\u0159\u00ed spln\u00ed po\u017eadovan\u00e9 podm\u00ednky technick\u00e9ho, person\u00e1ln\u00edho i odborn\u00e9ho zaji\u0161t\u011bn\u00ed. C\u00edlem projektu je ov\u011b\u0159it realizaci t\u00e9to p\u00e9\u010de v klinick\u00e9 ambulantn\u00ed praxi, a to v\u010detn\u011b pravidel pro nasmlouv\u00e1n\u00ed a vykazov\u00e1n\u00ed i \u00fahradov\u00fdch podm\u00ednek. Pilotn\u00ed projekt potrv\u00e1 po dobu jednoho roku a bude pr\u016fb\u011b\u017en\u011b vyhodnocov\u00e1n.<\/p>\n

Celkov\u00e1 anestezie u zuba\u0159e je \u0159\u00edzen\u00fd hlubok\u00fd sp\u00e1nek, kdy pacient nevn\u00edm\u00e1 bolest ani okol\u00ed, co\u017e je ide\u00e1ln\u00ed nap\u0159\u00edklad p\u0159i slo\u017eit\u00fdch z\u00e1kroc\u00edch nebo pro nespolupracuj\u00edc\u00ed pacienty (d\u011bti, pacienti s posti\u017een\u00edm). Zaji\u0161\u0165uje ji anesteziolog a b\u011bhem v\u00fdkonu monitoruje \u017eivotn\u00ed funkce. Stomatolog provede o\u0161et\u0159en\u00ed v celkov\u00e9 bezbolestnosti, se zaji\u0161t\u011bn\u00edm d\u00fdchac\u00edch cest. Po probuzen\u00ed pacient pot\u0159ebuje doprovod. Dal\u0161\u00ed z metod anestezie zahrnut\u00fdch v pilotn\u00edm projektu je analgosedace, kter\u00e1 navozuje stav hlubok\u00e9ho klidu, \u00falevy od bolesti a ospalosti, kdy pacient d\u00fdch\u00e1 s\u00e1m a je schopen reagovat, ale v\u011bt\u0161inou si z\u00e1krok nepamatuje.<\/p>\n

Zm\u011bny u zuba\u0159e v\u00a0roce 2026:<\/b><\/h6>\n

\u27a4\u00a0D\u011bti do 18 let:<\/b><\/p>\n

    \n
  • Fotokompozitn\u00ed (b\u00edl\u00e9) v\u00fdpln\u011b budou pln\u011b hrazeny ze zdravotn\u00edho poji\u0161t\u011bn\u00ed v rozsahu cel\u00e9ho chrupu, tj. bez doplatku ze strany pacienta.<\/li>\n
  • Kompletn\u00ed endodontick\u00e9 (ko\u0159enov\u00e9) o\u0161et\u0159en\u00ed bude pln\u011b hrazeno v rozsahu cel\u00e9ho chrupu.<\/li>\n<\/ul>\n

    \u27a4\u00a0Dosp\u011bl\u00ed:<\/b><\/p>\n

      \n
    • Nevrstven\u00e1 b\u00edl\u00e1 v\u00fdpl\u0148 z fotokompozitu pln\u011b hrazena ve v\u00fd\u0161i 900 K\u010d.<\/li>\n
    • Vrstven\u00e1 b\u00edl\u00e1 v\u00fdpl\u0148 bude hrazena do v\u00fd\u0161e 900 K\u010d, d\u00e1le doplatek pacienta.<\/li>\n
    • Pln\u00e1 \u00fahrada ze zdravotn\u00edho poji\u0161t\u011bn\u00ed na o\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f metodou centr\u00e1ln\u00edho \u010depu (mimo stoli\u010dek) \u2013 1 300 K\u010d.<\/li>\n
    • \u010c\u00e1ste\u010dn\u00e1 \u00fahrada 1300 K\u010d na o\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f jinou metodou (mimo stoli\u010dek).<\/li>\n<\/ul>\n

      \u00a0\u00a0\u00a0\u27a4\u00a0V\u0161ichni:<\/b><\/p>\n

        \n
      • Od\u00a0\u010dervence 2026 bude pou\u017e\u00edv\u00e1n\u00ed amalg\u00e1mov\u00fdch v\u00fdpln\u00ed omezeno u v\u0161ech pacient\u016f\u00a0(tj. pou\u017eit\u00ed bude mo\u017en\u00e9 pouze v\u00a0p\u0159\u00edpadech, kdy to zubn\u00ed l\u00e9ka\u0159 pova\u017euje za naprosto nezbytn\u00e9 z\u00a0d\u016fvodu specifick\u00fdch zdravotn\u00edch pot\u0159eb poji\u0161t\u011bnce).<\/li>\n<\/ul>\n

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

        \n

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

        Pilotn\u00ed projekt, <\/p>\n","protected":false},"author":2,"featured_media":365826,"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\/2026\/01\/08\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/365825"}],"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=365825"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/365825\/revisions"}],"predecessor-version":[{"id":365827,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/365825\/revisions\/365827"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/365826"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=365825"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=365825"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=365825"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}