{"id":32606,"date":"2020-01-09T17:09:38","date_gmt":"2020-01-09T16:09:38","guid":{"rendered":"https:\/\/www.praha7.cz\/?p=32606"},"modified":"2020-01-09T17:09:38","modified_gmt":"2020-01-09T16:09:38","slug":"ve-zdravotnictvi-vladne-chaos","status":"publish","type":"post","link":"https:\/\/www.praha7.cz\/ve-zdravotnictvi-vladne-chaos\/","title":{"rendered":"Ve zdravotnictv\u00ed vl\u00e1dne chaos"},"content":{"rendered":"

[perex]
\r\nV 90. letech postavil na nohy n\u011bkolikery l\u00e1zn\u011b, kde vybudoval rehabilita\u010dn\u00ed odd\u011blen\u00ed, a inspiroval veden\u00ed dal\u0161\u00edch l\u00e1ze\u0148sk\u00fdch dom\u016f. Od roku 2015 st\u00e1l Josef Du\u0161ek v \u010dele Polikliniky Prahy 7, kterou stabilizoval a p\u0159esunul do nov\u00fdch prostor. Zasadil se tak\u00e9 o z\u00e1chranu Nemocnice Na Franti\u0161ku a byl jedn\u00edm z tv\u016frc\u016f n\u00e1vrhu syst\u00e9mu celopra\u017esk\u00e9ho zdravotnictv\u00ed, jej\u017e magistr\u00e1t postupn\u011b za\u010d\u00edn\u00e1 realizovat. Z v\u00fdsledk\u016f reforem se u\u017e bohu\u017eel radovat nem\u016f\u017ee, v listopadu n\u00e1s toti\u017e po kr\u00e1tk\u00e9 t\u011b\u017ek\u00e9 nemoci opustil. \u010cesk\u00e9 zdravotnictv\u00ed znal jako m\u00e1lokdo a neb\u00e1l se o n\u011bm otev\u0159en\u011b mluvit, co\u017e je z\u0159ejm\u00e9 i z rozhovoru, kter\u00fd n\u00e1m je\u0161t\u011b loni na podzim poskytl.<\/span><\/p>\r\n

[\/perex]
\r\nA\u0165 neza\u010d\u00edn\u00e1me t\u00edm negativn\u00edm\u2026 Co pova\u017eujete za nejsiln\u011bj\u0161\u00ed str\u00e1nku \u010desk\u00e9ho zdravotnictv\u00ed?<\/span><\/strong>
\r\nNo, je mal\u00fd z\u00e1zrak, \u017ee ten syst\u00e9m je\u0161t\u011b existuje, \u017ee se to je\u0161t\u011b nezhroutilo\u2026<\/span><\/p>\r\n

Opravdu? Je to tak zl\u00e9?<\/strong>
\r\n<\/span>Ty za\u010d\u00e1tky byly opravdu hrozn\u00e9. Po roce 1989 tu vzniklo 27 zdravotn\u00edch poji\u0161\u0165oven, kter\u00e9 m\u011bly za \u00fakol financovat jak\u00e9koliv zdravotnick\u00e9 za\u0159\u00edzen\u00ed, kter\u00e9 bylo nov\u011b zalo\u017eeno, i\u00a0ta star\u00e1. Nebyl v\u00a0tom absolutn\u011b \u017e\u00e1dn\u00fd syst\u00e9m, co\u017e samoz\u0159ejm\u011b vedlo k\u00a0tomu, \u017ee se fond financ\u00ed brzy vy\u010derpal.<\/span><\/p>\r\n

Nikdo tehdy nereguloval, kolik kde vznikne nov\u00fdch ordinac\u00ed a\u00a0za\u0159\u00edzen\u00ed?<\/span><\/strong>
\r\n<\/span>Ne. Tehdy to bylo o\u00a0tom, kdo bude rychlej\u0161\u00ed, kdo v\u00edc vyk\u00e1\u017ee, tak tomu se to zaplat\u00ed. Byla to tehdy naprosto zdivo\u010del\u00e1 situace, kter\u00e1 pozd\u011bji vedla ke krachu asi 17 oborov\u00fdch poji\u0161\u0165oven, proto\u017ee jim prost\u011b do\u0161ly pen\u00edze. V\u00a0t\u00e9 dob\u011b \u0159ada l\u00e9ka\u0159\u016f opustila ve\u0159ejn\u00fd syst\u00e9m, vytvo\u0159ila soukrom\u00e9 praxe, a\u00a0dala se tak na soukrom\u00e9 podnik\u00e1n\u00ed se zdrav\u00edm. Syst\u00e9m to umo\u017e\u0148uje, ale j\u00e1 osobn\u011b to nem\u00e1m r\u00e1d. L\u00e9ka\u0159i jsou nav\u00edc dnes jedin\u00ed podnikatel\u00e9, kter\u00e9 st\u00e1t leg\u00e1ln\u011b podporuje. Nezn\u00e1m jin\u00e9ho podnikatele, kter\u00fd by m\u011bl takovou \u017eivotn\u00ed jistotu p\u0159i sv\u00e9m podnik\u00e1n\u00ed jako l\u00e9ka\u0159.<\/span><\/p>\r\n

