{"id":54112,"date":"2023-08-21T10:45:16","date_gmt":"2023-08-21T10:45:16","guid":{"rendered":"https:\/\/rdnews.al\/?p=54112"},"modified":"2023-08-21T10:45:17","modified_gmt":"2023-08-21T10:45:17","slug":"ish-zv-ministrja-e-financave-dy-faktet-si-vidhen-shqiptaret-me-koncesionin-e-sterilizimit-2","status":"publish","type":"post","link":"https:\/\/rdnews.al\/index.php\/2023\/08\/21\/ish-zv-ministrja-e-financave-dy-faktet-si-vidhen-shqiptaret-me-koncesionin-e-sterilizimit-2\/","title":{"rendered":"Ish-Zv.ministrja e Financave: Dy faktet si vidhen shqiptar\u00ebt me kon\u00e7esionin e sterilizimit"},"content":{"rendered":"

Irena Beqiraj<\/strong><\/p>\n

Kur n\u00eb dor\u00eb ke nj\u00eb \u00e7eki\u00e7, \u00e7do gj\u00eb t\u00eb duket gozhd\u00eb. Kjo \u00ebsht\u00eb nj\u00eb shprehje e famshme e Abraham Maslow e cila i referohet nj\u00eb koncepti t\u00eb njohur q\u00eb njihet si \u201cligji i instrumentit\u201d, ose ndryshe i mb\u00ebshtetjes s\u00eb tep\u00ebrt n\u00eb nj\u00eb mjet apo n\u00eb nj\u00eb m\u00ebnyr\u00eb arsyetimi t\u00eb preferuar.<\/p>\n

E nd\u00ebrsa lexoj analizat e gazetar\u00ebve edhe opinionist\u00ebve mbi \u00e7\u00ebshtjen e sterilizimit, kuptoj q\u00eb dal\u00ebngadal\u00eb, mbase edhe jo vet\u00ebm p\u00ebr fajin ton\u00eb, jemi kthyer n\u00eb nj\u00eb grup funksional ose nj\u00eb dyzin\u00eb njer\u00ebzish \u201cme \u00e7eki\u00e7 n\u00eb dor\u00eb\u201d n\u00eb k\u00ebrkim \u201ct\u00eb gozhd\u00ebs\u201d. P\u00ebr ta par\u00eb n\u00eb nj\u00eb k\u00ebndv\u00ebshtrim tjet\u00ebr aspektin ekonomik t\u00eb k\u00ebsaj kontrate po ju parashtroj edhe juve dy pyetje q\u00eb i b\u00ebra nj\u00eb sip\u00ebrmarr\u00ebsi.<\/p>\n

Mendojeni veten p\u00ebr nj\u00eb \u00e7ast pronarin e nj\u00eb rrjeti spitalor. Sh\u00ebrbimet kirurgjikale jan\u00eb sh\u00ebrbimet m\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb ofruara n\u00eb biznesin tuaj edhe m\u00eb t\u00eb kushtueshmet. Ju duhet t\u00eb rrisni efikasitetin dhe produktivitetin e sh\u00ebrbimit m\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm duke p\u00ebrmbushur n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb standardet nd\u00ebrkomb\u00ebtare t\u00eb cil\u00ebsis\u00eb edhe duke ulur ndjesh\u00ebm nivelin e lart\u00eb t\u00eb infeksioneve post operatore.<\/p>\n

Forma e propozuar p\u00ebr ta arritur \u00ebsht\u00eb kontraktimi i nj\u00eb pale t\u00eb tret\u00eb p\u00ebr sh\u00ebrbimin e sterilizimt t\u00eb sallave dhe instrumenteve operatore, ndryshe njihet me akronimin SOTS.<\/p>\n

Ju jeni i vet\u00ebdijsh\u00ebm se sh\u00ebrbimet SOTS jan\u00eb thelb\u00ebsore p\u00ebr thjeshtimin e procesit kirurgjikal pasi ato p\u00ebrfshijn\u00eb furnizimin e instrumenteve dhe materialeve kirurgjikale(perde kirurgjikale veshje mjek\u00ebsore t\u00eb sall\u00ebs s\u00eb operacionit), mir\u00ebmbajtjen dhe z\u00ebvend\u00ebsimin e instrumenteve kirurgjikale, pastrimin dhe dezinfektimin e mjedisit t\u00eb zonave kirurgjikale dhe invazive. K\u00ebto sh\u00ebrbime k\u00ebrkojn\u00eb kompetenca dhe teknologji q\u00eb nuk jan\u00eb strategjike p\u00ebr biznesin tuaj por kan\u00eb nj\u00eb ndikim t\u00eb madh tek kostot e tij.<\/p>\n

