VZP: V\u011bt\u0161inu \u017e\u00e1dost\u00ed schv\u00e1l\u00edme<\/p>\n
Oba pacienti, kter\u00e9 jsme zm\u00ednili, jsou klienty V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny, a\u00a0tak se na ni Seznam Zpr\u00e1vy obr\u00e1tily s\u00a0dotazem, pro\u010d doch\u00e1z\u00ed k\u00a0\u010dast\u011bj\u0161\u00edmu zam\u00edt\u00e1n\u00ed l\u00e9\u010dby v\u00a0p\u0159\u00edpad\u011b pacient\u016f se vz\u00e1cn\u00fdm onemocn\u011bn\u00edm, jak uv\u00e1d\u00ed \u010cesk\u00e1 asociace pro vz\u00e1cn\u00e1 onemocn\u011bn\u00ed, a\u00a0jestli jde o\u00a0finan\u010dn\u00ed d\u016fvody.<\/p>\n
\u201eVZP dlouhodob\u011b v\u00a096\u00a0% podan\u00fdch \u017e\u00e1dost\u00ed o\u00a0mimo\u0159\u00e1dnou \u00fahradu zdravotn\u00edch slu\u017eeb jinak nehrazen\u00fdch rozhodne kladn\u011b, \u017e\u00e1dosti vyhov\u00ed. Toto\u017en\u00fd pom\u011br potvrzuj\u00ed i\u00a0data z\u00a0prvn\u00edch dvou m\u011bs\u00edc\u016f 2026, nen\u00ed pravda, \u017ee by se trend m\u011bnil, nebo dokonce \u017ee by ze strany poji\u0161\u0165ovny do\u0161lo k\u00a0p\u0159ijet\u00ed jak\u00e9hokoli opat\u0159en\u00ed (z d\u016fvod\u016f finan\u010dn\u00edch \u010di jak\u00fdchkoli jin\u00fdch) pro omezen\u00ed schvalov\u00e1n\u00ed t\u011bchto \u017e\u00e1dost\u00ed,\u201c sd\u011blila mluv\u010d\u00ed VZP Viktorie Pl\u00edvov\u00e1.<\/p>\n
Je ale t\u0159eba p\u0159ipomenout, \u017ee nejde o\u00a0postup konkr\u00e9tn\u00ed poji\u0161\u0165ovny. VZP je pouze v\u00a0\u010cesku nejv\u011bt\u0161\u00ed, a\u00a0tak na ni m\u00ed\u0159\u00ed \u017e\u00e1dosti tak\u00e9 nej\u010dast\u011bji. A\u00a0ani \u010cesk\u00e1 asociace pro vz\u00e1cn\u00e1 onemocn\u011bn\u00ed nem\u00e1 v\u00a0\u00famyslu nijak \u00fato\u010dit na zdravotn\u00ed poji\u0161\u0165ovny. Jde jim o\u00a0vyjasn\u011bn\u00ed pravidel, aby pacienti ch\u00e1pali, jak\u00fdm zp\u016fsobem se rozhoduje.<\/p>\n
\u201eV minulosti to takhle \u00fapln\u011b nebylo, proto\u017ee naopak mezi poji\u0161\u0165ovnami a\u00a0v\u00fdrobci doch\u00e1zelo k\u00a0dohod\u00e1m u\u00a0r\u016fzn\u00fdch diagn\u00f3z, \u017ee p\u0159i konkr\u00e9tn\u00edch indikac\u00edch se l\u00e9k hradit bude. Te\u010f ale \u00fapln\u011b nev\u00edme, co se d\u011bje. Kdybych to vzal ad absurdum, tak p\u0159es \u201aparagraf 16\u2018\u00a0by tedy za jednu diagn\u00f3zu m\u011bl n\u00e1rok jen jedin\u00fd pacient,\u201c dod\u00e1v\u00e1 B\u0159e\u010d\u0165an.<\/p>\n
Co \u0159\u00edk\u00e1 \u00a7 16\u00a0z\u00e1kona o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed<\/p>\n