Co t\u00edm mysl\u00edte?<\/strong>
\r\n<\/span>Ka\u017ed\u00fd praktick\u00fd l\u00e9ka\u0159 dost\u00e1v\u00e1 takzvanou kapita\u010dn\u00ed platbu\u00a0\u2013 to je platba za to, \u017ee zaregistruje poji\u0161t\u011bnce. Nic jin\u00e9ho pro n\u011bj neud\u011bl\u00e1, jen si zalo\u017e\u00ed jeho kartu. Podle v\u011bku poji\u0161t\u011bnce pak dost\u00e1v\u00e1 m\u011bs\u00ed\u010dn\u00ed pau\u0161\u00e1ln\u00ed \u010d\u00e1stku v\u00a0pr\u016fm\u011bru cca 50 K\u010d m\u011bs\u00ed\u010dn\u011b, n\u011bkdy ani\u017e by pro pacienta cokoliv ud\u011blal. Statistika \u0159\u00edk\u00e1, \u017ee praktick\u00fd l\u00e9ka\u0159 m\u00e1 p\u0159ibli\u017en\u011b 2000 pacient\u016f\u00a0\u2013 tak\u017ee praktick\u00fd l\u00e9ka\u0159 m\u00e1 z\u00e1kladn\u00ed plat od zdravotn\u00ed poji\u0161\u0165ovny 100 tis\u00edc korun. K\u00a0<\/span>tomu d\u011bl\u00e1 dal\u0161\u00ed v\u00fdkony\u00a0\u2013 o\u010dkov\u00e1n\u00ed, prohl\u00eddky na \u0159idi\u010d\u00e1k, kter\u00e9 si ale nech\u00e1v\u00e1 od pacienta propl\u00e1cet zvl\u00e1\u0161\u0165, a\u00a0pak samoz\u0159ejm\u011b poji\u0161\u0165ovn\u011b d\u00e1le \u00fa\u010dtuje podle zdravotn\u00edch v\u00fdkon\u016f. N\u011bkter\u00fd l\u00e9ka\u0159 m\u00e1 i\u00a0v\u00edc pacient\u016f, proto\u017ee jsou v\u00a0dan\u00e9 oblasti v\u016fbec r\u00e1di, \u017ee tam ten doktor je. Pr\u00e1v\u011b z\u00a0t\u011bchto d\u016fvod\u016f jsem navrhoval, aby se kapita\u010dn\u00ed platba rozd\u011blila, ve velk\u00fdch m\u011bstech byla t\u0159eba 20 K\u010d, a\u00a0v\u00a0p\u0159\u00edhrani\u010d\u00ed naopak 80 K\u010d. Objem by se nem\u011bnil, ale alespo\u0148 by se takto motivovali l\u00e9ka\u0159i, aby \u0161li i\u00a0do region\u016f.<\/span><\/p>\r\n

D\u0159\u00edv to \u0159e\u0161ily takzvan\u00e9 obvody\u00a0\u2013 je to tak?<\/strong>
\r\n<\/span>P\u0159esn\u011b tak, jen\u017ee ty se po roce 1989 zru\u0161ily. J\u00e1 jsem u\u017e n\u011bkolikr\u00e1t navrhoval, aby se obnovily. Bylo by to jednoduch\u00e9, existuj\u00ed volebn\u00ed obvody, ty by se zkop\u00edrovaly. Bylo by to i\u00a0spravedliv\u00e9 v\u016f\u010di l\u00e9ka\u0159\u016fm. Ti \u0161ikovn\u00ed si toti\u017e v\u00a090. letech nabrali mlad\u00e9 pacienty, kte\u0159\u00ed nemarod\u00ed, \u010di je p\u0159edpoklad, \u017ee jsou zdrav\u00ed. <\/span>A\u00a0na ty ostatn\u00ed zbyli d\u016fchodci, kte\u0159\u00ed je zat\u011b\u017euj\u00ed n\u00e1klady. Pokud by to kop\u00edrovalo ur\u010dit\u00fd obvod, byla by struktura pacient\u016f p\u0159irozen\u011b spravedliv\u00e1.<\/span><\/p>\r\n

Jak velkou roli v\u00a0dne\u0161n\u00edm syst\u00e9mu\u00a0zdravotnictv\u00ed hraj\u00ed zdravotn\u00ed poji\u0161\u0165ovny?<\/span><\/strong>
\r\nObrovskou. Poji\u0161\u0165ovny n\u00e1m stanovuj\u00ed limit preskripce i\u00a0zdravotn\u00edho materi\u00e1lu\u2026 v\u00a0podstat\u011b n\u00e1m ur\u010duj\u00ed, jak m\u00e1me l\u00e9\u010dit, kolik a\u00a0jak\u00e9 l\u00e9ky m\u016f\u017eeme p\u0159edepsat, nemocnice maj\u00ed zase limity na po\u010det operac\u00ed. Tak\u017ee i\u00a0kdyby m\u011bla nemocnice na operaci kapacitu, p\u0159i p\u0159ekro\u010den\u00ed limitu operovat nem\u016f\u017ee, proto\u017ee by byla poji\u0161\u0165ovnou potrestan\u00e1 regresn\u00edm koeficientem, kter\u00fd nepokryje ani n\u00e1klady t\u00e9 operace. To je samoz\u0159ejm\u011b \u0161patn\u011b. Bohu\u017eel tu chyb\u00ed syst\u00e9m a\u00a0nikdo do- dne\u0161ka \u017e\u00e1dn\u00fd jednozna\u010dn\u00fd nepostavil.<\/span><\/p>\r\n

Co v\u0161echno v tom syst\u00e9mu chyb\u00ed?<\/strong>
\r\nDodne\u0161ka nap\u0159\u00edklad neexistuj\u00ed jasn\u00e9 a\u00a0p\u0159esn\u00e9 standardy zdravotn\u00ed p\u00e9\u010de, tedy popis, jak by m\u011bl l\u00e9ka\u0159 postupovat. Dal\u0161\u00ed v\u011bc\u00ed jsou cen\u00edky\u00a0\u2013 ka\u017ed\u00fd l\u00e9ka\u0159 si d\u011bl\u00e1 cen\u00edk podle sebe\u00a0\u2013 kdy\u017e si p\u016fjdete pro \u0159idi\u010d\u00e1k, jeden l\u00e9ka\u0159 m\u00e1 potvrzen\u00ed za 250 korun, dal\u0161\u00ed za 350 a\u00a0n\u011bkdo za 400. Ka\u017ed\u00e1 poji\u0161\u0165ovna m\u00e1 jinou metodiku administrace plateb, jin\u00e9 formul\u00e1\u0159e, jin\u00fd zp\u016fsob vy\u00fa\u010dtov\u00e1n\u00ed. A\u00a0proto\u017ee my m\u00e1me smlouvy se v\u0161emi poji\u0161\u0165ovnami, tak po\u0159\u00e1d mus\u00edte p\u0159ep\u00ednat, je to slo\u017eit\u00e9. V\u00fdkon l\u00e9ka\u0159e je ohodnocen bodem, bod m\u00e1 jakousi hodnotu, korunovou, to se m\u011bn\u00ed, mus\u00edte sledovat a\u00a0p\u0159epo\u010d\u00edt\u00e1vat\u00a0\u2013 i\u00a0to m\u00e1 ka\u017ed\u00e1 poji\u0161\u0165ovna jinak, tak\u017ee v\u00a0tom vl\u00e1dne um\u011ble vytvo\u0159en\u00fd chaos, aby se v\u00a0tom vlastn\u011b nikdo nevyznal. P\u0159itom nejjednodu\u0161\u0161\u00ed by bylo, aby nap\u0159\u00edklad operace slep\u00e9ho st\u0159eva st\u00e1la 5000 korun, a\u0165 je to jak\u00e1koliv poji\u0161\u0165ovna. Poji\u0161\u0165ovny nav\u00edc plat\u00ed r\u016fzn\u00fdm nemocnic\u00edm r\u016fzn\u00e9 \u010d\u00e1stky za stejn\u00fd <\/span>v\u00fdkon\u00a0\u2013 stejn\u00e1 v\u011bc se ve vinohradsk\u00e9 nemocnici odoperuje za 10 tis\u00edc, kde\u017eto na Franti\u0161ku za to od poji\u0161\u0165ovny dostanou 8 tis\u00edc.<\/span><\/p>\r\n

