{"id":84901,"date":"2026-05-14T03:53:11","date_gmt":"2026-05-14T03:53:11","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/84901\/"},"modified":"2026-05-14T03:53:11","modified_gmt":"2026-05-14T03:53:11","slug":"vizita-co-chce-vojtech-za-tricet-miliard-velke-zmeny-ve-zdravotnictvi","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/84901\/","title":{"rendered":"Vizita: Co chce Vojt\u011bch za t\u0159icet miliard? Velk\u00e9 zm\u011bny ve zdravotnictv\u00ed"},"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

Patrn\u011b bude zapot\u0159eb\u00ed (dost narychlo, m\u00e1me kv\u011bten) zm\u011bnit z\u00e1kon o\u00a0pojistn\u00e9m na ve\u0159ejn\u00e9 zdravotn\u00ed poji\u0161t\u011bn\u00ed a\u00a0s\u00e1hnout do platby za st\u00e1tn\u00ed poji\u0161t\u011bnce, kterou dnes ur\u010duje automat. Nev\u00edme ale, jestli bude tento automat i\u00a0form\u00e1ln\u011b zru\u0161en, pozm\u011bn\u011bn, anebo jej Vojt\u011bch pouze n\u011bjak jednor\u00e1zov\u011b obejde. Podstatn\u011bj\u0161\u00ed je ale jin\u00e1 v\u011bc\u00a0\u2013 co za to jako poji\u0161t\u011bnci, pl\u00e1tci a\u00a0u\u017eivatel\u00e9 syst\u00e9mu dostaneme.<\/p>\n

U\u017e se nem\u016f\u017ee opakovat situace jako v\u00a0letech 2020\u00a0a\u017e 2025, kdy n\u00e1klady na zdravotnictv\u00ed skokov\u011b vzrostly o\u00a0polovinu, ani\u017e by se to projevilo odpov\u00eddaj\u00edc\u00edm r\u016fstem v\u00fdkonu, dostupnosti, kvality \u010di bezpe\u010dnosti. Ka\u017ed\u00e1 miliarda, kter\u00e1 nyn\u00ed p\u0159ijde do zdravotnictv\u00ed nav\u00edc na stran\u011b vstup\u016f, by u\u017e m\u011bla m\u00edt viditeln\u00fd ekvivalent i\u00a0na stran\u011b v\u00fdstupu, jinak se bude syst\u00e9m neomyln\u011b sunout k\u00a0finan\u010dn\u00ed propasti.<\/p>\n

Tohle nejsou \u017e\u00e1dn\u00e9 objevn\u00e9 \u00favahy, na r\u016fzn\u00fdch konferenc\u00edch a\u00a0ostatn\u011b i\u00a0ve Vizit\u011b se objevuj\u00ed opakovan\u011b. Docela sm\u011bl\u00fd pl\u00e1n zm\u011bn existuje i\u00a0na ministerstvu zdravotnictv\u00ed. U\u017e jsem v\u00a0newsletteru jednou popisoval<\/a>, jak by mohlo vypadat zdravotnictv\u00ed, kdyby se p\u0159edstavy ministra Vojt\u011bcha a\u00a0jeho lid\u00ed beze zbytku naplnily. Dnes to bude mnohem nudn\u011bj\u0161\u00ed a\u00a0m\u00e9n\u011b barevn\u00e9, ale zato se pokus\u00edm nast\u00ednit, jak\u00e9 konkr\u00e9tn\u00ed legislativn\u00ed kroky by k\u00a0onomu vysn\u011bn\u00e9mu stavu m\u011bly v\u00e9st.<\/p>\n

