{"id":101747,"date":"2026-03-13T00:12:57","date_gmt":"2026-03-12T23:12:57","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=101747"},"modified":"2026-03-12T12:23:15","modified_gmt":"2026-03-12T11:23:15","slug":"jedno-rano-v-cine-jeden-rok-ve-francii-srovnani-dvou-zdravotnickych-systemu","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2026\/03\/13\/jedno-rano-v-cine-jeden-rok-ve-francii-srovnani-dvou-zdravotnickych-systemu\/","title":{"rendered":"Jedno r\u00e1no v \u010c\u00edn\u011b, jeden rok ve Francii: Srovn\u00e1n\u00ed dvou zdravotnick\u00fdch syst\u00e9m\u016f"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<div class=\"elementor-element elementor-element-1fb4c2c elementor-widget elementor-widget-theme-post-content\" data-id=\"1fb4c2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-content.default\">\n<div class=\"elementor-widget-container\">\n<p><span dir=\"auto\">Zn\u00e1te ty pochybn\u00e9 reklamy, kter\u00e9 se samy staly memy \u2013 se slogany jako \u201eL\u00e9ka\u0159i ho nen\u00e1vid\u00ed!\u201c, kter\u00e9 tvrd\u00ed, \u017ee n\u011bjakou nemoc lze vyl\u00e9\u010dit \u201et\u00edmto jedn\u00edm podivn\u00fdm trikem\u201c.<\/span><\/p>\n<p><span dir=\"auto\">No, mo\u017en\u00e1 jsem skute\u010dn\u011b objevil podivn\u00fd trik, kv\u016fli kter\u00e9mu by m\u011b l\u00e9ka\u0159i nepochybn\u011b nen\u00e1vid\u011bli. \u201eTrik\u201c, kter\u00fd by mohl radik\u00e1ln\u011b vylep\u0161it churav\u011bj\u00edc\u00ed z\u00e1padn\u00ed syst\u00e9my zdravotn\u00ed p\u00e9\u010de \u2013 ne jen trochu, ale t\u0159ikr\u00e1t a\u017e \u010dty\u0159ikr\u00e1t.<\/span><\/p>\n<p><span dir=\"auto\">Pro\u010d by to l\u00e9ka\u0159i m\u011bli nen\u00e1vid\u011bt? Proto\u017ee navrhuje zkr\u00e1tit dobu konzultac\u00ed na p\u011bt minut. To znamen\u00e1, \u017ee l\u00e9ka\u0159i by za hodinu neo\u0161et\u0159ili t\u0159i a\u017e p\u011bt pacient\u016f, jak je to v sou\u010dasnosti ve v\u011bt\u0161in\u011b z\u00e1padn\u00edch zem\u00ed, ale sp\u00ed\u0161e dvan\u00e1ct.<\/span><\/p>\n<p><span dir=\"auto\">V tuto chv\u00edli si pravd\u011bpodobn\u011b \u0159\u00edk\u00e1te: \u201eDob\u0159e, tenhle chl\u00e1pek je bl\u00e1zen. To je nemo\u017en\u00e9. Tohle nikdy nem\u016f\u017ee fungovat.\u201c Ale funguje to \u2013 pro 1,4 miliardy lid\u00ed \u2013 se zdravotn\u00edmi v\u00fdsledky, kter\u00e9 se bl\u00ed\u017e\u00ed nebo dokonce p\u0159ekra\u010duj\u00ed ty na Z\u00e1pad\u011b. A to v\u0161e se syst\u00e9mem zdravotn\u00ed p\u00e9\u010de, kter\u00fd stoj\u00ed jen desetinu na obyvatele a spot\u0159ebov\u00e1v\u00e1 polovinu HDP.<\/span><\/p>\n<p><span dir=\"auto\">P\u0159esn\u011b tak \u2013 mluv\u00edm o \u010d\u00ednsk\u00e9m syst\u00e9mu zdravotn\u00ed p\u00e9\u010de.