[et_pb_section fb_built=”1″ _builder_version=”4.9.2″ _module_preset=”default” custom_margin=”0px||0px||true|false” custom_padding=”0px||0px||true|false” hover_enabled=”0″ sticky_enabled=”0″][et_pb_row _builder_version=”4.9.2″ _module_preset=”default” custom_margin=”0px||0px||true|false” custom_padding=”0px||0px||true|false” hover_enabled=”0″ sticky_enabled=”0″][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_text _builder_version=”4.9.2″ _module_preset=”default” custom_margin=”0px||0px||true|false” custom_padding=”0px||0px||false|false” hover_enabled=”0″ sticky_enabled=”0″]<\/p>\n
“Gjithmon\u00eb kemi raportuar problematikat e sistemit sh\u00ebndet\u00ebsor, por gjithashtu kemi k\u00ebrkuar nj\u00eb analiz\u00eb m\u00eb t\u00eb thell\u00eb, t\u00eb cil\u00ebn po e paraqesim sot, p\u00ebr 8 sh\u00ebrbime t\u00eb QSUT-s\u00eb dhe 8 spitale rajonale. Ky \u00ebsht\u00eb hapi i par\u00eb p\u00ebr t\u2019i dh\u00ebn\u00eb disa p\u00ebrgjigje sistemit sh\u00ebndet\u00ebsor”. \u00a0K\u00ebshtu u shpreh Eglantina Bardhi n\u00eb fjal\u00ebn e saj p\u00ebrsh\u00ebndet\u00ebse, gjat\u00eb aktivitetit q\u00eb shoqata “Together for life” ka zhvilluar dit\u00ebn e sotme.<\/span><\/p>\n “Together for Life” prezantoi dy Raportet Vler\u00ebsuese mbi Sistemin e Sh\u00ebndet\u00ebsis\u00eb \u201cPlanifikimi dhe menaxhimi i buxheteve spitalore p\u00ebr t\u00eb plot\u00ebsuar nevojat e pacient\u00ebve p\u00ebr mjekim t\u00eb p\u00ebrshtatsh\u00ebm” dhe “Raportin mbi Prokurimin e barnave p\u00ebr p\u00ebrdorim spitalor”.<\/span><\/p>\n Raportet vler\u00ebsuese vijn\u00eb si nj\u00eb nevoj\u00eb p\u00ebr t\u00eb vler\u00ebsuar dhe adresuar problemet q\u00eb shoq\u00ebrojn\u00eb \u00e7\u00ebshtjet e buxhetimit t\u00eb spitaleve dhe \u00e7\u00ebshtjet e prokurimit t\u00eb barnave p\u00ebr p\u00ebrdorim spitalor.<\/span><\/p>\n Buxheti n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb p\u00ebr spitalet rajonale akordohet nga Ministria e Sh\u00ebndet\u00ebsis\u00eb bazuar n\u00eb k\u00ebrkesat drejtuar k\u00ebtij institucioni nga ana e spitaleve rajonale\/qendrore. Vihet re q\u00eb Ministria e Sh\u00ebndet\u00ebsis\u00eb i miraton t\u00eb p\u00ebrgjysmuara k\u00ebto k\u00ebrkesa, madje edhe m\u00eb keq, duke shkaktuar mungesa t\u00eb theksuara t\u00eb mjekimit n\u00eb kurriz t\u00eb pacient\u00ebve.<\/span><\/p>\n Mang\u00ebsit\u00eb dhe t\u00eb metat e sistemit sh\u00ebndet\u00ebsor shqiptar n\u00eb ofrimin e nj\u00eb sh\u00ebrbimi t\u00eb garantuar dhe cil\u00ebsor, i pengojn\u00eb pacient\u00ebt, sidomos ata me s\u00ebmundje kronike, t\u00eb ken\u00eb aksesin e nevojsh\u00ebm n\u00eb sistemin sh\u00ebndet\u00ebsor.