{"id":68338,"date":"2026-04-27T18:08:08","date_gmt":"2026-04-27T18:08:08","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/68338\/"},"modified":"2026-04-27T18:08:08","modified_gmt":"2026-04-27T18:08:08","slug":"duskov-takto-zmenime-placeni-zdravotni-pece-nemame-licenci-na-druhe-lourdy","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/68338\/","title":{"rendered":"Du\u0161kov: Takto zm\u011bn\u00edme placen\u00ed zdravotn\u00ed p\u00e9\u010de. Nem\u00e1me licenci na druh\u00e9 Lourdy"},"content":{"rendered":"

V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna (VZP) chce zm\u011bnit zp\u016fsob, jak\u00fdm plat\u00ed za zdravotn\u00ed p\u00e9\u010di. Podle jej\u00edho \u0159editele Ivana Du\u0161kova se v\u00edce zam\u011b\u0159\u00ed na kvalitu a v\u00fdsledky l\u00e9\u010dby sp\u00ed\u0161e ne\u017e na samotn\u00fd po\u010det v\u00fdkon\u016f. Odm\u00edt\u00e1 p\u0159itom obavy, \u017ee si nemocnice kv\u016fli tomu vyb\u00edraly m\u00e9n\u011b komplikovan\u00e9 pacienty. Nov\u00fd p\u0159\u00edstup m\u00e1 p\u0159in\u00e9st v\u011bt\u0161\u00ed u\u017eitek zejm\u00e9na chronicky nemocn\u00fdm.<\/p>\n

Debata o zm\u011bn\u011b \u00fahrad ve zdravotnictv\u00ed nab\u00edr\u00e1 na intenzit\u011b. VZP otev\u0159en\u011b mluv\u00ed o p\u0159echodu k takzvan\u00e9mu \u201evalue based\u201c modelu, tedy syst\u00e9mu, kter\u00fd odm\u011b\u0148uje kvalitu p\u00e9\u010de a jej\u00ed skute\u010dn\u00fd p\u0159\u00ednos pro pacienta.<\/p>\n

\u0158editel VZP p\u0159itom odm\u00edt\u00e1 obavy, kter\u00e9 u n\u011bkter\u00fdch pl\u00e1n poji\u0161\u0165ovny vzbuzuje. \u201eNe, (bohu\u017eel) nem\u00e1me licenci na druh\u00e9 Lourdy a ne\u010dek\u00e1m, \u017ee vyl\u00e9\u010d\u00edme v\u0161echny. Ano, jsem si v\u011bdom komplikac\u00ed, kter\u00e9 n\u00e1s na t\u00e9hle cest\u011b za zm\u011bnou \u00fahradov\u00e9ho paradigmatu bezpochyby \u010dekaj\u00ed. Ne, nen\u00ed c\u00edlem \u0161et\u0159it. A ano, prost\u011b chceme za \u201ana\u0161e\u2018 pen\u00edze dostat to nejlep\u0161\u00ed pro na\u0161e klienty,\u201c uvedl ve statusu na s\u00edti LinkedIn.<\/p>\n

Kvalita p\u00e9\u010de m\u00edsto po\u010dtu v\u00fdkon\u016f<\/p>\n

Z\u00e1sadn\u00ed argument pro zm\u011bnu se podle Du\u0161kova t\u00fdk\u00e1 chronicky nemocn\u00fdch. \u201eValue based p\u0159\u00edstup d\u00e1v\u00e1 smysl. Lep\u0161\u00ed zat\u00edm nikdo nevymyslel. A (pro n\u011bkoho mo\u017en\u00e1 p\u0159ekvapiv\u011b) hlavn\u011b pro pacienty, kter\u00e9 dne\u0161n\u00ed medic\u00edna vyl\u00e9\u010dit neum\u00ed,\u201c je p\u0159esv\u011bd\u010den.<\/p>\n

U nich toti\u017e jde zejm\u00e9na o to, jak\u00fd \u017eivot s nemoc\u00ed budou \u017e\u00edt. \u201eAbychom dok\u00e1zali zlep\u0161it kvalitu jejich \u017eivota, omezit po\u010det hospitalizac\u00ed nebo eliminovat souvisej\u00edc\u00ed symptomy. Nebo nab\u00eddnout mo\u017enost \u017e\u00edt \u010di do\u017e\u00edt doma. Toto jsou relativn\u011b snadno m\u011b\u0159iteln\u00e9 a sledovateln\u00e9 hodnoty, kter\u00e9 se daj\u00ed ocenit i v platb\u00e1ch t\u011bm, kdo p\u00e9\u010di zaji\u0161\u0165uj\u00ed,\u201c vysv\u011btlil.<\/p>\n

Pr\u00e1v\u011b tato schopnost m\u011b\u0159it re\u00e1ln\u00fd p\u0159\u00ednos p\u00e9\u010de je podle n\u011bj j\u00e1drem nov\u00e9 filozofie \u00fahrad.<\/p>\n