Jak je tohle mo\u017en\u00e9?<\/span><\/strong>
\r\nNikdo v\u00e1m to po\u0159\u00e1dn\u011b nezd\u016fvodn\u00ed, jednodu\u0161e v\u00e1m \u0159eknou, \u017ee n\u00e1klady vinohradsk\u00e9 nemocnice jsou prost\u011b vy\u0161\u0161\u00ed. Vy jako za\u0159\u00edzen\u00ed moc mo\u017enost\u00ed s\u00a0poji\u0161\u0165ovnou vyjedn\u00e1vat nem\u00e1te\u00a0\u2013 bu\u010f podep\u00ed\u0161ete jejich smlouvu, nebo ne, t\u011b\u017eko se m\u016f\u017eete br\u00e1nit. Poji\u0161\u0165ovna rozhoduje o\u00a0v\u0161em a\u00a0ministerstvo zdravotnictv\u00ed, kter\u00e9 m\u00e1 poji\u0161\u0165ovny na starosti a\u00a0<\/span>mohlo by na n\u011b kleknout, to z\u00a0n\u011bjak\u00fdch d\u016fvod\u016f ud\u011blat nechce. Tak\u017ee zdravotn\u00ed poji\u0161\u0165ovny jsou dneska kingov\u00e9, kte\u0159\u00ed to tu \u0159\u00edd\u00ed, proto\u017ee maj\u00ed zdroje.<\/span><\/p>\r\n

Sta\u010dila by podle v\u00e1s jedna poji\u0161\u0165ovna?<\/strong>
\r\n<\/span>Naprosto, on by toti\u017e za\u010dal b\u00fdt po\u0159\u00e1dek a\u00a0p\u0159ehled, ale to asi bohu\u017eel nikdo nechce. Zdravotnictv\u00ed je toti\u017e takov\u00fd super \u0161t\u00edt, za kter\u00fd se schov\u00e1 \u00fapln\u011b v\u0161echno\u00a0\u2013 to m\u00e1te tot\u00e9\u017e jako handicapovan\u00e9 d\u011bti, kter\u00e9 kdy\u017e vystr\u010d\u00edte v\u00a0televizi, v\u0161ichni zjihnou a\u00a0odsouhlas\u00ed cokoliv. A\u00a0to sam\u00e9 plat\u00ed u\u00a0zdrav\u00ed. Ostatn\u011b st\u00e1t u\u017e dvakr\u00e1t celost\u00e1tn\u011b oddlu\u017eil v\u0161echny nemocnice, dvakr\u00e1t se ud\u011blala tlust\u00e1 \u010d\u00e1ra. P\u0159itom je to \u010dasto z\u00e1le\u017eitost managementu. Pokud si veden\u00ed nemocnice nasmlouv\u00e1 firmu, kter\u00e1 bude za 20 milion\u016f ro\u010dn\u011b ukl\u00edzet nemocnici, pak se nem\u016f\u017ee divit, \u017ee mu ty pen\u00edze chyb\u011bj\u00ed v\u00a0syst\u00e9mu. Poliklinika ve Sp\u00e1len\u00e9 m\u011bla 5 n\u00e1m\u011bstk\u016f \u0159editele a\u00a0dal\u0161\u00edch 16 darmo\u017erout\u016f. My jsme u\u00a0<\/span>n\u00e1s v\u00a0poliklinice t\u0159i, zkumulovali jsme funkce a\u00a0d\u011bl\u00e1me v\u0161e\u00a0\u2013 n\u00e1s toti\u017e \u017eiv\u00ed sv\u00fdmi v\u00fdkony ti l\u00e9ka\u0159i, ale ve \u0161pit\u00e1lech jim je to jedno, pen\u00edze p\u0159ite\u010dou\u2026<\/span><\/p>\r\n

Tak\u017ee kdy\u017e se vr\u00e1t\u00edm ke sv\u00e9 \u00favodn\u00ed ot\u00e1zce, silnou str\u00e1nkou tohoto syst\u00e9mu je, \u017ee st\u00e1le je\u0161t\u011b m\u016f\u017eeme chodit k\u00a0l\u00e9ka\u0159i\u2026<\/span><\/strong>
\r\nAno, p\u0159esn\u011b tak, \u017ee je\u0161t\u011b n\u011bjak\u00e9ho l\u00e9ka\u0159e najdete. Zapla\u0165 p\u00e1nb\u016fh, \u017ee byli na radnici Prahy 7 rozumn\u00ed lid\u00e9, kte\u0159\u00ed pochopili, \u017ee pokud cht\u011bj\u00ed n\u011bco konkr\u00e9tn\u00edho ud\u011blat v\u00a0oblasti zdravotnictv\u00ed pro sv\u00e9 ob\u010dany, tak mus\u00ed polikliniku zachovat. \u0158ada lid\u00ed to st\u00e1le je\u0161t\u011b nedocenila. V\u00a0jin\u00fdch \u010d\u00e1stech Prahy jsou p\u0159itom lid\u00e9 ne\u0161\u0165astn\u00ed. Tam toti\u017e soukromn\u00edk p\u0159esv\u011bd\u010dil radn\u00ed, \u017ee pokud zdravotnick\u00e1 za\u0159\u00edzen\u00ed zprivatizuj\u00ed, bude to lep\u0161\u00ed. Radn\u00ed si \u0159ekli: Zdravotnictv\u00ed, toho se rad\u0161i zbavme, to je sam\u00fd pr\u016f\u0161vih, a\u00a0kdy\u017e to bude provozovat soukromn\u00edk, m\u016f\u017eeme v\u017edycky \u0159\u00edct: To ne my, to ta firma.<\/span><\/p>\r\n

