{"id":369054,"date":"2026-02-23T10:36:50","date_gmt":"2026-02-23T09:36:50","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=369054"},"modified":"2026-02-23T10:36:50","modified_gmt":"2026-02-23T09:36:50","slug":"vseobecna-zdravotni-pojistovna-kdo-ma-narok-na-hrazenou-domaci-peci","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=369054","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Kdo m\u00e1 n\u00e1rok na hrazenou dom\u00e1c\u00ed p\u00e9\u010di"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Kdo m\u00e1 n\u00e1rok na dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010di hrazenou z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de (tzv.\u00a0home care<\/i>) poskytuje odbornou o\u0161et\u0159ovatelskou p\u00e9\u010di v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed pacienta. Jej\u00edm \u00fa\u010delem je p\u0159edev\u0161\u00edm zkr\u00e1cen\u00ed, event. p\u0159edch\u00e1zen\u00ed hospitalizace pacienta v\u00a0l\u016f\u017ekov\u00e9m za\u0159\u00edzen\u00ed.\u00a0P\u00e9\u010de je poskytov\u00e1na na z\u00e1klad\u011b indikace o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e, zaji\u0161\u0165uj\u00ed ji zpravidla kvalifikovan\u00e9 zdravotn\u00ed sestry a je hrazena z\u202fve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/b>\u00a0Nej\u010dast\u011bji je dom\u00e1c\u00ed p\u00e9\u010de vyu\u017e\u00edv\u00e1na u pacient\u016f, kte\u0159\u00ed jsou imobiln\u00ed, a nejsou schopni pravideln\u011b doch\u00e1zet do zdravotnick\u00fdch za\u0159\u00edzen\u00ed.<\/b><\/p>\n

Tato slu\u017eba je v\u0161ak vhodn\u00e1 i pro pacienty v\u0161ech v\u011bkov\u00fdch kategori\u00ed, nap\u0159. pro osoby po \u00farazu \u010di operaci, kter\u00e9 pot\u0159ebuj\u00ed kr\u00e1tkodob\u00e9 o\u0161et\u0159en\u00ed, ale tak\u00e9 pro pacienty s chronick\u00fdmi onemocn\u011bn\u00edmi, u nich\u017e by bez t\u00e9to p\u00e9\u010de bylo nutn\u00e9 dlouhodob\u00e9 pobytov\u00e9 l\u00e9\u010den\u00ed v nemocnici nebo v l\u00e9\u010debn\u011b pro dlouhodob\u011b nemocn\u00e9.\u00a0Dom\u00e1c\u00ed p\u00e9\u010de m\u016f\u017ee b\u00fdt poskytov\u00e1na tak\u00e9 pacient\u016fm z\u00e1visl\u00fdm na dom\u00e1c\u00ed um\u011bl\u00e9 plicn\u00ed ventilaci, kte\u0159\u00ed vy\u017eaduj\u00ed pravideln\u00fd odborn\u00fd dohled.\u00a0Ned\u00edlnou sou\u010d\u00e1st\u00ed dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de je rovn\u011b\u017e p\u00e9\u010de o pacienty v\u202ftermin\u00e1ln\u00edm stadiu \u017eivota.\u00a0Pokud pacient nebo jeho rodina stoj\u00ed o zaji\u0161t\u011bn\u00ed dom\u00e1c\u00ed p\u00e9\u010de, je v\u017edy nutn\u00e9 obr\u00e1tit se nejprve na registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e, kter\u00fd posoud\u00ed zdravotn\u00ed stav a rozhodne o indikaci.<\/b><\/p>\n

Kdy je dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de hrazena poji\u0161\u0165ovnou?<\/strong><\/p>\n

Zdravotn\u00ed poji\u0161\u0165ovna m\u016f\u017ee v souladu se z\u00e1konem \u010d. 48\/1997 Sb. hradit pouze takovou dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010di, kter\u00e1 je indikov\u00e1na smluvn\u00edm l\u00e9ka\u0159em a sleduje l\u00e9\u010debn\u00e9 \u00fa\u010dely. To znamen\u00e1, \u017ee hrad\u00ed v\u00fdkony, kter\u00e9 maj\u00ed charakter zdravotn\u00ed p\u00e9\u010de. Jde nap\u0159\u00edklad o situace, kdy zdravotn\u00ed stav pacienta vy\u017eaduje:<\/p>\n

    \n
  • aplikace injekc\u00ed a infuz\u00ed,<\/li>\n
  • odborn\u00e9 p\u0159evazy a o\u0161et\u0159ov\u00e1n\u00ed ran,<\/li>\n
  • aplikace ordinovan\u00e9 parenter\u00e1ln\u00ed terapie,<\/li>\n
  • p\u00e9\u010de o stomie a permanentn\u00ed mo\u010dov\u00e9 katetry,<\/li>\n
  • a dal\u0161\u00ed odborn\u00e9 v\u00fdkony.<\/li>\n<\/ul>\n