<\/span><\/p>\n<p><span dir=\"auto\">Ano, v\u00edm. \u010c\u00edna. U\u017e sly\u0161\u00edm klapot kl\u00e1vesnic. Ale z\u016fsta\u0148te u toho je\u0161t\u011b chv\u00edli. Nebo si na YouTube vyhledejte p\u0159\u00edb\u011bhy cizinc\u016f v \u010d\u00ednsk\u00fdch nemocnic\u00edch. Ne vl\u00e1dn\u00ed propagandu, ale oby\u010dejn\u00e9 lidi, kte\u0159\u00ed ukazuj\u00ed, co se jim stalo. Tenhle mu\u017e. Nebo tamten mu\u017e. Nebo ta \u017eena, kter\u00e9 se na turistce na venkov\u011b v \u010c\u00edn\u011b objevil ledvinov\u00fd k\u00e1men.<\/span><\/p>\n<p><span dir=\"auto\">Opakuj\u00edc\u00ed se t\u00e9ma? \u0160ok. \u0160ok z toho, \u017ee nemus\u00edte \u010dekat t\u00fddny na sch\u016fzky. \u0160ok z diagn\u00f3zy, test\u016f a l\u00e9\u010dby b\u011bhem jedin\u00e9ho r\u00e1na. \u0160ok z extr\u00e9mn\u011b n\u00edzk\u00fdch poplatk\u016f (m\u00e9n\u011b ne\u017e 3 dolary za konzultaci). Ti, kte\u0159\u00ed p\u0159ich\u00e1zej\u00ed ze z\u00e1padn\u00edch syst\u00e9m\u016f zdravotn\u00ed p\u00e9\u010de, tomu jen t\u011b\u017eko mohou uv\u011b\u0159it.<\/span><\/p>\n<p><span dir=\"auto\">P\u011btiminutov\u00e1 konzultace je jen jednou sou\u010d\u00e1st\u00ed syst\u00e9mu. Syst\u00e9mu, kter\u00fd je p\u0159ekvapiv\u011b efektivn\u00ed a \u2013 jakmile si na n\u011bj zvyknete \u2013 nab\u00edz\u00ed p\u0159ekvapiv\u011b dobrou zku\u0161enost pro pacienta.<\/span><\/p>\n<p><span dir=\"auto\">V\u00edm to, proto\u017ee jsem to s\u00e1m za\u017eil \u2013 v\u00edce ne\u017e stokr\u00e1t za osm let, v nejm\u00e9n\u011b tuctu nemocnic po cel\u00e9 \u010c\u00edn\u011b, ve velk\u00fdch m\u011bstech i odlehl\u00fdch oblastech \u2013 pro sebe, sv\u00e9 d\u011bti nebo svou man\u017eelku. M\u00e1m tak\u00e9 bohat\u00e9 zku\u0161enosti se z\u00e1padn\u00edmi syst\u00e9my zdravotn\u00ed p\u00e9\u010de, vyr\u016fstal jsem ve Francii a \u017eil ve \u0160v\u00fdcarsku, Velk\u00e9 Brit\u00e1nii a USA.<\/span><\/p>\n<p><span dir=\"auto\">V tomto \u010dl\u00e1nku popisuji kl\u00ed\u010dov\u00e9 rysy \u010d\u00ednsk\u00e9ho syst\u00e9mu zdravotn\u00ed p\u00e9\u010de \u2013 ne proto, abych nazna\u010dil, \u017ee by ho Z\u00e1pad m\u011bl kompletn\u011b kop\u00edrovat, ale abych se up\u0159\u00edmn\u011b zeptal: Co kdy\u017e n\u011bkter\u00e9 v\u011bci, kter\u00e9 ve zdravotnictv\u00ed pova\u017eujeme za samoz\u0159ejmost, nejsou tak nevyhnuteln\u00e9, jak si mysl\u00edme?<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span dir=\"auto\">Proces z pohledu pacienta<\/span><\/h2>\n<p><span dir=\"auto\">Prvn\u00ed z\u00e1sadn\u00ed rozd\u00edl: V \u010c\u00edn\u011b chod\u00ed lid\u00e9 se zdravotn\u00edmi probl\u00e9my p\u0159\u00edmo do nemocnice. Neexistuje syst\u00e9m prim\u00e1rn\u00ed p\u00e9\u010de jako ve Francii nebo Velk\u00e9 Brit\u00e1nii, kde mus\u00edte nejprve nav\u0161t\u00edvit praktick\u00e9ho l\u00e9ka\u0159e, kter\u00fd v\u00e1s pak m\u016f\u017ee odk\u00e1zat ke specialistovi. V \u010c\u00edn\u011b tento mezikrok p\u0159esko\u010d\u00edte a jdete p\u0159\u00edmo ke specialistovi.