\u201cMjeku q\u00eb m\u00eb l\u00ebshoi recet\u00ebn e ila\u00e7eve, e fotografoi at\u00eb, duke m\u00eb krijuar bindjen se ishte
\nlidhur paraprakisht me depon farmaceutike dhe merrte p\u00ebrqindje nga ila\u00e7et e p\u00ebrshkruara
\nn\u00eb recet\u00eb\u201d, d\u00ebshmon nj\u00eb pacient i cili tregon se shum\u00eb her\u00eb \u00ebsht\u00eb orientuar nga mjeku q\u00eb
\nt\u2019i marr\u00eb medikamentet e p\u00ebrshkruara n\u00eb recet\u00eb n\u00eb nj\u00eb farmaci t\u00eb caktuar.\u201d
\nKy nuk \u00ebsht\u00eb nj\u00eb rast i izoluar. Sipas t\u00eb dh\u00ebnave t\u00eb ofruara nga organizata Together for
\nLife, bazuar n\u00eb nj\u00eb anket\u00eb online me 1000 t\u00eb anketuar n\u00eb Shqip\u00ebri, evidentohet se 67%
\ne personave kan\u00eb deklaruar se jan\u00eb orientuar nga mjeku p\u00ebr t\u2019i marr\u00eb medikamentet n\u00eb
\nnj\u00eb farmaci t\u00eb caktuar, nga t\u00eb cil\u00ebt 48% jan\u00eb orientuar n\u00eb m\u00ebnyr\u00eb t\u00eb drejtp\u00ebrdrejt\u00eb dhe
\n19% n\u00eb m\u00ebnyr\u00eb t\u00eb t\u00ebrthort\u00eb. Vet\u00ebm 28% e pjes\u00ebmarr\u00ebsve n\u00eb anket\u00eb kan\u00eb deklaruar se
\nnuk jan\u00eb orientuar asnj\u00ebher\u00eb nga mjeku, nd\u00ebrsa 4% nuk jan\u00eb t\u00eb sigurt ose nuk e kujtojn\u00eb.
\nKy fenomen, i cili ngre pik\u00ebpyetje serioze p\u00ebr etik\u00ebn profesionale dhe konfliktin e interesit
\nn\u00eb sistemin sh\u00ebndet\u00ebsor, duket se nuk \u00ebsht\u00eb thjesht nj\u00eb fenomen i izoluar, por nj\u00eb model
\nfunksional q\u00eb prodhon p\u00ebrfitime t\u00eb nj\u00ebanshme n\u00eb kurriz t\u00eb pacientit.<\/p>\n
Nga p\u00ebrkujdesja te presioni i heshtur
\nNj\u00eb tjet\u00ebr pacient, i ardhur nga Pogradeci p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim n\u00eb Qendr\u00ebn Spitalore
\nUniversitare \u2018N\u00ebn\u00eb Tereza\u2019 n\u00eb Tiran\u00eb, tregon p\u00ebr p\u00ebrvojat e tij t\u00eb p\u00ebrs\u00ebritura me orientimin
\ndrejt nj\u00eb farmacie t\u00eb vetme nga mjeku q\u00eb e trajton prej vitesh p\u00ebr s\u00ebmundjen e tij:
\n\u2018Ne nga Pogradeci, sa her\u00eb b\u00ebjm\u00eb vizit\u00ebn te doktori, na thon\u00eb \u2018shko merre n\u00eb filan farmaci
\nila\u00e7in, mi sill t\u2019i shoh edhe nj\u00ebher\u00eb un\u00eb\u201d. Nj\u00eb her\u00eb i mora medikamentet n\u00eb nj\u00eb farmaci
\ntjet\u00ebr nga ajo q\u00eb m\u00eb kishte sugjeruar mjeku. Pagova p\u00ebr to 113 mij\u00eb lek\u00eb t\u00eb vjetra. Kur
\nshkova tek mjeku t\u2019i tregoja medikamentet q\u00eb sapo i kishte bler\u00eb, ai m\u00eb tha se duhet t\u2019i
\nkisha marr\u00eb tek farmacia q\u00eb m\u00eb kishte sugjeruar sepse ato q\u00eb kisha marr\u00eb nuk b\u00ebnin.