Teksa kontrata kontraverse ju ka \u201cgllab\u00ebruar\u201d 76 milion\u00eb euro n\u00eb 7 vjet shifrat tregojn\u00eb se ka :<\/p>\n

1. Rritje t\u00eb produktivitetit, pra t\u00eb numrit t\u00eb operacioneve kirurgjikale t\u00eb ofruara.<\/strong><\/p>\n

Tabela tregon se vet\u00ebm tek Qendra m\u00eb e madhe Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d numri i nd\u00ebrhyrjeve kirurgjikale ka ardhur duke u rritur me gati 8% \u00e7do vit edhe kjo q\u00eb dy vitet e para t\u00eb zbatimit t\u00eb kontrat\u00ebs.<\/p>\n

N\u00eb studimin e kryer nga Vieri Lastrucci, Alberto Romolini, Martina Giusti p\u00ebr k\u00ebt\u00eb kontrat\u00eb \u00ebsht\u00eb arritur n\u00eb konkluzionin q\u00eb, faktor\u00ebt q\u00eb kan\u00eb ndikuar pozitivisht n\u00eb rritjen e produktivitetit jan\u00eb : i)p\u00ebrmir\u00ebsimi organizativ, ii) rritja e numrit t\u00eb mjeteve kirurgjikale n\u00eb dispozicion dhe iii) rritja e besimit, qoft\u00eb e mjek\u00ebve qoft\u00eb e pacient\u00ebve n\u00eb sh\u00ebrbimin e ofruar.<\/p>\n

Disponueshm\u00ebria e seteve standarde edhe specifike t\u00eb instrumenteve reduktoi koh\u00ebn e p\u00ebrgatitjes s\u00eb instrumenteve kirurgjikale nga nj\u00eb operacion tek tjetri. Po ashtu koha e p\u00ebrgatitjes s\u00eb sall\u00ebs s\u00eb operacionit u zvog\u00eblua fal\u00eb nj\u00eb ndarje t\u00eb qart\u00eb dhe t\u00eb koordinuar t\u00eb detyrave midis stafit t\u00eb spitalit dhe stafit t\u00eb koncensionarit.T\u00eb dy k\u00ebto faktor\u00eb \u00e7uan n\u00eb shfryt\u00ebzim m\u00eb t\u00eb mir\u00eb t\u00eb sallave duke planifikuar m\u00eb shum\u00eb operacione brenda nj\u00eb viti.<\/p>\n

A do t\u2019i thonit jo rritjes s\u00eb produktivitetit me 8% n\u00eb vit ? Jo m\u2019u p\u00ebrgjigj sip\u00ebrmarr\u00ebsi ! Por pse n\u00eb shtet duhet t\u2019i themi jo? Pse duhet t\u00eb drejtohen shqiptar\u00ebt n\u00ebp\u00ebr spitale private, p\u00ebr nd\u00ebrhyrje q\u00eb kryhen nga t\u00eb nj\u00ebjt\u00ebt mjek\u00eb?<\/p>\n

2. Ulje e numrit e dit\u00eb q\u00ebndrimit n\u00eb spital, mesatarisht me 1. 8 dit\u00eb<\/strong>
\nGjat\u00eb viteve t\u00eb operimit t\u00eb kontrat\u00ebs kontraverse u vun\u00eb re m\u00eb pak infeksione t\u00eb plag\u00ebve operatore. Po ashtu, nuk jan\u00eb v\u00ebn\u00eb re shp\u00ebrthime epidemike n\u00eb spitale nga infeksionet spitalore q\u00eb tregon nj\u00eb p\u00ebrmir\u00ebsim t\u00eb duksh\u00ebm t\u00eb mjedisit spitalor, por edhe nj\u00eb kursim t\u00eb kostove t\u00eb spitalit. Nga analiza buxhetore nj\u00eb dit\u00eb shtrimi n\u00eb spital i kushton buxhetit mesatarisht 14.000 lek. Ulja e dit\u00ebq\u00ebndrimit n\u00eb spital mesarisht me 1.8 dit\u00eb p\u00ebr operacion do t\u00eb thot\u00eb se n\u00eb 56.885 operacione t\u00eb kryera mesatarisht n\u00eb vit kursimi n\u00eb buxhet \u00ebsht\u00eb 13.6 milion\u00eb euro n\u00eb vit ose 95.5 milion\u00eb euro n\u00eb 7 vjet.<\/p>\n

