{"id":29886,"date":"2020-12-19T16:30:06","date_gmt":"2020-12-19T15:30:06","guid":{"rendered":"https:\/\/new.togetherforlife.org.al\/?p=29886"},"modified":"2021-10-05T10:12:33","modified_gmt":"2021-10-05T08:12:33","slug":"si-po-funksionon-sherbimi-shendetesor-paresor-dhe-shperndarja-e-barnave-me-rimbursim","status":"publish","type":"post","link":"https:\/\/www.togetherforlife.org.al\/en\/si-po-funksionon-sherbimi-shendetesor-paresor-dhe-shperndarja-e-barnave-me-rimbursim\/","title":{"rendered":"How the primary health service and the distribution of reimbursed medicines are working"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.9.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221;][et_pb_row _builder_version=&#8221;4.9.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.9.2&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.9.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221;]<\/p>\n<p style=\"text-align: justify;\"><strong>Denisa Canameti<\/strong><\/p>\n<p style=\"text-align: justify;\">Beteja me COVID-19 po b\u00ebhet gjithnj\u00eb e m\u00eb v\u00ebshtir\u00eb p\u00ebr profesionist\u00ebt e sh\u00ebndetit, t\u00eb cil\u00ebt jan\u00eb, pa diskutim, t\u00eb par\u00ebt m\u00eb t\u00eb rrezikuarit. P\u00ebrvoja nd\u00ebrkomb\u00ebtare, ve\u00e7an\u00ebrisht ajo e Italis\u00eb, tregoi se,\u00a0n\u00eb p\u00ebrpjekjen e madhe p\u00ebr t\u00eb shp\u00ebtuar jet\u00eb, mjek\u00ebt jan\u00eb nj\u00ebsoj viktima si pjesa tjet\u00ebr e popullat\u00ebs. N\u00eb Itali, aktualisht jan\u00eb 24 mjek\u00eb q\u00eb kan\u00eb humbur jet\u00ebn p\u00ebr shkak t\u00eb COVID-19. Raportohet se 11 nd\u00ebr 24 mjek\u00ebt e vdekur i p\u00ebrkasin sh\u00ebrbimit t\u00eb familjes, pra <strong>jan\u00eb mjek\u00eb familjeje n\u00eb qendrat sh\u00ebndet\u00ebsore t\u00eb zonave t\u00eb ndryshme.<\/strong><\/p>\n<p style=\"text-align: justify;\">Nj\u00ebsoj t\u00eb ekspozuar ndaj rrezikut jan\u00eb edhe mjek\u00ebt e familjes n\u00eb Shqip\u00ebri. Rasti i Fierit, ku nj\u00eb familje (e konfirmuar tashm\u00eb me COVID-19) nuk tregoi t\u00eb v\u00ebrtet\u00ebn se kishte udh\u00ebtuar drejt Italis\u00eb, \u00e7oi n\u00eb karantinim jo vet\u00ebm t\u00eb mjekut t\u00eb Qendr\u00ebs Sh\u00ebndet\u00ebsore, por edhe t\u00eb personelit sh\u00ebndet\u00ebsor t\u00eb Spitalit t\u00eb Fierit, i cili i sh\u00ebrben nj\u00eb komuniteti prej rreth 300 mij\u00eb banor\u00ebsh dhe mbulon 3 bashki: Fier, Patos dhe Roskovec. \u201cParalizimi\u201d i tij p\u00ebr shkak t\u00eb munges\u00ebs s\u00eb mjek\u00ebve \u00ebsht\u00eb nj\u00eb d\u00ebm jasht\u00ebzakonisht i madh.<\/p>\n<p style=\"text-align: justify;\">Por, si po funksionon sh\u00ebrbimi par\u00ebsor sot n\u00eb Shqip\u00ebri? \u00c7\u2019masa jan\u00eb marr\u00eb? Si po e marrin sh\u00ebrbimin t\u00eb s\u00ebmur\u00ebt kronik\u00eb n\u00eb kushtet e izolimit (Aktualisht jan\u00eb rreth 400.000 pacient\u00eb q\u00eb po trajtohen me recet\u00eb me rimbursim)? Sa t\u00eb mbrojtur jan\u00eb mjek\u00ebt, qoft\u00eb sa u takon pajisjes me mjete mbrojt\u00ebse, ashtu edhe p\u00ebrdit\u00ebsimit me ecurin\u00eb e s\u00ebmundjes, aft\u00ebsis\u00eb p\u00ebr t\u00eb njohur simptomat dhe orientuar drejt rastet?