{"id":204679,"date":"2026-09-06T13:51:09","date_gmt":"2026-09-06T13:51:09","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/204679\/"},"modified":"2026-09-06T13:51:09","modified_gmt":"2026-09-06T13:51:09","slug":"tri-tydny-klidu-pri-natrzeni-svalu-z-dnesniho-pohledu-nepochopitelne-rika-lekar-barna","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/204679\/","title":{"rendered":"T\u0159i t\u00fddny klidu p\u0159i natr\u017een\u00ed svalu? Z dne\u0161n\u00edho pohledu nepochopiteln\u00e9, \u0159\u00edk\u00e1 l\u00e9ka\u0159 Barna"},"content":{"rendered":"

\n Bol\u00ed v\u00e1s z\u00e1da, m\u011bs\u00edce \u010dek\u00e1te na neurologa, dal\u0161\u00ed m\u011bs\u00edce na rehabilitaci a st\u00e1t zat\u00edm p\u0159ich\u00e1z\u00ed o miliony kv\u016fli zbyte\u010dn\u00fdm neschopenk\u00e1m. \u0160pi\u010dkov\u00fd l\u00e9ka\u0159 a rehabilita\u010dn\u00ed specialista Milo\u0161 Barna v otev\u0159en\u00e9m rozhovoru popisuje, pro\u010d \u010desk\u00e9 zdravotnictv\u00ed fat\u00e1ln\u011b selh\u00e1v\u00e1 v p\u00e9\u010di o b\u011b\u017en\u00e9 pacienty. Pro\u010d je podle n\u011bj l\u00e9\u010dba klidem u natr\u017een\u00fdch sval\u016f p\u0159e\u017eitek, jak obch\u00e1zet nekone\u010dn\u00e9 \u010dekac\u00ed doby a pro\u010d bychom se nem\u011bli b\u00e1t leg\u00e1ln\u00edch p\u0159\u00edplatk\u016f za nadstandardn\u00ed p\u00e9\u010di?\n <\/p>\n

Specializujete se na fyzioterapii a rehabilitaci. Jak u n\u00e1s v \u010cesk\u00e9 republice funguje l\u00e9ka\u0159sk\u00e1 p\u00e9\u010de v t\u00e9to oblasti? Je na odpov\u00eddaj\u00edc\u00ed \u00farovni?
M\u00e1me zde velmi kvalitn\u00ed l\u00e9ka\u0159e i fyzioterapeuty a celkov\u00e1 \u00farove\u0148 na\u0161eho zdravotnictv\u00ed je ve srovn\u00e1n\u00ed se sv\u011btem opravdu vysok\u00e1. Probl\u00e9mem je ale dostupnost p\u00e9\u010de pro b\u011b\u017en\u00e9 lidi a tak\u00e9 kvalita standardn\u00ed traumatologie. V\u011bt\u0161ina lid\u00ed se domn\u00edv\u00e1, \u017ee kdy\u017e jdou s \u00farazem kotn\u00edku nebo kolene na akutn\u00ed pohotovost, bude o n\u011b kompletn\u011b postar\u00e1no. Tam se ale vy\u0159e\u0161\u00ed pouze z\u00e1klady \u2013 vylou\u010d\u00ed se akutn\u00ed zlomenina nebo v\u00e1\u017en\u00e9 struktur\u00e1ln\u00ed poran\u011bn\u00ed. Pacient by pak m\u011bl vyhledat odborn\u00edka, kter\u00fd se na dan\u00fd probl\u00e9m specializuje a je v tom dobr\u00fd.<\/p>\n

\u010cT\u011aTE TAK\u00c9: Kdy\u017e ani dovolen\u00e1 nesta\u010d\u00ed: Skute\u010dn\u00fd odpo\u010dinek neza\u010d\u00edn\u00e1 na pl\u00e1\u017ei, ale uvnit\u0159 organismu<\/a><\/p>\n

