{"id":379287,"date":"2026-07-01T11:14:59","date_gmt":"2026-07-01T10:14:59","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=379287"},"modified":"2026-07-01T11:14:59","modified_gmt":"2026-07-01T10:14:59","slug":"aktuality-vice-nez-1-200-leku-nove-u-praktickeho-lekare-ministerstvo-zdravotnictvi-usnadnuje-pacientum-pristup-k-lecbe","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=379287","title":{"rendered":"AKTUALITY: V\u00edce ne\u017e 1 200 l\u00e9k\u016f nov\u011b u praktick\u00e9ho l\u00e9ka\u0159e. Ministerstvo zdravotnictv\u00ed usnad\u0148uje pacient\u016fm p\u0159\u00edstup k l\u00e9\u010db\u011b"},"content":{"rendered":"<h6 class=\"gov-blocklist-item__content\">Ministerstvo zdravotnictv\u00ed p\u0159ipravilo zm\u011bnu, kter\u00e1 pacient\u016fm usnadn\u00ed p\u0159\u00edstup k hrazen\u00fdm l\u00e9\u010div\u00fdm p\u0159\u00edpravk\u016fm. Novela vyhl\u00e1\u0161ky o p\u0159edepisov\u00e1n\u00ed l\u00e9\u010div umo\u017en\u00ed, aby vybran\u00e9 l\u00e9ky s dosavadn\u00edm preskrip\u010dn\u00edm omezen\u00edm \u201eE\u201c, dosud p\u0159edepisovan\u00e9 v\u00fdhradn\u011b ambulantn\u00edmi specialisty, mohli nov\u011b za stanoven\u00fdch podm\u00ednek p\u0159edepisovat tak\u00e9 prakti\u010dt\u00ed l\u00e9ka\u0159i pro dosp\u011bl\u00e9 i pro d\u011bti a dorost. C\u00edlem je odstranit zbyte\u010dn\u00e9 administrativn\u00ed p\u0159ek\u00e1\u017eky, pos\u00edlit kontinuitu p\u00e9\u010de a umo\u017enit specialist\u016fm v\u011bnovat v\u00edce \u010dasu odborn\u00fdm vy\u0161et\u0159en\u00edm, diagnostice a pot\u0159ebn\u00e9mu sledov\u00e1n\u00ed pacient\u016f.<\/h6>\n<div class=\"gov-blocklist-item__content\">\n<p>Zm\u011bna reaguje na dlouhodobou praxi, kdy \u0159ada pacient\u016f mus\u00ed opakovan\u011b nav\u0161t\u011bvovat specialistu pouze kv\u016fli vystaven\u00ed receptu na l\u00e9k, kter\u00fd dlouhodob\u011b u\u017e\u00edvaj\u00ed a\u00a0jejich\u017e zdravotn\u00ed stav je stabilizovan\u00fd. Novela umo\u017en\u00ed, aby v\u00a0t\u011bchto p\u0159\u00edpadech mohl pokra\u010dovat v\u00a0p\u0159edepisov\u00e1n\u00ed l\u00e9\u010dby praktick\u00fd l\u00e9ka\u0159, pokud tomu nebr\u00e1n\u00ed odborn\u00e9 nebo registra\u010dn\u00ed podm\u00ednky dan\u00e9ho p\u0159\u00edpravku.<\/p>\n<p>N\u00e1vrh z\u00e1rove\u0148 zachov\u00e1v\u00e1 vysokou m\u00edru bezpe\u010dnosti. Nejde o\u00a0plo\u0161n\u00e9 uvoln\u011bn\u00ed preskrip\u010dn\u00edch omezen\u00ed ani o\u00a0nahrazen\u00ed specializovan\u00e9 p\u00e9\u010de. U\u00a0l\u00e9\u010div, kde je z\u00a0odborn\u00e9ho hlediska nezbytn\u00e9 veden\u00ed specialistou, bude mo\u017en\u00e9 vyu\u017e\u00edt nov\u00fd preskrip\u010dn\u00ed symbol \u201eF\u201c, kter\u00fd zachov\u00e1 v\u00fdhradn\u00ed preskripci specialist\u016fm. Sou\u010dasn\u011b z\u016fst\u00e1vaj\u00ed zachov\u00e1ny v\u0161echny kontroln\u00ed mechanismy v\u010detn\u011b l\u00e9kov\u00e9ho z\u00e1znamu, kter\u00fd pom\u00e1h\u00e1 p\u0159edch\u00e1zet duplicitn\u00edmu p\u0159edepisov\u00e1n\u00ed i\u00a0rizikov\u00fdm l\u00e9kov\u00fdm interakc\u00edm.