Shoqata e t\u00eb Drejtave t\u00eb Pacient\u00ebve n\u00eb Kosov\u00eb p\u00ebrmes nj\u00eb letre publike drejtuar Kryeministrit Ramush Haradinaj, Ministrit Uran Ismaili , dhe deputet\u00ebve t\u00eb Kuvendit ka vler\u00ebsuar se rritja e pag\u00ebs s\u00eb pun\u00ebtor\u00ebve sh\u00ebndet\u00ebsor\u00eb pa vler\u00ebsim t\u00eb performanc\u00ebs, duke u anashkaluar Fondi i Sigurimeve Sh\u00ebndet\u00ebsore, \u00ebsht\u00eb veprim i gabuar dhe i d\u00ebmsh\u00ebm p\u00ebr reform\u00ebn n\u00eb sh\u00ebndet\u00ebsi.<\/p>\n
Kjo shoqat\u00eb ka num\u00ebruar disa arsye pse nuk duhet rritur pagat e mjek\u00ebve.<\/p>\n
M\u00eb posht\u00eb reagimi i plot\u00eb i Shoqat\u00ebs s\u00eb t\u00eb Drejtave t\u00eb Pacient\u00ebve n\u00eb Kosov\u00eb:<\/p>\n
Sistemi sh\u00ebndet\u00ebsor n\u00eb Kosov\u00eb po p\u00ebrjeton dhembje t\u00eb m\u00ebdha. Qytetari yn\u00eb vdes dhjet\u00eb vite m\u00eb her\u00ebt se qytetari europian. Foshnjat tona vdesin trefish m\u00eb shum\u00eb se ato n\u00eb Europ\u00eb. Ka munges\u00eb kuadri dhe ka mjek t\u00eb papun\u00eb. Ka n\u00ebnfinancim t\u00eb theksuar dhe menaxhim joadekuat t\u00eb buxhetit. Buxheti i Kosov\u00ebs p\u00ebr sh\u00ebndet\u00ebsi \u00ebsht\u00eb shum\u00eb m\u00eb i ul\u00ebt se sa n\u00eb vendet e rajonit. N\u00eb k\u00ebrkim t\u00eb sh\u00ebrimit, rreth nj\u00ebqind milion euro n\u00eb vit pacient\u00ebt tan\u00eb i shpenzojn\u00eb jasht\u00eb vendit.<\/p>\n
Sistemi sh\u00ebndet\u00ebsor n\u00eb Kosov\u00eb vuan r\u00ebnd\u00eb nga:<\/p>\n
N\u00ebnfinancimi i theksuar<\/p>\n
Rregullimi institucional joadekuat<\/p>\n
Implementimi i dob\u00ebt i principeve qeveris\u00ebse.<\/p>\n
Forma e organizimit t\u00eb sistemit sh\u00ebndet\u00ebsor \u201cme provizion direkt\u201d, siq e ka aktualisht Kosova, \u00ebsht\u00eb d\u00ebshmuar se nuk jep performanc\u00eb efikase dhe nuk i motivon ofruesit p\u00ebr ta rritur cil\u00ebsin\u00eb e sh\u00ebrbimeve. Pagesa fikse lineare dhe mungesa e llogaridh\u00ebnies kan\u00eb quar n\u00eb demotivim t\u00eb stafit p\u00ebr pun\u00eb. Psh. N\u00eb t\u00eb nj\u00ebjt\u00ebn klinik\u00eb, me t\u00eb nj\u00ebjtin specializim, q\u00eb paguhen me pag\u00eb t\u00eb nj\u00ebjt\u00eb, nj\u00ebri kirurg kryen mbi 300 operacione n\u00eb vit kurse tjetri kryen n\u00ebn 30 operacione. Nj\u00eb praktik\u00eb e k\u00ebtill\u00eb e pabarazis\u00eb gradualisht i ka favorizuar sjelljet joetike tek personeli t\u00eb cilat kan\u00eb rezultuar me bartje t\u00eb pacient\u00ebve n\u00eb institucione private sh\u00ebndet\u00ebsore apo edhe me pagesa informale.<\/p>\n
Kosova n\u00eb harmoni me rekomandimin e OBSH \u2013 s\u00eb \u00ebsht\u00eb futur n\u00eb nj\u00eb reform\u00eb t\u00eb sistemit sh\u00ebndet\u00ebsor e cila konsiston n\u00eb:<\/p>\n
ndarjen e bler\u00ebsit prej ofruesit t\u00eb sh\u00ebrbimeve sh\u00ebndet\u00ebsore,<\/p>\n
futjen e skem\u00ebs s\u00eb sigurimeve sh\u00ebndet\u00ebsore (funksionalizimin e Fondit) dhe<\/p>\n
kontraktimi i sh\u00ebrbimeve me pagesa sipas performanc\u00ebs<\/p>\n
Jemi t\u00eb vet\u00ebdijsh\u00ebm q\u00eb kjo reform\u00eb nuk \u00ebsht\u00eb gj\u00eb e leht\u00eb. Funksionalizimi i Fondit t\u00eb Sigurimit Sh\u00ebndet\u00ebsor \u00ebsht\u00eb nj\u00eb proces kompleks i cili k\u00ebrkon shum\u00eb planifikim, p\u00ebrgatitje, ekspertiz\u00eb dhe angazhim t\u00eb shum\u00eb partner\u00ebve social dhe, at\u00eb \u00e7ka \u00ebsht\u00eb m\u00eb e r\u00ebnd\u00ebsishmja, p\u00ebrkrahjen e pa rezerv\u00eb t\u00eb Qeveris\u00eb.<\/p>\n
