{"id":63317,"date":"2021-01-18T03:10:51","date_gmt":"2021-01-18T02:10:51","guid":{"rendered":"https:\/\/fjala.info\/?p=63317"},"modified":"2021-01-18T03:10:51","modified_gmt":"2021-01-18T02:10:51","slug":"mitmarrja-plage-e-pandreqshme-e-spitaleve-publike","status":"publish","type":"post","link":"https:\/\/jehonashqiptare.al\/fjala\/mitmarrja-plage-e-pandreqshme-e-spitaleve-publike\/","title":{"rendered":"Mitmarrja, plag\u00eb e pandreqshme e spitaleve publike"},"content":{"rendered":"

SHKRUAR NGA PIRRO PRIFTI<\/strong>, 16 JANAR 2021<\/em><\/p>\n

Pas viteve`90 lindi nj\u00eb fenomen i ri n\u00eb sistemin sh\u00ebndet\u00ebsor publik shqiptar – mitmarrja.<\/p><\/blockquote>\n

N\u00eb koh\u00ebn e diktatur\u00ebs mitmarrja n\u00eb spitalet publike nuk ekzistonte, por ekzistonte tradita si d\u00ebshira e pacientit p\u00ebr t\u00eb fal\u00ebnderuar mjekun apo ekipin mjek\u00ebsor q\u00eb i kishte sh\u00ebrbyer n\u00ebp\u00ebrmjet qerasjes me nj\u00eb drek\u00eb apo duke i d\u00ebrguar dhurata n\u00eb form\u00eb ushqimesh apo pijesh mjekut q\u00eb e kuroi at\u00eb. Kjo tradit\u00eb egziston jo vet\u00ebm n\u00eb Shqip\u00ebri, por n\u00eb t\u00eb gjith\u00eb vendet ballkanike.<\/p>\n

Pas viteve \u201890 me nd\u00ebrrimin e sistemit, solli n\u00eb sistemin sh\u00ebndet\u00ebsor reforma t\u00eb thella duke larguar sistemin sh\u00ebndet\u00ebsor falas si n\u00eb sistemin par\u00ebsor ashtu dhe n\u00eb sistemin spitalor dhe duke e orientuar at\u00eb n\u00eb nj\u00eb sistem me pages\u00eb n\u00ebp\u00ebrmjet mbulimit me Siguracionet sh\u00ebndet\u00ebsore duke krijuar institutin e Sigurimeve dhe Kujdesit Sh\u00ebndet\u00ebsor (sot Fondi i Sigurimeve Sh\u00ebndet\u00ebsore), duke privatizuar farmacit\u00eb, sistemin Stomatologjik, hapjen e shkollave t\u00eb larta profesionale t\u00eb infermieris\u00eb dhe t\u00eb profesioneve t\u00eb tjera mjek\u00ebsore, duke p\u00ebrmir\u00ebsuar disa ligje, por pa i shkuar deri n\u00eb fund.<\/p>\n

Por k\u00ebto reforma nuk arrit\u00ebn t\u00eb konsolidohen n\u00eb spitale, t\u00eb cilat mbet\u00ebn pa u reformuar sepse nd\u00ebrrimi i pushteteve, ndihmat e shumta q\u00eb erdh\u00ebn n\u00eb at\u00eb koh\u00eb nga jasht\u00eb n\u00ebp\u00ebrmjet fondacioneve dhe institucioneve t\u00eb tjera nd\u00ebrkomb\u00ebtare u p\u00ebrveht\u00ebsuan nga individ\u00eb q\u00eb kishin mund\u00ebsi t\u2019i merrnin sepse ato erdh\u00ebn n\u00eb form\u00eb dhuratash dhe duke mos patur nj\u00eb paket\u00eb ligjore t\u00eb sakt\u00eb, ato u mor\u00ebn dhe me to u krijuan farmacit\u00eb e para private, qendrat sh\u00ebndet\u00ebsore ekzaminuese dhe analiza t\u00eb para private, dhoma stomatolog\u00ebsh t\u00eb para private t\u00eb pajisura me aparatura dhe pajisje t\u00eb tjera t\u00eb dhuruara p\u00ebr spitalet dhe qendrat sh\u00ebndet\u00ebsore publike, por q\u00eb u p\u00ebrdor\u00ebn privatisht pa asnj\u00eb pages\u00eb apo tarif\u00eb e taks\u00eb.<\/p>\n