Na prvn\u00edm m\u00edst\u011b stoj\u00ed elektronizace. Konkr\u00e9tn\u011b se jedn\u00e1 o\u00a0n\u00e1vrh, kter\u00fd by zavedl plo\u0161n\u00e9 povinn\u00e9 elektronick\u00e9 veden\u00ed zdravotn\u00ed dokumentace a\u00a0n\u00e1vazn\u00e9 povinn\u00e9 pou\u017e\u00edv\u00e1n\u00ed elektronick\u00fdch \u017e\u00e1danek \u010di propou\u0161t\u011bc\u00edch zpr\u00e1v. To v\u0161echno m\u00e1 p\u0159i dobr\u00e9m proveden\u00ed potenci\u00e1l zjednodu\u0161it \u017eivot pacient\u016fm, kte\u0159\u00ed p\u0159estanou b\u00fdt posl\u00ed\u010dky mezi jednotliv\u00fdmi poskytovateli p\u00e9\u010de. Tak\u00e9 by to do proces\u016f ve zdravotnictv\u00ed vneslo sv\u011btlo, je\u017e by odhalilo n\u011bkter\u00e9 p\u0159\u00edpady pl\u00fdtv\u00e1n\u00ed a\u00a0pomohlo s\u00a0mapov\u00e1n\u00edm \u010dekac\u00edch dob.<\/p>\n

Soub\u011b\u017en\u011b by m\u011blo doj\u00edt k\u00a0fin\u00e1ln\u00ed p\u0159\u00edprav\u011b \u010ceska na p\u0159ijet\u00ed evropsk\u00e9 regulace zn\u00e1m\u00e9 jako Evropsk\u00fd prostor pro zdravotn\u00ed data (EHDS), kter\u00e1 umo\u017en\u00ed sd\u00edlen\u00ed a\u00a0vyu\u017e\u00edv\u00e1n\u00ed dat na \u00farovni EU. Elektroniza\u010dn\u00ed smr\u0161\u0165 by mohla \u010desk\u00e9 zdravotnictv\u00ed zas\u00e1hnout hned v\u00a0p\u0159\u00ed\u0161t\u00edm roce, p\u0159\u00edslu\u0161n\u00e1 legislativa by m\u011bla zam\u00ed\u0159it do vl\u00e1dy u\u017e letos v\u00a0z\u00e1\u0159\u00ed.<\/p>\n

Elektroniza\u010dn\u00edmi pl\u00e1ny, \u010d\u00e1ste\u010dn\u011b zd\u011bd\u011bn\u00fdmi je\u0161t\u011b po minul\u00e9 politick\u00e9 garnitu\u0159e, ov\u0161em ambice Adama Vojt\u011bcha zdaleka nekon\u010d\u00ed. St\u011b\u017eejn\u00ed \u010d\u00e1st jeho p\u0159edstav tvo\u0159\u00ed t\u0159i reformn\u00ed \u201ebal\u00edky\u201c m\u00ed\u0159en\u00e9 na t\u0159i kl\u00ed\u010dov\u00e9 oblasti zdravotnictv\u00ed.<\/p>\n

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Prvn\u00ed se t\u00fdk\u00e1 ve\u0159ejn\u00e9ho zdrav\u00ed. Vojt\u011bch hodl\u00e1 vytvo\u0159it centr\u00e1ln\u00ed org\u00e1n, kter\u00fd by zast\u0159e\u0161il st\u00e1vaj\u00edc\u00ed rozt\u0159\u00ed\u0161t\u011bnou strukturu hygienick\u00fdch stanic a\u00a0zdravotn\u00edch \u00fastav\u016f. Za\u010dlen\u011bn\u00ed mocn\u00e9ho \u00dastavu zdravotnick\u00fdch informac\u00ed a\u00a0statistiky zat\u00edm z\u00a0debaty vypadlo.<\/p>\n

Ani to nen\u00ed nic \u00fapln\u011b nov\u00e9ho, \u00favahy o \u201e\u010desk\u00e9m Kochov\u011b institutu\u201c zn\u00e1me tak\u00e9 u\u017e od p\u0159edchoz\u00edho ministra. Jen Vlastimil V\u00e1lek m\u011bl p\u0159edstavu, \u017ee se to cel\u00e9 ud\u011bl\u00e1 tak n\u011bjak samo, a\u00a0hlavn\u011b zadarmo<\/a>. Podle toho jeho n\u00e1vrh dopadl.<\/p>\n

