{"id":49949,"date":"2024-03-22T00:29:44","date_gmt":"2024-03-21T23:29:44","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=49949"},"modified":"2024-03-21T18:22:04","modified_gmt":"2024-03-21T17:22:04","slug":"david-rath-vlada-chce-zase-rusit-nemocnice","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2024\/03\/22\/david-rath-vlada-chce-zase-rusit-nemocnice\/","title":{"rendered":"David Rath: Vl\u00e1da chce zase ru\u0161it nemocnice"},"content":{"rendered":"
<\/div>\n

Nedostatek l\u00e9ka\u0159\u016f a zdravotn\u00edch sester je dlouhodob\u00fd probl\u00e9m. V\u0161ichni o n\u011bm v\u00ed, v\u0161ichni o n\u011bm roky mluv\u00ed a probl\u00e9m se jen prohlubuje. \u010cas od \u010dasu chronick\u00fd neduh akutn\u011b vyv\u0159e, kdy\u017e l\u00e9ka\u0159\u016fm dojde trp\u011blivost a vypov\u00ed sv\u016fj souhlas s ohromuj\u00edc\u00edm mno\u017estv\u00edm p\u0159es\u010dasov\u00fdch hodin. To se naposledy stalo koncem lo\u0148sk\u00e9ho roku. Ministr V\u00e1lek v tom chaoticky tonul, a\u017e za jeho z\u00e1dy probl\u00e9m do\u010dasn\u011b zal\u00e1tal premi\u00e9r Fiala t\u00edm, \u017ee doktor\u016fm sl\u00edbil p\u0159idat pen\u00edze. P\u0159es\u010dasy nad r\u00e1mec z\u00e1kona to nevy\u0159e\u0161ilo, ale pen\u00edze na \u010das utlumily v\u00e1\u0161n\u011b. Ministr sl\u00edbil, \u017ee v\u011bc n\u00e1sledn\u011b vy\u0159e\u0161\u00ed. Ti zku\u0161en\u011bj\u0161\u00ed u\u017e tehdy trnuli hr\u016fzou a dnes je to tady.<\/strong><\/p>\n

Ministr V\u00e1lek z\u00a0TOP 09 chce likvidovat men\u0161\u00ed nemocnice. Pl\u00e1nuje, \u017ee se zm\u011bn\u00ed na za\u0159\u00edzen\u00ed, kter\u00e1 nebudou l\u00e9ka\u0159e pot\u0159ebovat. P\u0159ich\u00e1z\u00ed s\u00a0nov\u00fdm term\u00ednem – ,,komunitn\u00ed\u201c nemocnice, kde maj\u00ed le\u017eet nemocn\u00ed lid\u00e9 bez st\u00e1l\u00e9 p\u0159\u00edtomnosti l\u00e9ka\u0159\u016f. Ti pak budou k\u00a0dispozici pro v\u011bt\u0161\u00ed za\u0159\u00edzen\u00ed, kde pak nebude probl\u00e9m obsadit slu\u017eby.<\/p>\n

\"\"<\/a><\/p>\n

Ministr V\u00e1lek nen\u00ed prvn\u00ed ,,likvid\u00e1tor\u201c nemocni\u010dn\u00edch l\u016f\u017eek. P\u0159ed n\u00edm v\u00a0t\u00e9to discipl\u00edn\u011b vynikla t\u0159eba lidoveck\u00e1 ministryn\u011b Roithov\u00e1. Zaniklo n\u011bkolik men\u0161\u00edch nemocnic, n\u011bkter\u00e9 se zm\u011bnily na LDN. Velk\u00e9 mno\u017estv\u00ed zdravotn\u00ed p\u00e9\u010de p\u0159evzaly prakticky v\u0161echny domovy d\u016fchodc\u016f. Bylo by zaj\u00edmav\u00e9, kdyby poji\u0161\u0165ovny zve\u0159ejnily p\u0159ehled, kolik zdravotnick\u00fdch v\u00fdkon\u016f propl\u00e1cej\u00ed pr\u00e1v\u011b domov\u016fm senior\u016f. P\u0159ed 15 lety se nic takov\u00e9ho ned\u011blo.<\/p>\n