<\/span><\/p>\n<p><span dir=\"auto\">Abych byl up\u0159\u00edmn\u00fd, ka\u017ed\u00fd, kdo je zvykl\u00fd na z\u00e1padn\u00ed standardy, zpo\u010d\u00e1tku za\u017eije v \u010d\u00ednsk\u00fdch ve\u0159ejn\u00fdch nemocnic\u00edch kulturn\u00ed \u0161ok. Trvalo mi asi p\u011bt n\u00e1v\u0161t\u011bv, ne\u017e jsem si zvykl. Ale jako u mnoha v\u011bc\u00ed v \u010c\u00edn\u011b, jakmile si na to zvyknete, je to vlastn\u011b velmi dobr\u00e9.<\/span><\/p>\n<p><span dir=\"auto\">Takhle to obvykle prob\u00edh\u00e1:<\/span><\/p>\n<p><span dir=\"auto\">Nejprve se rozhodnete, kter\u00e9ho specialistu pot\u0159ebujete: kardiologa, nefrologa, oftalmologa atd.<\/span><\/p>\n<p><span dir=\"auto\">Pak si domluv\u00edte sch\u016fzku na p\u0159\u00edslu\u0161n\u00e9m odd\u011blen\u00ed. V dne\u0161n\u00ed dob\u011b se to obvykle d\u011bl\u00e1 p\u0159es aplikaci p\u0159ed n\u00e1v\u0161t\u011bvou nemocnice, ale lze to ud\u011blat i osobn\u011b.<\/span><\/p>\n<p><span dir=\"auto\">Pokud si nejste jisti, popi\u0161te sv\u016fj probl\u00e9m na recepci a budete dle pot\u0159eby nasm\u011brov\u00e1ni. Na t\u011bchto recepc\u00edch obvykle pracuje speci\u00e1ln\u011b vy\u0161kolen\u00fd zdravotn\u00ed person\u00e1l.<\/span><\/p>\n<p><span dir=\"auto\">Mnoho nemocnic dokonce umo\u017e\u0148uje pacient\u016fm vybrat si \u00farove\u0148 zku\u0161enost\u00ed l\u00e9ka\u0159e \u2013 od rezidenta a\u017e po vedouc\u00edho odd\u011blen\u00ed. \u010c\u00edm vy\u0161\u0161\u00ed pozice, t\u00edm vy\u0161\u0161\u00ed cena. Na z\u00e1padn\u00ed pom\u011bry v\u0161ak n\u00e1klady z\u016fst\u00e1vaj\u00ed sm\u011b\u0161n\u011b n\u00edzk\u00e9. Konzultace stoj\u00ed kolem 10\u201320 RMB (1,50\u20133 dolary) a u p\u0159edn\u00edho specialisty a\u017e dvakr\u00e1t a\u017e t\u0159ikr\u00e1t tolik. To znamen\u00e1, \u017ee se m\u016f\u017eete setkat s prim\u00e1\u0159em \u0161pi\u010dkov\u00e9 nemocnice v \u0160anghaji nebo Pekingu \u2013 \u0161pi\u010dkov\u00fdm odborn\u00edkem \u2013 za m\u00e9n\u011b ne\u017e 10 dolar\u016f.<\/span><\/p>\n<p><span dir=\"auto\">Pak \u010dek\u00e1te, a\u017e bude vyvol\u00e1no va\u0161e jm\u00e9no. \u010cekac\u00ed doby jsou obvykle snesiteln\u00e9 \u2013 v pr\u016fm\u011bru asi 30 minut. N\u011bkdy dv\u011b a\u017e t\u0159i hodiny, n\u011bkdy se fronta v\u016fbec netvo\u0159\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Pak p\u0159ich\u00e1z\u00ed ten velk\u00fd rozd\u00edl: Konzultace z\u0159\u00eddka trv\u00e1 d\u00e9le ne\u017e p\u011bt minut, \u010dasto jen dv\u011b nebo t\u0159i. Pop\u00ed\u0161ete sv\u016fj probl\u00e9m, dostanete n\u011bkolik dopl\u0148uj\u00edc\u00edch ot\u00e1zek a okam\u017eit\u011b v\u00e1s po\u0161lou na testy. \u017d\u00e1dn\u00e9 pov\u00edd\u00e1n\u00ed, \u017e\u00e1dn\u00e9 bl\u00e1bolen\u00ed \u2013 rovnou k v\u011bci.<\/span><\/p>\n<p><span dir=\"auto\">Testy jsou t\u00e9m\u011b\u0159 standardn\u00ed: krevn\u00ed testy, rentgen, magnetick\u00e1 rezonance. Nepamatuji si, \u017ee bych n\u011bkdy nav\u0161t\u00edvil \u010d\u00ednskou nemocnici, ani\u017e bych musel podstoupit testy.