Humbja nga kontra tat koncensionare deri m\u00eb 2021 arrin n\u00eb 47,5 milion\u00eb euro, t\u00eb mjaftueshme p\u00ebr nd\u00ebrtimin e nj\u00eb spitali t\u00eb ri.<\/p>\n
MUNGESA E FINANCIMIT<\/p>\n
N\u00ebnfinacimi kronik dhe planifikimi i dob\u00ebt vijon t\u00eb r\u00ebndoj\u00eb sistemin sh\u00ebndet\u00ebsor n\u00eb vendin ton\u00eb vitet e fundit. Koncensionet nuk kan\u00eb p\u00ebrmbushur q\u00ebllimin e tyre p\u00ebr sh\u00ebrbime sh\u00ebndet\u00ebsore cil\u00ebsore n\u00eb koh\u00eb dhe me kosto t\u00eb ul\u00ebt, ( p\u00ebr mbulim universal). \u201cN\u00ebse shohim investimet n\u00eb infrastruktur\u00eb , p\u00ebr \u00e7do 1 lek\u00eb t\u00eb investuar p\u00ebr nd\u00ebrtimin e nj\u00eb qendre sh\u00ebndet\u00ebsore, 6 lek\u00eb shkojn\u00eb p\u00ebr koncensione\u201d, u shpreh, Doktor. Ilir Alimehmeti n\u00eb tryez\u00ebn e organizuar nga shoqata \u201cTogether for Life\u201d ku u prezantua raporti, \u201cMonitorimi i Strategjis\u00eb Komb\u00ebtare t\u00eb Sh\u00ebndet\u00ebsis\u00eb 2021-2030 \u2013 Arritjet dhe Sfidat\u201d. Sfidat e sh\u00ebndetit publik t\u00eb vendit ton\u00eb jan\u00eb n\u00eb rritje. Ne p\u00ebrballemi me sfidat e vazhdueshme t\u00eb gripit sezonal, shp\u00ebrthimet e s\u00ebmundjeve t\u00eb parandalueshme me vaksina , k\u00ebrc\u00ebnimet e paprecedenta t\u00eb pandemis\u00eb COVID-19, kriz\u00eb q\u00eb ka evidentuar akoma m\u00eb shum\u00eb rreziqet. Nd\u00ebrkoh\u00eb, shpenzimet p\u00ebr sh\u00ebndetin publik, si pjes\u00eb e shpenzimeve totale p\u00ebr sh\u00ebndetin, vijojn\u00eb t\u00eb ulen, fakt i evidentuar edhe nga profesionist\u00ebt e sh\u00ebndetit. \u201cSistemi jon\u00eb sh\u00ebndet\u00ebsor s\u00ebmundjen e ka se n\u00eb rradh\u00eb t\u00eb par\u00eb s\u2019ka lek. Kjo \u00ebsht\u00eb s\u00ebmundja. N\u00eb rradh\u00eb t\u00eb par\u00eb s\u2019ka lek. \u00cbsht\u00eb i n\u00ebnfinancuar n\u00eb nj\u00eb shkall\u00eb tejmase t\u00eb ul\u00ebt. T\u2019i l\u00ebm\u00eb gj\u00ebrat sikur funksionon gjith\u00e7ka. Nuk funksionon. Sh\u00ebndet\u00ebsia kushton. Sh\u00ebndet\u00ebsis\u00eb i duhet kushtuar v\u00ebmendje financiare. Q\u00eb nga financimi , m\u00eb pas mir\u00ebmenaxhimi, mosabuzimi e m\u00eb rradh\u00eb. P\u00ebr sa i p\u00ebrket strategjis\u00eb , mbulimit universal, kapilarizimit t\u00eb sistemit sh\u00ebndet\u00ebsor, sistemi sh\u00ebndet\u00ebsor par\u00ebsor, ka ulje. Gjetja num\u00ebr 5, e raportit t\u00eb TFL; financimi nga 11.4%, \u00ebsht\u00eb n\u00eb 9.1 p\u00ebrqind n\u00eb sistemin par\u00ebsor, q\u00eb do t\u00eb thot\u00eb heqje v\u00ebmndje nga ky sektor\u201d, thekson Alimehmeti. SFIDAT E SEKTORIT Kritike p\u00ebr mbrojtjen e sh\u00ebndetit t\u00eb publikut mbetet personeli i mir\u00ebtrajnuar dhe me burime t\u00eb p\u00ebrshtatshme.<\/p>\n
Ilir Alimehmeti: \u201cS\u2019kemi menduar p\u00ebr geriartrin\u00eb dhe nuk njihet as si fjal\u00eb. (deg\u00eb e mjek\u00ebsis\u00eb q\u00eb merret me trajtimin e s\u00ebmundjeve ekzistuese tek t\u00eb rriturit moshuar). Numri i mjekeve t\u00eb familjes \u00ebsht\u00eb m\u00eb pak se 1000, 960 rezultojn\u00eb t\u00eb licensuar. N\u00ebse nuk planifikojm\u00eb bazuar n\u00eb evidenca reale, n\u00ebse nuk krijojm\u00eb protokolle mjekimi, nuk sh\u00ebrojm\u00eb asnj\u00eb nga k\u00ebto plag\u00eb.