<\/p>\n<p style=\"text-align: justify;\">Shoqata \u201cTogether for Life\u201d p\u00ebrmes nj\u00eb lidhjeje telefonike ka kontaktuar me nj\u00eb prej drejtuesve t\u00eb nj\u00eb prej qendrave sh\u00ebndet\u00ebsore n\u00eb kryeqytet p\u00ebr ta pyetur se si po funksionon puna n\u00eb par\u00ebsor.<\/p>\n<p style=\"text-align: justify;\"><em>\u201cAshtu sikurse edhe e keni par\u00eb, FSDKSH ka v\u00ebn\u00eb n\u00eb dispozicion t\u00eb gjith\u00eb kontaktet e mjek\u00ebve t\u00eb familjes dhe farmacist\u00ebve p\u00ebr t\u00eb leht\u00ebsuar aksesin e pacient\u00ebve n\u00eb sh\u00ebrbimin sh\u00ebndet\u00ebsor. Kjo \u00ebsht\u00eb gj\u00ebja m\u00eb e mir\u00eb q\u00eb mund t\u00eb b\u00ebhej n\u00eb k\u00ebt\u00eb situat\u00eb. T\u00eb kesh mund\u00ebsin\u00eb t\u00eb kontaktosh menj\u00ebher\u00eb me mjekun e familjes q\u00eb, p\u00ebr m\u00eb tep\u00ebr, njeh historikun sh\u00ebndet\u00ebsor t\u00eb \u00e7do pacienti, \u00ebsht\u00eb leht\u00ebsi shum\u00eb e madhe. Por \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb thuhet q\u00eb kemi marr\u00eb masat q\u00eb asnj\u00eb pacient t\u00eb mos mbetet pa trajtimin e nevojsh\u00ebm. Mendoni nj\u00eb pacient me diabet q\u00eb mbetet qoft\u00eb dhe nj\u00eb vakt pa mjekim apo pacient\u00eb me probleme t\u00eb zemr\u00ebs, me s\u00ebmundje kronike t\u00eb mushk\u00ebrive, apo mjaft s\u00ebmundje q\u00eb r\u00ebndohen menj\u00ebher\u00eb n\u00ebse mungon edhe tableta apo injeksioni i par\u00eb i radh\u00ebs\u201d.<\/em><\/p>\n<p style=\"text-align: justify;\">I pyetur se si po funksionon puna e p\u00ebrditshme me pacient\u00ebt dhe ve\u00e7an\u00ebrisht me pacient\u00ebt kronik\u00eb, drejtuesi shprehet se\u00a0masat e marra p\u00ebr mbrojtje nga COVID-19 e v\u00ebn\u00eb theksin tek izolimi i gjith\u00eb popullat\u00ebs e ve\u00e7an\u00ebrisht asaj n\u00eb risk, si: t\u00eb s\u00ebmuret kronik\u00eb dhe t\u00eb moshuarit. N\u00eb k\u00ebto kushte sh\u00ebrbimi m\u00eb i mir\u00eb q\u00eb mund t&#8217;u b\u00ebj\u00eb mjeku i familjes \u00ebsht\u00eb d\u00ebrgimi i medikamenteve pa u paraqitur n\u00eb qendrat sh\u00ebndet\u00ebsore, si dhe k\u00ebshillimi p\u00ebrmes telefonit.<\/p>\n<p style=\"text-align: justify;\"><em>&#8220;Prej m\u00eb shum\u00eb se dy jav\u00ebsh dita e pun\u00ebs e nj\u00eb mjeku familjeje nis me evidentimin e datave t\u00eb recetave p\u00ebr t\u00eb s\u00ebmur\u00ebt kronik\u00eb; m\u00eb pas komunikohet me t\u00eb s\u00ebmurin duke i mund\u00ebsuar d\u00ebrgimin e recet\u00ebs me sms, WhatsApp, Viber etj. P\u00ebr \u00e7do rast q\u00eb pacienti nuk ka mund\u00ebsi t\u00eb shkoj\u00eb n\u00eb farmaci p\u00ebr t\u00eb marr\u00eb recet\u00ebn, \u00ebsht\u00eb personeli mjek\u00ebsor q\u00eb e kryen k\u00ebt\u00eb detyr\u00eb n\u00eb bashk\u00ebpunim me farmacist\u00ebt, t\u00eb cil\u00ebt meritojn\u00eb gjithashtu nj\u00eb fal\u00ebnderim shum\u00eb t\u00eb madh\u201d.