Sistemi i prokurimeve publike n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb, i menaxhuar kryesisht nga
\nMinistria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, ka njohur nj\u00eb p\u00ebrkeq\u00ebsim t\u00eb ndjesh\u00ebm
\ngjat\u00eb dekad\u00ebs s\u00eb fundit. Megjith\u00ebse n\u00eb teori procedurat bazohen n\u00eb nj\u00eb kuad\u00ebr ligjor q\u00eb
\nsynon p\u00ebrdorimin efikas t\u00eb fondeve publike, garantimin e konkurrenc\u00ebs s\u00eb ndershme dhe
\nshmangien e abuzimeve, realiteti i vitit 2024 tregon nj\u00eb panoram\u00eb krejt tjet\u00ebr: munges\u00eb
\ntransparence, konkurrenc\u00eb t\u00eb dob\u00ebt dhe p\u00ebrqendrim t\u00eb skajsh\u00ebm t\u00eb kontratave n\u00eb duart
\ne pak operator\u00ebve.<\/p>\n
2024, rreth 1\/3 e procedurave t\u00eb prokurimeve t\u00eb kryera nga Ministria u anuluan
\nInstitucionet sh\u00ebndet\u00ebsore gjat\u00eb vitit 2024 kan\u00eb realizuar 1,514 procedura prokurimi,
\nbazuar n\u00eb t\u00eb dh\u00ebnat e Sistemit Elektronik t\u00eb Prokurimeve, me nj\u00eb vler\u00eb totale prej 26.5
\nmiliard\u00eb lek\u00ebsh pa TVSH, nga te cilat vet\u00ebm 1,014 procedura jan\u00eb finalizuar me njoftim
\nfituesi, me nj\u00eb fond limit prej 20.2 miliard\u00eb lek\u00ebsh. Vet\u00ebm nga MSHMS jan\u00eb realizuar 392
\nprocedura p\u00ebrfshir\u00eb blerjen e barnave, pajisjeve mjek\u00ebsore dhe sh\u00ebrbimeve t\u00eb
\nspecializuara, nga t\u00eb cilat 31% (122 procedura) rezultojn\u00eb jan\u00eb anuluar. Shkaqet kryesore
\nt\u00eb anulimit bazuar n\u00eb informacionin e siguruar n\u00eb rrug\u00eb zyrtare jan\u00eb p\u00ebr shkak t\u00eb
\ngabimeve ose dokumentacioneve t\u00eb stafit 98 procedura (80%), tregues ky alarmant q\u00eb
\nnxjerr n\u00eb pah n\u00eb m\u00ebnyr\u00eb t\u00eb ve\u00e7ant\u00eb munges\u00ebn e kapaciteteve profesionale t\u00eb stafit
\np\u00ebrgjegj\u00ebs p\u00ebr hartimin e dokumenteve t\u00eb tenderit, nd\u00ebrsa pjesa tjet\u00ebr p\u00ebr shkak t\u00eb
\nmunges\u00ebs t\u00eb ofertave t\u00eb pap\u00ebrshtatshme ose t\u00eb munges\u00eb s\u00eb ofertave
\nKjo norm\u00eb e lart\u00eb anulimesh \u00ebsht\u00eb tregues munges\u00eb t\u00eb trajnimeve t\u00eb rregullta p\u00ebr stafin
\np\u00ebrgjegj\u00ebs p\u00ebr prokurimet publike n\u00eb Ministri, dob\u00ebsi t\u00eb theksuara n\u00eb kontrollin e
\nbrendsh\u00ebm cil\u00ebsor, mekanizmat e dob\u00ebt t\u00eb monitorimit dhe p\u00ebrgjegj\u00ebsis\u00eb institucionale.<\/p>\n
Munges\u00eb e theksuar konkurence
\nNga nj\u00eb analiz\u00eb e detajuar e procedurave prokuruese t\u00eb zhvilluara nga MSHMS gjat\u00eb vitit
\nt\u00eb kaluar \u2013 realizuar nga ekspert\u00ebt, konstatohet nivel shum\u00eb i ul\u00ebt i konkurrenc\u00ebs, ku
\nnumri mesatar i operator\u00ebve ekonomik\u00eb p\u00ebr \u00e7do procedur\u00eb rezulton vet\u00ebm 1.3, pra n\u00eb