K\u00ebshtu lul\u00ebzoi sh\u00ebrbimi privat sh\u00ebndet\u00ebsor n\u00eb fillim pa rregulla, por se Ministria e Sh\u00ebndet\u00ebsis\u00eb gradualisht p\u00ebrshtati legjislacionin disa vite me vones\u00eb. Kjo ndikoi shum\u00eb n\u00eb pun\u00ebn e mjek\u00ebve dhe infermier\u00ebve madje dhe t\u00eb sanitar\u00ebve dhe t\u00eb personelit ndihm\u00ebs n\u00eb spitale, t\u00eb cil\u00ebt me rroga fare t\u00eb ulta punonin n\u00eb kushte mizerab\u00ebl n\u00eb ato spitale.<\/p>\n

Protestat publike, firmat piramidale, ngjarjet e \u201897-\u201898, nd\u00ebrrimet e pushteteve, em\u00ebrimet e drejtuesve n\u00eb sistemin sh\u00ebndet\u00ebsor me militant\u00eb, l\u00ebvizjet dhe grumbullimi i mjek\u00ebve dhe infermier\u00ebve n\u00eb qytetet e m\u00ebdha duke l\u00ebn\u00eb zonat rurale pa punonj\u00ebs sh\u00ebndet\u00ebsor\u00eb, shkeljet ligjore t\u00eb ministrave me tenderat, me urdhrat p\u00ebr largimin e mjek\u00ebve nga zonat e thella n\u00eb qytetet e m\u00ebdha, mungesa e nj\u00eb pakete ligjore t\u00eb p\u00ebrmir\u00ebsuar p\u00ebrve\u00e7 asaj t\u00eb reformave t\u00eb sistemit sh\u00ebndet\u00ebsor n\u00eb vitin \u201893-\u201894, shkaktuan nj\u00eb munges\u00eb disipline n\u00eb spitalet terciare, rajonale madje dhe t\u00eb spitaleve m\u00eb t\u00eb vogla nj\u00eb pjes\u00eb e t\u00eb cilave u mbyll\u00ebn si pasoj\u00eb e reformave n\u00eb sistemin sh\u00ebndet\u00ebsor duke u kthyer n\u00eb qendra sh\u00ebndet\u00ebsore.<\/p>\n

P\u00ebr pasoj\u00eb spitalet ngel\u00ebn pa kontroll, n\u00eb spitale u fut\u00ebn mjek\u00eb e infermier\u00eb jo cil\u00ebsor\u00eb, pa konkurs, n\u00ebp\u00ebrmjet presioneve t\u00eb politikan\u00ebve q\u00eb ishin n\u00eb pushtet, u vendos\u00ebn drejtues jo profesionist\u00eb, nuk u miratua bordi drejtues i spitaleve megjith\u00ebse Projekti i reformimit t\u00eb spitaleve sidomos i Qendr\u00ebs Universitare Spitalore t\u00eb Tiran\u00ebs, u drejtuan nga njer\u00ebz t\u00eb em\u00ebruar nga politika t\u00eb cil\u00ebt e shthur\u00ebn disiplin\u00ebn n\u00eb spitalet publike dhe i transformuan ata n\u00eb spitale gjysm\u00eb private ku pacient\u00ebt paguanin n\u00ebn dor\u00eb dhe askush nga shteti, nga ministria nuk reagonte p\u00ebr vite me radh\u00eb. Miratimi i hapjes s\u00eb spitaleve private tregoi menj\u00ebher\u00eb diferenc\u00ebn n\u00eb cil\u00ebsin\u00eb e kujdesit sh\u00ebndet\u00ebsor t\u00eb pacient\u00ebve.<\/p>\n