P\u0159\u00edslu\u0161n\u00e1 zdravotn\u00ed poji\u0161\u0165ovna hrad\u00ed postupem podle \u00a7 19\u00a0odst. 1\u00a0p\u00edsm. a) ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech zdravotn\u00ed slu\u017eby jinak ze zdravotn\u00edho poji\u0161t\u011bn\u00ed nehrazen\u00e9, je-li poskytnut\u00ed takov\u00fdch zdravotn\u00edch slu\u017eeb jedinou mo\u017enost\u00ed z\u00a0hlediska zdravotn\u00edho stavu poji\u0161t\u011bnce.<\/p>\n
Zdroj: Z\u00e1kon \u010d. 48\/1997\u00a0Sb., o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed<\/p>\n
\u010cast\u011bji se podle n\u011bj tak\u00e9 st\u00e1v\u00e1, \u017ee poji\u0161\u0165ovny v\u00a0od\u016fvodn\u011bn\u00edch zpochyb\u0148uj\u00ed proces samotn\u00fdch klinick\u00fdch studi\u00ed. Ze zku\u0161enost\u00ed m\u00edstop\u0159edsedy \u010cAVO se tohle d\u0159\u00edve tak\u00e9 nest\u00e1valo.<\/p>\n
Seznam Zpr\u00e1vy p\u0159ed \u010dasem popisovaly p\u0159\u00edpad onkologick\u00e9 pacientky, kter\u00e9 byla rovn\u011b\u017e mimo\u0159\u00e1dn\u00e1 \u017e\u00e1dost o\u00a0l\u00e9\u010dbu zam\u00edtnuta, a\u010dkoliv ji deset specialist\u016f doporu\u010dilo a\u00a0ozna\u010dilo za jedinou mo\u017enost. Odborn\u00edci varuj\u00ed, \u017ee sou\u010dasn\u00fd syst\u00e9m nen\u00ed dostate\u010dn\u011b transparentn\u00ed.<\/p>\n
Seznam Zpr\u00e1vy se proto ptaly na schvalov\u00e1n\u00ed mimo\u0159\u00e1dn\u00fdch \u017e\u00e1dost\u00ed tak\u00e9 ministra zdravotnictv\u00ed Adama Vojt\u011bcha (za ANO), kdy\u017e p\u0159edstavoval novou N\u00e1rodn\u00ed strategii pro vz\u00e1cn\u00e1 onemocn\u011bn\u00ed 2026\u20132035.<\/p>\n \u201eSna\u017e\u00edme se sjednocovat rozhodovac\u00ed praxi poji\u0161\u0165oven. V\u017edycky je mo\u017en\u00e9 postupy zlep\u0161ovat, ale mysl\u00edm si, \u017ee se poda\u0159ilo v\u00a0tomto ohledu posunout vp\u0159ed, proto\u017ee d\u0159\u00edve nebyla nap\u0159\u00edklad mo\u017enost odvol\u00e1n\u00ed. Dnes tuto alternativu pacienti maj\u00ed,\u201c reagoval Vojt\u011bch.<\/p>\n Pr\u00e1v\u011b nov\u00e1 strategie by m\u011bla d\u00e1le pacient\u016fm se vz\u00e1cn\u00fdm onemocn\u011bn\u00edm pomoct\u00a0\u2013 nap\u0159\u00edklad aby se dost\u00e1vali rychleji ke spr\u00e1vn\u00e9 diagn\u00f3ze, nebo nebloudili syst\u00e9mem od l\u00e9ka\u0159e k\u00a0l\u00e9ka\u0159i. K\u00a0tomu m\u00e1 tak\u00e9 p\u0159isp\u011bt zaveden\u00ed role koordin\u00e1tora p\u00e9\u010de.<\/p>\n \u201eSt\u00e1le je na \u010dem pracovat. Maxim\u00e1ln\u00ed podpora kon\u010d\u00ed dovr\u0161en\u00edm 19.\u00a0roku, kdy pacient odejde do p\u00e9\u010de l\u00e9ka\u0159e pro dosp\u011bl\u00e9,\u201c upozor\u0148uje z\u00e1stupkyn\u011b pacient\u016f Anna Hlavicov\u00e1, kter\u00e1 \u017eije se\u00a0svalovou spin\u00e1ln\u00ed atrofi\u00ed. Podle n\u00ed je tak nap\u0159\u00edklad pot\u0159eba zlep\u0161it propojen\u00ed l\u00e9ka\u0159sk\u00e9 a\u00a0soci\u00e1ln\u00ed p\u00e9\u010de pro dosp\u011bl\u00e9 pacienty.