{"id":60529,"date":"2020-10-17T12:28:59","date_gmt":"2020-10-17T10:28:59","guid":{"rendered":"https:\/\/fjala.info\/?p=60529"},"modified":"2020-10-17T12:28:59","modified_gmt":"2020-10-17T10:28:59","slug":"largimet-e-infermjereve-dhe-mjekeve-pasoje-e-krizes-ne-manaxhimin-shendetesor","status":"publish","type":"post","link":"https:\/\/jehonashqiptare.al\/fjala\/largimet-e-infermjereve-dhe-mjekeve-pasoje-e-krizes-ne-manaxhimin-shendetesor\/","title":{"rendered":"Largimet e Infermjer\u00ebve dhe Mjek\u00ebv\u00eb – pasoj\u00eb e Kriz\u00ebs n\u00eb Manaxhimin Sh\u00ebndet\u00ebsor"},"content":{"rendered":"

NJE KUJTESE<\/strong><\/p>\n

Nga: Prof. Pirro Prifti<\/strong>, 11 gusht 2019<\/em><\/p>\n

Problemi i largimit t\u00eb Personelit Sh\u00ebndet\u00ebsor mjek\u00eb dhe infermjer\u00eb jasht\u00eb shtetit, nuk \u00ebsht\u00eb i ri.<\/p>\n

Ai, si dhe n\u00eb t\u00eb gjitha v\u00ebndet e vogla t\u00eb Ballkanit,\u00ebsht\u00eb b\u00ebr\u00eb nj\u00eb fenomen i zakonsh\u00ebm, por n\u00ebse n\u00eb v\u00ebndet e tjera ka gjetur zgjidhje, n\u00eb Shqip\u00ebri problemet e pa zgjidhura vazhdojn\u00eb t\u00eb krijojn\u00eb pak\u00ebnaq\u00ebsi si tek popullata p\u00ebrsa i p\u00ebrket kujdesit sh\u00ebndet\u00ebsor, poashtu edhetek vet\u00eb personeli sh\u00ebndet\u00ebsor q\u00eb e sheh veten t\u00eb pamotivuar.<\/p>\n

Nuk mund t\u00eb mohoet fakti se p\u00ebrpjekjet q\u00eb po b\u00ebhen nga Maxhoranca p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar disa nga figurat statistikore jan\u00eb m\u00eb t\u00eb m\u00ebdha se n\u00eb t\u00eb kaluar\u00ebn, por problemet mbeten dhe ajo q\u00eb\u00ebsht\u00eb m\u00eb zhg\u00ebnjyese, jan\u00eb rritja relative e buxhetit n\u00eb sh\u00ebndet\u00ebsi dhe vazhdimi i t\u00eb nj\u00ebjt\u00ebs gj\u00ebndjet\u00eb Sistemit Sh\u00ebndet\u00ebsor.<\/p>\n

Sigurisht problem kryesor mbetet keq-manaxhimi i sistemit sh\u00ebndet\u00ebsor nga nj\u00eb administrat\u00eb jo efektive e cila drejtohet nga drejtues jo efektive. Se si do ta zgjidh\u00eb problemin qeveria, \u00ebsht\u00eb nj\u00eb objekt q\u00eb nuk do t\u00eb shqyrtohet k\u00ebtu, por dihet se drejtimi n\u00ebp\u00ebrmjet Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb n\u00eb k\u00ebt\u00eb koh\u00eb mbetet p\u00ebr t\u00eb d\u00ebsh\u00ebruar, kur sheh se investimet nuk shkojn\u00eb aty ku t\u00eb dh\u00ebnat statistikore sh\u00ebndet\u00ebsore jan\u00eb m\u00eb problematike.<\/p>\n

Vet\u00ebm nj\u00eb aspekt q\u00eb mund t\u00eb paraqes k\u00ebtu, jan\u00eb paradoksi i shp\u00ebrndarjes s\u00eb buxhetit n\u00eb raport meparandalimin dhe mjekimin e shkaqeve t\u00eb Mortalitetit, t\u00eb cilat, n\u00eb Popullat\u00ebn shqiptare p\u00ebr t\u00eb gjitha moshat jan\u00eb :<\/p>\n