<\/span><\/p>\n<p><span dir=\"auto\">Testy se prov\u00e1d\u011bj\u00ed p\u0159\u00edmo ve stejn\u00e9 nemocnici. T\u00e9m\u011b\u0159 v\u0161echna za\u0159\u00edzen\u00ed maj\u00ed pot\u0159ebn\u00e9 laboratorn\u00ed vybaven\u00ed. V\u00fdsledky jsou \u010dasto k dispozici do 30 minut.<\/span><\/p>\n<p><span dir=\"auto\">S v\u00fdsledky se pak vr\u00e1t\u00edte p\u0159\u00edmo k l\u00e9ka\u0159i \u2013 ani\u017e byste museli znovu \u010dekat ve front\u011b \u2013 a dostanete diagn\u00f3zu a v p\u0159\u00edpad\u011b pot\u0159eby i recept. Op\u011bt to trv\u00e1 m\u00e9n\u011b ne\u017e p\u011bt minut.<\/span><\/p>\n<p><span dir=\"auto\">V\u011bt\u0161ina nemocnic m\u00e1 vlastn\u00ed l\u00e9k\u00e1rny. L\u00e9ky se \u010dasto objedn\u00e1vaj\u00ed elektronicky a jsou p\u0159ipraveny po p\u0159\u00edjezdu.<\/span><\/p>\n<p><span dir=\"auto\">Pokud specialista zjist\u00ed, \u017ee probl\u00e9m nespad\u00e1 do jeho oboru, m\u016f\u017eete se okam\u017eit\u011b poradit s jin\u00fdm specialistou \u2013 nap\u0159\u00edklad s ortopedi\u00ed nebo pneumologi\u00ed v p\u0159\u00edpad\u011b bolesti na hrudi.<\/span><\/p>\n<p><span dir=\"auto\">Kr\u00e1sa tohoto syst\u00e9mu spo\u010d\u00edv\u00e1 v tom, \u017ee m\u016f\u017eete nav\u0161t\u00edvit t\u0159i nebo \u010dty\u0159i specialisty, nechat si ud\u011blat v\u0161echny testy, dostat v\u00fdsledky, zjistit diagn\u00f3zy a koupit si l\u00e9ky \u2013 to v\u0161e b\u011bhem jednoho r\u00e1na a za velmi n\u00edzk\u00e9 ceny.<\/span><\/p>\n<p><span dir=\"auto\">Dal\u0161\u00ed rozd\u00edl: soukrom\u00ed je zde t\u00e9m\u011b\u0159 \u017e\u00e1dn\u00e9. B\u011bhem konzultac\u00ed \u010dasto stoj\u00ed dal\u0161\u00ed pacienti za v\u00e1mi. Zpo\u010d\u00e1tku je to znepokojiv\u00e9, ale zvyknete si. Pokud chcete soukrom\u00ed, m\u016f\u017eete si o n\u011bj po\u017e\u00e1dat.<\/span><\/p>\n<p><span dir=\"auto\">Naproti tomu syst\u00e9m praktick\u00fdch l\u00e9ka\u0159\u016f na Z\u00e1pad\u011b zahrnuje sch\u016fzku s rodinn\u00fdm l\u00e9ka\u0159em, doporu\u010den\u00ed, t\u00fddny nebo m\u011bs\u00edce \u010dek\u00e1n\u00ed na specialistu a samostatn\u00e9 sch\u016fzky na testy.<\/span><\/p>\n<p><span dir=\"auto\">P\u0159\u00edklad z m\u00e9 rodiny: Moje sestra ve Francii trp\u00ed u\u017e n\u011bkolik t\u00fddn\u016f siln\u00fdmi bolestmi b\u0159icha. Jej\u00ed rodinn\u00fd l\u00e9ka\u0159 j\u00ed p\u0159edepsal magnetickou rezonanci \u2013 \u010dekac\u00ed doba: dev\u011bt m\u011bs\u00edc\u016f. A co kdy\u017e magnetick\u00e1 rezonance nic neuk\u00e1\u017ee? \u010cekat dal\u0161\u00edch dev\u011bt m\u011bs\u00edc\u016f?<\/span><\/p>\n<p><span dir=\"auto\">Co se v \u010c\u00edn\u011b d\u00e1 zvl\u00e1dnout za jedno r\u00e1no, m\u016f\u017ee na Z\u00e1pad\u011b trvat m\u011bs\u00edce nebo i d\u00e9le ne\u017e rok.<\/span><\/p>\n<p><span dir=\"auto\">Paradoxn\u011b, navzdory sv\u00e9mu stroh\u00e9mu povrchu, pova\u017euji \u010d\u00ednsk\u00fd syst\u00e9m za hum\u00e1nn\u011bj\u0161\u00ed. D\u00e1v\u00e1 pacientovi autonomii. Z\u00e1pad se zd\u00e1 b\u00fdt p\u0159\u00e1tel\u0161t\u011bj\u0161\u00ed, ale je paternalistick\u00fd a neefektivn\u00ed. A sotva respektuje to, co je pro \u010dlov\u011bka nejcenn\u011bj\u0161\u00ed: jeho \u010das.