{"id":70270,"date":"2026-04-29T12:18:17","date_gmt":"2026-04-29T12:18:17","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/70270\/"},"modified":"2026-04-29T12:18:17","modified_gmt":"2026-04-29T12:18:17","slug":"vizita-az-tretinu-zdravotni-pece-dostavame-zbytecne-jak-to-zmenit","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/70270\/","title":{"rendered":"Vizita: A\u017e t\u0159etinu zdravotn\u00ed p\u00e9\u010de dost\u00e1v\u00e1me zbyte\u010dn\u011b. Jak to zm\u011bnit?"},"content":{"rendered":"

\u010ctete uk\u00e1zku z\u00a0Vizity\u00a0\u2013 newsletteru Martina \u010cabana pln\u00e9ho post\u0159eh\u016f o\u00a0\u010desk\u00e9m zdravotnictv\u00ed a\u00a0jeho p\u0159esaz\u00edch do politiky. Pokud v\u00e1s Vizita zaujme, ur\u010dit\u011b se p\u0159ihlaste k\u00a0odb\u011bru<\/a>!<\/p>\n

Nikdo asi nepochybuje o\u00a0tom, \u017ee m\u00e1 zdravotnictv\u00ed rezervy v\u00a0efektivit\u011b vynakl\u00e1d\u00e1n\u00ed pen\u011bz. Dlouh\u00e1 l\u00e9ta ostr\u00fdch politick\u00fdch souboj\u016f a\u00a0snah v\u0161elijak o\u010dernit politick\u00e9 soupe\u0159e bohu\u017eel vyt\u00e1hla do \u010dela t\u011bchto debat p\u0159edev\u0161\u00edm \u0159adu korup\u010dn\u00edch a\u00a0jin\u00fdch krimin\u00e1ln\u00edch kauz. Ty jsou jist\u011b neomluviteln\u00e9 a\u00a0zdravotnictv\u00ed m\u011blo a\u00a0m\u00e1 sv\u00e9 temn\u00e9 postavy a\u00a0sv\u00e1 temn\u00e1 z\u00e1kout\u00ed.<\/p>\n

Z\u00e1rove\u0148 je d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee tato z\u00e1kout\u00ed rozhodn\u011b nejsou jedinou p\u0159\u00ed\u010dinou syst\u00e9mov\u00e9 neefektivity \u010desk\u00e9ho zdravotnictv\u00ed. Velkolep\u011b se v\u00a0n\u011bm pl\u00fdtv\u00e1 mnoha dal\u0161\u00edmi, m\u00e9n\u011b zavr\u017een\u00edhodn\u00fdmi zp\u016fsoby. N\u011bjakou tu historku zn\u00e1 asi ka\u017ed\u00fd. Uvedu dva p\u0159\u00edklady, kter\u00e9 se ke mn\u011b dostaly v\u00a0posledn\u00ed dob\u011b. Podot\u00fdk\u00e1m, \u017ee oba pacienty osobn\u011b zn\u00e1m.<\/p>\n

Pacient trp\u00ed chronickou bolest\u00ed, u\u017e\u00edv\u00e1 proti n\u00ed \u0159\u00e1dn\u011b p\u0159edepsan\u00e9 siln\u00e9 opioidy. Doch\u00e1z\u00ed pravideln\u011b jednou ro\u010dn\u011b na specializovanou nemocni\u010dn\u00ed ambulanci kv\u016fli kontrole, jinak sta\u010d\u00ed konzultace na d\u00e1lku. S\u00a0p\u0159\u00edchodem podzimn\u00edho po\u010das\u00ed se mu bolesti n\u00e1hle v\u00fdrazn\u011b zhor\u0161\u00ed, co\u017e nen\u00ed neobvykl\u00e9. V\u00a0pracovn\u00ed den a\u00a0v b\u011b\u017en\u00fdch pracovn\u00edch hodin\u00e1ch se proto pacient chce obr\u00e1tit na svou ambulanci a\u00a0konzultovat nav\u00fd\u0161en\u00ed d\u00e1vky analgetik. Bez konzultace d\u00e1vku nav\u00fd\u0161it nesm\u00ed, proto\u017ee jde o\u00a0velmi nebezpe\u010dn\u00e9 l\u00e1tky a\u00a0trestem za jak\u00fdkoli nekonzultovan\u00fd z\u00e1sah do p\u0159edepsan\u00e9 l\u00e9\u010dby je mimo jin\u00e9 vylou\u010den\u00ed z\u00a0l\u00e9\u010debn\u00e9ho programu.<\/p>\n