Semundjet Kardio\/vaskulare n\u00eb v\u00ebnd t\u00eb par\u00eb,
\nS\u00ebmundjet vaskulo-cerebrale n\u00eb v\u00ebnd t\u00eb dyt\u00eb,
\nn\u00eb v\u00ebnd t\u00eb tret\u00eb t\u00eb gjitha llojet e Kancereve malinj\u00eb,
\nn\u00eb v\u00ebnd t\u00eb kat\u00ebrt traumat<\/p>\n

P\u00ebr t\u00eb shp\u00ebrndar\u00eb buxhetin sh\u00ebndet\u00ebsor duhen ekipe analist\u00ebsh statistikor\u00eb dhe sh\u00ebndet\u00ebsor\u00eb (I.SH.P.+M.SH.) q\u00eb t\u00eb propozojn\u00eb shp\u00ebrndarjen e buxhetit dhe jo politikan\u00eb.<\/p>\n

Ministria nuk e ka zgjidhur k\u00ebt\u00eb problem.<\/p>\n

S\u00eb dyti Ministria e Sh\u00ebndet\u00ebsis\u00eb ashtu si dhe tek t\u00eb gjitha Ministrit\u00eb e tjera nuk ka K\u00ebshilltar\u00eb profesionist\u00eb por militant\u00ebpolitik\u00ebpa eksperienc\u00eb, dhe kjo e rrit gam\u00ebn e gabimeve dhe t\u00eb d\u00ebmeve qoft\u00eb n\u00eb financ\u00ebn e Sh\u00ebndet\u00ebsis\u00eb qoft\u00eb n\u00eb manaxhim t\u00eb gabuar, q\u00eb ndikojn\u00eb direkt n\u00eb kujdesin sh\u00ebndet\u00ebsor.<\/p>\n

Po t\u00eb shikojm\u00eb se p\u00ebrse largohen Infermjer\u00ebt dhe Mjek\u00ebt nga Shqip\u00ebria, mund t\u00eb v\u00ebrejme gjithashtu po k\u00ebt\u00eb problem: Keqmanaxhim t\u00eb burimeve njer\u00ebzore dhe t\u00eb financave.<\/p>\n

P\u00ebrse?
\nSepse rrogat jan\u00eb t\u00eb vogla n\u00eb raport me: shkoll\u00ebn e b\u00ebr\u00eb nga mjek\u00ebt, dhe teknicien\u00ebt mjek\u00ebsor\u00eb, sepse nuk jepen bonuse p\u00ebr \u00e7do verpim sh\u00ebndet\u00ebsor jasht\u00eb orarit dhe suplementar, sepse p\u00ebr infermjer\u00ebt gjithashtu nuk \u00ebsht\u00eb b\u00ebr\u00eb diferencimi n\u00eb kategori t\u00eb infermjer\u00ebve, dhe t\u00eb gjitha me vjet\u00ebrsi pune apo pa vjet\u00ebrsi pun\u00eb marrin rroga t\u00eb nj\u00ebjta, s\u00eb treti p\u00ebr t\u00eb mbuluar gjith\u00eb territorin me personel Sh\u00ebndet\u00ebsor (mjek\u00eb_ infermjer\u00eb) duhet nj\u00eb paket\u00eb speciale n\u00eb t\u00eb cil\u00ebt t\u00eb jet\u00eb kontrata disa vje\u00e7are, rroga e lart\u00eb, banesa p\u00ebr personelin sh\u00ebndet\u00ebsor, lejt\u00ebsira p\u00ebr punonj\u00ebsin e Sh\u00ebndet\u00ebsis\u00eb q\u00eb punon n\u00eb zonat rurale, bashk\u00ebpunim me Prefekturat, etj.<\/p>\n