Priv\u00e1tn\u00ed polikliniky tedy podle v\u00e1s nefunguj\u00ed?<\/strong>
\r\n<\/span>Funguj\u00ed, ale ti soukromn\u00edci si tam nechali jen ty odbornosti, kter\u00e9 vyd\u011bl\u00e1vaj\u00ed, jako nap\u0159\u00edklad gynekologov\u00e9, zuba\u0159i a\u00a0kardiologie, a\u00a0<\/span>zbytek zlikvidovali. Voln\u00e9 ordinace pak pronaj\u00edmaj\u00ed soukromn\u00edk\u016fm, berou od nich n\u00e1jem, o\u00a0nic se nestaraj\u00ed a\u00a0v\u0161echny odbornosti samoz\u0159ejm\u011b nemaj\u00ed.<\/span><\/p>\r\n

Jak\u00e9 odbornosti v\u00a0Praze moment\u00e1ln\u011b chyb\u011bj\u00ed?<\/strong>
\r\n<\/span>V\u00a0Praze chyb\u011bj\u00ed v\u00a0podstat\u011b v\u0161echny odbornosti\u00a0\u2013 podstav je v\u0161ude\u00a0\u2013 nejsou atestovan\u00ed l\u00e9ka\u0159i, co\u017e byl ze za\u010d\u00e1tku z\u00e1m\u011br star\u0161\u00edch l\u00e9ka\u0159\u016f, aby atestace trvala co nejd\u00e9le. V\u00a0ran\u00fdch f\u00e1z\u00edch divok\u00e9ho kapitalismu v\u00a090. letech, kdy to nikdo nekontroloval, zbohatli n\u011bkte\u0159\u00ed l\u00e9ka\u0159i doslova p\u0159es noc. Dnes cel\u00e1 \u0159ada z\u00a0nich vlastn\u00ed sv\u00e1 sanatoria, polikliniky, za\u0159\u00edzen\u00ed, kter\u00e1 pasou, proto\u017ee u\u017e tam maj\u00ed jin\u00e9, kte\u0159\u00ed pro n\u011b pracuj\u00ed. Zn\u00e1m n\u011bkter\u00e9 osobn\u011b, maj\u00ed se dob\u0159e. V\u00edte, vlastn\u011b zn\u00e1m jen jednoho chud\u00e9ho doktora, jmenuje se Gal\u00e9n a\u00a0je <\/span>z\u00a0B\u00edl\u00e9 nemoci od Karla \u010capka (sm\u00edch). Ale v\u00e1\u017en\u011b, opravdu je nedostatek atestovan\u00fdch l\u00e9ka\u0159\u016f\u00a0\u2013 tu jednu celou generaci jen tak nedo\u017eenete.<\/span><\/p>\r\n

Atestace te\u010f mlad\u00e9mu l\u00e9ka\u0159i trv\u00e1 7 let\u2026<\/strong>
\r\n<\/span>Ano, nav\u00edc vznikly nejr\u016fzn\u011bj\u0161\u00ed u\u010den\u00e9 spole\u010dnosti a\u00a0asociace\u00a0\u2013 ka\u017ed\u00e1 odbornost m\u00e1 svou nebo dokonce n\u011bkolik\u00a0\u2013 a\u00a0ty do toho za\u010daly mluvit. D\u0159\u00edv d\u011blali studenti zkou\u0161ky v\u00a0r\u00e1mci studia intern\u00edho l\u00e9ka\u0159stv\u00ed\u00a0\u2013 jeden rok z\u00a0revmatologie, pak zase z\u00a0diabetologie, te\u010f se na v\u0161echno vytvo\u0159ily spole\u010dnosti, kter\u00e9 tomu p\u0159ipisuj\u00ed nesm\u00edrn\u00fd v\u00fdznam. V\u00a0r\u00e1mci neurologie m\u00e1te najednou asociaci na bolesti hlavy, jako speci\u00e1ln\u00ed podobor, v\u0161ichni se k\u00a0n\u011b\u010demu vyjad\u0159uj\u00ed. T\u00edm se v\u0161e \u00fapln\u011b rozdrobilo, za\u010dal zmatek.<\/span><\/p>\r\n

Co by podle v\u00e1s nedostatek l\u00e9ka\u0159\u016f pomohlo vy\u0159e\u0161it?<\/span><\/strong>
\r\n<\/span>Mysl\u00edm, \u017ee by sta\u010dilo, kdyby zdravotn\u00ed poji\u0161\u0165ovna ve smlouv\u011b s\u00a0l\u00e9ka\u0159em po\u017eadovala, aby l\u00e9ka\u0159 odslou\u017eil v\u00a0nemocnici n\u011bkolik slu\u017eeb. Psal jsem to p\u0159ed rokem \u0159editeli VZP, \u017ee by m\u011bl takto podmi\u0148ovat smlouvy s\u00a0l\u00e9ka\u0159i. Nebo by pomohlo, kdyby se obnovily pohotovosti\u00a0\u2013 tak jak existovaly d\u0159\u00edv, i\u00a0to by nemocnic\u00edm dost odleh\u010dilo.<\/span><\/p>\r\n

V\u00a0nemocnic\u00edch jsou l\u00e9ka\u0159i obzvl\u00e1\u0161\u0165 p\u0159et\u00ed\u017een\u00ed\u2026<\/strong>
\r\n<\/span>Ano, je jich tam m\u00e1lo, a\u00a0je to op\u011bt t\u00edm, \u017ee vymizely ty klasick\u00e9 polikliniky. Lid\u00e9 si dnes zvykli jet rovnou do nemocnice, na v\u0161echno si nav\u00edc volaj\u00ed z\u00e1chranku RTZ a\u00a0dostanou se na \u0159adu hned. D\u0159\u00edv ten syst\u00e9m fungoval tak, \u017ee ka\u017ed\u00fd m\u011bl sv\u00e9ho praktick\u00e9ho, tehdy obvodn\u00edho l\u00e9ka\u0159e\u00a0\u2013 mohl se vlastn\u011b naz\u00fdvat rodinn\u00fd l\u00e9ka\u0159, proto\u017ee znal celou rodinu. Znal sv\u016fj obvod, znal i\u00a0soci\u00e1ln\u00ed pot\u0159eby t\u011bch lid\u00ed\u00a0\u2013 co\u017e je d\u016fle\u017eit\u00e9 pro soci\u00e1ln\u00ed slu\u017eby, proto\u017ee ono se to prol\u00edn\u00e1. A\u00a0teprve v\u00e1\u0161 l\u00e9ka\u0159 v\u00e1m dal doporu\u010den\u00ed ke specialistovi na polikliniku <\/span>a\u00a0ten pak rozhodl, zda se to d\u00e1 l\u00e9\u010dit ambulantn\u011b, nebo je pot\u0159eba \u0161pit\u00e1l. Dnes se tohle cel\u00e9 rozpadlo. K\u00a0n\u00e1m chod\u00ed nap\u0159\u00edklad pacienti a\u00a0cht\u011bj\u00ed napsat l\u00e9ky, proto\u017ee jejich praktick\u00fd l\u00e9ka\u0159 si odjel na dovolenou a\u00a0ani nenapsal, kdo jej zastupuje.<\/span><\/p>\r\n