\u201d Shqet\u00ebsuese p\u00ebr sistemin sh\u00ebndet\u00ebsor mbeten largimet n\u00eb rradh\u00ebt e bluzave t\u00eb bardha, t\u00eb cilat sjellin mungesa, sidomos n\u00eb zonat rurale. \u201cNe kemi nj\u00eb num\u00ebr t\u00eb madh t\u00eb profesionist\u00ebve q\u00eb jan\u00eb t\u00eb fokusuar n\u00eb Tiran\u00eb dhe kemi nj\u00eb munges\u00eb t\u00eb theksuar n\u00eb zonat rurale. K\u00ebtu doja t\u00eb theksoja q\u00eb duhet t\u00eb punojm\u00eb kryesisht n\u00eb infermir\u00eb , t\u00eb cil\u00ebt duhet t\u00eb b\u00ebjn\u00eb p\u00ebrshkrimin e medikamenteve. Pra duhet t\u00eb ndryshoj\u00eb strategjia. Duhet t\u00eb shikojm\u00eb nj\u00eb ekip sh\u00ebndet\u00ebsor, ku infermieri b\u00ebn p\u00ebrshkrimin e medikamenteve, sidomos t\u00eb s\u00ebmundjeve kronike. Ky do t\u00eb ishte kujdes m\u00eb i shtuar p\u00ebr zonat rurale dhe do t\u00eb ishte nj\u00eb rritje e rolit t\u00eb lidershipit t\u00eb infermier\u00ebve n\u00eb lidhje me fuqizimin e tyre n\u00eb dh\u00ebnien e sh\u00ebrbimeve sh\u00ebndet\u00ebsore\u201d, theksoi gjat\u00eb fjal\u00ebs s\u00eb saj Blerina Duka-PRESIDENTE E URDHRIT T\u00cb INFERMIER\u00cbVE. Edhe znj. Duka theksoi se duhet t\u00eb rishikohen politikat sh\u00ebndet\u00ebsore n\u00eb lidhje me geriatrin\u00eb, pasi jemi nj\u00eb popullsi n\u00eb plakje. T\u00eb moshuarit mbi 65 vje\u00e7 nga 11% ,sipas censusit t\u00eb vitit 2023 rezulton se ka arritur n\u00eb 20%. Blerina Duka:\u201cJan\u00eb kat\u00ebr sfida n\u00eb t\u00eb cilat duhet t\u00eb punohet m\u00eb shum\u00eb. Ne duhet t\u00eb punojm\u00eb kryesisht me geriatrin\u00eb. \u00cbsht\u00eb nj\u00eb element shum\u00eb i r\u00ebnd\u00ebsish\u00ebm sepse jemi nj\u00eb popullsi n\u00eb plakje. Duhet t\u00eb shikojm\u00eb shum\u00eb sh\u00ebndetin mendor, urgjenc\u00ebn dhe pediatrin\u00eb. K\u00ebto jan\u00eb kat\u00ebr fushat q\u00eb duhet t\u00eb punohet kryesisht p\u00ebr t\u00eb nd\u00ebrtuar nj\u00eb program t\u00eb specializuar p\u00ebr sfidat e m\u00ebtejshme.\u201d Sistemi sh\u00ebndet\u00ebsor duhet t\u00eb kthehet n\u00eb prioritet t\u00eb \u00e7do qeverie, si nj\u00eb sistem jetik, duke hartuar dhe zbatuar politika t\u00eb bazuara n\u00eb analiza dhe t\u00eb konsultuara me t\u00eb gjith\u00eb aktor\u00ebt, q\u00eb kan\u00eb n\u00eb fokus ofrimin e sh\u00ebrbimeve cil\u00ebsore n\u00eb koh\u00eb dhe t\u00eb p\u00ebrballueshme, ve\u00e7an\u00ebrisht p\u00ebr grupet vulnerable.<\/p>\n
KONTRATAT KONCENSIONARE \u2013 SHUM\u00cb PARA, PAK P\u00cbRFITIME Vitet e fundit shoqata Together For Life ka prodhuar disa raporte t\u00eb fokusuara n\u00eb monitorimin e eficenc\u00ebs s\u00eb shpenzimeve publike n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb. N\u00eb t\u00eb gjitha k\u00ebto raporte \u00ebsht\u00eb ngritur shqet\u00ebsimi rreth nivelit t\u00eb ul\u00ebt t\u00eb buxhetimit t\u00eb sektorit t\u00eb sh\u00ebndet\u00ebsis\u00eb dhe menaxhimit joefikas t\u00eb fondeve t\u00eb alokuara vit pas viti. Raportet jan\u00eb ndalur n\u00eb analizimin e koncesioneve t\u00eb tipit PPP q\u00eb jan\u00eb aplikuar n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb n\u00eb Shqip\u00ebri, ku \u00ebsht\u00eb evidentuar munges\u00eb e theksuar transparence dhe llogaridh\u00ebnieje. TFL ka qen\u00eb nd\u00ebr t\u00eb parat q\u00eb ka ngritur q\u00eb n\u00eb fillim shqet\u00ebsimin, m\u00eb pas t\u00eb bazuar edhe n\u00eb gjetjet e raporteve p\u00ebr problematikat e krijuara nga aplikimi i k\u00ebtyre koncesioneve. Raportet kan\u00eb evidentuar se kontratat PPP jan\u00eb lidhur pa studime t\u00eb qarta fizibiliteti dhe analize kosto-p\u00ebrfitim p\u00ebr buxhetin dhe marr\u00ebsit e sh\u00ebrbimit. Po ashtu shqet\u00ebsues \u00ebsht\u00eb konsideruar fakti q\u00eb kompanit\u00eb koncesionare nuk jan\u00eb \u2018trazuar\u2019 nga institucionet p\u00ebrgjegj\u00ebse gjat\u00eb implementimit t\u00eb koncesioneve dhe disa prej kompanive nuk kan\u00eb dor\u00ebzuar bilancet financiare.<\/p>\n