Si ka mund\u00ebsi q\u00eb Shqip\u00ebria ka nevoj\u00eb p\u00ebr Mjek\u00eb dhe Infermjer\u00eb p\u00ebr v\u00ebndin e vet, i lejon t\u00eb largohen p\u00ebrsoneli i saj n\u00eb v\u00ebndet e tjera madje pa k\u00ebrkuar asgj\u00eb n\u00eb k\u00ebmbim t\u00eb emigrimit t\u00eb tyre n\u00ebp\u00ebrmjet Organizatave jo qeveritare apo edhe qeveritare?
\nSi ka mund\u00ebsi q\u00eb mjek\u00ebt dhe infermjer\u00ebt q\u00eb diplomohen nuk duan t\u00eb shkojn\u00eb n\u00eb zona t\u00eb larg\u00ebta?
\nSi ka mund\u00ebsi q\u00eb rrogat jan\u00eb t\u00eb vogla dhe nuk ka reform\u00eb n\u00eb pagat n\u00eb Sistemin ton\u00eb Sh\u00ebndet\u00ebsor ?
\nA \u00ebsht\u00eb ky problem vet\u00ebm I yni apo dhe n\u00eb v\u00ebnde t\u00eb tjera? Si duhet zgjidhur ky problem?<\/p>\n

P\u00ebrse Qeveria shqiptare p\u00ebr \u00e7do mjek dhe infermjer q\u00eb largohet nga v\u00ebndi yn\u00eb nuk harton nj\u00eb kontrat\u00eb me v\u00ebndin ku personeli yn\u00eb sh\u00ebndet\u00ebsor shkon dhe t\u00eb marr\u00eb prej atij v\u00ebndi p\u00ebrkat\u00ebs nj\u00eb fond dis-bursimi p\u00ebr \u00e7do personel sh\u00ebndet\u00ebsor q\u00eb punon n\u00eb at\u00eb v\u00ebnd?<\/p>\n

Pra idea \u00ebsht\u00eb se si ka mund\u00ebsi q\u00eb shteti yn\u00eb i le t\u00eb ikin badjava dhe pa u interesuar fare p\u00ebr k\u00ebt\u00eb fenomen , p\u00ebr k\u00ebta njer\u00ebz p\u00ebr t\u00eb cil\u00ebt shteti shqiptar ka investuar p\u00ebr arsimimin e lart\u00eb?<\/p>\n

Ky \u00ebsht\u00eb nj\u00eb problem q\u00eb k\u00ebrkon zgjidhje.
\nDihet q\u00eb globalizmi dhe shtetet e m\u00ebdha k\u00ebrkojn\u00eb punonj\u00ebs t\u00eb kualifikuar. Por n\u00ebse v\u00ebndet fqinj\u00eb e kan\u00eb zgjidhur problemin e largimit t\u00eb specializt\u00ebve dhe profesionist\u00ebve n\u00eb m\u00ebnyr\u00eb institucionale, Shqip\u00ebria dhe qeveria jon\u00eb megjithse ka shum\u00eb nevoj\u00eb e ka l\u00ebn\u00eb n\u00eb r\u00ebnie t\u00eb lir\u00eb dhe pa k\u00ebrkuar asnj\u00eb zgjidhje institucionale me v\u00ebndet q\u00eb marrin k\u00ebta punonj\u00ebs profesionist\u00eb dhe specialist\u00eb t\u00eb shqndet\u00ebsis\u00eb shqiptare, dhe pa u k\u00ebrkuar asgje.<\/p>\n

Vet\u00ebm t\u00eb ikin. Kjo nuk \u00ebsht\u00eb gj\u00eb e mir\u00eb, nj\u00eblloj sikur ti braktis\u00ebsh k\u00ebta profesionist\u00eb dhe specialist\u00eb, p\u00ebr t\u00eb cilat ka investuar shteti, v\u00ebndi familja , n\u00eb nj\u00eb koh\u00eb kur kemi nevoj\u00eb p\u00ebr vehten ton\u00eb p\u00ebr k\u00ebta njer\u00ebz q\u00eb po ikin.<\/p>\n