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span dir=\"auto\">Kl\u00ed\u010dov\u00e9 vlastnosti<\/span><\/h2>\n<h3 class=\"wp-block-heading\"><span dir=\"auto\">P\u011btiminutov\u00e9 sch\u016fzky<\/span><\/h3>\n<p><span dir=\"auto\">Statistiky potvrzuj\u00ed: \u010d\u00edn\u0161t\u00ed l\u00e9ka\u0159i str\u00e1v\u00ed v pr\u016fm\u011bru asi p\u011bt minut na jednoho pacienta.<\/span><\/p>\n<p><span dir=\"auto\">Studie v Taizhou (7 milion\u016f obyvatel) zjistila 50\u201355 pacient\u016f na jednoho l\u00e9ka\u0159e za r\u00e1no (4,5 hodiny). To odpov\u00edd\u00e1 p\u0159ibli\u017en\u011b p\u011bti minut\u00e1m na pacienta. N\u011bkte\u0159\u00ed onkologi\u010dt\u00ed chirurgov\u00e9 o\u0161et\u0159\u00ed a\u017e 76 pacient\u016f za r\u00e1no.<\/span><\/p>\n<p><span dir=\"auto\">Pro srovn\u00e1n\u00ed: Ve Francii trv\u00e1 sch\u016fzka s praktick\u00fdm l\u00e9ka\u0159em pr\u016fm\u011brn\u011b 17 minut, zat\u00edmco sch\u016fzky u specialisty \u010dasto trvaj\u00ed 20\u201330 minut. Francouzsk\u00fd kardiolog o\u0161et\u0159\u00ed p\u0159ibli\u017en\u011b 13 pacient\u016f denn\u011b. \u010c\u00ednsk\u00fd kardiolog ve studovan\u00e9 nemocnici o\u0161et\u0159\u00ed pr\u016fm\u011brn\u011b 79,27 pacient\u016f \u2013 co\u017e je rozd\u00edl 615 %.<\/span><\/p>\n<p><span dir=\"auto\">Sn\u00ed\u017eilo by to kvalitu? To je diskutabiln\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Zku\u0161enosti jsou kl\u00ed\u010dov\u00e9. \u010c\u00ednsk\u00fd kardiolog z\u00edsk\u00e1 za jeden rok tolik zku\u0161enost\u00ed jako francouzsk\u00fd za \u0161est. \u010c\u00ednsk\u00fd l\u00e9ka\u0159 s 12 lety praxe m\u00e1 v\u00edce kontakt\u016f s pacienty ne\u017e francouzsk\u00fd l\u00e9ka\u0159 za 35 let \u2013 tedy dvakr\u00e1t tolik.<\/span><\/p>\n<p><span dir=\"auto\">Zdrav\u00ed je proces hypot\u00e9z, testov\u00e1n\u00ed, pozorov\u00e1n\u00ed a adaptace. Pokud jsou n\u00e1sledn\u00e9 sch\u016fzky snadno dostupn\u00e9, je hloubka jedin\u00e9 konzultace m\u00e9n\u011b d\u016fle\u017eit\u00e1.<\/span><\/p>\n<p><span dir=\"auto\">Ve Francii je pr\u016fm\u011brn\u00e1 \u010dekac\u00ed doba u kardiologa 50 dn\u00ed, u dermatologa 61 dn\u00ed a u oftalmologa 80 dn\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Syst\u00e9m, kter\u00fd dok\u00e1\u017ee rychle iterovat, je efektivn\u011bj\u0161\u00ed ne\u017e syst\u00e9m, kter\u00fd nab\u00edz\u00ed nepravideln\u00e9 a dlouh\u00e9 sch\u016fzky.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span dir=\"auto\">Nemocnice jako komplexn\u00ed kontaktn\u00ed m\u00edsto<\/span><\/h2>\n<p><span dir=\"auto\">\u010c\u00edna se z velk\u00e9 \u010d\u00e1sti obejde bez praktick\u00fdch l\u00e9ka\u0159\u016f jako\u017eto \u201estr\u00e1\u017ec\u016f br\u00e1ny\u201c. Nemocnice sdru\u017euj\u00ed v\u0161e: specialisty, laborato\u0159e, zobrazovac\u00ed za\u0159\u00edzen\u00ed, l\u00e9k\u00e1rny \u2013 v\u0161e pod jednou st\u0159echou.