V nemocni\u010dn\u00ed ambulanci ale nen\u00ed p\u0159\u00edslu\u0161n\u00fd l\u00e9ka\u0159, ten je na dovolen\u00e9. Z\u00e1stup nen\u00ed. Ambulance odkazuje pacienta k\u00a0jeho praktick\u00e9mu l\u00e9ka\u0159i. Ten ale s\u00a0opioidy nepracuje\u00a0\u2013 pr\u00e1ce s\u00a0podobn\u00fdmi l\u00e1tkami klade na praktika dal\u0161\u00ed administrativn\u00ed a\u00a0technick\u00e9 povinnosti a\u00a0ne ka\u017ed\u00e9mu se do toho chce.<\/p>\n

Po dlouh\u00e9m e-mailov\u00e9m ping-pongu mezi pacientem a\u00a0\u201ejeho\u201c nemocnic\u00ed kon\u010d\u00ed cel\u00e1 epizoda zcela nesmyslnou (a pro pacienta v\u00a0bolestech dost n\u00e1ro\u010dnou) sobotn\u00ed n\u00e1v\u0161t\u011bvou pohotovosti a\u00a0zam\u011bstn\u00e1n\u00edm n\u011bkolika l\u00e9ka\u0159\u016f. A\u00a0to je\u0161t\u011b pracovn\u00edci na pohotovosti hodlali pacienta poslat na rentgen, co\u017e on odm\u00edtl.<\/p>\n

Onkologick\u00fd pacient m\u00ed\u0159\u00ed v\u00a0rychl\u00e9m sledu na t\u0159et\u00ed operaci a\u00a0pot\u0159ebuje t\u0159et\u00ed p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed, jeho\u017e sou\u010d\u00e1st\u00ed je rentgen a\u00a0EKG. Tyto procedury u\u017e ale pacient absolvoval p\u0159ed prvn\u00ed operac\u00ed a\u00a0nen\u00ed nutn\u00e9 (v p\u0159\u00edpad\u011b rentgenu ani \u017e\u00e1douc\u00ed) je po n\u011bkolika t\u00fddnech znovu opakovat. P\u0159esto praktick\u00fd l\u00e9ka\u0159 pacientovi automaticky p\u0159edepisuje rentgen i\u00a0EKG a\u00a0jen aktivn\u00ed p\u0159\u00edstup pacienta zbyte\u010dn\u00fdm vy\u0161et\u0159en\u00edm zabr\u00e1n\u00ed.<\/p>\n

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

Dalo by se pokra\u010dovat. Jeden ambulantn\u00ed kardiolog mi vypr\u00e1v\u011bl, \u017ee kdy\u017e za n\u00edm p\u0159ijde pacient, kter\u00fd je evidentn\u011b zdr\u00e1v, ud\u011bl\u00e1 mu \u201easpo\u0148 sono\u201c, aby n\u00e1v\u0161t\u011bvu mohl poji\u0161\u0165ovn\u011b vy\u00fa\u010dtovat. A\u00a0solid\u00e1rn\u011b politoval jin\u00e9 ambulantn\u00ed kolegy, kte\u0159\u00ed takto snadno vyu\u017eiteln\u00fd a\u00a0z\u00e1rove\u0148 lukrativn\u00ed p\u0159\u00edstroj v\u00a0ordinaci nemaj\u00ed.<\/p>\n

