{"id":89956,"date":"2025-10-16T00:20:57","date_gmt":"2025-10-15T22:20:57","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=89956"},"modified":"2025-10-15T11:24:49","modified_gmt":"2025-10-15T09:24:49","slug":"ztrata-licence-v-zahranici-lekari-jednoduse-pokracuji-v-praxi-v-nemecku","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/10\/16\/ztrata-licence-v-zahranici-lekari-jednoduse-pokracuji-v-praxi-v-nemecku\/","title":{"rendered":"Ztr\u00e1ta licence v zahrani\u010d\u00ed: L\u00e9ka\u0159i jednodu\u0161e pokra\u010duj\u00ed v praxi v N\u011bmecku"},"content":{"rendered":"
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Extr\u00e9mn\u011b nebezpe\u010dn\u00e9 pro pacienty: L\u00e9ka\u0159 p\u0159i\u0161el v Norsku o licenci kv\u016fli z\u00e1va\u017en\u00e9mu l\u00e9ka\u0159sk\u00e9mu pochyben\u00ed. Dal\u0161\u00ed u\u017e nesm\u00ed vykon\u00e1vat praxi ve Velk\u00e9 Brit\u00e1nii a Nizozemsku \u2013 podle v\u00fdzkumu oba n\u00e1sledn\u011b pracuj\u00ed v N\u011bmecku. Navzdory varov\u00e1n\u00edm ze zahrani\u010d\u00ed mohou tito l\u00e9ka\u0159i nad\u00e1le l\u00e9\u010dit pacienty zde: Evropsk\u00fd\u00a0<\/span>syst\u00e9m varov\u00e1n\u00ed selh\u00e1v\u00e1<\/span><\/a>\u00a0.<\/span><\/strong><\/p>\n

Spole\u010dn\u00e9 vy\u0161et\u0159ov\u00e1n\u00ed, do kter\u00e9ho se zapojilo 50 m\u00e9di\u00ed, v\u010detn\u011b ZDF Frontal, Der Spiegel, britsk\u00fdch Times a norsk\u00e9ho Verdens Gang, p\u0159ineslo\u00a0<\/span>\u0161okuj\u00edc\u00ed zji\u0161t\u011bn\u00ed<\/span><\/a>\u00a0:\u00a0<\/span>V\u00edce ne\u017e 30 l\u00e9ka\u0159\u016f, kter\u00fdm byly v zahrani\u010d\u00ed odebr\u00e1ny l\u00e9ka\u0159sk\u00e9 licence, pokra\u010dovalo v pr\u00e1ci v n\u011bmeck\u00fdch ordinac\u00edch nebo nemocnic\u00edch.<\/span><\/strong> Byli sankce za l\u00e9ka\u0159skou nedbalost, sexu\u00e1ln\u00ed napaden\u00ed nebo faktura\u010dn\u00ed podvody \u2013 p\u0159esto si v N\u011bmecku na\u0161li zam\u011bstn\u00e1n\u00ed. V\u00fdzkumn\u00fd projekt \u201e\u0160patn\u00e1 praxe\u201c zkoumal soudn\u00ed dokumenty, datab\u00e1ze a vl\u00e1dn\u00ed z\u00e1znamy po cel\u00e9m sv\u011bt\u011b, celkem 2,5 milionu z\u00e1znam\u016f.<\/span><\/p>\n

Celoevropsk\u00fd informa\u010dn\u00ed syst\u00e9m pro vnit\u0159n\u00ed trh (IMI) m\u00e1 zajistit, aby odebr\u00e1n\u00ed licenc\u00ed byla hl\u00e1\u0161ena ve v\u0161ech \u010dlensk\u00fdch st\u00e1tech. Licen\u010dn\u00ed org\u00e1ny spolkov\u00fdch zem\u00ed jsou k n\u011bmu p\u0159ipojeny. V praxi v\u0161ak syst\u00e9m funguje nedostate\u010dn\u011b.\u00a0<\/span>Mnoho org\u00e1n\u016f bu\u010f v\u016fbec nereaguje, nebo reaguje a\u017e po n\u011bkolika m\u011bs\u00edc\u00edch.<\/span><\/strong><\/p>\n

Z\u00e1va\u017en\u00e9 l\u00e9ka\u0159sk\u00e9 chyby \u2013 l\u00e9ka\u0159i st\u00e1le pracuj\u00ed v N\u011bmecku<\/span><\/h3>\n