Existuje na takov\u00e9ho l\u00e9ka\u0159e n\u011bjak\u00e1 p\u00e1ka?<\/strong>
\r\n<\/span>Bohu\u017eel ne\u00a0\u2013 jedin\u011b poji\u0161\u0165ovna, kter\u00e1 by mu mohla vypov\u011bd\u011bt smlouvu. V\u00a0tu chv\u00edli by ale byla povinna zajistit n\u00e1hradn\u00edho l\u00e9ka\u0159e, a\u00a0pro\u010d by si \u00fa\u0159edn\u00edci na poji\u0161\u0165ovn\u011b d\u011blali probl\u00e9m, \u017ee ano\u2026 Ten syst\u00e9m dnes toleruje prakticky v\u0161echno. Na druhou stranu je pot\u0159eba zd\u016fraznit, \u017ee u\u017e nen\u00ed takov\u00fd chaos, jak\u00fd byl, bylo to toti\u017e mnohem hor\u0161\u00ed\u2026 (sm\u00edch)<\/span><\/p>\r\n

Tak\u017ee poji\u0161\u0165ovny dnes nemaj\u00ed odpov\u011bdnost za s\u00ed\u0165 l\u00e9ka\u0159\u016f?<\/span><\/strong>
\r\n<\/span>Ne, dneska si p\u0159ijde pacient post\u011b\u017eovat na m\u011bstskou \u010d\u00e1st a\u00a0oni ho pos\u00edlaj\u00ed na poji\u0161\u0165ovnu.<\/span> J\u00e1 bych na poji\u0161\u0165ovny p\u0159ehodil \u00fapln\u011b v\u0161echno\u00a0\u2013 tedy odpov\u011bdnost za s\u00ed\u0165 zdravotnick\u00fdch za\u0159\u00edzen\u00ed i\u00a0za po\u010det odbornost\u00ed ve sp\u00e1dov\u00fdch oblastech. M\u011bstsk\u00e9 \u010d\u00e1sti by pak vykon\u00e1valy metodickou, kontroln\u00ed a\u00a0sank\u010dn\u00ed \u010dinnost i\u00a0v\u016f\u010di poji\u0161\u0165ovn\u00e1m, aby je n\u011bkdo hl\u00eddal\u00a0\u2013 pak by to kone\u010dn\u011b d\u00e1valo smysl.<\/span><\/p>\r\n

Co je\u0161t\u011b by se v\u00a0\u010desk\u00e9m zdravotnictv\u00ed\u00a0m\u011blo p\u0159enastavit?<\/span><\/strong>
\r\n<\/span>Cht\u011blo by to syst\u00e9movou zm\u011bnu, kter\u00e1 by m\u011bla p\u0159ij\u00edt z\u00a0ministerstva, d\u00edl\u010d\u00ed zm\u011bny se d\u011blaj\u00ed, ale jde to hrozn\u011b pomalu. Ztr\u00e1ty v\u00a0syst\u00e9mu jsou p\u0159itom nebety\u010dn\u00e9. L\u00e9ky, l\u00e9kov\u00e1 politika a\u00a0farmaceutick\u00e1 lobby, to je kapitola sama pro sebe. Ro\u010dn\u011b ze syst\u00e9mu p\u0159ijde vnive\u010d cca 30 miliard, p\u0159edepisuj\u00ed se l\u00e9ky, kter\u00e9 jsou zbyte\u010dn\u00e9, nevyu\u017eij\u00ed se, nevrac\u00ed se, p\u0159edepisuj\u00ed se l\u00e9ky, kter\u00e9 jsou voln\u011b prodejn\u00e9. Ka\u017ed\u00fd st\u00fd recept je fale\u0161n\u00fd. Ztr\u00e1ty jsou ve spot\u0159ebn\u00edm zdravotn\u00edm materi\u00e1lu a\u00a0v\u00a0<\/span>dal\u0161\u00edch zak\u00e1zk\u00e1ch, kter\u00e9 jsou mnohdy p\u0159edra\u017een\u00e9. J\u00e1 jsem to vy\u010d\u00edslil na 80 miliard ro\u010dn\u011b. Ta chobotnice, kter\u00e1 za tu dobu vyrostla, je \u0161\u00edlen\u00e1, useknete jedno chapadlo a\u00a0narostou dv\u011b. Nad t\u00edm se ned\u00e1 vyhr\u00e1t\u00a0\u2013 m\u016f\u017eete si ud\u011blat po\u0159\u00e1dek v\u00a0mal\u00e9m ranku, ale do ni\u010deho v\u011bt\u0161\u00edho nem\u00e1 smysl se pou\u0161t\u011bt, proto\u017ee v\u00e1s bu\u010f zabijou, nebo dehonestuj\u00ed. N\u00e1s se to na\u0161t\u011bst\u00ed net\u00fdk\u00e1, my jsme mal\u00e9 sousto, pohybujeme se do 10 milion\u016f korun. (sm\u00edch)<\/span><\/p>\r\n

P\u0159ijal byste nab\u00eddku na ministra zdravotnictv\u00ed?<\/strong>
\r\n<\/span>Ur\u010dit\u011b ne, v\u00a0tomhle v\u011bku u\u017e ne, to bych se musel zbl\u00e1znit. Jedin\u011b jako poradce.<\/span><\/p>\r\n