<\/p>\n<p><em>\u201ePacient nem\u00e1 ob\u00edhat zdravotnick\u00fd syst\u00e9m jen kv\u016fli vystaven\u00ed receptu. Pokud je jeho zdravotn\u00ed stav stabilizovan\u00fd a\u00a0podm\u00ednky to umo\u017e\u0148uj\u00ed, m\u011bl by m\u00edt mo\u017enost z\u00edskat pot\u0159ebn\u00fd l\u00e9k u\u00a0sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e. Tato zm\u011bna zlep\u0161\u00ed dostupnost p\u00e9\u010de, u\u0161et\u0159\u00ed pacient\u016fm \u010das i\u00a0zbyte\u010dn\u00e9 cesty a\u00a0z\u00e1rove\u0148 uvoln\u00ed kapacity ambulantn\u00edch specialist\u016f pro p\u00e9\u010di o\u00a0komplikovan\u00e9 pacienty,\u201c\u00a0<\/em>uvedl ministr zdravotnictv\u00ed Adam Vojt\u011bch.<\/p>\n<p>Novela se t\u00fdk\u00e1 vybran\u00fdch hrazen\u00fdch l\u00e9k\u016f s\u00a0dosavadn\u00edm preskrip\u010dn\u00edm omezen\u00edm \u201eE\u201c. K\u00a01.\u00a0\u010dervenci 2026 jde o\u00a0v\u00edce ne\u017e 1\u00a0200 p\u0159\u00edpravk\u016f, co\u017e p\u0159edstavuje p\u0159ibli\u017en\u011b jednu osminu v\u0161ech hrazen\u00fdch l\u00e9\u010div v\u00a0ambulantn\u00ed p\u00e9\u010di. Zm\u011bna se p\u0159itom nijak nedot\u00fdk\u00e1 okruhu pacient\u016f, kte\u0159\u00ed maj\u00ed na l\u00e9\u010dbu n\u00e1rok z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, ani nep\u0159in\u00e1\u0161\u00ed zv\u00fd\u0161en\u00ed n\u00e1klad\u016f zdravotn\u00edch poji\u0161\u0165oven. Nejv\u011bt\u0161\u00ed p\u0159\u00ednos bude m\u00edt pro chronicky nemocn\u00e9 pacienty, seniory, osoby s\u00a0omezenou mobilitou a\u00a0lidi \u017eij\u00edc\u00ed v\u00a0regionech s\u00a0h\u016f\u0159e dostupnou specializovanou ambulantn\u00ed p\u00e9\u010d\u00ed.<\/p>\n<p>Prakti\u010dt\u00ed l\u00e9ka\u0159i budou moci za stanoven\u00fdch podm\u00ednek p\u0159edepisovat vybran\u00e9 l\u00e9ky ur\u010den\u00e9 p\u0159edev\u0161\u00edm pro dlouhodobou l\u00e9\u010dbu stabilizovan\u00fdch chronick\u00fdch pacient\u016f. P\u016fjde nap\u0159\u00edklad o\u00a0n\u011bkter\u00e9 p\u0159\u00edpravky u\u017e\u00edvan\u00e9 p\u0159i\u00a0neurologick\u00fdch, respira\u010dn\u00edch, diabetologick\u00fdch a\u00a0metabolick\u00fdch onemocn\u011bn\u00edch, glaukomu nebo vybran\u00fdch kardiovaskul\u00e1rn\u00edch, urologick\u00fdch \u010di\u00a0gynekologick\u00fdch diagn\u00f3z\u00e1ch. Naopak p\u0159\u00edpravky vy\u017eaduj\u00edc\u00ed specializovanou diagnostiku, zah\u00e1jen\u00ed l\u00e9\u010dby nebo pravideln\u00e9 odborn\u00e9 sledov\u00e1n\u00ed z\u016fst\u00e1vaj\u00ed i\u00a0nad\u00e1le v\u00a0kompetenci p\u0159\u00edslu\u0161n\u00fdch specialist\u016f.