Probl\u00e9m je obzvl\u00e1\u0161t\u011b patrn\u00fd v p\u0159\u00edpad\u011b l\u00e9ka\u0159e v Norsku, kter\u00fd p\u0159i\u0161el o licenci po z\u00e1va\u017en\u00e9m l\u00e9ka\u0159sk\u00e9m pochyben\u00ed.\u00a0<\/span>Pacientovi musela b\u00fdt po dvou nepoveden\u00fdch operac\u00edch amputov\u00e1na doln\u00ed kon\u010detina.<\/span><\/strong>\u00a0A byly tu i dal\u0161\u00ed ob\u011bti: Norsk\u00fd zdravotn\u00ed \u00fa\u0159ad vyplatil v 58 p\u0159\u00edpadech celkem 1,3 milionu eur na od\u0161kodn\u011bn\u00ed a v roce 2021 l\u00e9ka\u0159i odebral licenci. N\u011bmeck\u00e9 velvyslanectv\u00ed tak\u00e9 vydalo l\u00e9ka\u0159i d\u016frazn\u00e9 varov\u00e1n\u00ed. P\u0159esto nyn\u00ed leg\u00e1ln\u011b pracuje v ordinaci u Bodamsk\u00e9ho jezera.<\/span><\/p>\n

Dal\u0161\u00ed p\u0159\u00edpad se t\u00fdk\u00e1 l\u00e9ka\u0159e, kter\u00fd v roce 2017 propustil kriticky nemocnou pacientku z pohotovosti ve Velk\u00e9 Brit\u00e1nii.\u00a0<\/span>\u017dena zem\u0159ela t\u00e9\u017ee noci na nediagnostikovan\u00fd z\u00e1pal plic, kter\u00fd mohl b\u00fdt v\u010dasnou l\u00e9\u010dbou vyl\u00e9\u010den.<\/span><\/strong> Po dal\u0161\u00edch incidentech ve Velk\u00e9 Brit\u00e1nii a Nizozemsku byla l\u00e9ka\u0159ce v obou zem\u00edch nakonec odebr\u00e1na l\u00e9ka\u0159sk\u00e1 licence.<\/span><\/p>\n

Dnes op\u011bt praktikuje \u2013 jako praktikuj\u00edc\u00ed l\u00e9ka\u0159 v ji\u017en\u00edm N\u011bmecku. Podle v\u00fdzkumu byla region\u00e1ln\u00ed rada Stuttgartu informov\u00e1na o odebr\u00e1n\u00ed licenc\u00ed obou l\u00e9ka\u0159\u016f v zahrani\u010d\u00ed \u2013 ale \u017e\u00e1dn\u00e9 d\u016fsledky to nem\u011blo.<\/span><\/p>\n

Sexu\u00e1ln\u00ed delikvent se z\u00e1kazem v\u00fdkonu povol\u00e1n\u00ed pracuje v N\u011bmecku neru\u0161en\u011b<\/span><\/h3>\n

V\u00fdm\u011bna informac\u00ed se zem\u011bmi mimo EU tak\u00e9 nefunguje.\u00a0<\/span>Nap\u0159\u00edklad l\u00e9ka\u0159 odsouzen\u00fd ve \u0160v\u00fdcarsku za sexu\u00e1ln\u00ed delikvent, kter\u00fd dostal podm\u00edn\u011bn\u00fd trest odn\u011bt\u00ed svobody a do\u017eivotn\u00ed z\u00e1kaz v\u00fdkonu povol\u00e1n\u00ed, m\u016f\u017ee jednodu\u0161e pokra\u010dovat v pr\u00e1ci v D\u00fcsseldorfu.<\/span><\/strong>\u00a0N\u011bmeck\u00e9 \u00fa\u0159ady o tom nebyly informov\u00e1ny, proto\u017ee \u0160v\u00fdcarsko nen\u00ed sou\u010d\u00e1st\u00ed syst\u00e9mu IMI. Na z\u00e1klad\u011b medi\u00e1ln\u00edho vy\u0161et\u0159ov\u00e1n\u00ed zah\u00e1jila okresn\u00ed vl\u00e1da v D\u00fcsseldorfu \u0159\u00edzen\u00ed.<\/span><\/p>\n

Ve v\u0161ech p\u0159\u00edpadech jsou patrn\u00e9 stejn\u00e9 slabiny: nedostatek informac\u00ed, absence d\u016fsledk\u016f a probl\u00e9my s feder\u00e1ln\u00ed jurisdikc\u00ed.<\/span><\/p>\n

V N\u011bmecku nesou odpov\u011bdnost za licence st\u00e1tn\u00ed org\u00e1ny. Zda a jak se ozn\u00e1men\u00ed ze zahrani\u010d\u00ed p\u0159ezkoum\u00e1v\u00e1, se li\u0161\u00ed st\u00e1t od st\u00e1tu.\u00a0<\/span>Odebr\u00e1n\u00ed licence v \u010dlensk\u00e9m st\u00e1t\u011b EU automaticky nevede k odebr\u00e1n\u00ed n\u011bmeck\u00e9 licence.<\/span><\/strong><\/p>\n