\nshumic\u00ebn e rasteve kemi ose vet\u00ebm nj\u00eb ofertues gj\u00eb q\u00eb krijon perceptimin e nj\u00eb gare pa
\ngar\u00eb dhe q\u00eb ndikon drejt\u00eb p\u00ebr drejt\u00eb n\u00eb vendosjen e kushteve t\u00eb pafavorshme
\nkontraktuale mes institucionit publik dhe operatorit privat dhe ka ndikim negativ n\u00eb
\nfinancat publike pasi nuk rezulton me ulje t\u00eb \u00e7mimit t\u00eb blerjes s\u00eb produktit\/ dhe ose
\nsh\u00ebrbimit me \u00e7mim m\u00eb t\u00eb volitsh\u00ebm.<\/p>\n
Vet\u00ebm 2% rezulton ulja mesatare e \u00e7mimit nga fondi limit gjat\u00eb 2024, krahasuar me 8.57%
\nn\u00eb vitin 2014. Kjo tregon nj\u00eb zhvendosje permanente drejt nj\u00eb tregu t\u00eb centralizuar, me
\n\u00e7mime fituese af\u00ebr pragut t\u00eb fondit limit, \u00e7ka l\u00eb t\u00eb kuptohet p\u00ebr gar\u00eb t\u00eb simuluar apo
\np\u00ebrfitues t\u00eb paracaktuar.<\/p>\n
2014-2024, regres n\u00eb prokurimet n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb
\nP\u00ebrtej nivelit t\u00eb ul\u00ebt t\u00eb konkurrenc\u00ebs q\u00eb karakterizon prokurimet publike n\u00eb sektorin e
\nsh\u00ebndet\u00ebsis\u00eb, nj\u00eb tjet\u00ebr dukuri shqet\u00ebsuese q\u00eb del n\u00eb pah \u00ebsht\u00eb koncentrimi i lart\u00eb i
\nfituesve t\u00eb tender\u00ebve. T\u00eb dh\u00ebnat e vitit 2024 tregojn\u00eb se 72% e tender\u00ebve jan\u00eb fituar
\nnga vet\u00ebm 10 kompani, duke krijuar nj\u00eb panoram\u00eb t\u00eb ngusht\u00eb t\u00eb aktor\u00ebve q\u00eb p\u00ebrfitojn\u00eb
\nnga fondet publike t\u00eb destinuara p\u00ebr k\u00ebt\u00eb sektor jetik.
\nN\u00eb kontrast t\u00eb qart\u00eb me k\u00ebt\u00eb situat\u00eb q\u00eb reflekton p\u00ebrqendrim dhe centralizim, n\u00eb vitin
\n2014 rezultonin fitues 68 operator\u00eb t\u00eb ndrysh\u00ebm ekonomik\u00eb. Shp\u00ebrndarja m\u00eb e gjer\u00eb
\ne kontratave jo vet\u00ebm q\u00eb n\u00ebnkupton treg m\u00eb t\u00eb hapur dhe m\u00eb dinamik, por krijon edhe
\nkushte m\u00eb t\u00eb mira p\u00ebr konkurrenc\u00eb t\u00eb v\u00ebrtet\u00eb, transparenc\u00eb dhe optimizim t\u00eb \u00e7mimeve
\ndhe cil\u00ebsis\u00eb s\u00eb sh\u00ebrbimeve.<\/p>\n
N\u00eb let\u00ebr, procedurat e prokurimit jan\u00eb t\u00eb hapura p\u00ebr pjes\u00ebmarrjen e operator\u00ebve t\u00eb huaj
\ndhe p\u00ebr kompani t\u00eb ndryshme vendase, por vihet re se, n\u00eb praktik\u00eb, gara \u00ebsht\u00eb e
\ndominuar nga nj\u00eb rreth i ngusht\u00eb subjektesh. Kjo ngre dyshimet se k\u00ebto operator\u00eb
\nq\u00eb rezultojn\u00eb pothuaj p\u00ebrher\u00eb fitues n\u00eb tenderat e organizuara nga Ministria e
\nSh\u00ebndet\u00ebsis\u00eb, m\u00eb shum\u00eb se sa p\u00ebr shkak t\u00eb kapaciteve teknike dhe ekonomike,
\np\u00ebrfitojn\u00eb fal\u00eb lidhjeve t\u00eb tjera me sistemin \u2013 duke monopolizuar tregun.
