____
\nNj\u00eb m\u00ebngjes i zakonsh\u00ebm mori kthes\u00eb dramatike p\u00ebr familjen time: n\u00ebna ime p\u00ebsoi trompoz\u00eb. Brenda pak minutash, \u00e7do sekond\u00eb filloi t\u00eb kishte pesh\u00ebn e jet\u00ebs a vdekjes. Fatmir\u00ebsisht, ndihma e par\u00eb u dha shpejt nga spitali i Durr\u00ebsit. Mjek\u00ebt aty \u2014 t\u00eb thjesht\u00eb, t\u00eb komunikuesh\u00ebm, dhe mbi t\u00eb gjitha t\u00eb pranish\u00ebm \u2014 reaguan si profesionist\u00eb. Epikriza e p\u00ebrgatitur me kujdes, vendimi i qart\u00eb: \u201cDuhet t\u00eb shkoni n\u00eb Tiran\u00eb, sa m\u00eb par\u00eb.\u201d<\/p>\n
Deri k\u00ebtu, gjith\u00e7ka dukej se funksiononte. Por kjo ishte ve\u00e7 maja e ajsbergut.<\/p>\n
Tirana: Kryeqyteti i kaosit spitalor<\/p>\n
Tek urgjenca e QSUT nis problematika.
\nAmbulanca nuk parkon dot drejt der\u00ebs sepse aty jan parkuar makina familjar\u00ebsh, pa shofer\u00eb brenda tyre.
\nPastaj burokracite; formular pas formulari, firm\u00eb pas firme, sikur t\u00eb ishte ndonj\u00eb zyr\u00eb taksash dhe jo nj\u00eb qend\u00ebr q\u00eb duhet t\u00eb luftoj\u00eb me vdekjen \u00e7do sekond\u00eb. Nd\u00ebrkoh\u00eb, vet\u00eb mjek\u00ebt q\u00eb flisnin p\u00ebr urgjenc\u00ebn e rastit, p\u00ebr \u201ckoh\u00ebn jetike\u201d, shihnin me duar t\u00eb lidhura se si koha na ikte mes firmash e formular\u00ebsh.<\/p>\n
Nj\u00eb skaner CT u b\u00eb \u2014 \u2018jasht\u00eb radhe\u2019 si\u00e7 u tha (me t\u00eb drejt\u00eb) \u2014 nd\u00ebrsa nj\u00eb mjek mermeriste: \u201cPse nuk e b\u00ebjm\u00eb k\u00ebt\u00eb n\u00eb Durr\u00ebs?\u201d Nj\u00eb pyetje q\u00eb r\u00ebndon si gur.
\nNuk kam p\u00ebrgjigje.
\nAskush s\u2019ka.<\/p>\n
Pas gjasht\u00eb or\u00ebsh q\u00eb nga fillimi i simptomave, del diagnoza: trompoz\u00eb. Mjekja q\u00eb na informoi nuk kishte shum\u00eb p\u00ebr t\u00eb th\u00ebn\u00eb. \u201cDuhet nd\u00ebrhyrje mekanike, p\u00ebrndryshe gjendja do p\u00ebrkeq\u00ebsohet.\u201d
\nZgjidhja?
\nNuk b\u00ebhet n\u00eb QSUT. Nuk b\u00ebhet as n\u00eb ndonj\u00eb nga spitalet rajonale shtet\u00ebrore\u2026<\/p>\n
Na nisin n\u00eb Spitalin e S\u00ebmundjeve Nervore. Edhe aty \u2014 t\u00eb nj\u00ebjt\u00ebn p\u00ebrgjigje. E vetmja mund\u00ebsi \u00ebsht\u00eb Trombektomia (nd\u00ebrhyrja p\u00ebr \u00e7bllokimin e en\u00ebs s\u00eb gjakut n\u00eb tr\u00fa), dhe ajo n\u00eb Shqip\u00ebri b\u00ebhet vet\u00ebm tek Spitali Amerikan\u2026<\/p>\n
N\u00ebse ke par\u00e0, ke shpres\u00eb. N\u00ebse jo\u2026?!<\/p>\n
N\u00eb at\u00eb moment, gjith\u00e7ka p\u00ebrfshihet nga nj\u00eb p\u00ebshtjellim i trisht\u00eb logjik: jemi n\u00eb zem\u00ebr t\u00eb sistemit sh\u00ebndet\u00ebsor shtet\u00ebror, n\u00eb QSUT, n\u00eb \u201cspitalin m\u00eb t\u00eb madh e m\u00eb t\u00eb mir\u00eb t\u00eb vendit\u201d, dhe zgjidhja p\u00ebr shp\u00ebtimin e nj\u00eb jete \u00ebsht\u00eb privati.<\/p>\n
Na lidh\u00ebn me Spitalin Amerikan. Pas pak minutash, nj\u00eb telefonat\u00eb, nj\u00eb \u00e7mim, nj\u00eb vendim i dhimbsh\u00ebm q\u00eb duhet marr\u00eb – jeta e n\u00ebn\u00ebs nuk ka \u00e7mim.