<\/span><\/p>\n<p><span dir=\"auto\">P\u0159esto\u017ee m\u00e1 \u010c\u00edna 639 000 praktick\u00fdch l\u00e9ka\u0159\u016f (0,45 na 1 000 obyvatel), slou\u017e\u00ed prim\u00e1rn\u011b prevenci a p\u00e9\u010di o chronicky nemocn\u00e9 osoby, nikoli jako filtr doporu\u010den\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Prakti\u010dt\u00ed l\u00e9ka\u0159i (\u00a0<\/span><strong><span dir=\"auto\">GP<\/span><\/strong><span dir=\"auto\">\u00a0= General Practitioner =\u00a0<\/span><strong><span dir=\"auto\">rodinn\u00fd l\u00e9ka\u0159<\/span><\/strong><span dir=\"auto\">\u00a0\u00a0 ) tvo\u0159\u00ed 12,6 % l\u00e9ka\u0159sk\u00e9 profese v \u010c\u00edn\u011b, 42 % ve Francii, 25,5 % ve Velk\u00e9 Brit\u00e1nii a 28,5 % v USA.<\/span><\/p>\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!yisz!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F13e94810-78ae-4c78-9703-53302b3a1976_676x382.png\" alt=\"\" \/><\/figure>\n<p><span dir=\"auto\">Pr\u016fm\u011brn\u00e1 \u010dekac\u00ed doba v \u010d\u00ednsk\u00fdch nemocnic\u00edch 3. \u00farovn\u011b je asi 18 minut.<\/span><\/p>\n<p><span dir=\"auto\">\u010c\u00edna ro\u010dn\u011b vy\u0159\u00edd\u00ed t\u00e9m\u011b\u0159 10 miliard ambulantn\u00edch n\u00e1v\u0161t\u011bv \u2013 p\u0159ibli\u017en\u011b 7 na osobu, co\u017e je v\u00edce ne\u017e Francie (5,5).<\/span><\/p>\n<p><span dir=\"auto\">Syst\u00e9m zpracov\u00e1v\u00e1 o 25 % v\u00edce n\u00e1v\u0161t\u011bv l\u00e9ka\u0159e na obyvatele ne\u017e Francie \u2013 bez gatekeepingu \u2013 s \u010dekac\u00edmi dobami v minut\u00e1ch m\u00edsto t\u00fddn\u016f.<\/span><\/p>\n<p><span dir=\"auto\">Kontrola p\u0159\u00edstupu \u010dasto zdvojn\u00e1sobuje \u00fasil\u00ed: z jedn\u00e9 sch\u016fzky se stanou dv\u011b.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span dir=\"auto\">Systematick\u00e9 testy<\/span><\/h2>\n<p><span dir=\"auto\">Testov\u00e1n\u00ed je systematick\u00e9. Testov\u00e1n\u00ed bylo prov\u00e1d\u011bno d\u016fsledn\u011b b\u011bhem v\u00edce ne\u017e 100 n\u00e1v\u0161t\u011bv \u010c\u00edny.<\/span><\/p>\n<p><span dir=\"auto\">Pro pacienty je to \u010dasto nep\u0159\u00edjemn\u00e9 \u2013 test se u b\u011b\u017en\u00e9ho nachlazen\u00ed zd\u00e1 b\u00fdt zbyte\u010dn\u00fd. V \u010d\u00ednsk\u00e9m syst\u00e9mu je v\u0161ak diagn\u00f3za bez dat riskantn\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Testy zvy\u0161uj\u00ed p\u0159esnost a slou\u017e\u00ed ve\u0159ejn\u00e9mu zdrav\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Dne 27. prosince 2019 Dr. Zhang Jixian systematick\u00fdm testov\u00e1n\u00edm identifikoval ve Wu-chanu nov\u00fd typ z\u00e1palu plic.<\/span><\/p>\n<p><span dir=\"auto\">P\u0159i zp\u011btn\u00e9m pohledu byl ve Francii zji\u0161t\u011bn p\u0159\u00edpad covidu ze stejn\u00e9ho dne \u2013 bez test\u016f, bez jak\u00e9hokoli poplachu.