<\/p>\n<p><em>\u201ePraktick\u00fd l\u00e9ka\u0159 je pro v\u011bt\u0161inu pacient\u016f prvn\u00edm a\u00a0nejdostupn\u011bj\u0161\u00edm kontaktem se zdravotn\u00edm syst\u00e9mem. U\u00a0stabilizovan\u00fdch chronick\u00fdch pacient\u016f dlouhodob\u011b zaji\u0161\u0165ujeme jejich p\u00e9\u010di a\u00a0dob\u0159e zn\u00e1me jejich zdravotn\u00ed stav. Pokud je jedin\u00fdm d\u016fvodem n\u00e1v\u0161t\u011bvy specialisty pouze p\u0159edpis l\u00e9ku, kter\u00fd praktick\u00fd l\u00e9ka\u0159 dosud nesm\u011bl p\u0159edepsat, a\u00a0nen\u00ed k\u00a0tomu odborn\u00fd d\u016fvod, pak d\u00e1v\u00e1 smysl, aby tuto p\u00e9\u010di p\u0159evzal praktick\u00fd l\u00e9ka\u0159,\u201c\u00a0<\/em>\u0159ekl p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f Petr \u0160onka.<\/p>\n<p>P\u0159\u00edprava novely vych\u00e1zela z\u00a0podrobn\u00e9 odborn\u00e9 anal\u00fdzy jednotliv\u00fdch skupin l\u00e9\u010div i\u00a0z\u00a0diskus\u00ed se z\u00e1stupci odborn\u00fdch spole\u010dnost\u00ed, praktick\u00fdch l\u00e9ka\u0159\u016f, St\u00e1tn\u00edho \u00fastavu pro kontrolu l\u00e9\u010div a\u00a0dal\u0161\u00edch partner\u016f. Ministerstvo zdravotnictv\u00ed p\u0159i\u00a0n\u00e1vrhu zm\u011bn d\u016fsledn\u011b zohled\u0148ovalo bezpe\u010dnost pacient\u016f i\u00a0specifika jednotliv\u00fdch skupin l\u00e9\u010div.<\/p>\n<p><em>\u201eBezpe\u010dnost pacient\u016f z\u016fst\u00e1v\u00e1 zachov\u00e1na. V\u011bt\u0161ina l\u00e9\u010div m\u00e1 stanoveno indika\u010dn\u00ed omezen\u00ed a\u00a0l\u00e9kov\u00fd z\u00e1znam tak umo\u017e\u0148uje l\u00e9ka\u0159\u016fm kontrolovat ji\u017e p\u0159edepsanou medikaci, p\u0159edch\u00e1zet duplicit\u00e1m i\u00a0rizikov\u00fdm kombinac\u00edm l\u00e9\u010div. Novela proto nep\u0159edstavuje rizika z\u00a0nespr\u00e1vn\u00e9 preskripce,\u201c\u00a0<\/em>\u0159ekl \u0159editel St\u00e1tn\u00edho \u00fastavu pro kontrolu l\u00e9\u010div Tom\u00e1\u0161 Bor\u00e1\u0148.<\/p>\n<p><em>\u201eP\u0159i p\u0159\u00edprav\u011b n\u00e1vrhu jsme posuzovali ka\u017edou skupinu l\u00e9\u010div samostatn\u011b. C\u00edlem nebylo plo\u0161n\u011b rozvolnit preskrip\u010dn\u00ed omezen\u00ed, ale odstranit bari\u00e9ry tam, kde to medic\u00ednsky d\u00e1v\u00e1 smysl a\u00a0kde je mo\u017en\u00e9 zachovat plnou bezpe\u010dnost pacient\u016f. Nov\u00fd preskrip\u010dn\u00ed symbol F z\u00e1rove\u0148 umo\u017en\u00ed jednozna\u010dn\u011b vymezit p\u0159\u00edpravky, kter\u00e9 maj\u00ed i\u00a0nad\u00e1le z\u016fstat v\u00fdhradn\u011b v\u00a0rukou specialist\u016f,\u201c\u00a0<\/em>doplnila vrchn\u00ed \u0159editelka Sekce zdravotnick\u00fdch technologi\u00ed Ministerstva zdravotnictv\u00ed Mark\u00e9ta Foldyna Hellov\u00e1.