E pra n\u00ebse sterilizimi kushtonte 250.000 euro n\u00eb vit para 2015 nuk duhet t\u00eb harrojm\u00eb q\u00eb duheshin edhe 13.6 milion\u00eb euro me shume p\u00ebr t\u00eb mbuluar kostot e dit\u00ebq\u00ebndrimeve n\u00eb spital nga infeksionet post operatore.<\/p>\n

Sot v\u00ebrtet sterilizimi na ka kushtuar 80 her\u00eb m\u00eb shum\u00eb si\u00e7 thon\u00eb ca ekonomist\u00eb (76 milion\u00eb euro p\u00ebr shtat\u00eb vjet ) por na ka kursyer po n\u00eb shtat\u00eb vjet 95.5 milion\u00eb euro nga ulja e dit\u00eb-q\u00ebndrimeve. A do t\u2019i thonit jo nj\u00eb p\u00ebrfitimi neto 19.5 milion\u00eb euro vet\u00ebm nga ulja e kostove ? \u201cJo\u201d, mu p\u00ebrgjigj s\u00ebrish sip\u00ebrmarr\u00ebsi.<\/p>\n

Ndoshta kostoja 76 milion\u00eb mund t\u00eb ishte edhe m\u00eb e ul\u00ebt edhe p\u00ebrfitimi edhe m\u00eb i madh por deri tani nuk ka akoma nj\u00eb analiz\u00eb t\u00eb vlefshme edhe t\u00eb plot\u00eb ekonomike publike p\u00ebr k\u00ebt\u00eb nga asnj\u00ebra pal\u00eb. Edhe pa k\u00ebt\u00eb analize opinionet mund t\u00eb variojn\u00eb .Nd\u00ebrkoh\u00eb q\u00eb rritja e produktivitetit t\u00eb spitaleve dhe p\u00ebrfitimi gati 19.5 milion\u00eb vetem nga ulja e dit\u00eb q\u00ebndrimeve nuk mund t\u00eb mohohen.<\/p>\n

SPAK ka evidentuar konflikt interesi n\u00eb k\u00ebt\u00eb procedur\u00eb, mund t\u00eb thot\u00eb dikush me t\u00eb drejt\u00eb.
\nPo, por jo domosdoshm\u00ebrisht korrupsion, sepse nj\u00eb konflikt interesi ekziston kur nj\u00eb zyrtar MUND t\u00eb abuzoj\u00eb me pozit\u00ebn e tij\/t\u00eb saj p\u00ebr p\u00ebrfitime personale nd\u00ebrsa korrupsioni ekziston kur nj\u00eb zyrtar ka abuzuar me pozit\u00ebn e tij\/t\u00eb saj p\u00ebr p\u00ebrfitime personale. K\u00ebshtu q\u00eb, nd\u00ebrsa konflikti i interesit jo gjithmon\u00eb \u00e7on n\u00eb korrupsion, korrupsioni k\u00ebrkon gjithmon\u00eb nj\u00eb konflikt interesi. Akoma kjo mbetet p\u00ebr tu provuar.<\/p>\n

Sido q\u00eb t\u2019u ting\u00ebllojn\u00eb k\u00ebto rreshta jan\u00eb thjesht nj\u00eb m\u00ebnyr\u00eb p\u00ebr t\u00eb sfiduar t\u00eb menduarin n\u00eb grup ku \u00e7eki\u00e7i k\u00ebrkon gozhd\u00ebn, sepse n\u00ebse t\u00eb gjith\u00eb jemi duke menduar nj\u00ebsoj, asnj\u00eb nuk \u00ebsht\u00eb duke menduar gjat\u00eb.<\/p>\n","protected":false},"excerpt":{"rendered":"

Irena Beqiraj Kur n\u00eb dor\u00eb ke nj\u00eb \u00e7eki\u00e7, \u00e7do gj\u00eb t\u00eb duket gozhd\u00eb. Kjo \u00ebsht\u00eb nj\u00eb shprehje e famshme e Abraham Maslow e cila i referohet nj\u00eb koncepti t\u00eb njohur q\u00eb njihet si \u201cligji i instrumentit\u201d, ose ndryshe i mb\u00ebshtetjes s\u00eb tep\u00ebrt n\u00eb nj\u00eb mjet apo n\u00eb nj\u00eb m\u00ebnyr\u00eb arsyetimi t\u00eb preferuar. E nd\u00ebrsa lexoj …<\/p>\n","protected":false},"author":4,"featured_media":54113,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37],"tags":[],"class_list":["post-54112","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-politike"],"_links":{"self":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts\/54112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/comments?post=54112"}],"version-history":[{"count":0,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts\/54112\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/media\/54113"}],"wp:attachment":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/media?parent=54112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/categories?post=54112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/tags?post=54112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}