Ka\u017ed\u00fd l\u00e9ka\u0159 a\u00a0pacient bude zn\u00e1t \u0159adu podobn\u00fdch p\u0159\u00edb\u011bh\u016f. Je dobr\u00e9 si uv\u011bdomit, \u017ee jen na t\u011bchto drobn\u00fdch epizod\u00e1ch, v\u00a0nich\u017e nefiguruje \u017e\u00e1dn\u00fd zl\u00fd \u00famysl, ale sp\u00ed\u0161e nevy\u0159e\u0161en\u00fd z\u00e1stup, p\u0159\u00edli\u0161 zab\u011bhan\u00e1 rutina \u017e\u00e1danek nebo ne\u0161ikovn\u011b nastaven\u00fd syst\u00e9m \u00fahrad, mohl \u010desk\u00fd zdravotnick\u00fd syst\u00e9m p\u0159ij\u00edt dejme tomu o\u00a0vysok\u00e9 tis\u00edce korun. Kolik takov\u00fdch p\u0159\u00edb\u011bh\u016f se odehr\u00e1v\u00e1 v\u00a0republice ka\u017ed\u00fd den?<\/p>\n

Na podobn\u00e9 p\u0159\u00edpady se zam\u011b\u0159uje mezin\u00e1rodn\u00ed iniciativa Choosing Wisely. Nen\u00ed \u00fapln\u011b nov\u00e1, zrodila se u\u017e v\u00a0roce 2012\u00a0a\u00a0jej\u00ed snahou je identifikovat takzvanou p\u00e9\u010di s\u00a0n\u00edzkou hodnotou (low value care), kter\u00e1 pacientovi bu\u010f nep\u0159in\u00e1\u0161\u00ed \u017e\u00e1dn\u00fd u\u017eitek (a pak po\u0161kozuje syst\u00e9m z\u00a0hlediska kapacit), anebo mu m\u016f\u017ee v\u00a0d\u016fsledku dokonce \u0161kodit.<\/p>\n

Odhady zmi\u0148ovan\u00e9 v\u00a0materi\u00e1lech OECD<\/a> uv\u00e1d\u011bj\u00ed, \u017ee takov\u00e9 \u201ezbytn\u00e9\u201c p\u00e9\u010de m\u016f\u017ee b\u00fdt ve zdravotnick\u00fdch syst\u00e9mech kolem 20\u00a0a\u017e 30\u00a0procent. To je \u0161okuj\u00edc\u00ed \u010d\u00edslo. Jestli\u017ee je p\u011btina a\u017e t\u0159etina p\u00e9\u010de poskytnuta v\u00a0podstat\u011b zbyte\u010dn\u011b, otev\u00edr\u00e1 to prostor pro debatu o\u00a0z\u00e1sadn\u00edm zv\u00fd\u0161en\u00ed efektivity. Co\u017e je debata, kterou \u010desk\u00e9 zdravotnictv\u00ed mus\u00ed v\u00e9st, kdy\u017e kv\u016fli ni\u010demu jin\u00e9mu, tak kv\u016fli demografick\u00e9 revoluci, kter\u00e1 se na n\u011bj nezadr\u017eiteln\u011b \u0159\u00edt\u00ed.<\/p>\n

V \u010cesku je pr\u016fkopn\u00edkem iniciativy Choosing Wisely internista z\u00a0pra\u017esk\u00e9 Fakultn\u00ed Thomayerovy nemocnice Dan Raku\u0161an, kter\u00fd ned\u00e1vno vystoupil na konferenci v\u00a0N\u00e1rodohospod\u00e1\u0159sk\u00e9m \u00fastavu Akademie v\u011bd \u010cR. S\u00a0kolegou Petrem Grenarem z\u00a0kr\u00e1lov\u00e9hradeck\u00e9 fakultky ud\u011blali mezi l\u00e9ka\u0159i anketu, podle n\u00ed\u017e 95\u00a0procent osloven\u00fdch l\u00e9ka\u0159\u016f pova\u017euje \u201epl\u00fdtv\u00e1n\u00ed ve form\u011b ordinov\u00e1n\u00ed zbytn\u00fdch diagnostick\u00fdch a\u00a0terapeutick\u00fdch vy\u0161et\u0159en\u00ed za probl\u00e9m sou\u010dasn\u00e9 medic\u00edny\u201c. Z\u00e1rove\u0148 71\u00a0procent respondent\u016f uvedlo, \u017ee ve sv\u00e9 ka\u017edodenn\u00ed praxi ordinuj\u00ed \u201ediagnostick\u00e9 \u010di terapeutick\u00e9 kroky, o\u00a0jejich\u017e \u00fa\u010delnosti a\u00a0u\u017eite\u010dnosti nejsou p\u0159esv\u011bd\u010deni\u201c.<\/p>\n