Fatkeq\u00ebsisht, kjo reform\u00eb tani p\u00ebr tani ka ngecur n\u00eb munges\u00eb t\u00eb nj\u00eb p\u00ebrkrahje t\u00eb qeverive t\u00eb nj\u00eb pas nj\u00ebshme, q\u00eb nga paslufta deri m\u00eb tani.<\/p>\n
Pse nuk duhet rritur pagat e mjek\u00ebve?!<\/p>\n
Mjek\u00ebt si shtres\u00eb e lart\u00eb e shoq\u00ebris\u00eb intelektuale, duke qen\u00eb se vazhdimisht prononcohen se \u201cpacientin e kan\u00eb n\u00eb qend\u00ebr\u201d, do t\u00eb kishte qen\u00eb e pritshme q\u00eb ata t\u00eb jen\u00eb m\u00eb t\u00eb z\u00ebsh\u00ebm n\u00eb k\u00ebrkim t\u00eb reform\u00ebs. N\u00eb k\u00ebt\u00eb pako t\u00eb k\u00ebrkesave t\u00eb tyre \u00ebsht\u00eb pritur q\u00eb ata t\u00eb jen\u00eb t\u00eb brengosur edhe p\u00ebr rezultatet e dob\u00ebta sh\u00ebndet\u00ebsore, vdekshm\u00ebrin\u00eb e lart\u00eb perinatale, shkall\u00ebn e lart\u00eb e infeksioneve intrahospitalore, munges\u00ebn e protokolleve klinike, munges\u00ebn e pajisjeve mjek\u00ebsore, munges\u00ebn e hap\u00ebsir\u00ebs p\u00ebr pun\u00eb e edhe p\u00ebr pagat e pamjaftueshme. Por ata nuk e b\u00ebn\u00eb k\u00ebt\u00eb, ata e zgjodh\u00ebn vet\u00ebm rritjen e pagave dhe asgj\u00eb tjet\u00ebr n\u00eb kund\u00ebrvler\u00eb.<\/p>\n
Nj\u00eb rritje e k\u00ebtill\u00eb e pagave pa asnj\u00eb analiz\u00eb dhe pa asnj\u00eb d\u00ebshmi se do t\u00eb p\u00ebrmir\u00ebsohet cil\u00ebsia n\u00eb sh\u00ebrbime sh\u00ebndet\u00ebsore nuk na jep asnj\u00eb garanc\u00eb q\u00eb rezultatet sh\u00ebndet\u00ebsore do t\u00eb p\u00ebrmir\u00ebsohen. E kemi p\u00ebrvoj\u00ebn e para disa vitesh t\u00eb rritjes s\u00eb pagave p\u00ebr personelin sh\u00ebndet\u00ebsor dhe nuk ka asnj\u00eb evidenc\u00eb se ajo rritje pati ndikim pozitiv n\u00eb p\u00ebrmir\u00ebsimin e gjendjes n\u00eb sh\u00ebndet\u00ebsi.<\/p>\n
Presioni p\u00ebr rritje pagash p\u00ebrmes grev\u00ebs dhe bojkotit \u00ebsht\u00eb m\u00ebnyra m\u00eb jokreative e parashtrimit t\u00eb nj\u00eb k\u00ebrkese. Shum\u00eb m\u00eb kreative do t\u00eb kishte qen\u00eb q\u00eb t\u2019i b\u00ebhet presion Qeveris\u00eb p\u00ebr p\u00ebrshpejtim t\u00eb reform\u00ebs, me veprime proaktive n\u00eb p\u00ebrgatitje t\u00eb parakushteve p\u00ebr kontraktim t\u00eb sh\u00ebrbimeve me Fondin. Me nj\u00eb qasje kreative t\u00eb parashtrimit t\u00eb k\u00ebrkesave, mjek\u00ebt do t\u00eb ishin b\u00ebr\u00eb model dhe do t\u00eb kishin p\u00ebrquar mesazh edhe tek grupet tjera t\u00eb shoq\u00ebris\u00eb se si parashtrohen k\u00ebrkesat. Pacient\u00ebt do t\u00eb kishin qen\u00eb aleati i par\u00eb i bashkangjitur n\u00eb k\u00ebrkesat e tyre.<\/p>\n
Rritja e k\u00ebtill\u00eb e pag\u00ebs s\u00eb mjek\u00ebve pa vler\u00ebsim t\u00eb performanc\u00ebs, duke u anashkaluar Fondi i Sigurimeve Sh\u00ebndet\u00ebsore, \u00ebsht\u00eb veprim i gabuar dhe i d\u00ebmsh\u00ebm p\u00ebr reform\u00ebn n\u00eb sh\u00ebndet\u00ebsi.<\/p>\n
Cila do t\u00eb ishte zgjidhja?<\/p>\n
Prioritet mbi prioritete n\u00eb sh\u00ebndet\u00ebsi duhet t\u00eb v\u00ebhet implementimi i Sistemit t\u00eb Integruar t\u00eb Informimit Sh\u00ebndet\u00ebsor (SIISH). Kjo do t\u00eb ishte gur\u00ebthemel i nd\u00ebrtimit t\u00eb nj\u00eb mjek\u00ebsie moderne t\u00eb bazuar n\u00eb evidenc\u00eb.<\/p>\n