<\/p>\n Nov\u00e9 l\u00e9ky p\u0159ich\u00e1zej\u00ed<\/p>\n Pokud z\u016fstaneme u\u00a0l\u00e9k\u016f, je pot\u0159eba za velk\u00fd pokrok ozna\u010dit novelu z\u00e1kona, kter\u00e1 byla p\u0159ijata v\u00a0roce 2022.\u00a0Umo\u017e\u0148uje, aby pacienti se vz\u00e1cn\u00fdm onemocn\u011bn\u00edm m\u011bli hrazen\u00e9 i\u00a0zcela nov\u00e9 l\u00e9ky, kter\u00e9 jsou p\u0159itom extr\u00e9mn\u011b n\u00e1kladn\u00e9. A\u00a0p\u0159i b\u011b\u017en\u00e9m posuzov\u00e1n\u00ed by m\u011bly jen malou \u0161anci usp\u011bt.<\/p>\n Jedn\u00e1 se nap\u0159\u00edklad o\u00a0p\u0159elomov\u00fd l\u00e9k na svalovou dystrofii<\/a> nebo achondroplazii<\/a>. Od roku 2022\u00a0se takto objevilo 71\u00a0\u017e\u00e1dost\u00ed (n\u011bkter\u00e9 je\u0161t\u011b prob\u00edhaj\u00ed) o\u00a0\u00fahradu l\u00e9ku. Nov\u011b se za\u010dalo z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed d\u00edky novele hradit 28\u00a0p\u0159\u00edpravk\u016f.<\/p>\n \u201eTento mechanismus v\u00fdznamn\u011b roz\u0161\u00ed\u0159il dostupnost inovativn\u00edch terapi\u00ed pro pacienty, kte\u0159\u00ed byli d\u0159\u00edve bez standardn\u00ed l\u00e9\u010debn\u00e9 mo\u017enosti, nebo odk\u00e1z\u00e1ni na mimo\u0159\u00e1dn\u00fd postup podle \u201aparagrafu 16\u2018,\u201c komentuje St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div, \u017ee novela je pro pacienty \u201ejednozna\u010dn\u011b p\u0159\u00ednosn\u00e1\u201c.<\/p>\n S t\u00edm souhlas\u00ed tak\u00e9 Asociace inovativn\u00edch farmaceutick\u00fdch firem, podle kter\u00e9 tak \u010desk\u00fd syst\u00e9m schvalov\u00e1n\u00ed \u00fahrad inovativn\u00edch l\u00e9k\u016f pat\u0159\u00ed k\u00a0nejprogresivn\u011bj\u0161\u00edm v\u00a0Evrop\u011b. Z\u00e1rove\u0148 ale upozor\u0148uje, \u017ee ve\u00a0druh\u00e9 polovin\u011b lo\u0148sk\u00e9ho roku po\u010det neschv\u00e1len\u00fdch \u017e\u00e1dost\u00ed vzrostl. <\/p>\n Ne ka\u017ed\u00fd l\u00e9k na vz\u00e1cn\u00e1 onemocn\u011bn\u00ed se nav\u00edc\u00a0z\u00a0form\u00e1ln\u00edch d\u016fvod\u016f do syst\u00e9mu m\u016f\u017ee dostat. Pot\u0159ebuje toti\u017e takzvanou \u201eorphanovou designaci\u201c od Evropsk\u00e9 l\u00e9kov\u00e9 agentury (EMA).<\/p>\n \u201eV praxi v\u0161ak doch\u00e1z\u00ed k\u00a0tomu, \u017ee pokud do stejn\u00e9 indikace p\u0159ich\u00e1z\u00ed dal\u0161\u00ed l\u00e9\u010div\u00fd p\u0159\u00edpravek, orphanovou designaci ji\u017e nez\u00edsk\u00e1. Ta je toti\u017e p\u0159izn\u00e1na pouze prvn\u00edmu z\u00a0nich. To znamen\u00e1, \u017ee i\u00a0l\u00e9\u010div\u00fd p\u0159\u00edpravek, kter\u00fd je schv\u00e1len\u00fd EMA jako bezpe\u010dn\u00fd a\u00a0\u00fa\u010dinn\u00fd, nemus\u00ed splnit tuto form\u00e1ln\u00ed podm\u00ednku,\u201c vysv\u011btluje v\u00fdkonn\u00fd \u0159editel Asociace inovativn\u00edho farmaceutick\u00e9ho pr\u016fmyslu David Kol\u00e1\u0159.