{"id":22090,"date":"2016-05-18T09:10:00","date_gmt":"2016-05-18T07:10:00","guid":{"rendered":"http:\/\/zjarr.tv\/?p=22090"},"modified":"2016-05-18T08:51:13","modified_gmt":"2016-05-18T06:51:13","slug":"skema-e-re-per-llogaritjen-e-pageses-se-mjekeve-ja-sesi-do-behet","status":"publish","type":"post","link":"https:\/\/zjarr.tv\/sq\/skema-e-re-per-llogaritjen-e-pageses-se-mjekeve-ja-sesi-do-behet\/","title":{"rendered":"Skema e re p\u00ebr llogaritjen e pages\u00ebs s\u00eb mjek\u00ebve, ja sesi do b\u00ebhet"},"content":{"rendered":"

Ideja e hedhur nga Kryeministri Rama p\u00ebr t\u00eb nd\u00ebrtuar nj\u00eb sistem t\u00eb ri pagesash p\u00ebr mjek\u00ebt, ku si baz\u00eb t\u00eb jet\u00eb volumi i pun\u00ebs, ka hasur n\u00eb q\u00ebndrime pro dhe kund\u00ebr. Rektori i Universiteti t\u00eb Mjek\u00ebsis\u00eb n\u00eb Tiran\u00eb, Arben Gjata, mb\u00ebshtet nism\u00ebn.<\/p>\n

\"Prof.<\/a>
Prof. Dr. Arben Gjata<\/figcaption><\/figure>\n

Sipas tij, kjo do t\u00eb ishte nj\u00eb m\u00ebnyr\u00eb e cila do t\u00eb frenonte mitmarrjen, si dhe do t\u00eb stimulonte bluzat e bardha p\u00ebr t\u00eb punuar n\u00eb spitalet publike.<\/p>\n

\u201cDo t\u00eb reduktonte n\u00eb minimum pagesat n\u00ebn dor\u00eb q\u00eb b\u00ebhen n\u00eb sistemin mjek\u00ebsor dhe, nga ana tjet\u00ebr, do t\u00eb siguronte disa paga m\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr mjek\u00ebt, duke sh\u00ebrbyer n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb si shtys\u00eb p\u00ebr ta q\u00eb t\u00eb vijojn\u00eb t\u00eb punojn\u00eb n\u00eb sistemin publik\u201d. Por deri n\u00eb zbatimin e k\u00ebsaj skeme t\u00eb re duhen t\u00eb kryhen ndryshime ligjore.<\/p>\n

Gjata v\u00eb n\u00eb dukje se thelbi i k\u00ebsaj reforme mbetet te m\u00ebnyra se si do t\u00eb implementohet dhe se paraprakisht \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb kryhet nj\u00eb studim mbi \u00e7mimet q\u00eb aplikohen n\u00eb sektorin sh\u00ebndet\u00ebsor. \u201cB\u00ebhet fjal\u00eb p\u00ebr nj\u00eb koncept shum\u00eb modern, q\u00eb n\u00ebnkupton caktimin e nj\u00eb rroge baz\u00eb minimale dhe pastaj pjesa tjet\u00ebr e pag\u00ebs t\u00eb kusht\u00ebzohet nga sasia e pun\u00ebs q\u00eb kryen \u00e7do mjek\u00eb. Aktualisht, nuk \u00ebsht\u00eb asgj\u00eb m\u00eb tep\u00ebr sesa nj\u00eb ide, sepse k\u00ebrkon ndryshime t\u00eb r\u00ebnd\u00ebsishme ligjore. K\u00ebrkon p\u00ebrcaktimin e \u00e7mimeve t\u00eb procedurave\u201d, pohon rektori i Universitetit t\u00eb Mjek\u00ebsis\u00eb.<\/p>\n

NISMA<\/strong><\/p>\n

Pak dit\u00eb m\u00eb par\u00eb, kreu i qeveris\u00eb gjat\u00eb p\u00ebrurimit t\u00eb Qendr\u00ebs s\u00eb Konsultave n\u00eb QSUT tha se nuk \u00ebsht\u00eb e drejt\u00eb q\u00eb dy mjek\u00eb t\u00eb paguhen nj\u00ebsoj, kur volumi i pun\u00ebs q\u00eb ata kryejn\u00eb \u00ebsht\u00eb i ndrysh\u00ebm. \u201cNe duhet t\u00eb kalojm\u00eb te shp\u00ebrblimi i mjek\u00ebve sipas volumit t\u00eb pun\u00ebs dhe jo me rroga fikse. Ne duhet t\u00eb fusim volumin e pun\u00ebs dhe t\u00eb drejt\u00ebn e mjek\u00ebve p\u00ebr t\u00eb marr\u00eb sipas volumit t\u00eb pun\u00ebs. Nuk mund t\u00eb vazhdojm\u00eb me tavanet fikse, si punove apo si nuk punove, si p\u00ebrballove volum 5 apo 0.5 merr t\u00eb nj\u00ebjt\u00ebn rrog\u00eb, se je n\u00eb t\u00eb nj\u00ebjt\u00ebn fash\u00eb t\u00eb borderos\u00eb\u201d, tha Rama. Nd\u00ebrkoh\u00eb, pas k\u00ebtij paralajm\u00ebrimi t\u00eb b\u00ebr\u00eb ende nuk ka detaje shtes\u00eb lidhur me m\u00ebnyr\u00ebn se si do t\u00eb operohet m\u00eb tej.<\/p>\n