\nFol\u00ebm me v\u00ebllez\u00ebrit dhe motrat, dhe vendos\u00ebm: – paguajm\u00eb, n\u00eb mes \u00ebsht\u00eb jeta e n\u00ebn\u00ebs. Ndryshe duhet p\u00ebrgaditur ceremonia tjet\u00ebr…
\nPra s\u2019ka zgjidhje.
\nAmbulanca e spitalit amerikan erdhi. U nis\u00ebm.<\/p>\n
Nd\u00ebrkoh\u00eb, drejt udh\u00ebs s\u00eb shpres\u00ebs dhe n\u00ebn kumbimin e siren\u00ebs s\u00eb ambulanc\u00ebs, teksa mbaja dor\u00ebn e n\u00ebn\u00ebs – dhe n\u00eb bised\u00eb me trishtimin tim, disa pyetje m\u00eb r\u00ebndonin si \u00e7ekan n\u00eb kok\u00eb:<\/p>\n
– Sa shqiptar\u00eb kan\u00eb mund\u00ebsi t\u00eb paguajn\u00eb k\u00ebt\u00eb shum\u00eb p\u00ebr t\u00eb shp\u00ebtuar jet\u00ebn e n\u00ebn\u00ebs s\u00eb tyre?
\n– Sa prind\u00ebr detyrohen nga pamund\u00ebsia ekonomike q\u00eb t\u00eb l\u00ebn\u00eb jet\u00ebn e f\u00ebmij\u00ebve t\u00eb tyre n\u00eb duart e vdekjes?!
\n– Sa v\u00ebllez\u00ebr e motra mbulohen me dh\u00e9, pasi nuk kan\u00eb lek p\u00ebr t\u00eb g\u00ebzuar dhe ca dit\u00eb m\u00eb shum\u00eb k\u00ebt\u00eb bot\u00eb?!
\n– Sa t\u00eb af\u00ebrm p\u00ebrcillen p\u00ebr n\u00eb bot\u00ebn tjet\u00ebr prej pamund\u00ebsis\u00eb financiare?!
\n– Pse nuk kemi nj\u00eb sistem shtet\u00ebror t\u00eb pajisur me ato mjete q\u00eb shp\u00ebtojn\u00eb jet\u00eb si\u00e7 i ka privati?
\n– Si mundet nj\u00eb spital privat t\u00eb jet\u00eb m\u00eb i pajisur se QSUT qe ka 100 vjet histori dhe nj\u00eb super-buxhet nga pas?
\n– P\u00ebrse n\u00eb spitalin shtet\u00ebror pajisjet q\u00eb t\u00eb sigurojn\u00eb jet\u00ebn prishen q\u00eb n\u00eb fabrik\u00eb, nd\u00ebrsa tek privati punojn\u00eb pa pushim 24\/24?!
\n– P\u00ebrse nd\u00ebrhyrje t\u00eb tilla nuk b\u00ebhen n\u00eb spitalet shtet\u00ebrore, qoft\u00eb edhe me pages\u00eb (t\u00eb arsyeshme ama)?
\n– Kujt i sh\u00ebrben ky sistem i st\u00ebrmadh n\u00eb let\u00ebr, por bosh n\u00eb thelb?
\nDhe m\u00eb qesharakja – mjek\u00ebt q\u00eb punojn\u00eb n\u00eb spitalin shteteror realizuan nd\u00ebrhyrjen. Pra mjek\u00ebt i kemi, por pajisjet – me dashje, jo!<\/p>\n
Nj\u00eb sistem q\u00eb prodhon kriz\u00eb p\u00ebr t\u00eb ushqyer tregun<\/p>\n
\u00c7far\u00eb kuptimi ka t\u00eb kemi spitale publike pa pajisje themelore diagnostikuese apo nd\u00ebrhyr\u00ebse?
\nSi \u00ebsht\u00eb e mundur q\u00eb \u00e7do rrug\u00eb p\u00ebrfundon te privat\u00ebt, sikur kjo t\u00eb ishte nj\u00eb skem\u00eb e parashikuar mir\u00eb p\u00ebr t\u00eb kanalizuar parat\u00eb publike n\u00eb xhepat e pak privat\u00ebve?<\/p>\n
A kemi institucione rregullatore q\u00eb ndalojn\u00eb abuzimin me \u00e7mimet tek privati?