Nj\u00eb nga gabimet e r\u00ebnda t\u00eb qeverive t\u00eb viteve \u201890-2020 ishte mbajta e nj\u00eb GDP p\u00ebr Sh\u00ebndet\u00ebsin\u00eb shum\u00eb t\u00eb ul\u00ebt n\u00eb raport me fqinj\u00ebt e aq m\u00eb pak me bot\u00ebn, rreth 2.2%-2.7%, mbajtja e rrogave t\u00eb ulta p\u00ebr mjek\u00ebt e familjes dhe t\u00eb mjek\u00ebve specialist\u00eb dhe personelet sh\u00ebndet\u00ebsor\u00eb profesional\u00eb si infermier\u00eb, fizioterapist\u00eb, imazherist\u00eb, mami, logopedist\u00eb etj. Nj\u00eb plag\u00eb e hapur q\u00eb n\u00eb vitet \u201890, por q\u00eb u r\u00ebndua me kalimin e viteve ishte largimi i mjek\u00ebve dhe infermier\u00ebve jasht\u00eb shtetit. P\u00ebrs\u00ebri Drejtuesit e Sistemit Sh\u00ebndet\u00ebsor megjith\u00eb rregullimin e ligjit p\u00ebr spitalet dhe qendrat sh\u00ebndet\u00ebsore dhe diagnostikuese private, lejuan q\u00eb mjek\u00eb dhe infermier\u00eb, fizioterapist\u00eb, imazherist\u00eb, t\u00eb punonin jo vet\u00ebm n\u00eb spitalet publike, por edhe n\u00eb ato private nj\u00ebkoh\u00ebsisht, duke dob\u00ebsuar sh\u00ebrbimin sh\u00ebndet\u00ebsor n\u00eb spitalet publike, sepse aty nuk kishte kontroll dhe as zbatim disipline administrative dhe shkencore. Kjo lindi d\u00ebshir\u00ebn e pasurimit t\u00eb shpejt\u00eb e p\u00ebr pasoj\u00eb mitmarrjen, e cila u rrit n\u00eb m\u00ebnyr\u00eb galopante me kalimin e viteve.<\/p>\n

Kjo u vu re nga statistikat ku nga 3 mjek\u00eb p\u00ebr 1000 banor\u00eb n\u00eb 1991, sot \u00ebsht\u00eb 1 mjek p\u00ebr 1 mij\u00eb banor\u00eb n\u00eb 2019, dhe nga 4 infermier\u00eb\/mami p\u00ebr 1000 banor\u00eb n\u00eb 1991 n\u00eb 3 infermier\u00eb p\u00ebr 1000 banor\u00eb n\u00eb 2019, siguracionet sh\u00ebndet\u00ebsore mbulojn\u00eb vet\u00ebm disa medikamente t\u00eb rimbursuara vet\u00ebm 450 medikamente dhe ato jo shum\u00eb cil\u00ebsore, me nj\u00eb taks\u00eb sh\u00ebndeti prej 3.7%, pra t\u00eb ul\u00ebt dhe me nj\u00eb rimbursim t\u00eb pjessh\u00ebm t\u00eb ekzaminimeve n\u00eb spital, duke l\u00ebn\u00eb n\u00eb m\u00ebshir\u00eb t\u00eb fatit analizat q\u00eb t\u00eb siguruarit i paguajn\u00eb me lek\u00eb n\u00eb dor\u00eb kryesisht n\u00eb privat sepse nuk ka qendra sh\u00ebndet\u00ebsore analizash publike p\u00ebrve\u00e7 nj\u00eb pakete t\u00eb cunguar analizash n\u00ebp\u00ebrmjet checkup-it t\u00eb realizuar me PPP.<\/p>\n