SKEMA<\/strong><\/p>\n

Sipas profesor Gjat\u00ebs, ajo q\u00eb parashikohet, duke pasur n\u00eb konsiderat\u00eb modelet si motra q\u00eb aplikohen n\u00eb vendet e Per\u00ebndimit, \u00ebsht\u00eb q\u00eb nj\u00eb pjes\u00eb e tarif\u00ebs q\u00eb paguajn\u00eb pacient\u00ebt t\u00eb shkoj\u00eb p\u00ebr mjekun dhe pjesa e mbetur p\u00ebr infrastruktur\u00ebn e spitalit. Kjo praktik\u00eb e re lidhet edhe me funksionimin e qendrave\u00a0t\u00eb konsulenc\u00ebs, ku \u00e7do qytetar ka t\u00eb drejt\u00eb t\u00eb zgjedh\u00eb vet\u00eb orarin e vizit\u00ebs dhe mjekun me t\u00eb cilin do t\u00eb vizitohet.<\/p>\n

\u201cN\u00ebse do t\u00eb shkosh n\u00eb spital dhe t\u00eb zgjedh\u00ebsh mjekun, n\u00eb vendet e Per\u00ebndimit, kjo b\u00ebhet n\u00ebp\u00ebrmjet t\u00eb paguarit t\u00eb nj\u00eb siguracioni shtes\u00eb. Kjo t\u00eb jep t\u00eb drejt\u00ebn pastaj q\u00eb t\u00eb zgjedh\u00ebsh mjekun. M\u00eb tej, nga kjo sasi parash q\u00eb qytetari paguan, nj\u00eb pjes\u00eb shkon n\u00eb llogarin\u00eb e mjekut q\u00eb qytetari zgjedh\u201d, sqaron Gjata.<\/p>\n

P\u00ebr ta konkretizuar n\u00ebse nj\u00eb pacient shkon p\u00ebr konsult\u00eb dhe nuk ka ndjekur sistemin e referenc\u00ebs apo \u00ebsht\u00eb i pasiguruar, ai paguan 3 mij\u00eb lek\u00eb. Nga k\u00ebto, mjeku nuk merr asnj\u00eb lek\u00eb, sepse t\u00eb gjith\u00eb shkojn\u00eb p\u00ebr spitalin ose n\u00eb buxhetin e shtetit. Por me reform\u00ebn q\u00eb synohet t\u00eb nd\u00ebrmerret nj\u00eb pjes\u00eb e k\u00ebtyre parave do t\u00eb shkojn\u00eb p\u00ebr mjekun.<\/p>\n

\u201cKjo \u00ebsht\u00eb ideja q\u00eb brenda spitalit t\u00eb funksionoj\u00eb, ashtu sikund\u00ebr funksionon n\u00eb spitalet private. Pra spitali t\u00eb ket\u00eb mund\u00ebsi t\u00eb marr\u00eb para, me t\u00eb cilat paguan mjekun dhe nga ana tjet\u00ebr i krijohet mund\u00ebsia p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar infrastruktur\u00ebn e brendshme spitalore\u201d, sqaron profesori.<\/p>\n

I pyetur n\u00ebse kjo do t\u00eb l\u00ebr\u00eb n\u00eb hije mjek\u00ebt e rinj sepse qytetar\u00ebt kan\u00eb prirje q\u00eb t\u00eb shkojn\u00eb te mjek\u00ebt me em\u00ebr, Gjata shton se me e r\u00ebnd\u00ebsishme se \u00e7o gj\u00eb tjet\u00ebr mbetet cil\u00ebsia e sh\u00ebrbimit ndaj pacient\u00ebve. M\u00eb tej, sipas tij, jan\u00eb shefat e sh\u00ebrbimeve ata q\u00eb koordinojn\u00eb pun\u00ebn, duke b\u00ebr\u00eb t\u00eb mundur q\u00eb mjek\u00ebt e rinj n\u00eb vitet e para t\u00eb pun\u00ebs t\u00eb asistohen nga ata q\u00eb kan\u00eb vite p\u00ebrvoj\u00eb.<\/p>\n

Kalo: Mjeku vler\u00ebsohet nga performanca\u00a0dhe kjo nuk \u00ebsht\u00eb sasiore, por cil\u00ebsore<\/strong><\/p>\n