\n\u2018Shko ktheji atje ku i ke marr\u00eb dhe merri tek farmacia q\u00eb t\u00eb kam th\u00ebn\u00eb. \u2019 m\u00eb urdh\u00ebroi.
\nAshtu b\u00ebra. Ishin t\u00eb nj\u00ebjtat medikamente, me t\u00eb nj\u00ebjtin paketim. \u2018Nuk jan\u00eb nj\u00eblloj\u2019 \u2013 m\u00eb tha
\nmjeku, \u2018mos shih kartonin, ne njohim kokrrat q\u00eb ka brenda.\u2019<\/p>\n
Pacient\u00ebt ndihen t\u00eb detyruar t\u00eb ndjekin udh\u00ebzimet e mjekut jo p\u00ebr shkak t\u00eb besimit n\u00eb
\nkujdesin profesional, por p\u00ebr shkak t\u00eb frik\u00ebs se mjeku mund t\u00eb refuzoj\u00eb t\u2019i trajtoj\u00eb, n\u00ebse
\nnuk ndjekin \u201cudh\u00ebzimet\u201d p\u00ebr blerjen e barnave. N\u00eb k\u00ebt\u00eb kontekst, sh\u00ebndeti shnd\u00ebrrohet
\nn\u00eb nj\u00eb loj\u00eb pushteti, ku mjeku mban kontrollin mbi \u00e7do hallk\u00eb t\u00eb trajtimit.
\nMegjith\u00ebse orientimi i pacient\u00ebve nga mjek\u00ebt drejt farmacive t\u00eb caktuara p\u00ebrb\u00ebn nj\u00eb
\npraktik\u00eb me pasoja t\u00eb diskutueshme etike dhe ligjore, nj\u00eb pjes\u00eb e konsiderueshme e
\npacient\u00ebve e pranojn\u00eb dhe madje e justifikojn\u00eb k\u00ebt\u00eb fenomen si nj\u00eb form\u00eb \u201cgarancie
\ncil\u00ebsie\u201d. Sipas k\u00ebtyre pacient\u00ebve, udh\u00ebzimi i mjekut nuk \u00ebsht\u00eb i motivuar nga p\u00ebrfitimi
\npersonal, por nga d\u00ebshira p\u00ebr t\u2019i drejtuar ata drejt farmacive t\u00eb besueshme, ku mund t\u00eb
\ngjejn\u00eb barnat e duhura, efektive dhe n\u00eb gjendje t\u00eb mir\u00eb.<\/p>\n
\u201cPo, sigurisht q\u00eb mjeku m\u00eb ka sugjeruar farmacin\u00eb ku gjenden ila\u00e7e cil\u00ebsore. Si do t\u00eb
\nsh\u00ebrohem me ila\u00e7e t\u00eb skaduara? Ato q\u00eb jan\u00eb n\u00eb rimbursim jan\u00eb si g\u00eblqere, nuk b\u00ebjn\u00eb
\nasnj\u00eb efekt,\u201d shprehet nj\u00eb pacient i moshuar, i cili shton se nuk i blen medikamentet e
\nrimbursuara p\u00ebr shkak t\u00eb munges\u00ebs s\u00eb besimit tek cil\u00ebsia e tyre. Ai thekson se \u00e7mimin e
\nbarnave e p\u00ebrballon me ndihm\u00ebn financiare q\u00eb merr nga e bija n\u00eb emigracion.