Jakou m\u00e1te zku\u0161enost se zdravotn\u00ed p\u00e9\u010d\u00ed vy s\u00e1m?<\/strong>
\r\n<\/span>Ned\u00e1vno jsem le\u017eel v\u00a0Motole, to je fabrika, tam jste kus, kde v\u00e1m perfektn\u011b ud\u011blaj\u00ed \u0159ezni\u010dinu. Ale jinak je to zcela neosobn\u00ed z\u00e1le\u017eitost. M\u00e1me modern\u00ed p\u0159\u00edstroje, vy\u0161kolen\u00e9 lidi, kte\u0159\u00ed ud\u011blaj\u00ed svoje, ale zbytek je nezaj\u00edm\u00e1. Celkov\u011b je probl\u00e9m v\u00a0tom, \u017ee je zdravotnictv\u00ed zcela odpojen\u00e9 od soci\u00e1ln\u00edch slu\u017eeb. N\u00e1sledn\u00e1 p\u00e9\u010de je mizern\u00e1.<\/span><\/p>\r\n

I\u00a0tohle byste cht\u011bl v\u00a0r\u00e1mci va\u0161\u00ed koncepce pra\u017esk\u00e9ho zdravotnictv\u00ed zm\u011bnit\u2026<\/span><\/strong>
\r\n<\/span>Ano, v\u00a0r\u00e1mci pra\u017esk\u00e9 koncepce, kterou jsem navrhoval, bych cht\u011bl v\u00edce vyu\u017e\u00edt nemocnici n\u00e1sledn\u00e9 p\u00e9\u010de ve Vyso\u010danech \u010di nov\u00e9 rehabilita\u010dn\u00ed odd\u011blen\u00ed, kter\u00e9 ned\u00e1vno vzniklo v\u00a0Nemocnici Na Franti\u0161ku. Lidi je pot\u0159eba z\u00a0nemocnic propou\u0161t\u011bt u\u017e sob\u011bsta\u010dn\u00e9, a\u00a0uzav\u00edrat tak kruh.<\/span><\/p>\r\n

A\u00a0jak si vlastn\u011b stoj\u00ed pra\u017esk\u00e9 zdravotnictv\u00ed?<\/strong>
\r\n<\/span>Nic takov\u00e9ho zat\u00edm bohu\u017eel neexistuje. Magistr\u00e1t provozuje n\u011bkolik za\u0159\u00edzen\u00ed, krom\u011b ji\u017e zm\u00edn\u011bn\u00e9 nemocnice ve Vyso\u010danech t\u0159eba polikliniku ve Sp\u00e1len\u00e9, rehabilita\u010dn\u00ed st\u0159edisko pro d\u011bti a\u00a0ml\u00e1de\u017e v\u00a0Kr\u010di, protialkoholn\u00ed l\u00e9\u010debnou stanici a\u00a0pak samoz\u0159ejm\u011b Z\u00e1chrannou stanici hlavn\u00edho m\u011bsta Prahy. To v\u0161e spolu <\/span>s\u00a0na\u0161\u00ed poliklinikou by se m\u011blo v\u00a0n\u011bjak\u00e9m horizontu slou\u010dit dohromady. Vznikl by tak prov\u00e1zan\u00fd efektivn\u00ed syst\u00e9m, nav\u00edc by se pak mohlo uva\u017eovat i\u00a0o\u00a0z\u00edsk\u00e1n\u00ed nemocnice Bulovka, kde hlavn\u00ed m\u011bsto Praha vlastn\u00ed n\u011bjak\u00e9 budovy a\u00a0pozemky, ale provozuje ji st\u00e1t. Bulovka je ale moment\u00e1ln\u011b v\u00a0zoufal\u00e9m stavu, p\u0159i\u0161la dokonce o\u00a0ozna\u010den\u00ed fakultn\u00ed, co\u017e je pro ka\u017edou nemocnici ot\u00e1zka presti\u017ee, a\u00a0mysl\u00edm, \u017ee by si zaslou\u017eila, aby se j\u00ed n\u011bkdo zodpov\u011bdn\u011b ujal. Sp\u00ed\u0161 ne\u017e aby se budovala nov\u00e1 nemocnice na zelen\u00e9 louce v\u00a0Let\u0148anech. To je podobn\u00e1 hloupost, jako kdy\u017e chce \u010cunek vybudovat novou nemocnici m\u00edsto rekonstrukce st\u00e1vaj\u00edc\u00ed Nemocnice Tom\u00e1\u0161e Bati\u00a0\u2013 j\u00e1 v\u00a0<\/span>tom vid\u00edm \u00fa\u010delov\u00fd politick\u00fd lobbing.<\/span><\/p>\r\n

Sou\u010d\u00e1st\u00ed pra\u017esk\u00e9ho syst\u00e9mu by m\u011bla b\u00fdt i\u00a0Nemocnice Na Franti\u0161ku.<\/span><\/strong>
\r\n<\/span>Ano, tu se na\u0161t\u011bst\u00ed i\u00a0d\u00edky na\u0161emu starostovi poda\u0159ilo zachr\u00e1nit. Minul\u00e9 veden\u00ed Prahy 1 ji toti\u017e cht\u011blo pronajmout soukrom\u00e9 spole\u010dnosti. Nav\u00edc ta smlouva nov\u00e9mu majiteli slibovala pravidelnou dotaci ve v\u00fd\u0161i 60 milion\u016f korun. Kdy\u017e jsem tehdy tu smlouvu vid\u011bl, \u0159\u00edkal jsem si, \u017ee si to koup\u00edm s\u00e1m. Byl by to klasick\u00fd sc\u00e9n\u00e1\u0159: p\u00e9\u010de by se odtud postupn\u011b vytr\u00e1cela, a\u017e by se to cel\u00e9 p\u0159estav\u011blo t\u0159eba na hotel\u00a0\u2013 je to lukrativn\u00ed parcela. Nemocnice v\u00a0centru je samoz\u0159ejm\u011b v\u00fdhoda. M\u011blo by se tam obnovit ARO, vy\u0161perkovat by se m\u011bla tamn\u00ed chirurgie s\u00a0ortopedi\u00ed, a\u00a0hlavn\u011b by tu mohla m\u00edt s\u00eddlo pra\u017esk\u00e1 z\u00e1chranka, aby se nejezdilo po v\u0161ech \u010dertech.<\/span><\/p>\r\n