<\/em><\/p>\n<p style=\"text-align: justify;\">Nd\u00ebrsa se sa t\u00eb njohur jan\u00eb mjek\u00ebt e familjes me simptomat e COVID-19 dhe a kan\u00eb zhvilluar trajnime apo seminare brenda Qendrave Sh\u00ebndet\u00ebsore p\u00ebr plot\u00ebsimin e njohurive t\u00eb mjek\u00ebve t\u00eb familjes, ai thot\u00eb:<\/p>\n<p style=\"text-align: justify;\"><em>Mjek\u00ebt e familjes, sikurse dhe gjith\u00eb pjesa tjet\u00ebr e stafit t\u00eb Qendrave Sh\u00ebndet\u00ebsore, ku p\u00ebrfshihen mjek\u00ebt specialist\u00eb dhe infermier\u00ebt jan\u00eb njohur dhe po njihen me \u00e7do p\u00ebrdit\u00ebsim t\u00eb udh\u00ebzimeve q\u00eb nxjerr Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, si dhe Instituti i Sh\u00ebndetit Publik n\u00eb lidhje me COVID-19. Epidemiolog\u00ebt e Nj\u00ebsive Vendore t\u00eb Kujdesit Sh\u00ebndet\u00ebsor u kan\u00eb b\u00ebr\u00eb trajnim pothuajs\u00eb t\u00eb gjith\u00eb mjek\u00ebve t\u00eb familjes ende pa u identifikuar rasti i par\u00eb me COVID-19 n\u00eb Shqip\u00ebri. Mund\u00ebsit\u00eb e informimit sot jan\u00eb t\u00eb pafundme, por po kujdesemi q\u00eb t\u00eb marrim si dhe shp\u00ebrndajm\u00eb informacione zyrtare q\u00eb kalojn\u00eb n\u00eb sit\u00ebn e profesionist\u00ebve. Puna jon\u00eb pas fillimit t\u00eb epidemis\u00eb n\u00eb vend konsiston n\u00eb mbajtjen e t\u00eb s\u00ebmur\u00ebve (sa t\u00eb jet\u00eb e mundur) larg ambienteve ku mund t\u00eb infektohen. Mjek\u00ebsia \u00ebsht\u00eb e pamundur t\u00eb b\u00ebhet e gjitha n\u00eb distanc\u00eb, por \u00ebsht\u00eb thelb\u00ebsore n\u00eb kushtet aktuale q\u00eb popullata t\u00eb marr\u00eb maksimumin e informacionit t\u00eb mundur n\u00eb distanc\u00eb nga profesionist\u00ebt e mjek\u00ebsis\u00eb. Nj\u00eb komunikim e vler\u00ebsim i problemeve p\u00ebrmes telefonit nga mjek\u00ebt e familjes b\u00ebn t\u00eb mundur uljen e fluksit t\u00eb pacient\u00ebve n\u00ebp\u00ebr Qendra Sh\u00ebndet\u00ebsore e Urgjenca. Na b\u00ebjn\u00eb optimist\u00eb dhe rezultatet e pun\u00ebs s\u00eb deritanishme q\u00eb kan\u00eb ulur ndjesh\u00ebm fluksin e vizitave n\u00eb rrjetin e sh\u00ebrbimit sh\u00ebndet\u00ebsor publik, duke theksuar q\u00eb p\u00ebrpiqemi t\u00eb mos l\u00ebm\u00eb asnj\u00eb rast ambulator pa zgjidhje. <\/em><\/p>\n<p style=\"text-align: justify;\">Por, a kan\u00eb mundur t\u00eb pajisin personelin (mjek\u00eb, infermier\u00eb, recepsionist\u00eb, sanitar\u00eb) me masat mbrojt\u00ebse?<\/p>\n<p style=\"text-align: justify;\"><em>N\u00eb t\u00eb gjitha Qendrat Sh\u00ebndet\u00ebsore jan\u00eb marr\u00eb masat maksimale t\u00eb mundura p\u00ebr t\u00eb mbrojtur stafin nga infektimi. Nga masat e thjeshta, por mjaft t\u00eb r\u00ebnd\u00ebsishme higjieno -sanitare, dezinifektimet e ambienteve e deri tek pajisjet. N\u00eb fillim ishte mjaft e r\u00ebnd\u00ebsishme q\u00eb pacientet t\u00eb ishin korrekt me mjekun p\u00ebr histori udh\u00ebtimi n\u00eb vendet me risk, por sot nuk mjafton vet\u00ebm kjo. Pas \u00e7do rasti t\u00eb ri duhen zbuluar me kujdes gjith\u00eb kontaktet me q\u00ebllim minimizimin e p\u00ebrhapjes. Edhe k\u00ebtu luan shum\u00eb rol mjeku i familjes, sepse zot\u00ebron nj\u00eb arm\u00eb t\u00eb fuqishme: konfidencialitetin e krijuar m\u00eb her\u00ebt me pacientin. Mjek\u00ebt e familjes bashk\u00eb me epidemiolog\u00ebt e zonave po b\u00ebjn\u00eb pun\u00eb t\u00eb admirueshme n\u00eb at\u00eb q\u00eb quhet hetim epidemiologjik.<\/em><\/p>\n<p style=\"text-align: justify;\">A po kryhen vizita n\u00eb Qendr\u00ebn Sh\u00ebndet\u00ebsore?