\u00cbsht\u00eb e v\u00ebrtet\u00eb q\u00eb qeverisja e sotme ka b\u00ebr\u00eb hapa serioz\u00eb n\u00eb p\u00ebrmir\u00ebsimin e pjessh\u00ebm t\u00eb gjendjes, duke rritur n\u00eb m\u00ebnyr\u00eb t\u00eb konsiderueshme rrogat e personelit sh\u00ebndet\u00ebsor, duke investuar n\u00eb p\u00ebrmir\u00ebsimin e infrastruktur\u00ebs s\u00eb spitaleve, gj\u00eb q\u00eb u vu re n\u00eb koh\u00ebn e pandemis\u00eb, por jan\u00eb shum\u00eb pak p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor publik t\u00eb dal\u00eb nga binar\u00ebt ku spitalet madje dhe ato q\u00ebndrore dhe universitare n\u00eb Tiran\u00eb jan\u00eb kthyer n\u00eb nj\u00eb makth t\u00eb v\u00ebrtet\u00eb p\u00ebr pacientin, i cili praktikisht \u00ebsht\u00eb kthyer n\u00eb klient, megjith\u00ebse paguan siguracionet sh\u00ebndet\u00ebsore.<\/p>\n

Pacient\u00ebt n\u00eb shumic\u00ebn d\u00ebrrmuese t\u00eb rasteve paguajn\u00eb n\u00ebn dor\u00eb mjek\u00ebt, infermier\u00ebt, sanitar\u00ebt, n\u00eb nj\u00eb koh\u00eb q\u00eb spitali \u00ebsht\u00eb i shtetit, pajisjet mjek\u00ebsore jan\u00eb shtet\u00ebrore, personeli sh\u00ebndet\u00ebsor paguhet nga shteti. \u00c7po ndodh k\u00ebshtu pra n\u00eb Shqip\u00ebri? Nj\u00eb mitmarrje katastrofike, ku pagesa n\u00ebn dor\u00eb n\u00eb jav\u00eb n\u00eb QSUT shkon af\u00ebrsisht rreth 30.000 -50.000 euro nga shtrimet konsultat. Harxhimet e popullat\u00ebs p\u00ebr kapital p\u00ebr sh\u00ebrbimet mjek\u00ebsore jan\u00eb nga m\u00eb t\u00eb lartat n\u00eb Europ\u00eb sepse paguhen n\u00ebn dor\u00eb n\u00ebp\u00ebrmjet mitmarrjes dhe shkojn\u00eb n\u00eb 60.000 lek\u00eb t\u00eb reja n\u00eb vit p\u00ebr persona t\u00eb s\u00ebmur\u00eb, megjith\u00ebse funksionojn\u00eb siguracionet sh\u00ebndet\u00ebsore. Ky \u00ebsht\u00eb nj\u00eb turp i madh. Reforma duhet t\u00eb b\u00ebhet e thell\u00eb dhe e ashp\u00ebr, pavar\u00ebsisht se dikush mund t\u00eb thot\u00eb se kemi pak mjek\u00eb e pak infermier\u00eb.<\/p>\n

Po nuk u shkat\u00ebrrua sistemi i mitmarrjes n\u00eb Spitalet publike, nuk do t\u00eb ket\u00eb sh\u00ebrbim cil\u00ebsor t\u00eb kujdesit sh\u00ebndet\u00ebsor p\u00ebr pacient\u00ebt e shtruar. Po nuk u vendos konkurrimi p\u00ebr t\u2019u futur n\u00eb pun\u00eb qoft\u00eb n\u00eb spital p\u00ebr mjek\u00eb dhe infermier\u00eb dhe po nuk u stimuluan mjek\u00ebt dhe infermier\u00ebt e talentuar qoft\u00eb me pagesa qoft\u00eb me bonuse dhe po nuk u fut\u00ebn n\u00eb pun\u00eb n\u00eb spitalet terciare dhe rajonale, mjek\u00eb dhe infermier\u00eb nga m\u00eb t\u00eb mir\u00ebt (dhe k\u00ebt\u00eb do ta vendos\u00eb komisioni i konkurrimit), nuk do t\u00eb ket\u00eb sh\u00ebrbim cil\u00ebsor t\u00eb kujdesit sh\u00ebndet\u00ebsor. Po nuk u vendos drejtimi me bord i spitaleve nuk do t\u00eb ket\u00eb disiplin\u00eb administrative, disiplin\u00eb shkencore dhe kontroll i harxhimit t\u00eb pajisjeve, medikamenteve, konsumeve mjek\u00ebsore, nuk do t\u00eb ket\u00eb sh\u00ebrbim cil\u00ebsor mjek\u00ebsor p\u00ebr pacient\u00ebt.<\/p>\n