<\/p>\n P\u0159itom vy\u0161\u0161\u00ed konkurence l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f m\u016f\u017ee v\u00e9st k\u00a0ni\u017e\u0161\u00ed cen\u011b, co\u017e se samoz\u0159ejm\u011b \u010desk\u00e9mu zdravotnictv\u00ed vyplat\u00ed. Nav\u00edc, jak uvedl na ned\u00e1vn\u00e9 debat\u011b Zdravotnick\u00e9ho den\u00edku dnes u\u017e b\u00fdval\u00fd \u0159editel V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny Zden\u011bk Kab\u00e1tek, l\u00e9ky na vz\u00e1cn\u00e1 onemocn\u011bn\u00ed neohro\u017euj\u00ed finan\u010dn\u00ed stabilitu zdravotnick\u00e9ho syst\u00e9mu. A\u00a0to ani v\u00a0p\u0159\u00edpad\u011b, kdyby se jejich schvalov\u00e1n\u00ed usp\u00ed\u0161ilo.<\/p>\n Loni takto V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna zaplatila 2,6\u00a0miliardy korun za l\u00e9\u010dbu p\u0159\u00edpravky pro vz\u00e1cn\u00e1 onemocn\u011bn\u00ed, a\u00a0to 1260\u00a0sv\u00fdm klient\u016fm. Pro srovn\u00e1n\u00ed\u00a0\u2013\u00a0jen n\u00e1klady na l\u00e9\u010dbu pot\u00ed\u017e\u00ed souvisej\u00edc\u00edch s\u00a0obezitou vyjdou rozpo\u010det na 30\u00a0miliard korun ro\u010dn\u011b.<\/p>\n","protected":false},"excerpt":{"rendered":"Aby mohl jej\u00ed star\u0161\u00ed syn chodit co nejd\u00e9le, \u017e\u00e1dala pro n\u011bj Eva M\u00e1chov\u00e1 u\u00a0zdravotn\u00ed poji\u0161\u0165ovny \u00fahradu l\u00e9ku, kter\u00fd…\n","protected":false},"author":2,"featured_media":30055,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[43,42,41,40,13245,1617,2380,13246,2600,5942,500],"class_list":{"0":"post-30054","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cesko","8":"tag-ceska-republika","9":"tag-cesko","10":"tag-czech-republic","11":"tag-czechia","12":"tag-evropska-agentura-pro-lecive-pripravky-ema","13":"tag-leky","14":"tag-pacienti","15":"tag-statni-ustav-pro-kontrolu-leciv-sukl","16":"tag-vseobecna-zdravotni-pojistovna-ceske-republiky-vzp-cr","17":"tag-vzacna-onemocneni","18":"tag-zdravotni-pojistovny"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116260149811550636","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/30054","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=30054"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/30054\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/30055"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=30054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=30054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=30054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![](\"https:\/\/www.europesays.com\/cz\/wp-content\/uploads\/2026\/03\/nemocnice-lekar.jpeg\")
<\/a><\/p>\n