Obavy z \u201ev\u00fdb\u011bru pacient\u016f\u201c <\/p>\n

Argumentem proti zm\u011bn\u011b je tak\u00e9 riziko, \u017ee nemocnice za\u010dnou preferovat m\u00e9n\u011b komplikovan\u00e9 pacienty.\u00a0Du\u0161kov p\u0159ipou\u0161t\u00ed, \u017ee jde o legitimn\u00ed ot\u00e1zku, ale z\u00e1rove\u0148 tvrd\u00ed, \u017ee \u0159e\u0161en\u00ed existuje.<\/p>\n

\u201ePoji\u0161\u0165ovny vid\u00ed (velmi p\u0159esn\u011b), jak\u00fd kmen pacient\u016f byl v kter\u00e9 nemocnici l\u00e9\u010den. Jak\u00fdkoli odklon uvid\u00ed stejn\u011b dob\u0159e. A mus\u00edme tomu p\u0159edch\u00e1zet,\u201c popsal. Kl\u00ed\u010d vid\u00ed v d\u016fsledn\u00e9 pr\u00e1ci s daty a spr\u00e1vn\u00e9m nastaven\u00ed pravidel.<\/p>\n

Motivace pro nemocnice<\/p>\n

Podle Du\u0161kova nen\u00ed c\u00edlem \u0161et\u0159it, ale zm\u011bnit motivace poskytovatel\u016f: \u201ePoskytovatel (nemocnice) dostane sv\u00e9 pen\u00edze, jen budeme cht\u00edt dostat za na\u0161e \u00fahrady to nejlep\u0161\u00ed pro pacienta.\u201c<\/p>\n

Sou\u010dasn\u011b p\u0159ipom\u00edn\u00e1, \u017ee pokud se objev\u00ed komplikace, kter\u00fdm bylo mo\u017en\u00e9 p\u0159edej\u00edt, projev\u00ed se to i ve v\u00fd\u0161i \u00fahrady. Naopak zapojen\u00ed nemocnice do nov\u00e9ho syst\u00e9mu se m\u00e1 projevit pozitivn\u011b. \u201eBude jasn\u011b deklarovat, \u017ee si stoj\u00ed za t\u00edm, \u017ee pacient\u016fm garantuje tu nejlep\u0161\u00ed p\u00e9\u010di. V dob\u011b, kdy za\u010d\u00edn\u00e1me ve\u0159ejn\u011b hovo\u0159it o r\u016fzn\u00e9 \u00farovni kvality p\u00e9\u010de v nemocnic\u00edch, m\u016f\u017ee dostat takov\u00e1 informace velkou p\u0159idanou hodnotu,\u201c m\u00edn\u00ed Du\u0161kov.<\/p>\n

Mohlo by v\u00e1s zaj\u00edmat<\/p>\n


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

Tento p\u0159\u00edstup zapad\u00e1 i do \u0161ir\u0161\u00ed strategie VZP, kter\u00e1 v r\u00e1mci p\u0159\u00edprav na \u00fahradov\u00e9 vyjedn\u00e1v\u00e1n\u00ed pro rok 2027 pl\u00e1nuje nab\u00eddnout nemocnic\u00edm dlouhodob\u00e9 dohody na t\u0159i a\u017e p\u011bt let<\/a>. Ty maj\u00ed podpo\u0159it transformaci l\u016f\u017ekov\u00e9 p\u00e9\u010de, jej\u00ed\u017e v\u00fdznam postupn\u011b kles\u00e1, p\u0159esto\u017ee st\u00e1le tvo\u0159\u00ed zhruba polovinu n\u00e1klad\u016f cel\u00e9ho syst\u00e9mu.<\/p>\n

Du\u0161kov otev\u0159en\u011b p\u0159izn\u00e1v\u00e1, \u017ee transformace nebude jednoduch\u00e1. \u201eNechyst\u00e1me se m\u011bnit nic men\u0161\u00edho ne\u017e syst\u00e9m, na kter\u00e9m funguj\u00ed \u00fahrady des\u00edtky let. Je to b\u011bh ne na m\u011bs\u00edce, ale roky,\u201c dodal.<\/p>\n","protected":false},"excerpt":{"rendered":"V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna (VZP) chce zm\u011bnit zp\u016fsob, jak\u00fdm plat\u00ed za zdravotn\u00ed p\u00e9\u010di. Podle jej\u00edho \u0159editele Ivana Du\u0161kova se…\n","protected":false},"author":2,"featured_media":68339,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[22889,22890,17,21,22891,4462,16,2912,22892,18,19,22,19741,4247,20],"class_list":{"0":"post-68338","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-zpravy","8":"tag-akutni-pece","9":"tag-chronicti-pacienti","10":"tag-headlines","11":"tag-hlavni-udalosti","12":"tag-indikatory-kvality","13":"tag-ivan-duskov","14":"tag-news","15":"tag-platba","16":"tag-poskytovatele","17":"tag-top-news","18":"tag-top-stories","19":"tag-udalosti-dne","20":"tag-uhrady","21":"tag-vzp","22":"tag-zpravy"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116478011241354176","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/68338","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=68338"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/68338\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/68339"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=68338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=68338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=68338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}