<\/span><\/p>\n Raporti i par\u00eb mbi “Mbi prokurimin e barnave p\u00ebr p\u00ebrdorim spitalor” u prezantua nga specialistja e prokurimeve, Valbona Dhrami. Dhrami n\u00eb raportin e saj paraqiti nj\u00eb analiz\u00eb t\u00eb prokurimit t\u00eb barnave n\u00eb sektorin sh\u00ebndet\u00ebsor publik, planifikimin e fondeve, m\u00ebnyr\u00ebn e prokurimit, zhvillimin e procedurave t\u00eb prokurimit, rolin e institucioneve spitalore.<\/span><\/p>\n N\u00eb p\u00ebrfundim t\u00eb raportit u evidentuan probleme dhe sugjerime\/ rekomandime p\u00ebr p\u00ebrmir\u00ebsimin e planifikimit t\u00eb fondeve dhe m\u00ebnyrave t\u00eb prokurimit t\u00eb barnave, me q\u00ebllim rritjen e efektivitetit dhe eficens\u00ebs n\u00eb p\u00ebrdorimin e fondeve buxhetore n\u00eb sistemin sh\u00ebndet\u00ebsor, si dhe plot\u00ebsimin m\u00eb t\u00eb mire t\u00eb nevojave t\u00eb pacient\u00ebve.<\/span><\/p>\n \u00a0<\/span><\/p>\n Menj\u00ebher\u00eb pas prezantimit t\u00eb Dhramit, fjal\u00ebn sipas agjend\u00ebs e mori ekspertja Flora Hobdari, e cila prezantoi raportin me tem\u00eb ” Planifikimi dhe menaxhimi i buxheteve spitalore, p\u00ebr t\u00eb plot\u00ebsuar nevojat e pacient\u00ebve p\u00ebr mjekim t\u00eb p\u00ebrshtatsh\u00ebm”. N\u00eb k\u00ebt\u00eb raport u paraqit\u00ebn t\u00eb dh\u00ebna dhe fakte p\u00ebr rrug\u00ebn q\u00eb ndiqet nga institucionet sh\u00ebndet\u00ebsore spitalore p\u00ebr planifikimin dhe menaxhimin e buxhetit n\u00eb t\u00ebr\u00ebsi dhe buxhetit p\u00ebr barna n\u00eb ve\u00e7anti, si dhe nj\u00eb analiz\u00eb krahasimore e situat\u00ebs buxhetore t\u00eb disa prej spitaleve rajonale dhe sh\u00ebrbimeve sh\u00ebndet\u00ebsore n\u00eb QSUT. N\u00eb p\u00ebrfundim t\u00eb raportit gjithashtu Hobdari ka nxjerr\u00eb sugjerime si dhe ka rekomanduar zgjidhje p\u00ebrmes analizimit se si t\u00eb mir\u00ebmenaxhohet buxheti i akorduar p\u00ebr spitalet, p\u00ebr t\u00eb plot\u00ebsuar nevojat emergjente t\u00eb pacient\u00ebve p\u00ebr mjekim dhe sh\u00ebrbim m\u00eb t\u00eb mir\u00eb sh\u00ebndet\u00ebsor.<\/span><\/p>\n Aktiviteti ka vazhduar me fjal\u00ebn e profesor Gazment Koduzi, i cili prezantoi tem\u00ebn “K\u00ebndv\u00ebshtrim alternativ i studimeve p\u00ebr financimin dhe prokurimin e barnave n\u00eb sh\u00ebrbimin spitalor Shqiptar”.<\/span><\/p>\n \u201cMendoj se pika kryesore p\u00ebr rritjen e cil\u00ebsis\u00eb s\u00eb sistemit sh\u00ebndet\u00ebsor \u00ebsht\u00eb padyshim rritja e buxhetit. Nd\u00ebrkoh\u00eb, dua t\u00eb theksoj se nuk mund t\u00eb ket\u00eb funksionim t\u00eb sistemit sh\u00ebndet\u00ebsor n\u00ebse paraja nuk ndjek pacientin, q\u00eb do t\u00eb thot\u00eb se \u00e7do fond i akorduar duhet t\u00eb shkoj\u00eb n\u00eb sh\u00ebrbim t\u00eb pacientit dhe n\u00eb m\u00ebnyr\u00ebn m\u00eb t\u00eb mir\u00eb t\u00eb mundshme”, u shpreh Koduzi.<\/span><\/p>\n “Nj\u00eb funksion tjet\u00ebr \u00ebsht\u00eb blerja e sh\u00ebrbimeve. Q\u00eb t\u00eb blesh sh\u00ebrbime do t\u00eb thot\u00eb q\u00eb t\u00eb kesh mund\u00ebsi t\u00eb zgjedh\u00ebsh, dhe n\u00eb Shqip\u00ebri akoma nuk kemi blerje sh\u00ebrbimesh, p\u00ebrve\u00e7se n\u00eb rimbursimin e barnave, ku pacienti\u00a0 ka mund\u00ebsi vet\u00ebm t\u00eb zgjedh\u00eb se n\u00eb cil\u00ebn farmaci do t\u00eb shkoj\u00eb t\u00eb marr\u00eb barnat”, tha ai.