Dnes jsou domovy senior\u016f polovi\u010dn\u00edmi nemocnicemi ov\u0161em bez l\u00e9ka\u0159\u016f a s\u00a0minimem kvalifikovan\u00fdch sester. Jist\u011b by se dalo \u0159\u00edci, \u017ee to vlastn\u011b taky jde i bez p\u0159\u00edtomnosti l\u00e9ka\u0159\u016f. Ov\u0161em nikdo d\u016fsledn\u011b a kvalifikovan\u011b nekontroluje v\u00a0t\u011bchto za\u0159\u00edzen\u00edch kvalitu poskytovan\u00e9 zdravotn\u00ed p\u00e9\u010de. M\u016f\u017eeme v\u011b\u0159it, \u017ee je dobr\u00e1, ale stejn\u011b tak si m\u016f\u017eeme myslet, \u017ee je mnohem hor\u0161\u00ed ne\u017e jakou senio\u0159i dost\u00e1vali p\u0159ed lety v\u00a0mal\u00fdch nemocnic\u00edch. \u017d\u00e1dn\u00e9 objektivn\u00ed data k\u00a0tomu nem\u00e1me. Zd\u00e1 se mi, \u017ee o n\u011b nikdo nestoj\u00ed.<\/p>\n

To, co se d\u011bje v\u00a0domovech senior\u016f, tedy poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de bez trval\u00e9 p\u0159\u00edtomnosti l\u00e9ka\u0159\u016f se m\u00e1 nyn\u00ed podle ministra V\u00e1lka roz\u0161\u00ed\u0159it i na \u0159adu dal\u0161\u00edch nemocnic. Kdo m\u00e1 rozum a n\u011bjak\u00e9 mo\u017enosti, tak se takov\u00e9mu za\u0159\u00edzen\u00ed rad\u011bji vyhne a vyraz\u00ed rovnou n\u011bkam do velk\u00e9 nemocnice. Urgentn\u00ed p\u0159\u00edjmy t\u011bchto nemocnic u\u017e dnes praskaj\u00ed ve \u0161vech a v\u011bt\u0161inu pacient\u016f po mnohahodinov\u00e9m \u010dek\u00e1n\u00ed pos\u00edlaj\u00ed dom\u016f, proto\u017ee pro n\u011b nemaj\u00ed voln\u00e1 l\u016f\u017eka. Zcela b\u011b\u017en\u011b dostanou do rukou krati\u010dkou l\u00e9ka\u0159skou zpr\u00e1vu, kde je uvedeno \u2013 vy\u0161et\u0159it a l\u00e9\u010dbu do\u0159e\u0161it u praktick\u00e9ho l\u00e9ka\u0159e.<\/p>\n

Pacient znovu \u010dek\u00e1 hodiny u sv\u00e9ho praktika, kter\u00fd nev\u011b\u0159\u00edcn\u011b krout\u00ed hlavou nad t\u00edm, \u017ee by v\u00a0denn\u00edm n\u00e1poru mnoha des\u00edtek pacient\u016f m\u011bl objedn\u00e1vat CT, PETCT, magnetick\u00e9 rezonance, biopsie, angiografie a dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed. P\u0159itom \u010dasto netu\u0161\u00ed, jak\u00e1 v\u0161echna vy\u0161et\u0159en\u00ed m\u00e1 vlastn\u011b nechat ud\u011blat. Nev\u00ed, zda je m\u016f\u017ee s\u00e1m o sob\u011b v\u016fbec doporu\u010dit, zda nebude za to poji\u0161\u0165ovnou pokutov\u00e1n anebo zda m\u00e1 b\u00fdt pou\u017eita kontrastn\u00ed l\u00e1tka a jak\u00e1.<\/p>\n

\"\"<\/p>\n

Nej\u010dast\u011bji pacientovi d\u00e1 obecnou \u017e\u00e1danku s\u00a0pou\u010den\u00edm, a\u0165 si zkus\u00ed zavolat do n\u011bjak\u00e9 v\u011bt\u0161\u00ed nemocnice a objedn\u00e1 se. Pacient pak obvol\u00e1v\u00e1 r\u016fzn\u00e1 pracovi\u0161t\u011b, po\u0159\u00e1dn\u011b nev\u00ed, co m\u00e1 vlastn\u011b cht\u00edt. Je objedn\u00e1n za n\u011bkolik m\u011bs\u00edc\u016f s\u00a0pou\u010den\u00edm, \u017ee mus\u00ed p\u0159in\u00e9st jinou \u017e\u00e1danku, kterou nem\u00e1 a jeho praktik ji taky nem\u00e1. N\u011bkter\u00e9 velk\u00e9 nemocnice dokonce jasn\u011b \u0159\u00edkaj\u00ed, \u017ee takov\u00e1 vy\u0161et\u0159en\u00ed sm\u00ed prov\u00e1d\u011bt jen pokud je indikoval jejich vlastn\u00ed l\u00e9ka\u0159. Poh\u00e1dka o kohoutkovi a slepi\u010dce v\u00a0praxi.<\/p>\n