Ja disa statistika. Shqip\u00ebria ka 414 Q\u00ebndra Sh\u00ebndet\u00ebsore (Q.SH.)., 1946 Pika Shendetesore, 43 Spitale, 8172 shtreter (30 shtreter\/10.000 banore), 275176 te shtruar.
\nShqip\u00ebria ka numrin e mjek\u00ebve p\u00ebr 1000 banor\u00eb m\u00eb pak se \u00e7do v\u00ebnd tjet\u00ebr n\u00eb BE dhe jasht\u00eb BE: \u2013 Mjeke per banore 1.3\/1000 in 2013 dhe 1.2\/1000 ne 2017,
\nShqip\u00ebria ka numrin m\u00eb t\u00eb ul\u00ebt t\u00eb infermjer\u00ebve se sa v\u00ebndet e BE dhe ato jasht\u00eb BE p\u00ebr 1000 banor\u00eb: 3.99 ne 2012 dhe 3.2\/1000 banore ne 2017.
\n(http:\/\/www.instat.gov.al\/media\/3596\/vjetari-statistikor-rajonal-anglisht-2017-dt13112017.pdf<\/a>)<\/p>\n

Sipas t\u00eb dh\u00ebnave m\u00eb t\u00eb fundit (2017), n\u00eb Shqip\u00ebri ka 1.15 mjek\u00eb p\u00ebr 1,000 banor\u00eb, krahasuar me 1.39 n\u00eb vitin 2000 (ose 17.5% m\u00eb pak). N\u00ebse kjo shif\u00ebr krahasohet me vendet e rajonit, rezulton se ky tregues \u00ebsht\u00eb 2.5 n\u00eb Maqedoni, 2 n\u00eb Serbi, 6 mjek\u00eb p\u00ebr 1,000 banor\u00eb n\u00eb Greqi, etj. Nd\u00ebrkoh\u00eb n\u00eb Shqip\u00ebri rezultojn\u00eb 4 infermiere p\u00ebr 1,000 banor\u00eb<\/p>\n

Shqip\u00ebria \u00ebsht\u00eb e fundit, me 549 $\/frym\u00eb ( 640 eyro\/frym\u00eb), dhe ka nj\u00eb diferenc\u00eb jo t\u00eb vog\u00ebl me vendin e dyt\u00eb, Maqedonin\u00eb, rreth 30% me pak. Ende m\u00eb larg q\u00ebndron Mali i Zi, me SHTSH(shpenzime totale per fryme) 2 her\u00eb m\u00eb shum\u00eb apo Greqia, q\u00eb kryeson list\u00ebn, me mbi 5 her\u00eb m\u00eb shum\u00eb.N\u00eb vitin 2015 financimi i sh\u00ebndet\u00ebsis\u00eb p\u00ebr frym\u00eb pritet t\u00eb shkoj\u00eb n\u00eb 14.234 lek\u00eb<\/p>\n

GDP ne 2014- 5.9% dhe nw 2019 af\u00ebrsisht 6.2%.
\n(http:\/\/open.data.al\/sq\/lajme\/lajm\/lang\/sq\/id\/282\/Tregues-te-Sistemit-Shendetesor-ne-Shqiperi<\/a>)<\/p>\n

Sipas grafikut m\u00eb posht\u00eb jan\u00eb disa lement\u00eb statistikor\u00eb t\u00eb Sh\u00ebndet\u00ebsis\u00eb<\/strong>
\nTotal population (2016)2,926,000Gross national income per capita (PPP international $, 2013)10,520Life expectancy at birth m\/f (years, 2016)74\/79Probability of dying under five (per 1 000 live births, 2017)9Probability of dying bet\u00ebeen 15 and 60 years m\/f (per 1 000 population, 2016)122\/71Total expenditure on health per capita (Intl $, 2014)615Total expenditure on health as % of GDP (2014)5.9
\nhttps:\/\/www.who.int\/countries\/alb\/<\/a><\/p>\n

Nga kjo rezulton se megjith\u00eb rritjen e GDP p\u00ebr Sh\u00ebndet\u00ebsin\u00eb, Shqip\u00ebria e ka m\u00eb t\u00eb ultin buxhetin p\u00ebr Sh\u00ebndet\u00ebsin\u00eb : pra jep af\u00ebrsisht 140 dolar\u00eb amerikan\u00eb p\u00ebr frym\u00eb p\u00ebr sistemin sh\u00ebndet\u00ebsor kurse populli harxhon rreth 615 dollare p\u00ebr frym\u00eb. Kjo \u00ebsht\u00eb skandaloze.<\/p>\n