\nApo thjesht komitete me borde q\u00eb pasurojn\u00eb veten, nd\u00ebrsa qytetar\u00ebt hyjn\u00eb n\u00eb borxhe p\u00ebr nj\u00eb shans p\u00ebr t\u00eb jetuar?<\/p>\n
Spitalet shtet\u00ebrore jan\u00eb kthyer n\u00eb korridore t\u00eb vuajtjes, ku e vetmja rrug\u00ebdalje \u00ebsht\u00eb nj\u00eb der\u00eb e mbushur me fatura p\u00ebr diku tjet\u00ebr. Ato q\u00eb dikur quheshin \u201cspitale popullore\u201d, sot jan\u00eb \u201cterminalet e d\u00ebrgimit n\u00eb privat\u201d.<\/p>\n
Sot, n\u00eb Shqip\u00ebri, kemi nj\u00eb sistem q\u00eb n\u00eb let\u00ebr \u00ebsht\u00eb \u201cfalas p\u00ebr t\u00eb gjith\u00eb\u201d, por n\u00eb praktik\u00eb \u00ebsht\u00eb bosh. Nj\u00eb sistem q\u00eb e kanalizon pacientin drejt privatit \u2013 me vet\u00ebdije, me struktura, me indiferenc\u00eb.<\/p>\n
Mjek\u00ebt e mir\u00eb jan\u00eb aty, por pa mjetet q\u00eb u nevojiten. Infermier\u00ebt jan\u00eb t\u00eb lodhur, t\u00eb pak\u00ebt dhe t\u00eb n\u00ebnvler\u00ebsuar. Qytetari \u00ebsht\u00eb i zbraz\u00ebt p\u00ebrball\u00eb nj\u00eb sistemi q\u00eb nuk e mbron, por e v\u00eb p\u00ebrball\u00eb zgjedhjes s\u00eb pamundur: t\u00eb marr\u00eb borxh, t\u00eb lyp\u00eb, ose t\u00eb humbas\u00eb t\u00eb af\u00ebrmin e tij.
\nNuk kam asgj\u00eb p\u00ebr t\u00eb th\u00ebn\u00eb p\u00ebr mjek\u00ebt, b\u00ebn\u00eb aq sa mund\u00ebn, madje duke u marr\u00eb dhe me burokracit\u00eb krejt t\u00eb panevojshme.<\/p>\n
Ne kemi gjith\u00e7ka, p\u00ebrve\u00e7 p\u00ebrkushtimit p\u00ebr njeriun<\/p>\n
Po, n\u00eb let\u00ebr kemi strategji, plane zhvillimi, reforma. Por \u00e7far\u00eb vlejn\u00eb ato kur nuk shp\u00ebtojn\u00eb jet\u00ebn e mij\u00ebra njer\u00ebzve q\u00eb nuk kan\u00eb luksin t\u00eb zgjedhin mes varf\u00ebris\u00eb dhe jet\u00ebs?<\/p>\n
Nj\u00eb sistem sh\u00ebndet\u00ebsor q\u00eb nuk garanton trajtim bazik, nuk \u00ebsht\u00eb sistem \u2014 \u00ebsht\u00eb nj\u00eb makineri selektive mbijetese, q\u00eb funksionon p\u00ebr pak njer\u00ebz dhe d\u00ebmton shum\u00eb t\u00eb tjer\u00eb.<\/p>\n
N\u00eb fund, ne themi se n\u00ebna jon\u00eb e shtrenjt\u00eb \u2018shp\u00ebtoi\u2019. Fal\u00eb privatit, po. Shp\u00ebtoi vet\u00ebm sepse pat\u00ebm mund\u00ebsin\u00eb t\u00eb paguanim.
\nDhe kjo, nuk \u00ebsht\u00eb drejt\u00ebsi.
\nNuk \u00ebsht\u00eb barazi.
\nKjo \u00ebsht\u00eb nj\u00eb mjek\u00ebsi e pashpirt, e cila luan bixhoz me jet\u00ebt e qytetar\u00ebve.
\nSot, kemi nd\u00ebrtuar nj\u00eb sistem, i cili falas ofron ve\u00e7 vdekjen.
\nTh\u00ebn\u00eb ndryshe, prodhon statistika shum\u00eb t\u00eb mira p\u00ebr qeverin\u00eb, nd\u00ebrsa n\u00eb realitet – shum\u00eb arkivole p\u00ebr t\u00eb pamundurit!<\/p>\n
Nga Abdulla Diku<\/p>\n","protected":false},"excerpt":{"rendered":"
____ Nj\u00eb m\u00ebngjes i zakonsh\u00ebm mori kthes\u00eb dramatike p\u00ebr familjen time: n\u00ebna ime p\u00ebsoi trompoz\u00eb. Brenda pak minutash, \u00e7do sekond\u00eb filloi t\u00eb kishte pesh\u00ebn e jet\u00ebs a vdekjes. Fatmir\u00ebsisht, ndihma e par\u00eb u dha shpejt nga spitali i Durr\u00ebsit. Mjek\u00ebt aty \u2014 t\u00eb thjesht\u00eb, t\u00eb komunikuesh\u00ebm, dhe mbi t\u00eb gjitha t\u00eb pranish\u00ebm \u2014 reaguan si […]<\/p>\n","protected":false},"author":2,"featured_media":90913,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":{"0":"post-90912","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-te-tjera"},"_links":{"self":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/90912","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/comments?post=90912"}],"version-history":[{"count":1,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/90912\/revisions"}],"predecessor-version":[{"id":90914,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/90912\/revisions\/90914"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/media\/90913"}],"wp:attachment":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/media?parent=90912"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/categories?post=90912"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/tags?post=90912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}