V tomto ohledu by n\u00e1s m\u011bly vzd\u011bl\u00e1vat i odborn\u00e9 spole\u010dnosti (ortopedick\u00e1, rehabilita\u010dn\u00ed \u010di sportovn\u00ed medic\u00edna) a pravideln\u011b vyd\u00e1vat re\u0161er\u0161e a doporu\u010den\u00e9 postupy. Nem\u011blo by to st\u00e1t jen na individu\u00e1ln\u00edm rozhodnut\u00ed l\u00e9ka\u0159e. Postupy p\u0159i natr\u017een\u00ed svalu nebo poran\u011bn\u00ed kotn\u00edku by m\u011bly b\u00fdt sjednocen\u00e9, aby nebyl propastn\u00fd rozd\u00edl v p\u00e9\u010di, kterou dostanete v Praze nebo v Jihlav\u011b. St\u00e1le m\u011b d\u011bs\u00ed, \u017ee kdy\u017e si u n\u00e1s n\u011bkdo natrhne sval, v\u011bt\u0161ina l\u00e9ka\u0159\u016f mu na\u0159\u00edd\u00ed t\u0159i t\u00fddny absolutn\u00edho klidu. To je z dne\u0161n\u00edho pohledu nepochopiteln\u00e9. Mo\u017enosti akutn\u00ed p\u00e9\u010de se posunuly a t\u011blo nem\u00e1 v\u017edy stoprocentn\u00ed samohoj\u00edc\u00ed schopnost, aby se bez pomoci vr\u00e1tilo do stavu p\u0159ed zran\u011bn\u00edm. L\u00e9ka\u0159i ani pacienti si to \u010dasto neuv\u011bdomuj\u00ed. V t\u00e9to oblasti je nutn\u00e1 osv\u011bta o nejnov\u011bj\u0161\u00edch trendech a sjednocen\u00ed l\u00e9\u010debn\u00fdch standard\u016f. Nem\u011bly by existovat obrovsk\u00e9 rozd\u00edly mezi st\u00e1tn\u00ed a soukromou sf\u00e9rou, kde b\u00fdv\u00e1 p\u00e9\u010de p\u0159ece jen o n\u011bco adresn\u011bj\u0161\u00ed a person\u00e1l m\u00e1 v\u011bt\u0161\u00ed motivaci pacientovi re\u00e1ln\u011b pomoci.<\/p>\n

Zaujala m\u011b va\u0161e zm\u00ednka o t\u0159ech t\u00fddnech klidu. Vy si tedy mysl\u00edte, \u017ee by pacient s nata\u017een\u00fdm svalem nem\u011bl jen le\u017eet, ale m\u011bl by z\u016fstat aktivn\u00ed?
Z\u00e1kladem je spr\u00e1vn\u00e1 diagnostika. Pokud mluv\u00edme o nata\u017een\u00e9m \u010di natr\u017een\u00e9m svalu, kde proces hojen\u00ed trv\u00e1 p\u0159ibli\u017en\u011b 21 dn\u00ed, prov\u00e1d\u00edm v pr\u016fb\u011bhu t\u00e9to doby t\u0159i a\u017e p\u011bt diagnostick\u00fdch vy\u0161et\u0159en\u00ed ultrazvukem. Prvn\u00ed ultrazvuk d\u011bl\u00e1m na za\u010d\u00e1tku, abych zjistil p\u0159esn\u00fd rozsah a m\u00edsto poran\u011bn\u00ed a ov\u011b\u0159il p\u0159\u00edtomnost hematomu, kter\u00fd je p\u0159\u00edpadn\u011b pot\u0159eba ods\u00e1t. Pacienta si pak pozvu znovu za \u010dty\u0159i a\u017e p\u011bt dn\u00ed. Bezprost\u0159edn\u011b po zran\u011bn\u00ed toti\u017e svalov\u00e1 trhlina b\u00fdv\u00e1 sta\u017een\u00e1 a jej\u00ed skute\u010dn\u00fd rozsah nemus\u00ed b\u00fdt dob\u0159e patrn\u00fd. Teprve po aplikaci procedur, kter\u00e9 sval uvoln\u00ed, zlep\u0161\u00ed mikrocirkulaci a podpo\u0159\u00ed hojen\u00ed, se uk\u00e1\u017ee re\u00e1ln\u00fd rozsah po\u0161kozen\u00ed.<\/p>\n

Milo\u0161 Barna je uzn\u00e1van\u00fdm odborn\u00edkem v oblasti sportovn\u00ed medic\u00edny a komplexn\u00ed p\u00e9\u010de o pohybov\u00fd apar\u00e1t. Je zakladatelem a hlavn\u00edm l\u00e9ka\u0159em presti\u017en\u00ed pra\u017esk\u00e9 kliniky Barna Medical, kter\u00e1 se specializuje na ortopedii a rehabilitaci. B\u011bhem sv\u00e9 kari\u00e9ry p\u016fsobil jako l\u00e9ka\u0159 nap\u0159\u00edklad u \u010desk\u00e9 fotbalov\u00e9 a atletick\u00e9 reprezentace. Z\u00fa\u010dastnil se rovn\u011b\u017e letn\u00edch olympijsk\u00fdch her v Sydney a Pekingu.<\/p>\n