Pacienti v N\u011bmecku nemaj\u00ed mo\u017enost z\u00edskat nez\u00e1visl\u00e9 informace o disciplin\u00e1rn\u00edch opat\u0159en\u00edch v\u016f\u010di l\u00e9ka\u0159\u016fm, proto\u017ee neexistuj\u00ed \u017e\u00e1dn\u00e9 ve\u0159ejn\u00e9 registry jako ty ve Spojen\u00e9m kr\u00e1lovstv\u00ed. L\u00e9ka\u0159sk\u00e9 asociace a \u00fa\u0159ady nav\u00edc \u010dasto odm\u00edtaj\u00ed poskytnout informace s odvol\u00e1n\u00edm na obavy o ochranu \u00fadaj\u016f.<\/span><\/p>\n

Kde je ochrana pacient\u016f?<\/span><\/h3>\n

Je to systematick\u00fd skand\u00e1l. Skute\u010dnost, \u017ee l\u00e9ka\u0159i, kter\u00fdm byly v zahrani\u010d\u00ed odebr\u00e1ny licence kv\u016fli z\u00e1va\u017en\u00fdm chyb\u00e1m, mohou v N\u011bmecku pokra\u010dovat v praxi, ukazuje na do o\u010d\u00ed bij\u00edc\u00ed selh\u00e1n\u00ed vl\u00e1dn\u00edho dohledu. Slib chr\u00e1nit pacienty dnes kon\u010d\u00ed na hranici byrokratick\u00e9 pravomoci. Syst\u00e9m pod\u00e1v\u00e1n\u00ed zpr\u00e1v IMI v EU m\u011bl vytvo\u0159it transparentnost, ale v praxi z\u016fst\u00e1v\u00e1 bezzub\u00fdm pap\u00edrov\u00fdm tygrem: informace unikaj\u00ed, jsou zad\u00e1v\u00e1ny pozd\u011b nebo zcela ignorov\u00e1ny. N\u011bmeck\u00fd federalismus probl\u00e9m je\u0161t\u011b zhor\u0161uje \u2013 sedmn\u00e1ct licen\u010dn\u00edch org\u00e1n\u016f znamen\u00e1 sedmn\u00e1ct r\u016fzn\u00fdch standard\u016f, sedmn\u00e1ct p\u0159\u00edle\u017eitost\u00ed k nebezpe\u010dn\u00fdm mezer\u00e1m.<\/span><\/p>\n

Z pr\u00e1vn\u00edho hlediska je to v\u00fdzva k nezodpov\u011bdnosti; institucion\u00e1ln\u011b jde o selh\u00e1n\u00ed syst\u00e9mu; eticky jde o zradu j\u00e1dra l\u00e9ka\u0159sk\u00e9 etiky.<\/span><\/strong>\u00a0Vztah mezi l\u00e9ka\u0159em a pacientem je zalo\u017een na d\u016fv\u011b\u0159e \u2013 na jistot\u011b, \u017ee st\u00e1t p\u0159ezkoum\u00e1, kdo sm\u00ed l\u00e9\u010dit a kdo ne. Tato d\u016fv\u011bra je v sou\u010dasn\u00e9 dob\u011b marn\u011bna. Minul\u00e9 p\u0159\u00edpady, jako nap\u0159\u00edklad p\u0159\u00edpad Taleba A., \u00fato\u010dn\u00edka z Magdeburgu, kter\u00fd byl mezi sv\u00fdmi l\u00e9ka\u0159sk\u00fdmi kolegy \u00fadajn\u011b zn\u00e1m\u00fd jako\u00a0<\/span>\u201edoktor Google<\/span><\/a> \u201c, vyvol\u00e1vaj\u00ed ot\u00e1zky. P\u0159ezkoum\u00e1vaj\u00ed \u00fa\u0159ady v\u016fbec dostate\u010dn\u011b kvalifikaci a licence migruj\u00edc\u00edch l\u00e9ka\u0159\u016f?<\/span><\/p>\n

Ochrana pacient\u016f nen\u00ed administrativn\u00ed akt, ale mor\u00e1ln\u00ed povinnost. Kdy\u017e \u00fa\u0159ady jednodu\u0161e zam\u00edtaj\u00ed rukou p\u0159es osobn\u00ed \u00fadaje a dokonce ignoruj\u00ed nebo nep\u0159ed\u00e1vaj\u00ed konkr\u00e9tn\u00ed varov\u00e1n\u00ed ze zahrani\u010d\u00ed, ohro\u017euj\u00ed nejen jednotliv\u00e9 pacienty, ale i d\u016fv\u011bru v cel\u00fd syst\u00e9m zdravotn\u00ed p\u00e9\u010de.<\/span><\/p>\n

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

Extr\u00e9mn\u011b nebezpe\u010dn\u00e9 pro pacienty: L\u00e9ka\u0159 p\u0159i\u0161el v Norsku o licenci kv\u016fli z\u00e1va\u017en\u00e9mu l\u00e9ka\u0159sk\u00e9mu pochyben\u00ed. Dal\u0161\u00ed…<\/p>\n","protected":false},"author":2,"featured_media":5949,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[677,9902,84],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/89956"}],"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=89956"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/89956\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/5949"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=89956"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=89956"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=89956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}