Kam v\u0161ude dnes z\u00e1chranka jezd\u00ed?<\/strong>
\r\n<\/span>Divila byste se, ale Praha nap\u0159\u00edklad nem\u00e1 svoji tlakovou komoru, kter\u00e1 dok\u00e1\u017ee vy\u0159e\u0161it otravy kysli\u010dn\u00edkem uhelnat\u00fdm. Jedna v\u00a0Praze sice je, ale tu m\u00e1 st\u0159e\u0161ovick\u00e1 nemocnice, a\u00a0to pouze pro strategick\u00e9 pot\u0159eby, tak\u017ee ji neprop\u016fj\u010d\u00ed. Dal\u0161\u00ed je v\u00a0<\/span>Kladn\u011b, tu ale provozuje soukromn\u00edk, pot\u00e1p\u011b\u010d, kter\u00fd je v\u011bt\u0161inou v\u00a0Karibiku, tak\u017ee pak mus\u00ed pra\u017esk\u00e9 sanitky vozit tyto p\u0159\u00edpady a\u017e do ji\u017en\u00edch \u010cech. Jedna komora by se v\u00a0Praze ur\u010dit\u011b osv\u011bd\u010dila. Nech\u00e1pu, pro\u010d tu u\u017e d\u00e1vno nen\u00ed. V\u0161ichni to v\u011bd\u00ed, ale nikdo to ne\u0159e\u0161\u00ed\u2026<\/span><\/p>\r\n

Jak se v\u00e1m na polikliniku da\u0159\u00ed sh\u00e1n\u011bt l\u00e9ka\u0159e?<\/strong>
\r\n<\/span>Mus\u00edm to zaklepat, ale zat\u00edm se mi to docela da\u0159\u00ed. Ned\u00e1vno jsme p\u0159ijali novou neurolo\u017eku, kter\u00e1 bydl\u00ed v\u00a0Praze 7. M\u00e1me v\u00fdbornou l\u00e9ka\u0159ku v\u00a0procesu atestace, a\u00a0to v\u00a0oboru diabetologie\/endokrinologie, to m\u00e1 m\u00e1lokdo. Spousta lid\u00ed tak\u00e9 nev\u00ed, \u017ee u\u00a0n\u00e1s m\u00e1me rentgen a\u00a0sono. A\u00a0<\/span>zat\u00edmco t\u0159eba na Bulovce je \u010dekac\u00ed doba t\u00fdden, u\u00a0n\u00e1s v\u00e1s objedn\u00e1me do dvou dn\u016f. Moment\u00e1ln\u011b bychom pot\u0159ebovali diabetologa\u00a0\u2013 proto\u017ee diabetes je na vzestupu, a\u00a0to v\u00a0cel\u00e9 republice, pacient\u016f diabetik\u016f p\u0159ib\u00fdv\u00e1.<\/span><\/p>\r\n

V\u011bnuj\u00ed se podle v\u00e1s l\u00e9ka\u0159i pacient\u016fm dostate\u010dn\u011b?<\/span><\/strong>
\r\n<\/span>Z\u00e1le\u017e\u00ed samoz\u0159ejm\u011b l\u00e9ka\u0159 od l\u00e9ka\u0159e. Zn\u00e1m doktora, kter\u00fd ordinuje, zat\u00edmco pacient stoj\u00ed mezi dve\u0159mi: Kolik chcete napsat t\u00e9 nemocensk\u00e9\u00a0\u2013 5 dn\u00ed? V\u00edte, dokto\u0159i jsou taky jenom lidi, u\u00a0<\/span>n\u011bkter\u00fdch postr\u00e1d\u00e1m komplexn\u00ed p\u0159\u00edstup. \u010casto jsou vyhran\u011bn\u00ed odbornost\u00ed\u00a0\u2013 poslechnou si srdce, ale nic dal\u0161\u00edho je nezaj\u00edm\u00e1. Dokto\u0159i a\u00a0jednotliv\u00e1 za\u0159\u00edzen\u00ed tak\u00e9 m\u00e1lo spolupracuj\u00ed, naopak si jdou po krku a\u00a0pomlouvaj\u00ed se\u00a0\u2013 to jsou pro m\u011b zcela nepochopiteln\u00e9 v\u011bci.<\/span><\/p>\r\n

Abychom netepali jen do syst\u00e9mu a\u00a0l\u00e9ka\u0159\u016f\u00a0\u2013 jak\u00fd je \u010desk\u00fd pacient?<\/span><\/strong>
\r\n<\/span>Hrozn\u011b zh\u00fd\u010dkan\u00fd. U\u00a0<\/span>n\u00e1s chod\u00edme k\u00a0l\u00e9ka\u0159i asi \u0161estkr\u00e1t \u010dast\u011bji ne\u017e v\u00a0ostatn\u00edch st\u00e1tech. \u010cesk\u00fd pacient je velmi bolest\u00ednsk\u00fd a\u00a0pr\u00e1\u0161ka\u0159. Na\u0161e socialistick\u00e9 zdravotnictv\u00ed bylo velmi pl\u00fdtvav\u00e9, takov\u00fd byzantsk\u00fd syst\u00e9m, a\u00a0tak jsme si na \u010dast\u00e9 n\u00e1v\u0161t\u011bvy p\u0159ivykli. I\u00a0nemocnost je u\u00a0n\u00e1s enormn\u00ed. Ono se to toti\u017e vyplat\u00ed. T\u00edm, \u017ee se nyn\u00ed znovu prosadilo placen\u00ed prvn\u00edch t\u0159\u00ed dn\u016f, tak to povede jen ke zv\u00fd\u0161en\u00ed nemocnosti. No a\u00a0samoz\u0159ejm\u011b nejlep\u0161\u00ed je nechat se zav\u00e9zt sanitkou a\u00a0pak zjistit, \u017ee m\u00e1m zara\u017een\u00e9 v\u011btry.<\/span><\/p>\r\n

V\u00edme jako pacienti, na co m\u00e1me n\u00e1rok?<\/strong>
\r\n<\/span>Bohu\u017eel dodne\u0161ka to nikdo jasn\u011b nesepsal. Nap\u0159\u00edklad \u0159ada lid\u00ed nev\u00ed, \u017ee povinnost\u00ed ka\u017ed\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e je v\u00e1s v\u00a0<\/span>p\u0159\u00edpad\u011b pot\u0159eby nav\u0161t\u00edvit doma, a\u00a0mnoho l\u00e9ka\u0159\u016f to ani nenab\u00edz\u00ed. Pak je tu samoz\u0159ejm\u011b n\u00e1rok na preventivn\u00ed prohl\u00eddky\u00a0\u2013 u\u00a0praktick\u00e9ho l\u00e9ka\u0159e, u\u00a0zuba\u0159e.<\/span><\/p>\r\n