Tento druh\u00fd \u010di t\u0159et\u00ed kontroln\u00ed ultrazvuk ale u n\u00e1s t\u00e9m\u011b\u0159 nikdo ned\u011bl\u00e1. V tom vid\u00edm obrovsk\u00fd probl\u00e9m. Pacient m\u00e1 ve svalu hematom, o kter\u00e9m nev\u00ed, kolem des\u00e1t\u00e9ho \u010di dvan\u00e1ct\u00e9ho dne sval p\u0159estane bolet a on si \u0159ekne, \u017ee u\u017e je v po\u0159\u00e1dku a m\u016f\u017ee za\u010d\u00edt sportovat. Pr\u00e1v\u011b tehdy hroz\u00ed nejv\u011bt\u0161\u00ed riziko obnoven\u00ed zran\u011bn\u00ed, vzniku velk\u00e9 jizvy a opakovan\u00fdch komplikac\u00ed. Kdy\u017e o tom p\u0159edn\u00e1\u0161\u00edm na kongresech, l\u00e9ka\u0159i se div\u00ed, pro\u010d d\u011bl\u00e1m tolik vy\u0161et\u0159en\u00ed. Ale to jsou naprost\u00e9 z\u00e1klady p\u00e9\u010de, stejn\u011b jako u nata\u017een\u00fdch vaz\u016f v kotn\u00edku. Pr\u00e1v\u011b tyto detaily a sledov\u00e1n\u00ed nejnov\u011bj\u0161\u00edch sv\u011btov\u00fdch studi\u00ed odli\u0161uj\u00ed \u0161pi\u010dkovou p\u00e9\u010di od t\u00e9 b\u011b\u017en\u00e9.<\/p>\n

Jin\u00fdmi slovy, syst\u00e9m sice ur\u010d\u00ed diagn\u00f3zu a zah\u00e1j\u00ed l\u00e9\u010dbu, ale u\u017e dostate\u010dn\u011b nekontroluje, zda se pacient m\u016f\u017ee bezpe\u010dn\u011b vr\u00e1tit ke sportu?
P\u0159esn\u011b tak. Objektivn\u00ed posouzen\u00ed bezpe\u010dn\u00e9ho n\u00e1vratu k aktivit\u011b se u n\u00e1s t\u00e9m\u011b\u0159 neprov\u00e1d\u00ed. Zkontrolovat ultrazvukem, zda je sval zahojen\u00fd, zda v n\u011bm nen\u00ed hematom \u010di jizva, prov\u00e9st svalov\u00fd test a porovnat s\u00edlu prav\u00e9 a lev\u00e9 kon\u010detiny \u2013 to dnes ned\u011bl\u00e1 skoro nikdo. P\u0159itom je to naprost\u00fd z\u00e1klad \u00fasp\u011b\u0161n\u00e9 rekonvalescence.<\/p>\n

\n \u010ct\u011bte tak\u00e9\n <\/p>\n

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\"L\u00e9ka\u0159<\/p>\n

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\n \u010ct\u011bte tak\u00e9\n <\/p>\n

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\n L\u00e9ka\u0159 Barna: Zavedl bych povinn\u00fd t\u011blocvik pro d\u016fchodce. Zleniv\u011bli jsme a m\u00e1lo sportuj\u00ed i d\u011bti\n <\/p>\n

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22. srp 2026, 16:40<\/p>\n

6 min \u010dten\u00ed<\/p>\n

Dal\u0161\u00edm \u010dasto diskutovan\u00fdm t\u00e9matem jsou dlouh\u00e9 \u010dekac\u00ed doby. Ze sv\u00e9 vlastn\u00ed sportovn\u00ed zku\u0161enosti v\u00edm, \u017ee jsou n\u011bkdy extr\u00e9mn\u00ed. V hokejov\u00fdch klubech to sice funguje jednodu\u0161eji, proto\u017ee maj\u00ed sv\u00e9 klubov\u00e9 l\u00e9ka\u0159e p\u0159\u00edmo z nemocnic, ale b\u011b\u017en\u00fd \u010dlov\u011bk bez t\u011bchto kontakt\u016f \u010dek\u00e1 t\u0159eba na magnetickou rezonanci i n\u011bkolik m\u011bs\u00edc\u016f. D\u00e1 se s t\u00edm v\u016fbec n\u011bco d\u011blat?
Je to velk\u00fd probl\u00e9m. Na druhou stranu jsme ale zem\u00ed, kde p\u0159evl\u00e1d\u00e1 n\u00e1zor, \u017ee bez magnetick\u00e9 rezonance nelze stanovit diagn\u00f3zu, co\u017e nen\u00ed pravda. Lid\u00e9, kte\u0159\u00ed maj\u00ed takzvan\u011b zn\u00e1m\u00e9, se sna\u017e\u00ed vy\u0161et\u0159en\u00ed urychlit, proto\u017ee si mysl\u00ed, \u017ee p\u0159i ka\u017ed\u00e9 bolesti kolene je rezonance nutn\u00e1 k vylou\u010den\u00ed po\u0161kozen\u00ed menisku nebo chrupavky. To ale nen\u00ed pravda.<\/p>\n