Po nuk u p\u00ebrmir\u00ebsua legjislacioni mjek\u00ebsor duke vendosur kategorizimin e infermier\u00ebve dhe mjek\u00ebve, po nuk u ndalua dypun\u00ebsimi i mjek\u00ebve dhe infermier\u00ebve, po nuk u nda puna midis pedagog\u00ebve mjek\u00eb dhe infermier\u00eb me internist\u00ebt, nuk do t\u00eb ket\u00eb sh\u00ebrbim cil\u00ebsor t\u00eb kujdesit sh\u00ebndet\u00ebsor n\u00eb spitale. Ka plot element\u00eb t\u00eb nj\u00eb reforme t\u00eb sakt\u00eb n\u00eb sh\u00ebndet\u00ebsi. Ndryshe fenomeni i mitmarrjes q\u00eb ka degraduar aq shum\u00eb n\u00eb spitale sa q\u00eb edhe nj\u00eb sanitare si Tirja t\u2019u zhvat\u00eb fatkeq\u00ebve pacient\u00eb para, n\u00eb k\u00ebmbim t\u00eb sh\u00ebrbimit- do t\u00eb shkat\u00ebrroj\u00eb p\u00ebrfundimisht sistemin spitalor sh\u00ebndet\u00ebsor. Shpresojm\u00eb q\u00eb qeverisja e sotme dhe e nes\u00ebrme krahas p\u00ebrpjekjeve p\u00ebr t\u00eb mposhtur pandemin\u00eb, t\u00eb krijoj\u00eb nj\u00eb mund\u00ebsi p\u00ebr nj\u00eb reform\u00eb serioze n\u00eb Sistemin Spitalor dhe t\u00eb mos ia l\u00ebr\u00eb vet\u00ebm Ministres s\u00eb Sh\u00ebndet\u00ebsis\u00eb barr\u00ebn e pun\u00ebs.<\/p>\n","protected":false},"excerpt":{"rendered":"

SHKRUAR NGA PIRRO PRIFTI, 16 JANAR 2021 Pas viteve`90 lindi nj\u00eb fenomen i ri n\u00eb sistemin sh\u00ebndet\u00ebsor publik shqiptar – mitmarrja. N\u00eb koh\u00ebn e diktatur\u00ebs mitmarrja n\u00eb spitalet publike nuk ekzistonte, por ekzistonte tradita si d\u00ebshira e pacientit p\u00ebr t\u00eb fal\u00ebnderuar mjekun apo ekipin mjek\u00ebsor q\u00eb i kishte sh\u00ebrbyer n\u00ebp\u00ebrmjet qerasjes me nj\u00eb drek\u00eb apo […]<\/p>\n","protected":false},"author":1,"featured_media":57551,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-63317","post","type-post","status-publish","format-standard","has-post-thumbnail","category-artikuj"],"yoast_head":"\nMitmarrja, plag\u00eb e pandreqshme e spitaleve publike - FJALA e LIR\u00cb<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jehonashqiptare.al\/fjala\/mitmarrja-plage-e-pandreqshme-e-spitaleve-publike\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mitmarrja, plag\u00eb e pandreqshme e spitaleve publike - FJALA e LIR\u00cb\" \/>\n<meta property=\"og:description\" content=\"SHKRUAR NGA PIRRO PRIFTI, 16 JANAR 2021 Pas viteve`90 lindi nj\u00eb fenomen i ri n\u00eb sistemin sh\u00ebndet\u00ebsor publik shqiptar – mitmarrja. 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