Nejsou to \u00fapln\u011b nejtvrd\u0161\u00ed data, jedn\u00e1 se o\u00a0anketu. P\u0159esto je patrn\u00e9, \u017ee l\u00e9ka\u0159i si probl\u00e9m uv\u011bdomuj\u00ed a\u00a0vid\u00ed jej. A\u00a0\u017ee nejde o\u00a0probl\u00e9m specificky \u010desk\u00fd. D\u016fvody ordinov\u00e1n\u00ed \u201ezbytn\u00e9\u201c p\u00e9\u010de, kter\u00e9 l\u00e9ka\u0159i v\u00a0anket\u011b uv\u00e1d\u011bli, se toti\u017e pozoruhodn\u011b shoduj\u00ed s\u00a0d\u016fvody, kter\u00e9 v\u00a0podobn\u00e9, mnohem v\u011bt\u0161\u00ed studii americk\u00e9 internistick\u00e9 spole\u010dnosti uv\u00e1d\u011bli jejich kolegov\u00e9 v\u00a0USA. Mezi nej\u010dast\u011bj\u0161\u00edmi d\u016fvody shodn\u011b figuruj\u00ed \u201estrach ze st\u00ed\u017enosti \u010di \u017ealoby\u201c, \u201etrv\u00e1 na tom pacient\u201c (to je \u010dast\u00fd p\u0159\u00edpad t\u0159eba u\u00a0p\u0159edepisov\u00e1n\u00ed antibiotik) a \u201euji\u0161t\u011bn\u00ed se\u201c. V\u00a0\u010desk\u00e9 anket\u011b se specificky objevovala odpov\u011b\u010f \u201evy\u017eaduje to star\u0161\u00ed l\u00e9ka\u0159\/nad\u0159\u00edzen\u00fd\u201c.<\/p>\n

Zbytn\u00e1 p\u00e9\u010de m\u016f\u017ee b\u00fdt jednor\u00e1zov\u00fdm neinvazivn\u00edm z\u00e1krokem \u010di vy\u0161et\u0159en\u00edm, ale m\u016f\u017ee tak\u00e9 v\u00e9st k\u00a0z\u00e1va\u017en\u00fdm fenom\u00e9n\u016fm, kter\u00e9 u\u017e maj\u00ed jak individu\u00e1ln\u00ed, tak syst\u00e9mov\u00e9 dopady. Jde o\u00a0fenom\u00e9ny, kter\u00e9 nemaj\u00ed hezk\u00e9 \u010desk\u00e9 n\u00e1zvy, ale anglicky se ozna\u010duj\u00ed jako overdiagnosis nebo overtreatment.<\/p>\n

Jednodu\u0161e \u0159e\u010deno, kdy\u017e to l\u00e9ka\u0159 p\u0159e\u017eene s\u00a0diagnostikou nebo s\u00a0p\u00e9\u010d\u00ed, m\u016f\u017ee ud\u011blat ze zdrav\u00e9ho \u010dlov\u011bka nemocn\u00e9ho pacienta, kter\u00fd bude tr\u00e1vit hodiny sv\u00e9ho i\u00a0l\u00e9ka\u0159sk\u00e9ho \u010dasu vy\u0161et\u0159en\u00edmi, kter\u00e1 mu nic pozitivn\u00edho nep\u0159inesou. A\u00a0nap\u0159\u00edklad nadbyte\u010dn\u00e9 p\u0159edepisov\u00e1n\u00ed antibiotik p\u0159isp\u00edv\u00e1 k\u00a0rychlej\u0161\u00edmu r\u016fstu rezistence bakteri\u00ed. Antibiotick\u00e1 rezistence m\u00e1 p\u0159itom v\u00a0EU na sv\u011bdom\u00ed u\u017e kolem 35\u00a0tis\u00edc \u00famrt\u00ed ro\u010dn\u011b a\u00a0mnoha l\u00e9ka\u0159\u016fm d\u011bl\u00e1 skute\u010dn\u011b velk\u00e9 vr\u00e1sky.<\/p>\n