Vy\u017eaduj\u00ed tyto sn\u00edmky z magnetick\u00e9 rezonance sami l\u00e9ka\u0159i pro stanoven\u00ed diagn\u00f3zy?
Z\u00e1le\u017e\u00ed na zku\u0161enostech konkr\u00e9tn\u00edho l\u00e9ka\u0159e a na tom, zda um\u00ed pracovat s ultrazvukem. Na sv\u00e9 klinice m\u00e1m \u0161est l\u00e9ka\u0159\u016f a ka\u017ed\u00fd z nich m\u00e1 k dispozici diagnostick\u00fd ultrazvuk. D\u0159\u00edve jsem o tom mohl jen sn\u00edt, ale dnes je to pro n\u00e1s obrovsk\u00fd pomocn\u00edk. U nata\u017een\u00e9ho svalu, probl\u00e9m\u016f s Achillovou \u0161lachou nebo r\u016fzn\u00fdch tendinopati\u00ed z\u00edsk\u00e1te s ultrazvukem rychlej\u0161\u00ed a jasn\u011bj\u0161\u00ed v\u00fdsledek ne\u017e z rezonance. M\u016f\u017eete toti\u017e prov\u00e1d\u011bt dynamick\u00e9 testy a sledovat tk\u00e1\u0148 v re\u00e1ln\u00e9m \u010dase. U b\u011b\u017en\u00fdch pot\u00ed\u017e\u00ed tak magnetickou rezonanci v\u016fbec nepot\u0159ebuji. \u00darove\u0148 p\u00e9\u010de s vyu\u017eit\u00edm ultrazvuku se velmi zvedla, po\u0159\u00e1daj\u00ed se kurzy a dnes s n\u00edm pracuj\u00ed i n\u011bkte\u0159\u00ed fyzioterapeuti, co\u017e pova\u017euji za velk\u00fd p\u0159\u00ednos. V\u0161e z\u00e1vis\u00ed na tom, jak se l\u00e9ka\u0159 d\u00e1le vzd\u011bl\u00e1v\u00e1, pod jak\u00fdm veden\u00edm pracoval a jak moc chce sledovat nejnov\u011bj\u0161\u00ed v\u011bdeck\u00e1 data. Obrovsk\u00e9 mo\u017enosti dnes v tomto sm\u011bru nab\u00edz\u00ed tak\u00e9 spolupr\u00e1ce s um\u011blou inteligenc\u00ed.<\/p>\n

Magnetickou rezonanci jsem uvedl jen jako p\u0159\u00edklad. Podobn\u00e9 je to i s \u010dek\u00e1n\u00edm na vy\u0161et\u0159en\u00ed u specialist\u016f. S\u00e1m jsem po zran\u011bn\u00ed kotn\u00edku dostal od ortopeda doporu\u010den\u00ed na podologa, kde byla \u010dekac\u00ed doba m\u011bs\u00edc. Nechyb\u00ed n\u00e1m jednodu\u0161e odborn\u00ed l\u00e9ka\u0159i?
Je to slo\u017eit\u00e1 ot\u00e1zka. S\u00e1m jsem p\u00e1tral po tom, pro\u010d je rezonanc\u00ed nedostatek, jak jsou financov\u00e1ny poji\u0161\u0165ovnami a podobn\u011b. Situaci by pomohlo, kdyby si lid\u00e9 mohli za vy\u0161et\u0159en\u00ed p\u0159iplatit a j\u00edt p\u0159ednostn\u011b mimo b\u011b\u017enou pracovn\u00ed dobu, aby to nebylo na \u00fakor ostatn\u00edch. U n\u00e1s to ale nen\u00ed legislativn\u011b jednoduch\u00e9, proto\u017ee je zde siln\u00e1 snaha zajistit ka\u017ed\u00e9mu stejnou p\u00e9\u010di. Sice to nepova\u017euji za zcela ide\u00e1ln\u00ed, ale respektuji, \u017ee v na\u0161\u00ed zemi je tento syst\u00e9m nastaven\u00fd.<\/p>\n

\n \u010ct\u011bte tak\u00e9\n <\/p>\n

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\"Trend<\/p>\n

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

\n \u010ct\u011bte tak\u00e9\n <\/p>\n

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\n Dvacet minut elektrick\u00fdch impuls\u016f m\u00edsto dvou hodin ve fitku? Do \u010ceska pronikl nov\u00fd trend\n <\/p>\n