\nKy q\u00ebndrim, ndon\u00ebse i nd\u00ebrtuar mbi p\u00ebrvoj\u00eb personale dhe perceptime t\u00eb p\u00ebrhapura, nuk
\nmund t\u00eb ligj\u00ebroj\u00eb nj\u00eb praktike q\u00eb cenon t\u00eb drejt\u00ebn e pacientit p\u00ebr zgjedhje t\u00eb lir\u00eb dhe barazi
\nn\u00eb qasjen ndaj barnave. Mungesa e besimit n\u00eb sistemin e rimbursimit dhe n\u00eb kontrollin e
\ncil\u00ebsis\u00eb s\u00eb barnave tregon p\u00ebr nj\u00eb d\u00ebshtim institucional, i cili po shfryt\u00ebzohet nga aktor\u00eb
\nt\u00eb caktuar p\u00ebr p\u00ebrfitime private. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, orientimi \u201csi kujdes\u201d po shnd\u00ebrrohet n\u00eb
\nnj\u00eb norm\u00eb t\u00eb rrezikshme q\u00eb rrit pabarazit\u00eb dhe rrezikon sh\u00ebndetin publik.
\nFarmacistja S.G., e vet\u00ebdijshme p\u00ebr k\u00ebt\u00eb realitet, pranon se \u201cky fenomen \u00ebsht\u00eb i vjet\u00ebr sa
\nvet\u00eb bota\u201d, dhe sugjeron q\u00eb zgjidhja mund t\u00eb gjendet vet\u00ebm n\u00eb fuqizimin e legjislacionit
\np\u00ebr trajtimin e recet\u00ebs dhe n\u00eb p\u00ebrfshirjen e profesionist\u00ebve n\u00eb tryezat vendimmarr\u00ebse.
\nNd\u00ebrkoh\u00eb, nj\u00eb farmacist pran\u00eb Poliklinik\u00ebs s\u00eb Specialiteteve nr. 3 n\u00eb Tiran\u00eb rr\u00ebfen se kjo
\npraktik\u00eb i ka shkaktuar d\u00ebm t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb pun\u00ebn e tij:
\n\u201cMjek\u00ebt shkojn\u00eb deri aty sa m\u00eb b\u00ebjn\u00eb anti-reklam\u00eb. U thon\u00eb pacient\u00ebve se ila\u00e7et q\u00eb
\nndodhen n\u00eb farmacin\u00eb time jan\u00eb t\u00eb skaduara. N\u00eb fakt, barnat jan\u00eb t\u00eb nj\u00ebjtat \u2013 vijn\u00eb nga
\ne nj\u00ebjta depo farmaceutike.\u201d<\/p>\n
Ky pohim i rreziksh\u00ebm thekson p\u00ebrmasat agresive t\u00eb konkurrenc\u00ebs jo t\u00eb ndershme, ku
\nnj\u00eb mjek jo vet\u00ebm q\u00eb orienton, por edhe d\u00ebnon farmacist\u00ebt q\u00eb nuk jan\u00eb pjes\u00eb e
\n\u201cmarr\u00ebveshjes\u201d.<\/p>\n
Nevoja p\u00ebr rregulla dhe mbik\u00ebqyrje reale
\nPraktika e orientimit t\u00eb pacient\u00ebve drejt farmacive t\u00eb caktuara p\u00ebrmes ndikimit t\u00eb
\ndrejtp\u00ebrdrejt\u00eb apo n\u00ebnkuptuar t\u00eb mjek\u00ebve p\u00ebrb\u00ebn shkelje t\u00eb r\u00ebnd\u00eb t\u00eb etik\u00ebs profesionale
\ndhe cenon t\u00eb drejt\u00ebn e pacientit p\u00ebr zgjedhje t\u00eb lir\u00eb dhe trajtim t\u00eb barabart\u00eb.
\nKy fenomen nuk \u00ebsht\u00eb thjesht nj\u00eb shkelje administrative apo nj\u00eb \u201cmarr\u00ebveshje n\u00ebn
\nrrogoz\u201d, por pasqyr\u00eb e kriz\u00ebs morale n\u00eb sistemin sh\u00ebndet\u00ebsor, ku pacienti shihet si mjet
\nfitimi nd\u00ebrsa mjeku shnd\u00ebrrohet n\u00eb nd\u00ebrmjet\u00ebs tregtar.