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

Vlastn\u011b se d\u00e1 \u0159\u00edci, \u017ee Choosing Wisely je antitez\u00ed tradi\u010dn\u00edho l\u00e9ka\u0159sk\u00e9ho vtipu, \u017ee neexistuje zdrav\u00fd pacient, existuj\u00ed jen pacienti nedostate\u010dn\u011b vy\u0161et\u0159en\u00ed. Z\u00e1kladem je p\u0159ipustit si, \u017ee existuje n\u011bco jako zdrav\u00fd pacient, jeho\u017e nen\u00ed t\u0159eba vy\u0161et\u0159ovat ani l\u00e9\u010dit.<\/p>\n

V\u00fdstupem t\u011bchto iniciativ v\u00a0r\u016fzn\u00fdch zem\u00edch jsou p\u0159edev\u0161\u00edm zku\u0161enosti s\u00a0odhalov\u00e1n\u00edm zbytn\u00e9 p\u00e9\u010de a\u00a0sd\u00edlen\u00ed odborn\u00fdch postup\u016f a\u00a0doporu\u010den\u00ed, jak se j\u00ed vyhnout. Doporu\u010den\u00ed se net\u00fdkaj\u00ed jen l\u00e9ka\u0159\u016f, ale i\u00a0mana\u017eer\u016f zdravotnick\u00fdch za\u0159\u00edzen\u00ed nebo zdravotn\u00edch poji\u0161\u0165oven \u010di dal\u0161\u00edch regul\u00e1tor\u016f a\u00a0hr\u00e1\u010d\u016f v\u00a0syst\u00e9mech.<\/p>\n

Existuje i \u201en\u00e1vod pro pacienty\u201c, kter\u00fd se skl\u00e1d\u00e1 z\u00a0p\u011bti ot\u00e1zek, kter\u00e9 pacient m\u016f\u017ee sv\u00e9mu l\u00e9ka\u0159i polo\u017eit, ne\u017e se nech\u00e1 vyslat na jak\u00e9koli vy\u0161et\u0159en\u00ed. S\u00a0dovolen\u00edm je tu na z\u00e1v\u011br uvedu v\u00a0pln\u00e9m zn\u011bn\u00ed p\u0159\u00edmo podle let\u00e1ku Choosing Wisely<\/a>:<\/p>\n

1.\u00a0PROSP\u011aCH: Opravdu pot\u0159ebuji toto vy\u0161et\u0159en\u00ed nebo l\u00e9\u010dbu?<\/p>\n

Vy\u0161et\u0159en\u00ed m\u016f\u017ee pomoci v\u00e1m a\u00a0va\u0161emu l\u00e9ka\u0159i rozpoznat probl\u00e9m. L\u00e9\u010debn\u00fd v\u00fdkon nebo zvolen\u00fd l\u00e9k ho m\u016f\u017ee pomoci l\u00e9\u010dit.<\/p>\n

2.\u00a0RIZIKO: Jsou n\u011bjak\u00e1 rizika nebo ne\u017e\u00e1douc\u00ed \u00fa\u010dinky?<\/p>\n

Jak\u00e9 jsou ne\u017e\u00e1douc\u00ed \u00fa\u010dinky l\u00e9\u010dby? Jak\u00e1 jsou rizika v\u00fdkonu nebo vy\u0161et\u0159en\u00ed? Jak\u00e1 je \u0161ance, \u017ee v\u00fdsledky vy\u0161et\u0159en\u00ed nebudou p\u0159esn\u00e9? Mohlo by to v\u00e9st k\u00a0dal\u0161\u00edm vy\u0161et\u0159en\u00edm nebo v\u00fdkon\u016fm?<\/p>\n

3.\u00a0VOLBA: Jsou n\u011bjak\u00e9 jednodu\u0161\u0161\u00ed a\u00a0bezpe\u010dn\u011bj\u0161\u00ed mo\u017enosti?<\/p>\n

N\u011bkdy pot\u0159ebujete jen zm\u011bnit \u017eivotn\u00ed styl, t\u0159eba zdrav\u011bji j\u00edst nebo se v\u00edce h\u00fdbat.<\/p>\n

4.\u00a0NIC: Co se stane, kdy\u017e te\u010f nebudu d\u011blat nic?<\/p>\n

Zeptejte se, zda by se va\u0161e pot\u00ed\u017ee mohly zhor\u0161it (nebo zlep\u0161it), pokud vy\u0161et\u0159en\u00ed nebo l\u00e9\u010dbu nepodstoup\u00edte hned.<\/p>\n