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

23. srp 2026, 15:27<\/p>\n

6 min \u010dten\u00ed<\/p>\n

Uvedu typick\u00fd p\u0159\u00edklad z praxe: Bol\u00ed v\u00e1s z\u00e1da, m\u00e1te p\u0159\u00edznaky podr\u00e1\u017ed\u011bn\u00ed nervov\u00e9ho ko\u0159ene (bolest st\u0159\u00edl\u00ed do nohy, co\u017e zna\u010d\u00ed probl\u00e9m s plot\u00fdnkou). Praktick\u00fd l\u00e9ka\u0159 v\u00e1m p\u0159edep\u00ed\u0161e l\u00e9ky proti bolesti a objedn\u00e1 v\u00e1s k neurologovi. Tam \u010dek\u00e1te dva m\u011bs\u00edce. Neurolog v\u00e1s vy\u0161et\u0159\u00ed, konstatuje, \u017ee n\u00e1lez nen\u00ed k operaci, a po\u0161le v\u00e1s na rehabilitaci. Tam \u010dek\u00e1te dal\u0161\u00ed dva m\u011bs\u00edce. V\u00fdsledkem je, \u017ee na v\u00e1s \u010dty\u0159i m\u011bs\u00edce nikdo odborn\u011b nes\u00e1hne, co\u017e pova\u017euji za obrovsk\u00fd syst\u00e9mov\u00fd probl\u00e9m.<\/p>\n

V Rakousku to funguje jinak. Pacient jde s bolest\u00ed zad rovnou k fyzioterapeutovi. Ten dok\u00e1\u017ee posoudit, zda jde o z\u00e1va\u017en\u00fd stav hroz\u00edc\u00ed operac\u00ed \u2013 v takov\u00e9m p\u0159\u00edpad\u011b pacienta okam\u017eit\u011b ode\u0161le k neurochirurgovi. Pokud ne, za\u010dne ho hned druh\u00fd den l\u00e9\u010dit pomoc\u00ed mobilizac\u00ed, akupunktury, McKenzie metody \u010di trakc\u00ed. V\u00fdsledky jsou pak diametr\u00e1ln\u011b odli\u0161n\u00e9 a pacienti se vrac\u00ed do b\u011b\u017en\u00e9ho \u017eivota mnohem rychleji. U n\u00e1s se zd\u00e1, \u017ee to spole\u010dnosti nevad\u00ed, p\u0159esto\u017ee st\u00e1t p\u0159ich\u00e1z\u00ed o obrovsk\u00e9 pen\u00edze kv\u016fli tomu, \u017ee lid\u00e9 jsou dva m\u011bs\u00edce na neschopence bez jak\u00e9koli re\u00e1ln\u00e9 l\u00e9\u010dby.<\/p>\n

Na na\u0161\u00ed klinice se sna\u017e\u00edme pacienty v akutn\u00ed f\u00e1zi objednat do 3 a\u017e 5 dn\u016f, v neakutn\u00edch p\u0159\u00edpadech do 10 a\u017e 12 dn\u016f. Pova\u017euji to za p\u0159ijateln\u00fd horizont, i kdy\u017e to nen\u00ed jednoduch\u00e9.<\/p>\n

Kde tedy vid\u00edte hlavn\u00ed p\u0159\u00ed\u010dinu? Je to v nedostatku specialist\u016f, nebo v celkov\u00e9m nastaven\u00ed \u010desk\u00e9ho zdravotnick\u00e9ho syst\u00e9mu?
Je to kombinace obou faktor\u016f. M\u00e1me zde nerovnom\u011brn\u011b rozd\u011blenou p\u00e9\u010di mezi Prahou a zbytkem republiky. Pro p\u0159esnou anal\u00fdzu by bylo nutn\u00e9 prostudovat statistiky jednotliv\u00fdch odborn\u00fdch spole\u010dnost\u00ed \u2013 pro\u010d se nap\u0159\u00edklad na vy\u0161et\u0159en\u00ed u neurologa \u010dek\u00e1 dva m\u011bs\u00edce a zda je jich skute\u010dn\u011b nedostatek. S\u00e1m se do t\u011bchto syst\u00e9mov\u00fdch zm\u011bn mo\u017en\u00e1 pust\u00edm, a\u017e budu m\u00edt bl\u00ed\u017ee k d\u016fchodu, abych na\u0161emu zdravotnictv\u00ed pomohl. Nyn\u00ed se soust\u0159ed\u00edm na to, aby se da\u0159ilo pacient\u016fm na na\u0161\u00ed klinice a ti dost\u00e1vali p\u00e9\u010di v\u010das.<\/p>\n