    V sou\u010dasnosti ji\u017e plat\u00ed, \u017ee v\u0161eobecn\u00e9 nebo d\u011btsk\u00e9 sestry se specializovanou p\u016fsobnost\u00ed \u010di se zvl\u00e1\u0161tn\u00ed odbornou zp\u016fsobilost\u00ed mohou samostatn\u011b p\u0159edepisovat ur\u010dit\u00e9 zdravotnick\u00e9 prost\u0159edky.<\/b>\u00a0Tato kompetence se vyu\u017e\u00edv\u00e1 v p\u0159\u00edpadech, kdy o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 v r\u00e1mci indikace dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de p\u0159edem ur\u010d\u00ed, kter\u00e9 skupiny pom\u016fcek m\u016f\u017ee sestra konkr\u00e9tn\u00edmu pacientovi p\u0159edepisovat. Mo\u017enost samostatn\u00e9 preskripce je v\u017edy \u010dasov\u011b v\u00e1z\u00e1na na dobu, po kterou je poskytov\u00e1n\u00ed dom\u00e1c\u00ed p\u00e9\u010de doporu\u010deno.\u00a0Sestry tak mohou pacient\u016fm p\u0159edepisovat p\u0159edev\u0161\u00edm kryc\u00ed a obvazov\u00fd materi\u00e1l, prost\u0159edky ur\u010den\u00e9 pro inkontinentn\u00ed pacienty, pom\u016fcky pro osoby se stomi\u00ed \u010di zdravotnick\u00e9 prost\u0159edky pou\u017e\u00edvan\u00e9 p\u0159i kompresivn\u00ed terapii.<\/b><\/p>\n

    Jak\u00fd druh p\u00e9\u010de nen\u00ed hrazen z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed?<\/strong><\/p>\n

    Ze zdravotn\u00edho poji\u0161t\u011bn\u00ed nejsou hrazeny soci\u00e1ln\u00ed slu\u017eby. Jde p\u0159edev\u0161\u00edm o b\u011b\u017en\u00e9 \u010dinnosti, jako n\u00e1kupy a don\u00e1\u0161ka j\u00eddel, \u00faklid dom\u00e1cnosti, doprovod, asistence a dal\u0161\u00ed slu\u017eby soci\u00e1ln\u00edho charakteru.\u00a0Tyto slu\u017eby si klient hrad\u00ed s\u00e1m, p\u0159\u00edpadn\u011b m\u016f\u017ee po\u017e\u00e1dat o p\u0159\u00edsp\u011bvek na p\u00e9\u010di nebo jin\u00e9 soci\u00e1ln\u00ed d\u00e1vky. Informace o mo\u017enostech podpory poskytuje soci\u00e1ln\u00ed odbor m\u00edstn\u00edho \u00fa\u0159adu.<\/b><\/p>\n

    Kter\u00fd l\u00e9ka\u0159 a na jak dlouho m\u016f\u017ee dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010di p\u0159edepsat?<\/b><\/p>\n

    Indikaci dom\u00e1c\u00ed p\u00e9\u010de pro odb. 925 (dom\u00e1c\u00ed p\u00e9\u010de) upravuje Z\u00e1kon \u010d. 48\/1997 Sb., kter\u00fd uv\u00e1d\u00ed n\u00e1sleduj\u00edc\u00ed mo\u017enosti indikace dom\u00e1c\u00ed p\u00e9\u010de:<\/b><\/p>\n

      \n
    • Registruj\u00edc\u00ed v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159 nebo praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost.<\/li>\n
    • Jin\u00fd ambulantn\u00ed l\u00e9ka\u0159 (specialista), kter\u00fd pacienta o\u0161et\u0159oval \u2013 p\u00e9\u010de je hrazena nejd\u00e9le po dobu 14 dn\u016f.<\/li>\n
    • L\u00e9ka\u0159 l\u00e9ka\u0159sk\u00e9 pohotovostn\u00ed slu\u017eby, kter\u00fd pacienta o\u0161et\u0159oval \u2013 p\u00e9\u010de je hrazena nejd\u00e9le po dobu 14 dn\u016f.<\/li>\n
    • L\u00e9ka\u0159 urgentn\u00edho p\u0159\u00edjmu, kter\u00fd pacienta o\u0161et\u0159oval \u2013 p\u00e9\u010de je hrazena nejd\u00e9le po dobu 14 dn\u016f.<\/li>\n
    • O\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 poskytovatele l\u016f\u017ekov\u00e9 p\u00e9\u010de\u00a0\u2013 p\u00e9\u010de je hrazena nejd\u00e9le po dobu 14 dn\u016f.<\/li>\n
    • O\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 p\u0159i poskytov\u00e1n\u00ed paliativn\u00ed p\u00e9\u010de\u00a0o poji\u0161t\u011bnce v termin\u00e1ln\u00edm stavu\u00a0v r\u00e1mci odb. 925.<\/li>\n<\/ul>\n

      Vedle v\u00fd\u0161e uveden\u00e9 dom\u00e1c\u00ed p\u00e9\u010de je mo\u017en\u00e9 poskytovat tak\u00e9 specializovanou dom\u00e1c\u00ed paliativn\u00ed p\u00e9\u010di (v r\u00e1mci odbornosti 926), kter\u00e1 je ur\u010dena pacient\u016fm v termin\u00e1ln\u00edm stadiu onemocn\u011bn\u00ed se z\u00e1va\u017en\u00fdmi zdravotn\u00edmi komplikacemi \u2013 jedn\u00e1 se o klinicky nestabiln\u00ed pacienty. Na rozd\u00edl od paliativn\u00ed p\u00e9\u010de poskytovan\u00e9 v r\u00e1mci odbornosti 925 se jedn\u00e1 o komplexn\u00ed slu\u017eby, kter\u00e9 zaji\u0161\u0165uje t\u00fdm l\u00e9ka\u0159\u016f, zdravotn\u00edch sester a p\u0159\u00edpadn\u011b i zdravotn\u011b soci\u00e1ln\u00edch pracovn\u00edk\u016f. U t\u00e9to p\u00e9\u010de nen\u00ed nutn\u00e1 indikace jin\u00fdm l\u00e9ka\u0159em.<\/p>\n

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

      \n

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

      OT\u00c1ZKA: Kdo <\/p>\n","protected":false},"author":2,"featured_media":369055,"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\/02\/23\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/369054"}],"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=369054"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/369054\/revisions"}],"predecessor-version":[{"id":369056,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/369054\/revisions\/369056"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/369055"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=369054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=369054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=369054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}