5.\u00a0CENA: Kolik to bude st\u00e1t?<\/p>\n

N\u00e1klady mohou b\u00fdt finan\u010dn\u00ed, citov\u00e9 nebo \u010dasov\u00e9. Jak\u00e9 jsou n\u00e1klady pro spole\u010dnost? Jsou rozumn\u00e9, nebo existuje levn\u011bj\u0161\u00ed alternativa? Budu n\u011bco s\u00e1m dopl\u00e1cet?<\/p>\n

V s\u00edt\u00edch velk\u00e9ho protikorup\u010dn\u00edho ta\u017een\u00ed \u010desk\u00fdm zdravotnictv\u00edm v\u00a0uplynul\u00fdch letech uv\u00e1zlo p\u00e1r zaj\u00edmav\u00fdch ryb. Mo\u017en\u00e1 se t\u00edm trochu ozdravilo cel\u00e9 prost\u0159ed\u00ed, ale syst\u00e9mov\u00fd p\u0159erod v\u00a0efektivn\u011b \u0161lapaj\u00edc\u00ed syst\u00e9m to nep\u0159ineslo. Je nejvy\u0161\u0161\u00ed \u010das soust\u0159edit se i\u00a0na jin\u00e9 nehospod\u00e1rnosti a\u00a0produk\u010dn\u00ed mezery, kter\u00e9 v\u00a0\u010desk\u00e9m zdravotnictv\u00ed jsou.<\/p>\n

Nejsou tak atraktivn\u00ed a\u00a0hollywoodsk\u00e9 jako velk\u00e9 korup\u010dn\u00ed kauzy, nejsou to p\u0159\u00edb\u011bhy o\u00a0padou\u0161\u00edch a\u00a0ruce z\u00e1kona. Je to sp\u00ed\u0161 mraven\u010d\u00ed pr\u00e1ce se zvyky a\u00a0zlozvyky, poctiv\u00e9 prom\u00fd\u0161len\u00ed zab\u011bhnut\u00fdch rutin, ochota za\u010d\u00edt n\u011bkter\u00e9 v\u011bci d\u011blat jinak, ne\u017e se d\u011blaly po dlouh\u00e1 l\u00e9ta. Syst\u00e9mov\u011b to ale nakonec m\u016f\u017ee b\u00fdt zm\u011bna velice dramatick\u00e1. A\u00a0pot\u0159ebn\u00e1.<\/p>\n

V pln\u00e9m vyd\u00e1n\u00ed newsletteru Vizita toho najdete je\u0161t\u011b mnohem v\u00edc, v\u010detn\u011b zaj\u00edmav\u00fdch tip\u016f na \u010dten\u00ed z\u00a0jin\u00fdch m\u00e9di\u00ed. Pokud chcete celou Vizitu dost\u00e1vat ka\u017ed\u00e9 druh\u00e9 \u00fater\u00fd p\u0159\u00edmo do sv\u00e9 e-mailov\u00e9 schr\u00e1nky, p\u0159ihlaste se k\u00a0odb\u011bru<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"\u010ctete uk\u00e1zku z\u00a0Vizity\u00a0\u2013 newsletteru Martina \u010cabana pln\u00e9ho post\u0159eh\u016f o\u00a0\u010desk\u00e9m zdravotnictv\u00ed a\u00a0jeho p\u0159esaz\u00edch do politiky. Pokud v\u00e1s Vizita zaujme,…\n","protected":false},"author":2,"featured_media":70271,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[17,21,16,341,2380,5250,18,19,22,8388,342,20],"class_list":{"0":"post-70270","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-zpravy","8":"tag-headlines","9":"tag-hlavni-udalosti","10":"tag-news","11":"tag-newsletter-vizita","12":"tag-pacienti","13":"tag-preventivni-prohlidky","14":"tag-top-news","15":"tag-top-stories","16":"tag-udalosti-dne","17":"tag-zdravotni-pece","18":"tag-zdravotnictvi","19":"tag-zpravy"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116487959719837412","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/70270","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=70270"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/70270\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/70271"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=70270"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=70270"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=70270"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}