K\u00ebt\u00ebmund ta shihni m\u00eb poshte se sipas raportit te BIRN (Balkan investigative Reporting Network)
\n(https:\/\/www.usaid.gov\/albania\/news\/birn-report-numbers-albanian-doctors-and-nurses-decline-burdens-increase-rural<\/a>)
\n\u2013 Shqip\u00ebria ka numrin m\u00eb t\u00eb vog\u00ebl t\u00eb Mjek\u00ebve p\u00ebr 100 banor\u00eb 1.2 mjek\u00ebp\u00ebr 1000 banor\u00eb dhe 3.6 infermjere\/mami p\u00ebr 1000 banor\u00eb n\u00eb 2017. informacionet nuk jan\u00eb entuziaste dhe k\u00ebto deklarohen nga M.SH.<\/p>\n

Nd\u00ebrkoh\u00eb q\u00eb ministrja Manastirliu deklaron q\u00eb p\u00ebr 10-mujorin e par\u00eb t\u00eb 2018 jan\u00eb pun\u00ebsuar 153 mjek\u00eb dhe 820 infermier\u00eb, dhe 78% e mjek\u00ebve duan t\u00eb ikin nga vendi\u201d (https:\/\/www.lajme.al\/ja-sa-mjeke-jane-larguar-kete-vit-nga-shqiperia\/<\/a>)<\/p>\n

Vet\u00ebm gjat\u00eb 2017-\u00ebs, zyrtarisht mbi 600 infermier\u00eb u larguan drejt Gjermanis\u00eb (https:\/\/www.rd.al\/2018\/01\/infermieret-po-braktisin-masivisht-shqiperine\/<\/a>), Ministrja e Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale lan\u00e7uan portalin \u201cInfermier\u00eb p\u00ebr Shqip\u00ebrin\u00eb\u201d, teksa deklaruan se do t\u00eb ket\u00eb rreth 420 vende t\u00eb lira pune per 2018 ?!
\n(https:\/\/sot.com.al\/aktualitet-politike\/qeveria-nxjerr-list%C3%ABn-mbi-400-vende-t%C3%AB-lira-pune-p%C3%ABr-infermier%C3%AB-mami-laborant%C3%AB-e<\/a>).<\/p>\n

Mesataret statistikore t\u00eb rekomanduar nga OBSH dhe OECD (Organisation for Economic Co-operation and Development) rekomandon: 9.1 infermjere p\u00ebr 1.000 banor\u00eb, madje dhe Greqia e ka t\u00eb ul\u00ebt rreth 3.6 infermjere p\u00ebr 1.000 banor\u00eb, kurse Zvicra e ka 17.4 infermjer\u00eb p\u00ebr1.000 banor\u00eb.Nd\u00ebrsa p\u00ebr mjek\u00eb OBSH dhe OECD rekomandon 3.3.Mjek\u00eb p\u00ebr 1.000 banor\u00eb. Sipas t\u00eb dh\u00ebnva Greqia ka 6.3 Mjek\u00eb p\u00ebr 1.000 banor\u00eb, Turqia Kina dhe Kolumbia kan\u00eb m\u00eb pak se 2 Mjek\u00eb p\u00ebr 1.000 banor\u00eb.<\/p>\n

P\u00ebrsa i p\u00ebrket farmacive ajo luhatet nga 84 farmacip\u00ebr 100.000 banor\u00eb n\u00eb Greqi, e deri n\u00eb 6.4 farmaci p\u00ebr 100.000 banor\u00eb n\u00eb Zvic\u00ebr. Shqip\u00ebri luhatet tek 20 farmaci p\u00ebr 100.000 banor\u00eb.(https:\/\/www.ekathimerini.com\/221371\/article\/ekathimerini\/community\/a-greek-malady-too-many-doctors-too-few-gps<\/a>).Pra, shihet diferenca n\u00eb Shqip\u00ebri.<\/p>\n