Vojt\u011bchova p\u0159edstava je ucelen\u011bj\u0161\u00ed ne\u017e V\u00e1lkova a\u00a0s ur\u010dit\u00fdmi v\u00fddaji na vytvo\u0159en\u00ed a\u00a0provoz nov\u00e9ho \u00fast\u0159edn\u00edho org\u00e1nu st\u00e1tn\u00ed spr\u00e1vy (v hierarchii instituc\u00ed stoj\u00edc\u00edho na \u00farovni kter\u00e9hokoli ministerstva) po\u010d\u00edt\u00e1. Ale jedn\u00e1n\u00ed s\u00a0ministerstvem financ\u00ed o\u00a0konkr\u00e9tn\u00ed \u010d\u00e1stce dosud neza\u010dala.<\/p>\n

Druhou z\u00e1sadn\u00ed oblast\u00ed, kter\u00e1 se m\u00e1 m\u011bnit, jsou kompetence nel\u00e9ka\u0159sk\u00fdch zdravotn\u00edk\u016f, zejm\u00e9na sester a\u00a0farmaceut\u016f. Sou\u010d\u00e1st\u00ed novel p\u0159\u00edslu\u0161n\u00fdch z\u00e1kon\u016f (o podm\u00ednk\u00e1ch z\u00edsk\u00e1v\u00e1n\u00ed odborn\u00e9 zp\u016fsobilosti a\u00a0o nel\u00e9ka\u0159sk\u00fdch zdravotnick\u00fdch povol\u00e1n\u00edch) by m\u011blo b\u00fdt i\u00a0pr\u016fb\u011b\u017en\u011b diskutovan\u00e9 o\u010dkov\u00e1n\u00ed v\u00a0l\u00e9k\u00e1rn\u00e1ch (a tak\u00e9 roz\u0161\u00ed\u0159en\u00ed o\u010dkovac\u00ed kompetence na dal\u0161\u00ed l\u00e9ka\u0159e). Maj\u00ed se ale ustavit tak\u00e9 n\u011bkter\u00e1 nov\u00e1 povol\u00e1n\u00ed hlavn\u011b administrativn\u00edho typu a\u00a0roz\u0161\u00ed\u0159it kompetence zdravotn\u00edch sester.<\/p>\n

A kone\u010dn\u011b t\u0159et\u00ed oblast\u00ed je zm\u011bna proces\u016f a\u00a0\u0159\u00edzen\u00ed uvnit\u0159 zdravotnick\u00e9ho syst\u00e9mu. Toho, pro co se pou\u017e\u00edv\u00e1 o\u0161kliv\u00e9 anglick\u00e9 slovo governance. Pod tento bal\u00edk spadaj\u00ed z\u00e1sadn\u00ed syst\u00e9mov\u00e9 v\u011bci, jako je sjednocen\u00ed pravidel pro fungov\u00e1n\u00ed zdravotn\u00edch poji\u0161\u0165oven a\u00a0nov\u00e1 struktura jejich veden\u00ed s\u00a0v\u011bt\u0161\u00edm zastoupen\u00edm a\u00a0vlivem poji\u0161t\u011bnc\u016f-pacient\u016f.<\/p>\n

T\u0159icetihlav\u00e1 Spr\u00e1vn\u00ed rada VZP, kter\u00e1 je od \u010das\u016f Davida Ratha nominov\u00e1na podle \u010dist\u011b politicko-stranick\u00e9ho kl\u00ed\u010de, by se m\u011bla st\u00e1t minulost\u00ed. Zdravotn\u00ed poji\u0161\u0165ovny by m\u011bly b\u00fdt \u0159\u00edzeny org\u00e1nem, v\u00a0n\u011bm\u017e bude t\u0159etina z\u00e1stupc\u016f ministerstva, t\u0159etina z\u00e1stupc\u016f zam\u011bstnavatel\u016f a\u00a0t\u0159etina z\u00e1stupc\u016f poji\u0161t\u011bnc\u016f. Krom\u011b ministersk\u00fdch nominant\u016f by o\u00a0\u010dlenech spr\u00e1vn\u00edch rad zdravotn\u00edch poji\u0161\u0165oven m\u011bly rozhodovat p\u0159\u00edm\u00e9 elektronick\u00e9 volby, v\u00a0nich\u017e budou m\u00edt rozhoduj\u00edc\u00ed vliv zam\u011bstnavatel\u00e9, odbory i\u00a0samotn\u00ed \u201e\u0159adov\u00ed\u201c klienti.<\/p>\n