\nFenomeni nuk ka kaluar pa u v\u00ebn\u00eb re nga institucionet mbik\u00ebqyr\u00ebse. Alfred Leskaj,
\np\u00ebrfaq\u00ebsues i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit (KLSH), deklaroi gjat\u00eb nj\u00eb tryeze t\u00eb organizuar
\nnga TFL se po hetohet me prioritet ekzekutimi i recetave elektronike dhe organizimi i
\nlist\u00ebs s\u00eb barnave t\u00eb rimbursueshme nga mjeku i familjes dhe farmacit\u00eb me kontrat\u00eb me
\nFDSKSH.
\n\u201cNj\u00eb pik\u00eb me risk t\u00eb lart\u00eb \u00ebsht\u00eb ekzekutimi i recetave elektronike pran\u00eb farmacive t\u00eb
\nkontraktuara, q\u00eb nuk kontrollohet nga Fondi i Sigurimit t\u00eb Kujdesit t\u00eb Detyruesh\u00ebm
\nSh\u00ebndet\u00ebsor,\u201d deklaroi Leskaj.<\/p>\n
KLSH ka rekomanduar q\u00eb pacient\u00ebve t\u2019u jepet informacion i qart\u00eb p\u00ebr barnat e
\np\u00ebrshkruara p\u00ebrmes sh\u00ebnimit t\u00eb tyre n\u00eb librez\u00ebn sh\u00ebndet\u00ebsore, si nj\u00eb m\u00ebnyr\u00eb p\u00ebr t\u00eb
\nforcuar transparenc\u00ebn dhe p\u00ebr t\u00eb rritur kontrollin e qytetarit mbi trajtimin e vet.
\nMinistria e Shtetit p\u00ebr Administrat\u00ebn Publike dhe Antikorrupsionin, p\u00ebrmes k\u00ebshilltares
\nSilvana Ramadani, ka b\u00ebr\u00eb t\u00eb ditur se, n\u00eb bashk\u00ebpunim me Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb
\ndhe Mbrojtjes Sociale, \u00ebsht\u00eb duke u rishikuar ligji p\u00ebr barnat dhe sh\u00ebrbimin farmaceutik,
\nme synim t\u00eb qart\u00eb: leht\u00ebsimin e qarkullimit t\u00eb barnave, forcimin e gjurmueshm\u00ebris\u00eb dhe
\nrritjen e aksesit t\u00eb qytetar\u00ebve ndaj medikamenteve t\u00eb nevojshme.
\nKy rishikim edhe pse konsiderohet nj\u00eb hap i r\u00ebnd\u00ebsish\u00ebm, \u00ebsht\u00eb i pamjaftuesh\u00ebm n\u00ebse
\nnuk shoq\u00ebrohet me adresimin e plot\u00eb t\u00eb fenomenit t\u00eb orientimit t\u00eb pacient\u00ebve drejt
\nfarmacive t\u00eb caktuara, nj\u00eb praktik\u00eb q\u00eb ka marr\u00eb p\u00ebrmasa shqet\u00ebsuese dhe q\u00eb po minon
\nbesimin n\u00eb sistemin sh\u00ebndet\u00ebsor publik.
\nVet\u00ebm p\u00ebrmes nj\u00eb qasjeje t\u00eb gjithanshme dhe t\u00eb thell\u00eb ndaj k\u00ebtij fenomeni, q\u00eb p\u00ebrfshin
\naspektet etike, ligjore, institucionale dhe njer\u00ebzore, mund t\u00eb garantohet nj\u00eb sistem
\nsh\u00ebndet\u00ebsor i drejt\u00eb dhe me integritet.<\/p>\n
Sepse n\u00eb fund t\u00eb fundit, sh\u00ebndeti nuk \u00ebsht\u00eb nj\u00eb \u2018mall tregu\u2019, por nj\u00eb e drejt\u00eb dhe nj\u00eb
\np\u00ebrgjegj\u00ebsi shoq\u00ebrore. Trasparency.com<\/p>","protected":false},"excerpt":{"rendered":"
\u201cMjeku q\u00eb m\u00eb l\u00ebshoi recet\u00ebn e ila\u00e7eve, e fotografoi at\u00eb, duke m\u00eb krijuar bindjen se ishte lidhur paraprakisht me depon farmaceutike …<\/p>","protected":false},"author":3,"featured_media":0,"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-2510","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n