Tento probl\u00e9m je ale nutn\u00e9 jasn\u011b popsat a vy\u0159e\u0161it. Jednou z cest by bylo pr\u00e1v\u011b pos\u00edlen\u00ed kompetenc\u00ed fyzioterapeut\u016f, aby se k nim pacienti s akutn\u00edmi probl\u00e9my sval\u016f \u010di kloub\u016f dostali d\u0159\u00edve. Dnes lid\u00e9 \u010dasto t\u00e1pou, obch\u00e1zej\u00ed velk\u00e9 nemocnice typu Motola, Vinohrad nebo Bulovky, ale to je\u0161t\u011b neznamen\u00e1, \u017ee tam dostanou v\u010dasnou a \u0161pi\u010dkovou p\u00e9\u010di.<\/p>\n

Nazna\u010dil jste, \u017ee \u0159e\u0161en\u00edm by mohla b\u00fdt reforma syst\u00e9mu zdravotn\u00edho poji\u0161t\u011bn\u00ed a financov\u00e1n\u00ed l\u00e9ka\u0159sk\u00e9 p\u00e9\u010de. Mohl byste rozv\u00e9st, jak p\u0159esn\u011b by to podle v\u00e1s m\u011blo fungovat?
\u010casem bude nutn\u00e9 definovat standardn\u00ed z\u00e1kladn\u00ed p\u00e9\u010di pln\u011b hrazenou ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, kter\u00e1 bude dostupn\u00e1 pro ka\u017ed\u00e9ho. Sou\u010dasn\u011b se ale nevyhneme zaveden\u00ed leg\u00e1ln\u00edch p\u0159\u00edplatk\u016f. Pokud m\u00e1 n\u011bkdo v\u00e1\u017en\u00fd stav a nechce \u010dekat p\u016fl roku na vy\u0161et\u0159en\u00ed, m\u011bl by m\u00edt mo\u017enost si ofici\u00e1ln\u011b p\u0159iplatit za p\u00e9\u010di mimo b\u011b\u017enou pracovn\u00ed dobu. Nem\u011blo by to v\u0161ak fungovat tak, \u017ee bohat\u0161\u00ed pacienti p\u0159edb\u00edhaj\u00ed ostatn\u00ed v b\u011b\u017en\u00e9m po\u0159adn\u00edku. V\u00edm, \u017ee je to citliv\u00e9 soci\u00e1ln\u00ed t\u00e9ma.<\/p>\n

V praxi to tak v podstat\u011b funguje u\u017e dnes \u2013 lid\u00e9, kte\u0159\u00ed maj\u00ed dostatek finan\u010dn\u00edch prost\u0159edk\u016f, se k d\u0159\u00edv\u011bj\u0161\u00ed p\u00e9\u010di \u010dasto dostanou neofici\u00e1ln\u00ed cestou, t\u0159eba p\u0159es kontakty.
Ofici\u00e1ln\u011b to samoz\u0159ejm\u011b nejde.<\/p>\n

Ofici\u00e1ln\u011b to nejde, ale v \u0161ed\u00e9 z\u00f3n\u011b to tak b\u011b\u017en\u011b chod\u00ed.
Je to probl\u00e9m, kter\u00fd je pot\u0159eba jasn\u011b vy\u0159e\u0161it. Lid\u00e9, kte\u0159\u00ed jsou v \u017eivot\u011b \u00fasp\u011b\u0161n\u00ed, pracuj\u00ed v\u00edce a vyd\u011blaj\u00ed si pen\u00edze, by m\u011bli m\u00edt mo\u017enost si za nadstandardn\u00ed p\u00e9\u010di leg\u00e1ln\u011b zaplatit. Nyn\u00ed tuto mo\u017enost ofici\u00e1ln\u011b t\u00e9m\u011b\u0159 nemaj\u00ed. V \u017eivot\u011b je b\u011b\u017en\u00e9, \u017ee si n\u011bkdo koup\u00ed Mercedes a jin\u00fd \u0160kodovku, a podobn\u011b to bude muset fungovat i ve zdravotnictv\u00ed. Jinak se neposuneme d\u00e1l, st\u00e1le zde bude bujet neofici\u00e1ln\u00ed upl\u00e1cen\u00ed a st\u00e1t z t\u011bchto pen\u011bz neuvid\u00ed nic na dan\u00edch, co\u017e je k jeho \u0161kod\u011b.<\/p>\n