Velk\u00fd zm\u011bnov\u00fd z\u00e1kon by m\u011bl rovn\u011b\u017e p\u0159ekopat pravidla pro dohodovac\u00ed \u0159\u00edzen\u00ed, v\u00a0n\u011bm\u017e se poji\u0161\u0165ovny domlouvaj\u00ed s\u00a0poskytovateli p\u00e9\u010de na cen\u00e1ch pro nadch\u00e1zej\u00edc\u00ed rok. Dnes jde v\u00a0podstat\u011b o\u00a0form\u00e1ln\u00ed proces p\u0159edch\u00e1zej\u00edc\u00ed le\u0161t\u011bn\u00ed klik na Ministerstvu zdravotnictv\u00ed a\u00a0nepr\u016fhledn\u00e9mu lobbingu za \u201espr\u00e1vn\u00e9\u201c zn\u011bn\u00ed \u00fahradov\u00e9 vyhl\u00e1\u0161ky. To by m\u011blo skon\u010dit.<\/p>\n

V dohodovac\u00edm procesu by ministerstvo m\u011blo hr\u00e1t nanejv\u00fd\u0161 koordina\u010dn\u00ed roli a\u00a0\u00fahradov\u00e1 vyhl\u00e1\u0161ka by m\u011bla b\u00fdt jen form\u00e1ln\u00edm stvrzen\u00edm dosa\u017een\u00fdch dohod. Z\u00e1rove\u0148 by se z\u00a0dohadov\u00e1n\u00ed m\u011bl st\u00e1t proces, kter\u00fd bude rozhodovat i\u00a0o horizontech del\u0161\u00edch ne\u017e jeden rok, m\u011bl by nap\u0159\u00edklad st\u0159edn\u011bdob\u011b pl\u00e1novat kapacity nemocni\u010dn\u00ed p\u00e9\u010de.<\/p>\n

Dal\u0161\u00ed sou\u010d\u00e1st\u00ed tohoto bal\u00edku zm\u011bn je reforma \u0159\u00edzen\u00ed fakultn\u00edch nemocnic, kde by m\u011bly vzniknout spr\u00e1vn\u00ed rady, kter\u00e9 by se d\u011blily o\u00a0moc s\u00a0\u0159editeli a\u00a0managementy a\u00a0koukaly jim pod prsty.<\/p>\n

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Novely z\u00e1kon\u016f nesouc\u00ed zm\u011bny v\u00a0t\u011bchto t\u0159ech oblastech (ve\u0159ejn\u00e9 zdrav\u00ed, kompetence, governance) by podle p\u0159edstav Adama Vojt\u011bcha m\u011bly b\u00fdt v\u00a0polovin\u011b leto\u0161n\u00edho roku p\u0159ipraveny ve form\u011b, v\u00a0n\u00ed\u017e by mohly vstoupit do podrobn\u011bj\u0161\u00ed debaty a\u00a0p\u0159ipom\u00ednkov\u00e9ho \u0159\u00edzen\u00ed. To by p\u0159i hladk\u00e9m pr\u016fb\u011bhu znamenalo parlamentn\u00ed legislativn\u00ed proces v\u00a0pr\u016fb\u011bhu p\u0159\u00ed\u0161t\u00edho roku, tak\u017ee \u010dist\u011b teoreticky by zm\u011bny mohly vstoupit v\u00a0platnost po\u010d\u00e1tkem roku 2028.\u00a0Jen\u017ee takhle jednoduch\u00e9 to ur\u010dit\u011b nebude.<\/p>\n