Chaos, stres, stoupaj\u00edc\u00ed po\u010det zanedban\u00fdch a pozd\u011b diagnostikovan\u00fdch onemocn\u011bn\u00ed, tedy i vy\u0161\u0161\u00ed po\u010det zbyte\u010dn\u00fdch \u00famrt\u00ed nebo zbyte\u010dn\u011b t\u011b\u017ek\u00fdch a drah\u00fdch l\u00e9\u010debn\u00fdch postup\u016f.<\/p>\n

K\u00a0tomu p\u0159istupuje i fakt, \u017ee za operovan\u00e9 slep\u00e9 st\u0159evo, \u017elu\u010dn\u00edk, srovnanou cukrovku a stabilizovanou mrtvici zaplat\u00ed zdravotn\u00ed poji\u0161\u0165ovna mal\u00e9 nemocnici asi t\u0159etinu oproti tomu kolik za stejnou l\u00e9\u010dbu dostane t\u0159eba n\u011bkter\u00e1 velk\u00e1 nemocnice.<\/p>\n

\u010cast\u00e1 onemocn\u011bn\u00ed, kter\u00e1 nevy\u017eaduj\u00ed specializovanou p\u00e9\u010di jde levn\u011bji vy\u0159e\u0161it v\u00a0mal\u00e9 nemocnici. Nav\u00edc pobyt v\u00a0men\u0161\u00edm za\u0159\u00edzen\u00ed b\u00fdv\u00e1 pro pacienty v\u011bt\u0161inou i p\u0159\u00edjemn\u011bj\u0161\u00ed ne\u017e b\u00fdt ,,kusem v tov\u00e1rn\u011b\u201c na zdrav\u00ed.<\/p>\n

Chytr\u00fd syst\u00e9m pracuje na principu kvalitn\u00edho t\u0159\u00edd\u011bn\u00ed pacient\u016f. Z\u00e1chrann\u00e1 slu\u017eba, LSPP nebo p\u0159\u00edjem v\u00a0nejbli\u017e\u0161\u00ed nemocnici rozhodne, zda stav pacienta pot\u0159ebuje b\u011b\u017enou p\u00e9\u010di nebo specializovanou. B\u011b\u017enou p\u00e9\u010di u nekomplikovan\u00fdch pacient\u016f dok\u00e1\u017eou kvalitn\u011b a levn\u011b zajistit mal\u00e9 nemocnice. Do t\u011bch velk\u00fdch by pak m\u011bli b\u00fdt sm\u011brov\u00e1ni ti, se kter\u00fdmi si jinde nev\u00ed rady.<\/p>\n

Dnes jsou l\u016f\u017eka ve fakultn\u00edch nemocnic\u00edch z\u00a0v\u011bt\u0161\u00ed \u010d\u00e1sti zapln\u011bna b\u011b\u017en\u00fdmi, nekomplikovan\u00fdmi nemocn\u00fdmi a jen zlomek jejich kapacity je vyu\u017eit t\u011bmi, kte\u0159\u00ed to skute\u010dn\u011b pot\u0159ebuj\u00ed a kte\u0159\u00ed by jinde takovou p\u00e9\u010di nedostali.<\/p>\n

Tento nelogick\u00fd a zbyte\u010dn\u011b drah\u00fd syst\u00e9m je v\u00fdsledkem \u00fasil\u00ed mnoha ,,reform\u00e1tor\u016f\u201c \u2013 ru\u0161itel\u016f mal\u00fdch nemocnic po\u010d\u00ednaje ministryn\u00ed Roithovou. Ta byla p\u0159ed t\u00edm \u0159editelkou velk\u00e9 fakultn\u00ed nemocnice. Bohu\u017eel \u0159editel\u00e9 t\u011bch nejv\u011bt\u0161\u00edch nemocnic maj\u00ed i hlavn\u00ed slovo. Kone\u010dn\u011b, ministr V\u00e1lek v\u00a0takov\u00e9 nemocnici s\u00e1m pracuje.<\/p>\n

M\u00edsto toho, aby syst\u00e9m narovn\u00e1val, tak hodl\u00e1 jen prohloubit sou\u010dasn\u00fd neut\u011b\u0161en\u00fd stav.<\/p>\n

David Rath<\/a><\/p>\n

\"\"<\/p>\n

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

Nedostatek l\u00e9ka\u0159\u016f a zdravotn\u00edch sester je dlouhodob\u00fd probl\u00e9m. V\u0161ichni o n\u011bm v\u00ed, v\u0161ichni o n\u011bm…<\/p>\n","protected":false},"author":2,"featured_media":5823,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[677,1083,1878],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/49949"}],"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=49949"}],"version-history":[{"count":1,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/49949\/revisions"}],"predecessor-version":[{"id":49950,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/49949\/revisions\/49950"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/5823"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=49949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=49949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=49949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}