<\/span><\/p>\n<p><span dir=\"auto\">Studie protil\u00e1tek v It\u00e1lii ji\u017e v z\u00e1\u0159\u00ed 2019 odhalily infekce.<\/span><\/p>\n<p><span dir=\"auto\">Virus se v Evrop\u011b \u0161\u00ed\u0159il cel\u00e9 m\u011bs\u00edce nepozorovan\u011b.<\/span><\/p>\n<p><span dir=\"auto\">Je ironi\u00ed, \u017ee za pandemii je obvi\u0148ov\u00e1na \u010c\u00edna, p\u0159esto\u017ee systematick\u00e9 testov\u00e1n\u00ed v t\u00e9to zemi vedlo k jej\u00edmu v\u010dasn\u00e9mu odhalen\u00ed.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span dir=\"auto\">\u201eZvl\u00e1\u0161tn\u00ed trik\u201c<\/span><\/h2>\n<p><span dir=\"auto\">Neexistuje \u017e\u00e1dn\u00fd jedin\u00fd trik. Jde o architektonick\u00e1 rozhodnut\u00ed: kr\u00e1tk\u00e9 konzultace, \u017e\u00e1dn\u00fd gatekeeping, centralizace, specializace, systematick\u00e9 testov\u00e1n\u00ed.<\/span><\/p>\n<p><span dir=\"auto\">Skute\u010dn\u00fdm trikem je odvaha zpochybnit z\u00e1padn\u00ed p\u0159edpoklady \u2013 rodinn\u00e9ho l\u00e9ka\u0159e jako filtr, l\u00e9ka\u0159e jako v\u011b\u0161tce, dlouh\u00e9 konzultace jako zn\u00e1mku kvality.<\/span><\/p>\n<p><span dir=\"auto\">\u010c\u00edna uva\u017euje z hlediska probl\u00e9mu \u2013 ne dogmat.<\/span><\/p>\n<p><span dir=\"auto\">\u201eZvl\u00e1\u0161tn\u00ed trik\u201c spo\u010d\u00edv\u00e1 jednodu\u0161e v ochot\u011b myslet na z\u00e1klad\u011b z\u00e1kladn\u00edch princip\u016f.<\/span><\/p>\n<p><strong><span dir=\"auto\">Arnaud Bertrand<\/span><\/strong><\/p>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-8c57238 quelle dc-has-condition dc-condition-empty elementor-widget elementor-widget-heading\" data-id=\"8c57238\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h3 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size: 10pt;\"><a href=\"https:\/\/arnaudbertrand.substack.com\/p\/one-morning-in-china-one-year-in?utm_source=post-email-title&amp;publication_id=4076906&amp;post_id=182828153&amp;utm_campaign=email-post-title&amp;isFreemail=false&amp;r=pf6gr&amp;triedRedirect=true&amp;utm_medium=email\" target=\"_blank\" rel=\"nofollow noopener\"><span dir=\"auto\">Zdroj<\/span><\/a><\/span><\/h3>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Zn\u00e1te ty pochybn\u00e9 reklamy, kter\u00e9 se samy staly memy \u2013 se slogany jako \u201eL\u00e9ka\u0159i ho&#8230;<\/p>\n","protected":false},"author":2,"featured_media":78077,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[1042,30,130,677,525],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/101747"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=101747"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/101747\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/78077"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=101747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=101747"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=101747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}