<\/p>\n<p style=\"text-align: justify;\"><em>N\u00eb qendr\u00ebn ton\u00eb dhe pothuaj n\u00eb t\u00eb gjitha qendrat e tjera nuk u mohohet sh\u00ebrbimi pacienteve q\u00eb paraqiten p\u00ebr vizita akute. Kemi organizuar nj\u00eb vler\u00ebsim paraprak t\u00eb pacient\u00ebve nga stafi yn\u00eb pa u futur n\u00eb ambientet e brendshme t\u00eb qendr\u00ebs. E b\u00ebjn\u00eb k\u00ebt\u00eb vler\u00ebsim infermieret duke u k\u00ebshilluar si \u201crregull num\u00ebr nj\u00eb\u201d pacient\u00ebve mbajtjen e distanc\u00ebs.\u00a0Pas \u00e7do rasti t\u00eb nevojsh\u00ebm p\u00ebr vizit\u00eb, zbret mjeku i famijes p\u00ebr t\u00eb komunikuar me pacientin po jasht\u00eb ambienteve e m\u00eb pas, n\u00ebse vizita \u00ebsht\u00eb e domosdoshme, pacientit i vihet mask\u00eb dhe vijohet sh\u00ebrbimi. Nuk duhet harruar q\u00eb ka kategori pacient\u00ebsh p\u00ebr sh\u00ebrbim t\u00eb domosdosh\u00ebm n\u00eb Qendra Shendet\u00ebsore, si: mjekime plag\u00ebsh, vizita kardiologjike q\u00eb k\u00ebrkojn\u00eb patjet\u00ebr nj\u00eb mendim t\u00eb kardiologut, shoq\u00ebruar me nj\u00eb elektrokardiogram\u00eb; infeksione q\u00eb nuk kan\u00eb lidhje me COVID-19, por q\u00eb k\u00ebrkojn\u00eb trajtim t\u00eb menj\u00ebhersh\u00ebm; injeksione etj. Mjafton aq p\u00ebr t\u00eb th\u00ebn\u00eb sa shum\u00eb pun\u00eb po b\u00ebhet.\u00a0<\/em><\/p>\n<p style=\"text-align: justify;\"><strong><em>N\u00ebse n\u00eb nj\u00eb moment nuk jua hapim telefonin, bjerini p\u00ebrs\u00ebri sepse nuk \u00ebsht\u00eb bezdi, por thjesht nj\u00eb pamund\u00ebsi momenti<\/em><\/strong>, ishte porosia e fundit p\u00ebrpara se t\u00eb nd\u00ebrpritej lidhja telefonike.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>Denisa Canameti Beteja me COVID-19 po b\u00ebhet gjithnj\u00eb e m\u00eb v\u00ebshtir\u00eb p\u00ebr profesionist\u00ebt e sh\u00ebndetit, t\u00eb cil\u00ebt jan\u00eb, pa diskutim, t\u00eb par\u00ebt m\u00eb t\u00eb rrezikuarit. P\u00ebrvoja nd\u00ebrkomb\u00ebtare, ve\u00e7an\u00ebrisht ajo e [&hellip;]<\/p>","protected":false},"author":1,"featured_media":29891,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[61,62],"tags":[80,79],"class_list":["post-29886","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-video-shendet","category-video-te-drejtat-e-njeriut","tag-investigime","tag-lajme"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Si po funksionon sh\u00ebrbimi sh\u00ebndet\u00ebsor par\u00ebsor dhe shp\u00ebrndarja e barnave me rimbursim - TogetherForLife<\/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:\/\/www.togetherforlife.org.al\/en\/si-po-funksionon-sherbimi-shendetesor-paresor-dhe-shperndarja-e-barnave-me-rimbursim\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Si po funksionon sh\u00ebrbimi sh\u00ebndet\u00ebsor par\u00ebsor dhe shp\u00ebrndarja e barnave me rimbursim - TogetherForLife\" \/>\n<meta property=\"og:description\" content=\"Denisa Canameti Beteja me COVID-19 po b\u00ebhet gjithnj\u00eb e m\u00eb v\u00ebshtir\u00eb p\u00ebr profesionist\u00ebt e sh\u00ebndetit, t\u00eb cil\u00ebt jan\u00eb, pa diskutim, t\u00eb par\u00ebt m\u00eb t\u00eb rrezikuarit. 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