Jestli tomu spr\u00e1vn\u011b rozum\u00edm, navrhujete kompromis mezi sou\u010dasn\u00fdm \u010desk\u00fdm syst\u00e9mem a modely, kter\u00e9 funguj\u00ed nap\u0159\u00edklad ve \u0160v\u00fdcarsku nebo v USA?
Je to velmi slo\u017eit\u00e1 ot\u00e1zka a musel bych se podrobn\u011b pod\u00edvat na konkr\u00e9tn\u00ed statistiky. Z\u00e1le\u017e\u00ed na tom, k jak\u00e9mu typu spole\u010dnosti se chceme \u0159adit \u2013 zda chceme b\u00fdt rovnost\u00e1\u0159skou spole\u010dnost\u00ed, kde maj\u00ed v\u0161ichni v\u0161echno stejn\u00e9, co\u017e u\u017e stejn\u011b neplat\u00ed, nebo zda si ur\u010d\u00edme jasn\u00e9 z\u00e1klady hrazen\u00e9 p\u00e9\u010de a definujeme oblasti pro leg\u00e1ln\u00ed p\u0159ipoji\u0161t\u011bn\u00ed \u010di doplatky. Nebude to jednoduch\u00e9 a rozhodn\u011b se to nestane z\u00edtra, proto\u017ee ka\u017ed\u00e1 vl\u00e1da m\u00e1 na tuto v\u011bc jin\u00fd n\u00e1zor.<\/p>\n

\n \u010ct\u011bte tak\u00e9\n <\/p>\n

<\/p>\n

\"FK<\/p>\n

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

\n \u010ct\u011bte tak\u00e9\n <\/p>\n

<\/p>\n

\n Z \u201eChcete b\u00fdt milion\u00e1\u0159em?\u201c a\u017e do Ligy mistr\u016f. P\u0159\u00edb\u011bh fotbalov\u00e9ho tren\u00e9ra uchv\u00e1til sv\u011bt\n <\/p>\n

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

26. srp 2026, 12:53<\/p>\n

6 min \u010dten\u00ed<\/p>\n

Bez shody na tom, kolik pen\u011bz bude ve zdravotnictv\u00ed za p\u011bt, deset \u010di dvacet let, se ale neobejdeme. Je to t\u011b\u017ek\u00fd politick\u00fd boj, na kter\u00e9m se \u010dasto vyhr\u00e1vaj\u00ed volby \u2013 sta\u010d\u00ed vzpomenout na ru\u0161en\u00ed regula\u010dn\u00edch poplatk\u016f. Politik\u016fm tuto situaci nez\u00e1vid\u00edm, ale pro oby\u010dejn\u00e9 lidi je to dnes obrovsk\u00fd probl\u00e9m. Nemaj\u00ed jistotu, kam j\u00edt, a ti, kte\u0159\u00ed by si za p\u00e9\u010di r\u00e1di p\u0159iplatili, k tomu nemaj\u00ed leg\u00e1ln\u00ed cestu.<\/p>\n

Zm\u00ednil jste politiku. T\u00e9m\u011b\u0159 ka\u017ed\u00fd nov\u00fd ministr zdravotnictv\u00ed prohla\u0161uje, \u017ee je nutn\u00e1 reforma \u010desk\u00e9ho zdravotnictv\u00ed, ale nakonec k \u017e\u00e1dn\u00fdm z\u00e1sadn\u00edm zm\u011bn\u00e1m nedojde. V\u011b\u0159\u00edte, \u017ee v budoucnu p\u0159ijde n\u011bkdo, kdo skute\u010dn\u011b nastartuje hlubokou reformu?
Osobn\u011b si mysl\u00edm, \u017ee by se m\u011bli sej\u00edt zku\u0161en\u00ed l\u00e9ka\u0159i a odborn\u00edci z r\u016fzn\u00fdch oblast\u00ed ortopedie, rehabilitace, neurologie, interny, praktick\u00e9ho l\u00e9ka\u0159stv\u00ed a spole\u010dn\u011b vytvo\u0159it koncepci pro sv\u00e9 obory na p\u011bt a\u017e deset let dop\u0159edu. Ministerstva by m\u011bla z\u0159\u00eddit pracovn\u00ed skupiny, kter\u00e9 vypracuj\u00ed dlouhodob\u00e9 pl\u00e1ny na 10 a\u017e 20 let. Mus\u00edme jasn\u011b popsat sou\u010dasn\u00fd stav, jak jsme se do n\u011bj dostali, kolik to st\u00e1lo a bude st\u00e1t pen\u011bz s ohledem na inflaci, a kam chceme na\u0161e zdravotnictv\u00ed sm\u011b\u0159ovat. Je t\u0159eba se inspirovat funguj\u00edc\u00edmi syst\u00e9my v zahrani\u010d\u00ed a jasn\u011b definovat, co bude hrazeno a na co si lid\u00e9 budou p\u0159ipl\u00e1cet. Bude to politicky i spole\u010densky velmi bolestiv\u00e9, ale bez p\u0159esn\u00e9 anal\u00fdzy a dlouhodob\u00e9 shody odborn\u00edk\u016f, ekonom\u016f a zdravotn\u00edk\u016f se nikam neposuneme.<\/p>\n