Duke e ditur se gj\u00ebja m\u00eb e leht\u00eb\u00ebsht\u00eb kritika ndaj sistemit sh\u00ebndet\u00ebsor pa dh\u00ebn\u00eb rrug\u00ebzgjidhje, mund ti rekomandojm\u00eb qeveris\u00eb p\u00ebr t\u00eb ndaluar largimin nga Shqip\u00ebria, k\u00ebt\u00eb problem t\u00eb ve\u00e7ant\u00eb p\u00ebr kaq t\u00eb r\u00ebnd\u00ebsish\u00ebm p\u00ebr kujdesin sh\u00ebndet\u00ebsor disa opsione:<\/p>\n

Duke par\u00eb se me parat\u00eb publik\u00eb specializohen dhe profesionalizohen Mjek\u00eb dhe infermjer\u00eb t\u00eb cil\u00ebt largohen jasht\u00eb v\u00ebndit p\u00ebr tu pun\u00ebsuar p\u00ebr nevojat e v\u00ebndeve t\u00eb BE (apo dhe t\u00eb ndonj\u00eb v\u00ebndi tjet\u00ebr) rekomandojm\u00eb q\u00eb i gjith\u00eb Edukimi i lart\u00eb Mjek\u00ebsor dhe ai Profesional Mjek\u00ebsor, t\u00eb b\u00ebhet me bursasi dhe kontrat\u00eb (income),<\/p>\n

T\u00eb b\u00ebhen mar\u00ebveshje shtet\u00ebrore pun\u00ebsimi n\u00eb form\u00eb kontratash, me v\u00ebndet e huaja q\u00eb p\u00ebrfitojn\u00eb nga ardhja e infermjer\u00ebve dhe mjek\u00ebve n\u00eb ato v\u00ebnde p\u00ebrkat\u00ebse, n\u00eb m\u00ebnyr\u00eb q\u00eb shteti shqiptar t\u00eb ket\u00eb mund\u00ebsi t\u00eb marr\u00eb fonde nga k\u00ebto v\u00ebnde me q\u00ebllim q\u00eb ti p\u00ebrdor\u00eb p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar gj\u00ebndjen e Kujdesit Sh\u00ebndet\u00ebsor n\u00eb Shqip\u00ebri.<\/p>\n

Rritjen e rroave dhe futjen e p\u00ebrdorimin e bonuseve t\u00eb larta p\u00ebr Mjek\u00ebt, infermjer\u00ebt dhe punonj\u00ebsit e tjer\u00eb teknikcien\u00eb mjek\u00ebsor\u00eb, n\u00eb rastet e pun\u00ebve jasht\u00eb orarit, konsultave, sh\u00ebrbimeve mjek\u00ebsore br\u00ebnda dhe jasht\u00eb v\u00ebndit t\u00eb pun\u00ebs,<\/p>\n

Kat\u00ebgorizimi n\u00eb pag\u00eb n\u00eb disa shkall\u00eb e infermjereve, bazuar n\u00eb eksperienc\u00eb pune, tituj shkencor\u00eb,
\nHeqjen e tatimit p\u00ebr rrog\u00ebn p\u00ebr Mjek\u00ebt, infermjer\u00ebt, dhe punonj\u00ebsit e tjer\u00eb teknicien\u00eb mjek\u00ebsor\u00eb<\/p>\n

– aktivizimin e Librez\u00ebs s\u00eb Sh\u00ebndetit ( ajo e sigurimeve sh\u00ebndet\u00ebsore), p\u00ebr shtrimet n\u00eb Spital me q\u00ebllim t\u00eb shmangies s\u00eb mit-marrjes dhe rrushfetit n\u00eb spitalet shtet\u00ebrore<\/p>\n

Sigurisht kjo paket\u00eb dhe sugjerimet e b\u00ebra n\u00eb fillim t\u00eb shkrimit, mundt\u00eb p\u00ebrdoret nga M.SH., duke b\u00ebr\u00eb ndryshimet p\u00ebrkat\u00ebse n\u00eb ligjet p\u00ebr kujdesin Sh\u00ebndet\u00ebsor.<\/p>\n","protected":false},"excerpt":{"rendered":"

NJE KUJTESE Nga: Prof. Pirro Prifti, 11 gusht 2019 Problemi i largimit t\u00eb Personelit Sh\u00ebndet\u00ebsor mjek\u00eb dhe infermjer\u00eb jasht\u00eb shtetit, nuk \u00ebsht\u00eb i ri. 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