<\/span><\/p>\n “N\u00eb Shkod\u00ebr p\u00ebrshembull FSDKSH (Fondi i Sigurimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor) lidh kontrat\u00ebn me Spitalin Rajonal t\u00eb Shkodr\u00ebs, sepse vet\u00ebm ai spital \u00ebsht\u00eb, kurse n\u00eb Tiran\u00eb q\u00eb ka mund\u00ebsi zgjedhjeje apo n\u00eb spitale t\u00eb tjera private nuk e b\u00ebn k\u00ebt\u00eb pun\u00eb. Pra, n\u00eb Shqip\u00ebri flasim p\u00ebr financim, jo p\u00ebr blerje dhe niveli i fondit pastaj \u00ebsht\u00eb ofrimi i sh\u00ebrbimeve me t\u00eb cilin lidhet prokurimi i mallrave dhe buxhetimi\u201d vazhdoi Koduzi me fjal\u00ebn e vet.<\/span><\/p>\n Koduzi gjithashtu artikuloi nj\u00eb s\u00ebr\u00eb rekomandimesh dhe sugjerimesh, t\u00eb dala nga studimi i tij.<\/span><\/p>\n Pas referimeve t\u00eb tre autor\u00ebve t\u00eb raporteve, fjal\u00ebn e mori eksperti ekonomik, Zef Pre\u00e7i, i cili p\u00ebrsh\u00ebndeti aktivitetin.<\/span><\/p>\n Midis t\u00eb tjerash, Pre\u00e7i tha se “un\u00eb mendoj q\u00eb nj\u00eb num\u00ebr \u00e7\u00ebshtjesh q\u00eb lidhen me menaxhimin e spitaleve dhe planifikimin e nevojave p\u00ebr medikamente jan\u00eb t\u00eb mundshme p\u00ebr t\u2019u zgjidhur duke iu larguar asaj p\u00ebrvoj\u00ebs historike. N\u00ebse do t\u00eb kishte menaxhim m\u00eb t\u00eb mir\u00eb t\u00eb spitaleve tona, natyrisht n\u00ebn drejtimin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb do t\u00eb analizohej s\u00ebmundshm\u00ebria dhe mjekimet shum\u00ebvje\u00e7are mund t\u00eb b\u00ebhen prognoza p\u00ebr 2-3 apo m\u00eb shum\u00eb vite.<\/span><\/p>\n “N\u00eb dit\u00ebt e sotme nuk ka asnj\u00eb arsye t\u00eb mos dokumentohen p\u00ebrkat\u00ebsisht mjekimet q\u00eb kryhen duke b\u00ebr\u00eb analiza mbi s\u00ebmundshm\u00ebrin\u00eb, mbi trendin q\u00eb \u00ebsht\u00eb dhe mbi k\u00ebt\u00eb baz\u00eb, mund t\u00eb plot\u00ebsohen edhe nevojat p\u00ebr medikamente. Un\u00eb mendoj se duhet t\u00eb ket\u00eb edhe nj\u00eb plan p\u00ebr nj\u00eb rezerv\u00eb sigurie, pasi n\u00eb kushtet normale, alarmet q\u00eb jep shtypi jan\u00eb se mungojn\u00eb edhe medikamentet baz\u00eb.<\/span><\/p>\n “Do t\u00eb ishte mir\u00eb edhe rishikimi mes kostos dhe efi\u00e7enc\u00ebs, pasi shpenzimet z\u00ebn\u00eb nj\u00eb pjes\u00eb t\u00eb madhe t\u00eb GDP-s\u00eb s\u00eb vendit. Shoh me shqet\u00ebsim se performanca e spitaleve krahasuar me koston \u00ebsht\u00eb shum\u00eb larg”, tha eksperti.<\/span><\/p>\n Aktivitetin e p\u00ebrsh\u00ebndeti gjithashtu dr. Agim Shehu, i cili paraqiti disa pika se \u00e7far\u00eb do t\u00eb ndryshoj\u00eb n\u00eb financimin e spitaleve.<\/span><\/p>\n