Nejobt\u00ed\u017en\u011bj\u0161\u00ed na tom bude pravd\u011bpodobn\u011b dosa\u017een\u00ed politick\u00e9 shody nap\u0159\u00ed\u010d cel\u00fdm spektrem. Jedna vl\u00e1da sice m\u016f\u017ee p\u0159ipravit skv\u011bl\u00e1 doporu\u010den\u00ed, ale dal\u0161\u00ed je po volb\u00e1ch m\u016f\u017ee sm\u00e9st ze stolu, co\u017e se u n\u00e1s d\u011bje b\u011b\u017en\u011b.
M\u00e1te naprostou pravdu, je to nesm\u00edrn\u011b slo\u017eit\u00e9. Vy\u017eaduje to zcela nov\u00e9 my\u0161len\u00ed do budoucna. Kdyby odborn\u00edci ze zdravotnictv\u00ed, zem\u011bd\u011blstv\u00ed \u010di lesnictv\u00ed vytvo\u0159ili dlouhodob\u00e9 koncepce postaven\u00e9 na re\u00e1ln\u00fdch faktech a politick\u00e9 strany by se pak uch\u00e1zely o hlasy voli\u010d\u016f s t\u00edm, \u017ee tyto odborn\u00e9 pl\u00e1ny budou respektovat, posunulo by n\u00e1s to d\u00e1l. Politika by m\u011bla b\u00fdt pro lidi, i kdy\u017e realita je n\u011bkdy jin\u00e1. Sladit z\u00e1jmy bezdomovce a miliard\u00e1\u0159e nen\u00ed snadn\u00e9, ale mus\u00edme vych\u00e1zet z re\u00e1ln\u00fdch pot\u0159eb spole\u010dnosti. Moje pr\u00e1ce by tak\u00e9 nefungovala, kdybych si nestanovil jasn\u00e9 c\u00edle a nevytvo\u0159il podle nich koncept l\u00e9\u010dby. V na\u0161em st\u00e1t\u011b ale takovou dlouhodobou vizi st\u00e1le postr\u00e1d\u00e1m. V\u011bt\u0161inou to kon\u010d\u00ed tak, \u017ee nov\u00ed politici zkritizuj\u00ed sv\u00e9 p\u0159edch\u016fdce, dva roky n\u011bco d\u011blaj\u00ed a dal\u0161\u00ed dva roky se u\u017e jen pod\u0159izuj\u00ed bl\u00ed\u017e\u00edc\u00edm se volb\u00e1m. P\u016fvodn\u00ed programov\u00e9 c\u00edle se tak vytrat\u00ed.<\/p>\n

Chci v\u011b\u0159it tomu, \u017ee to nakonec dopadne dob\u0159e a \u017ee lid\u00e9, kte\u0159\u00ed u\u017e maj\u00ed n\u011bjak\u00e9 zku\u0161enosti a cht\u011bj\u00ed po sob\u011b zanechat n\u011bco pozitivn\u00edho, se spoj\u00ed a tyto koncepce vytvo\u0159\u00ed. Ministerstva by pak tyto lidi m\u011bla vyu\u017e\u00edvat jako poradce a propojovat jejich zku\u0161enosti s prax\u00ed. Jinou cestu k n\u00e1prav\u011b popravd\u011b nevid\u00edm.<\/p>\n

MOHLO V\u00c1M UNIKNOUT: I nejl\u00e9pe tr\u00e9novan\u00fd fotbalista m\u016f\u017ee v mexick\u00e9 v\u00fd\u0161ce odpadnout, \u0159\u00edk\u00e1 l\u00e9ka\u0159 Barna<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Bol\u00ed v\u00e1s z\u00e1da, m\u011bs\u00edce \u010dek\u00e1te na neurologa, dal\u0161\u00ed m\u011bs\u00edce na rehabilitaci a st\u00e1t zat\u00edm p\u0159ich\u00e1z\u00ed o miliony kv\u016fli…\n","protected":false},"author":2,"featured_media":204680,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[7],"tags":[43,42,41,40,46504,2813,12481,14600,46503,9637,4908,703,13039,1967,597,41940,342],"class_list":["post-204679","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cesko","tag-ceska-republika","tag-cesko","tag-czech-republic","tag-czechia","tag-fyzioterapie","tag-lecba","tag-lekar","tag-magneticka-rezonance","tag-milos-barna","tag-nemoci-a-zdravotni-potize","tag-pacient","tag-penize","tag-rehabilitace","tag-rozhovor","tag-zdravi","tag-zdravotni-osetreni-a-postupy","tag-zdravotnictvi"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/117224426238543702","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/204679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=204679"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/204679\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/204680"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=204679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=204679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=204679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}