MSH ta definoj\u00eb qart\u00eb reform\u00ebn si objektiv\u00ebn kryesore t\u00eb politikb\u00ebrjes s\u00eb saj. \u00c7do veprim q\u00eb nd\u00ebrmerret n\u00eb t\u00eb ardhmen t\u00eb jet\u00eb n\u00eb harmoni t\u00eb plot\u00eb me kahjen e reform\u00ebs dhe t\u00eb mos ket\u00eb veprime q\u00eb nuk e ndihmojn\u00eb apo q\u00eb e v\u00ebshtir\u00ebsojn\u00eb implementimin e reform\u00ebs.<\/p>\n
T\u00eb intensifikohet dialogu social me t\u00eb gjith\u00eb partner\u00ebt social dhe grupet e interesit, gj\u00eb q\u00eb do t\u00eb ndihmonte q\u00eb t\u00eb v\u00ebheshin n\u00eb pah sa m\u00eb shum\u00eb sfida dhe pengesa q\u00eb mund t\u00eb dalin n\u00eb rrug\u00ebn e reform\u00ebs.<\/p>\n
Si hap konkret drejt zgjidhjes mund t\u00eb jet\u00eb pagesa nga Fondi i Sigurimit Sh\u00ebndet\u00ebsor si pages\u00eb shtes\u00eb p\u00ebr stimulim t\u00eb performanc\u00ebs (e cila edhe ashtu parashihet si hap fillestar i reform\u00ebs), por jo si rritje e pagave dhe jo nga buxheti i Qeveris\u00eb.<\/p>\n
T\u00eb mos harrojm\u00eb, Ruanda p\u00ebr m\u00eb pak se nj\u00eb dekad\u00eb nga gjenocidi q\u00eb e p\u00ebsoi, arriti ta funksionalizoj skem\u00ebn e sigurimeve dhe ta konsolidoj sistemin sh\u00ebndet\u00ebsor. Nd\u00ebrsa Kosova edhe dy dekada pas luft\u00ebs nuk po arrin\u00eb t\u00eb nd\u00ebrtoj nj\u00eb sistem sh\u00ebndet\u00ebsor t\u00eb qassh\u00ebm dhe cil\u00ebsor p\u00ebr qytetar\u00ebt.<\/p>\n
Qeveria b\u00ebn\u00eb mir\u00eb q\u00eb e d\u00ebgjon z\u00ebrin e qytetar\u00ebve, n\u00eb k\u00ebt\u00eb rast mjek\u00ebve si grup m\u00eb i z\u00ebsh\u00ebm, por do t\u00eb ishte mir\u00eb q\u00eb t\u2019i d\u00ebgjoj edhe \u201cklithmat\u201d e qytetar\u00ebve t\u00eb heshtur. Pacient\u00ebt ndon\u00ebse jan\u00eb t\u00eb heshtur, ata nga brenda jan\u00eb duke klithur.<\/p>\n","protected":false},"excerpt":{"rendered":"
Shoqata e t\u00eb Drejtave t\u00eb Pacient\u00ebve n\u00eb Kosov\u00eb p\u00ebrmes nj\u00eb letre publike drejtuar Kryeministrit Ramush Haradinaj, Ministrit Uran Ismaili , dhe deputet\u00ebve t\u00eb Kuvendit ka vler\u00ebsuar se rritja e pag\u00ebs s\u00eb pun\u00ebtor\u00ebve sh\u00ebndet\u00ebsor\u00eb pa vler\u00ebsim t\u00eb performanc\u00ebs, duke u anashkaluar Fondi i Sigurimeve Sh\u00ebndet\u00ebsore, \u00ebsht\u00eb veprim i gabuar dhe i d\u00ebmsh\u00ebm p\u00ebr reform\u00ebn n\u00eb sh\u00ebndet\u00ebsi. […]<\/p>\n","protected":false},"author":1,"featured_media":32582,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":{"0":"post-32801","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-lajme"},"_links":{"self":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts\/32801","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/comments?post=32801"}],"version-history":[{"count":0,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts\/32801\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/media\/32582"}],"wp:attachment":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/media?parent=32801"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/categories?post=32801"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/tags?post=32801"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}