<\/p>\n<p>Novela vyhl\u00e1\u0161ky je dal\u0161\u00edm krokem v\u00a0posilov\u00e1n\u00ed role prim\u00e1rn\u00ed p\u00e9\u010de a\u00a0navazuje na dlouhodob\u00e9 \u00fasil\u00ed Ministerstva zdravotnictv\u00ed o\u00a0dostupn\u011bj\u0161\u00ed zdravotn\u00ed slu\u017eby, efektivn\u011bj\u0161\u00ed vyu\u017e\u00edv\u00e1n\u00ed kapacit zdravotnick\u00e9ho syst\u00e9mu a\u00a0vy\u0161\u0161\u00ed komfort pacient\u016f.<\/p>\n<p><em>\u201eJedn\u00edm z\u00a0dlouhodob\u00fdch c\u00edl\u016f ministerstva je posilovat roli prim\u00e1rn\u00ed p\u00e9\u010de. Praktick\u00fd l\u00e9ka\u0159 m\u00e1 b\u00fdt koordin\u00e1torem p\u00e9\u010de o\u00a0pacienta a\u00a0tam, kde je to odborn\u011b mo\u017en\u00e9, by m\u011bl m\u00edt k\u00a0dispozici i\u00a0odpov\u00eddaj\u00edc\u00ed kompetence. Tato zm\u011bna je dal\u0161\u00edm krokem t\u00edmto sm\u011brem v\u00a0r\u00e1mci reformy prim\u00e1rn\u00ed p\u00e9\u010de, kter\u00e1 je i\u00a0jedn\u00edm z\u00a0bod\u016f programov\u00e9ho prohl\u00e1\u0161en\u00ed vl\u00e1dy,\u201c<\/em>\u00a0\u0159ekl n\u00e1m\u011bstek ministra zdravotnictv\u00ed Igor Karen.<\/p>\n<p>\u201eRodiny d\u011bt\u00ed s\u00a0chronick\u00fdmi onemocn\u011bn\u00edmi \u010dasto absolvuj\u00ed \u0159adu pravideln\u00fdch n\u00e1v\u0161t\u011bv zdravotnick\u00fdch za\u0159\u00edzen\u00ed. Pokud je l\u00e9\u010dba d\u00edt\u011bte stabilizovan\u00e1 a\u00a0odborn\u00e9 podm\u00ednky to umo\u017e\u0148uj\u00ed, nen\u00ed d\u016fvod, aby musely nav\u0161t\u011bvovat specialistu pouze kv\u016fli vystaven\u00ed receptu. Roz\u0161\u00ed\u0159en\u00ed preskrip\u010dn\u00edch mo\u017enost\u00ed usnadn\u00ed rodin\u00e1m p\u00e9\u010di o\u00a0d\u00edt\u011b a\u00a0sou\u010dasn\u011b zachov\u00e1 v\u0161echny pot\u0159ebn\u00e9 odborn\u00e9 garance,\u201c \u0159ekl m\u00edstop\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a\u00a0dorost Ctirad Kozderka.<\/p>\n<\/div>\n<p><strong>(tz-mz)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ministerstvo zdravotnictv\u00ed <\/p>\n","protected":false},"author":2,"featured_media":379288,"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\/2026\/07\/01\/nove-leky.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/379287"}],"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=379287"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/379287\/revisions"}],"predecessor-version":[{"id":379289,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/379287\/revisions\/379289"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/379288"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=379287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=379287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=379287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}