Doktori Tritan Kalo \u00ebsht\u00eb shprehur kund\u00ebr k\u00ebsaj nisme. P\u00ebr gazet\u00ebn, Kalo pohon se mjeku duhet t\u00eb vler\u00ebsohet n\u00eb baz\u00eb t\u00eb performanc\u00ebs n\u00eb vendin e pun\u00ebs. Dhe kjo performanc\u00eb, sipas tij, nuk \u00ebsht\u00eb sasiore, por cil\u00ebsore.<\/p>\n

\"tritan-kalo\"<\/a><\/p>\n

\u201cVolumi i pun\u00ebs s\u00eb nj\u00eb mjeku t\u00eb p\u00ebrgjithsh\u00ebm, mjeku t\u00eb familjes, apo t\u00eb nj\u00eb mjeku specialist, \u00ebsht\u00eb i pamatsh\u00ebm nga ana sasiore, pasi mjeku diagnostikon, operon, kuron, si dhe diskuton me t\u00eb s\u00ebmur\u00ebt p\u00ebr ecurin\u00eb e s\u00ebmundjes s\u00eb tij, dhe me gjer\u00ebsisht b\u00ebn m\u00eb t\u00eb mir\u00ebn e mundshme p\u00ebr parandalimin e tyre. Mjeku nuk \u00ebsht\u00eb nj\u00eb teknik, i cili ka mbaruar arsimin e mes\u00ebm profesional dhe riparon mjete automobilistike apo prodhon detale e kompjutera.\u00a0Mjeku n\u00eb pun\u00ebn e tij vler\u00ebsohet nga performanca e diagnostikimit dhe mjekimit t\u00eb rasteve, performanc\u00eb q\u00eb nuk \u00ebsht\u00eb sasiore, por cil\u00ebsore, sepse vler\u00ebsohet me jet\u00eb njer\u00ebzish t\u00eb shp\u00ebtuara\u201d.<\/p>\n

Duke e cil\u00ebsuar k\u00ebt\u00eb nj\u00eb tymnaj\u00eb t\u00eb pastudiuar, Kalo shton m\u00eb tej se nj\u00eb skem\u00eb e till\u00eb pagesash nuk aplikohet n\u00eb vendet e Europ\u00ebs. \u201cSh\u00ebndet\u00ebsia jon\u00eb pas 2013-s u nis t\u00eb ishte e modelit kanadez apo danez me mbulimin universal t\u00eb popullat\u00ebs, apo sikund\u00ebr njihet \u2018sh\u00ebndet\u00ebsia falas\u2019, dhe po bitiset te p\u00ebrfundoj\u00eb sipas nj\u00eb \u2018modeli amerikan\u2019, jo fort t\u00eb njohur dhe t\u00eb aplikuar ne Europ\u00eb. Pa sqaruar p\u00ebrfundimisht se sipas cilit model do t\u00eb vijojm\u00eb t\u00eb ecim, dilet me variantin e \u2018pages\u00ebs s\u00eb mjek\u00ebve sipas volumit t\u00eb pun\u00ebs\u2019, q\u00eb p\u00ebr mendimin tim \u00ebsht\u00eb nj\u00eb tymnaj\u00eb jo fort mir\u00eb e studiuar dhe diskutuar me grupet e interesit dhe specialist\u00ebt ekonomist\u00eb, t\u00eb cil\u00ebt merren me sh\u00ebndet\u00ebsin\u00eb publike. N\u00eb dijenin\u00eb time n\u00eb asnj\u00eb vend t\u00eb bot\u00ebs nuk ekziston kjo lloj pagese. \u201cFee for service\u201d, metod\u00eb pagese e cila p\u00ebrdoret gjer\u00ebsisht n\u00eb spitalet private n\u00eb Amerik\u00eb, nuk miratohet dhe aplikohet n\u00eb Europ\u00eb\u201d, n\u00ebnvij\u00ebzon doktori. panorama\/ a.k<\/p>\n

Burimi : \/ Javanews.al<\/a><\/p>\n


\n<\/p>\n","protected":false},"excerpt":{"rendered":"

Ideja e hedhur nga Kryeministri Rama p\u00ebr t\u00eb nd\u00ebrtuar nj\u00eb sistem t\u00eb ri pagesash p\u00ebr mjek\u00ebt, ku si baz\u00eb t\u00eb jet\u00eb volumi i pun\u00ebs, ka hasur n\u00eb q\u00ebndrime pro dhe kund\u00ebr. Rektori i Universiteti t\u00eb Mjek\u00ebsis\u00eb n\u00eb Tiran\u00eb, Arben Gjata, mb\u00ebshtet nism\u00ebn. Prof. Dr. Arben Gjata Sipas tij, kjo do t\u00eb ishte nj\u00eb m\u00ebnyr\u00eb e […]<\/p>\n","protected":false},"author":2044,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[231],"tags":[34],"class_list":{"0":"post-22090","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-lajme","7":"tag-34"},"_links":{"self":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/posts\/22090","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/users\/2044"}],"replies":[{"embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/comments?post=22090"}],"version-history":[{"count":0,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/posts\/22090\/revisions"}],"wp:attachment":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/media?parent=22090"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/categories?post=22090"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/tags?post=22090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}