Na ty ale moc nechod\u00edme\u2026<\/strong>
\r\n<\/span>Bohu\u017eel a\u00a0nejv\u00edc to podce\u0148uj\u00ed \u017eeny v\u00a0oblasti gynekologie, p\u0159itom maj\u00ed od poji\u0161\u0165ovny hrazenou jednu preventivn\u00ed prohl\u00eddku ro\u010dn\u011b. My je sice vyz\u00fdv\u00e1me, ale to je to jedin\u00e9, co s\u00a0t\u00edm m\u016f\u017eeme ud\u011blat. N\u00e1klady na zanedbanou nemoc jsou posl\u00e9ze samoz\u0159ejm\u011b mnohem vy\u0161\u0161\u00ed.<\/span><\/p>\r\n

S\u00a0ohledem na st\u00e1rnut\u00ed \u010desk\u00e9 populace se zd\u00e1, \u017ee je nav\u00edc cel\u00fd syst\u00e9m dost neudr\u017eiteln\u00fd.<\/span><\/strong>
\r\n<\/span>To m\u00e1te pravdu. S\u00e1m jsem navrhoval spolu\u00fa\u010dast d\u016fchodc\u016f na zdravotn\u00edm poji\u0161t\u011bn\u00ed. Pokud by se dodr\u017eovala valorizace d\u016fchod\u016f, byl bych pro, abychom se pod\u00edleli na platb\u00e1ch. Cena v\u00fdkonu, kter\u00fd absolvujeme ve st\u00e1\u0159\u00ed, toti\u017e n\u011bkolikr\u00e1t p\u0159evy\u0161uje sumu, kterou jsme do syst\u00e9mu za cel\u00fd \u017eivot p\u0159isp\u011bli. <\/span><\/p>\r\n

\r\n

PhDr. Josef Du\u0161ek<\/span> se narodil v\u00a0Horce nad Moravou v\u00a0Olomouck\u00e9m kraji. Vystudoval Filozofickou fakultu Univerzity Palack\u00e9ho v\u00a0Olomouci, obor v\u00fdchova
\r\na\u00a0vzd\u011bl\u00e1v\u00e1n\u00ed dosp\u011bl\u00fdch, se specializac\u00ed teorie \u0159\u00edzen\u00ed a\u00a0sociologie. V\u00a0roce 2015 se stal \u0161\u00e9fem Polikliniky Prahy 7, tehdy je\u0161t\u011b pod n\u00e1zvem Sdru\u017een\u00e1 ambulantn\u00ed za\u0159\u00edzen\u00ed Praha 7. Od radnice doslal nelehk\u00e9 zad\u00e1n\u00ed\u00a0\u2013 modernizovat prost\u0159ed\u00ed polikliniky, zlep\u0161it kvalitu slu\u017eeb, a\u00a0to v\u0161e za sou\u010dasn\u00e9ho zlep\u0161en\u00ed hospoda\u0159en\u00ed. V\u00fdsledkem jeho pr\u00e1ce je prom\u011bna polikliniky v\u00a0modern\u00ed za\u0159\u00edzen\u00ed, kter\u00e9 dnes slou\u017e\u00ed ob\u010dan\u016fm <\/span>v\u00a0rekonstruovan\u00e9 budov\u011b na rohu ulic Milady Hor\u00e1kov\u00e9 a\u00a0Franti\u0161ka
\r\nK\u0159\u00ed\u017eka. S\u00a0nasazen\u00edm sob\u011b vlastn\u00edm bojoval proti <\/span>privatizaci Nemocnice Na Franti\u0161ku v\u00a0Praze <\/span>1 a\u00a0byl velk\u00fdm propag\u00e1torem jej\u00ed spolupr\u00e1ce s\u00a0dal\u0161\u00edmi zdravotnick\u00fdmi za\u0159\u00edzen\u00edmi. Sv\u00fdmi my\u0161lenkami inspiroval i\u00a0veden\u00ed magistr\u00e1tu, kter\u00e9 moment\u00e1ln\u011b pracuje na vzniku konsorcia m\u011bstsk\u00fdch zdravotnick\u00fdch za\u0159\u00edzen\u00ed. Jeho centrem se m\u00e1 st\u00e1t pr\u00e1v\u011b Nemocnice Na Franti\u0161ku, kde Josef Du\u0161ek loni v\u00a0listopadu zem\u0159el. V\u00a0soukrom\u00e9m \u017eivot\u011b byl v\u00e1\u0161niv\u00fdm myslivcem. Miloval klid na star\u00e9 lesn\u00ed h\u00e1jovn\u011b na rodn\u00e9 Morav\u011b, kterou si sv\u00e9pomoc\u00ed p\u0159estav\u011bl na chalupu. Cht\u011bli bychom t\u00edmto vyj\u00e1d\u0159it soustrast poz\u016fstal\u00fdm.<\/span><\/em><\/p>\r\n

\"\"<\/a><\/p>","protected":false},"excerpt":{"rendered":"[perex] V 90. letech postavil na nohy n\u011bkolikery l\u00e1zn\u011b, kde vybudoval rehabilita\u010dn\u00ed odd\u011blen\u00ed, a inspiroval veden\u00ed dal\u0161\u00edch l\u00e1ze\u0148sk\u00fdch dom\u016f. Od roku 2015 st\u00e1l Josef Du\u0161ek v \u010dele Polikliniky Prahy 7, kterou stabilizoval a p\u0159esunul do nov\u00fdch prostor. Zasadil se tak\u00e9 o z\u00e1chranu Nemocnice Na Franti\u0161ku a byl jedn\u00edm z tv\u016frc\u016f n\u00e1vrhu syst\u00e9mu celopra\u017esk\u00e9ho zdravotnictv\u00ed, jej\u017e magistr\u00e1t postupn\u011b za\u010d\u00edn\u00e1 realizovat. Z v\u00fdsledk\u016f reforem se u\u017e bohu\u017eel […]","protected":false},"author":76,"featured_media":32607,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[37],"tags":[],"_links":{"self":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/32606"}],"collection":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/users\/76"}],"replies":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/comments?post=32606"}],"version-history":[{"count":2,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/32606\/revisions"}],"predecessor-version":[{"id":32610,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/32606\/revisions\/32610"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/media\/32607"}],"wp:attachment":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/media?parent=32606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/categories?post=32606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/tags?post=32606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}