\nDominimi i nj\u00eb grupi t\u00eb vog\u00ebl kompanish n\u00eb nj\u00eb sektor t\u00eb financuar bujarisht nga buxheti
\ni
\nshtetit, si\u00e7 \u00ebsht\u00eb sh\u00ebndet\u00ebsia, nuk \u00ebsht\u00eb thjesht nj\u00eb \u00e7\u00ebshtje statistike, por, n\u00eb fund t\u00eb
\nfundit, ai p\u00ebrkthehet n\u00eb pasoja konkrete dhe t\u00eb d\u00ebmshme p\u00ebr funksionimin e tregut dhe
\ninteresin publik. Kur kontratat e r\u00ebnd\u00ebsishme p\u00ebr barna, pajisje apo sh\u00ebrbime mjek\u00ebsore
\np\u00ebrqendrohen vazhdimisht tek t\u00eb nj\u00ebjt\u00ebt fitues, zhduket mund\u00ebsia p\u00ebr gar\u00eb t\u00eb v\u00ebrtet\u00eb dhe
\nme t\u00eb edhe shpresa p\u00ebr oferta m\u00eb t\u00eb mira dhe m\u00eb t\u00eb leverdishme p\u00ebr shtetin.
\nKjo situat\u00eb rrit ndjesh\u00ebm rrezikun p\u00ebr praktika favorizuese apo procedura t\u00eb paracaktuara,
\nt\u00eb cilat d\u00ebmtojn\u00eb transparenc\u00ebn dhe minojn\u00eb besimin n\u00eb sistemin e prokurimeve. P\u00ebr m\u00eb
\ntep\u00ebr, mungesa e konkurrenc\u00ebs e ul ndjesh\u00ebm presionin mbi kompanit\u00eb p\u00ebr t\u00eb rritur
\ninovacionin, p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar cil\u00ebsin\u00eb apo p\u00ebr t\u00eb ofruar \u00e7mime m\u00eb konkurruese. Me fjal\u00eb
\nt\u00eb tjera, n\u00eb munges\u00eb t\u00eb sfid\u00ebs nga operator\u00eb t\u00eb tjer\u00eb, fituesit e zakonsh\u00ebm nuk kan\u00eb asnj\u00eb
\nnxitje p\u00ebr t\u00eb b\u00ebr\u00eb m\u00eb mir\u00eb. Dhe n\u00eb fund, \u00ebsht\u00eb sistemi sh\u00ebndet\u00ebsor dhe vet\u00eb qytetar\u00ebt ata
\nq\u00eb paguajn\u00eb \u00e7mimin e k\u00ebtij monopoli t\u00eb heshtur.<\/p>\n
N\u00eb nj\u00eb sistem ku garantohet konkurrenca e drejt\u00eb, fituesit e tender\u00ebve duhet t\u00eb
\nndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb cil\u00ebsis\u00eb s\u00eb ofert\u00ebs, p\u00ebrvoj\u00ebs dhe kostos. Por kur t\u00eb nj\u00ebjtat kompani
\nfitojn\u00eb shumic\u00ebn d\u00ebrrmuese t\u00eb kontratave p\u00ebr vite me radh\u00eb, pa ulje t\u00eb dukshme t\u00eb
\n\u00e7mimeve dhe me munges\u00eb pjes\u00ebmarrjeje nga aktor\u00eb t\u00eb rinj, kjo \u00ebsht\u00eb nj\u00eb sinjal i qart\u00eb
\nalarmi p\u00ebr munges\u00eb gare reale dhe p\u00ebr rrezik t\u00eb p\u00ebrdorimit joefikas t\u00eb fondeve publike.
\nP\u00ebrball\u00eb k\u00ebsaj situate alarmante, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale duhet
\nmenj\u00ebher\u00eb t\u00eb marr\u00eb masa konkrete p\u00ebr rikthimi i diversitetit n\u00eb tregun e prokurimeve
\ndhe promovimi i pjes\u00ebmarrjes s\u00eb gjer\u00eb mbetet domosdoshm\u00ebri, n\u00ebse synohet nj\u00eb
\nsistem sh\u00ebndet\u00ebsor m\u00eb i drejt\u00eb, m\u00eb i q\u00ebndruesh\u00ebm dhe m\u00eb transparent. Trasparency.com<\/p>","protected":false},"excerpt":{"rendered":"
Sistemi i prokurimeve publike n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb, i menaxhuar kryesisht nga Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, ka njohur nj\u00eb …<\/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-2512","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n