Aplikimi i TVSH-s\u00eb n\u00eb kund\u00ebrshtim me ligjin dhe pagesat p\u00ebr sh\u00ebrbime t\u00eb pakryera, si n\u00eb rastin e Check-Up dhe Dializ\u00ebs, p\u00ebrb\u00ebjn\u00eb shkelje serioze q\u00eb kan\u00eb ngarkuar buxhetin publik. P\u00ebr m\u00eb tep\u00ebr, korrupsioni dhe shkeljet n\u00eb prokurime jan\u00eb klasifikuar si raste t\u00eb nivelit t\u00eb lart\u00eb nga Transparency International dhe Kontrolli i Lart\u00eb i Shtetit. Raportet tregojn\u00eb manipulime n\u00eb raportime, si n\u00eb rastin e koncesionit t\u00eb Sterilizimit, dhe favorizime t\u00eb kompanive pa p\u00ebrvoj\u00eb n\u00eb sektor. Investimet e koncesionar\u00ebve jan\u00eb minimale, duke p\u00ebrfaq\u00ebsuar vet\u00ebm 9% t\u00eb t\u00eb ardhurave t\u00eb tyre, nd\u00ebrsa p\u00ebrfitimet e tyre jan\u00eb t\u00eb m\u00ebdha. Mungesa e strukturave p\u00ebr monitorimin e kontratave dhe kanalizimi i fondeve publike n\u00eb sh\u00ebrbime jo prioritare kan\u00eb d\u00ebmtuar financat e sektorit t\u00eb sh\u00ebndet\u00ebsis\u00eb. PPP-t\u00eb p\u00ebrb\u00ebjn\u00eb nj\u00eb barr\u00eb t\u00eb r\u00ebnd\u00eb p\u00ebr buxhetin publik, duke marr\u00eb nj\u00eb pjes\u00eb t\u00eb madhe t\u00eb fondeve q\u00eb mund t\u00eb ishin p\u00ebrdorur p\u00ebr sh\u00ebrbime prioritare dhe investime n\u00eb infrastruktur\u00eb sh\u00ebndet\u00ebsore. K\u00ebto problematika theksojn\u00eb domosdoshm\u00ebrin\u00eb p\u00ebr reforma t\u00eb thella n\u00eb menaxhimin dhe mbik\u00ebqyrjen e PPP-ve n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb.<\/p>\n
Nj\u00eb nga gjetjet e raportit \u201cKostoja totale e buxhetit t\u00eb Sh\u00ebndet\u00ebsis\u00eb p\u00ebr mbulimin e pagesave t\u00eb planifikura p\u00ebr kontratat koncensionre\u201d evidenton se d\u00ebmi i pjessh\u00ebm ekonomik nga koncesionet n\u00eb sh\u00ebndet\u00ebsi shkaktuar deri n\u00eb fund t\u00eb vitit 2021 bazuar n\u00eb t\u00eb dh\u00ebnat e Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit dhe nga Ministris\u00eb s\u00eb Financave arrin n\u00eb rreth 5,6 miliard\u00eb lek\u00eb ose 47.5 milion\u00eb euro. Kjo shum\u00eb \u00ebsht\u00eb sa 25% e shum\u00ebs totale t\u00eb akorduar gjithsej p\u00ebr k\u00ebto koncesione deri n\u00eb fund t\u00eb vitit 2022 (projeksion). Shuma prej 47,5 milion\u00eb eurosh do t\u00eb ishte e mjaftueshme p\u00ebr nd\u00ebrtimin e nj\u00eb spitali t\u00eb ri. Transparency.comTransparency.com<\/p>","protected":false},"excerpt":{"rendered":"
Humbja nga kontra tat koncensionare deri m\u00eb 2021 arrin n\u00eb 47,5 milion\u00eb euro, t\u00eb mjaftueshme p\u00ebr nd\u00ebrtimin e nj\u00eb spitali t\u00eb …<\/p>","protected":false},"author":3,"featured_media":2503,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_vp_format_video_url":"","_vp_image_focal_point":[],"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[],"class_list":["post-2502","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n