Ka\u017ed\u00e1 z\u00a0t\u011bchto zm\u011bn m\u00e1 potenci\u00e1l vyvolat u\u00a0n\u011bkter\u00fdch zdravotnick\u00fdch stakeholder\u016f zna\u010dn\u00fd odpor. S\u00a0kompetencemi sester m\u00e1 probl\u00e9m l\u00e9ka\u0159sk\u00e1 komora. Zm\u011bny \u0159\u00edzen\u00ed poji\u0161\u0165oven naraz\u00ed u\u00a0politick\u00fdch stran, kter\u00e9 ztrat\u00ed \u010d\u00e1st vlivu. Zm\u011bny v\u00a0dohodovac\u00edm \u0159\u00edzen\u00ed se nebudou l\u00edbit poskytovatel\u016fm, kte\u0159\u00ed m\u011bli syst\u00e9m s\u00a0ministerskou vyhl\u00e1\u0161kou dob\u0159e nacvi\u010den\u00fd, a\u00a0tak d\u00e1le. Tak\u017ee po zve\u0159ejn\u011bn\u00ed n\u00e1vrh\u016f bude debata je\u0161t\u011b velmi \u017eiv\u00e1 a\u00a0ostr\u00e1. A\u00a0z\u0159ejm\u011b i\u00a0dlouh\u00e1.<\/p>\n

Vojt\u011bch\u016fv optim\u00e1ln\u00ed pl\u00e1n tak\u00e9 po\u010d\u00edt\u00e1 se stoprocentn\u00ed sou\u010dinnost\u00ed \u00fa\u0159edn\u00edho apar\u00e1tu ministerstva. Co\u017e s\u00a0ohledem na to, \u017ee mnoh\u00e9 zm\u011bny pravomoci a\u00a0vliv ministerstva omezuj\u00ed, nemus\u00ed nastat. Nemluv\u011b o\u00a0tom, \u017ee \u201ev\u00edtr\u201c, kter\u00fd se Vojt\u011bch chyst\u00e1 ve zdravotnictv\u00ed ud\u011blat, je p\u0159inejmen\u0161\u00edm v\u00a0t\u00e9to f\u00e1zi mnohem v\u011bt\u0161\u00ed a\u00a0siln\u011bj\u0161\u00ed, ne\u017e byli \u00fa\u0159edn\u00edci z\u00a0posledn\u00edch let zvykl\u00ed. Tak\u017ee proces p\u0159\u00edpravy reformn\u00edch z\u00e1kon\u016f m\u016f\u017ee drhnout u\u017e v\u00a0ministersk\u00fdch chodb\u00e1ch.<\/p>\n

Ambice Vojt\u011bchovi nechyb\u00ed. Pokud by v\u00fdm\u011bnou za finan\u010dn\u00ed injekci sv\u00e9 pl\u00e1ny prosadil, nemusel by to pro \u010desk\u00e9 zdravotnictv\u00ed nakonec b\u00fdt \u0161patn\u00fd obchod. Na druh\u00e9 stran\u011b, pokud se mu nevyhnuteln\u00fd odpor nepoda\u0159\u00ed porazit \u010di uklidnit, vstoup\u00ed do historie \u010desk\u00e9ho zdravotnictv\u00ed jen jako dal\u0161\u00ed \u201ezal\u00e9va\u010d\u201c, kter\u00fd nejhlasit\u011bj\u0161\u00ed k\u0159ik utop\u00ed v\u00a0pen\u011bz\u00edch a\u00a0syst\u00e9mov\u00e9 probl\u00e9my p\u0159ed\u00e1 sv\u00e9mu n\u00e1stupci.<\/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":32184,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[646,43,42,41,40,2957,26657,343,341,6815,581,342],"class_list":{"0":"post-84901","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cesko","8":"tag-adam-vojtech","9":"tag-ceska-republika","10":"tag-cesko","11":"tag-czech-republic","12":"tag-czechia","13":"tag-digitalizace","14":"tag-elektronizace","15":"tag-ministerstvo-zdravotnictvi-mzcr","16":"tag-newsletter-vizita","17":"tag-uhradova-vyhlaska","18":"tag-zdravotni-pojisteni","19":"tag-zdravotnictvi"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116570908498360041","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/84901","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=84901"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/84901\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/32184"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=84901"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=84901"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=84901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}