{"id":91119,"date":"2025-08-06T08:52:37","date_gmt":"2025-08-06T08:52:37","guid":{"rendered":"https:\/\/neutrale.al\/?p=91119"},"modified":"2025-08-06T08:52:37","modified_gmt":"2025-08-06T08:52:37","slug":"sa-ndryshon-sistemit-shendetesor-shqiptar-nga-ai-gjerman","status":"publish","type":"post","link":"https:\/\/neutrale.al\/index.php\/2025\/08\/06\/sa-ndryshon-sistemit-shendetesor-shqiptar-nga-ai-gjerman\/","title":{"rendered":"Sa ndryshon sistemit sh\u00ebndet\u00ebsor shqiptar nga ai gjerman??"},"content":{"rendered":"<p>Dr Marseda Spiro<br \/>\nMjeke Interne, Gjermani.<\/p>\n<p>Sistemi sh\u00ebndet\u00ebsor \u00ebsht\u00eb nga hallkat m\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb nj\u00eb vendi. N\u00ebp\u00ebrmjet k\u00ebtij postimi do doja t\u00eb ndalesha n\u00eb disa pika p\u00ebr t\u00eb p\u00ebrballur dy realitete t\u00eb sistemit sh\u00ebndet\u00ebsor t\u00eb nj\u00eb vendi per\u00ebndimor si Gjermania dhe vendit ton\u00eb Shqip\u00ebris\u00eb me aspiratat e m\u00ebdhaja p\u00ebr t\u00eb qen\u00eb pjes\u00eb e bashkimit europian. Nuk jam specialiste e sh\u00ebndetit publik, por do flas me aq njohuri sa kam p\u00ebr dy sistemet n\u00eb k\u00ebndv\u00ebshtrimin e nj\u00eb mjekeje.<br \/>\n\u25cf Siguracioni sh\u00ebndet\u00ebsor n\u00eb Gjermani \u00ebsht\u00eb i detyruesh\u00ebm me ligj. \u00c7do qytetar duhet t\u00eb jet\u00eb i siguruar, t\u00eb pajiset me nj\u00eb kart\u00eb siguracioni sh\u00ebndet\u00ebsor. Siguracioni mund t\u00eb jet\u00eb privat ose shtet\u00ebror. Pagesa mujore p\u00ebr siguracionin sh\u00ebndet\u00ebsor b\u00ebhet n\u00eb var\u00ebsi t\u00eb t\u00eb ardhurave mujore t\u00eb individit, n\u00ebse je i papun\u00eb mbulohet nga shteti. Siguracioni sh\u00ebndet\u00ebsor paguhet nj\u00eb pjes\u00eb nga pun\u00ebdh\u00ebn\u00ebsi dhe nj\u00eb pjes\u00eb nga pun\u00ebmarr\u00ebsi. Ky quhet si principi i solidaritetit, pra kostoja e sh\u00ebrbimit sh\u00ebndet\u00ebsor mbahet nga ata q\u00eb punojn\u00eb edhe p\u00ebr t\u00eb varf\u00ebrit sikund\u00ebr nga ata q\u00eb jan\u00eb t\u00eb sh\u00ebndetsh\u00ebm edhe p\u00ebr t\u00eb s\u00ebmur\u00ebt duke i dh\u00ebn\u00eb mund\u00ebsin\u00eb \u00e7do njeriu t\u00eb marr\u00eb sh\u00ebrbimin sh\u00ebndet\u00ebsor. Shteti vendos ligjet por menaxhimi i t\u00eb ardhurave b\u00ebhet nga sh\u00ebrbimi sh\u00ebndet\u00ebsor publik q\u00eb jan\u00eb spitalet dhe kasat e siguracionit sh\u00ebndet\u00ebsor.  N\u00eb Shqip\u00ebri kemi nga nj\u00ebra an\u00eb shtetin q\u00eb kontrollon \u00e7do gj\u00eb n\u00eb sh\u00ebrbimin sh\u00ebndet\u00ebsor publik p\u00ebrfshir\u00eb dhe menaxhimin e shp\u00ebrndarjen e burimeve financiare dhe sh\u00ebrbimin sh\u00ebndet\u00ebsor privat q\u00eb \u00ebsht\u00eb komplet i pavarur n\u00eb funksionin e tij. Pun\u00ebdh\u00ebn\u00ebsi nuk paguan tarif\u00eb p\u00ebr siguracionin sh\u00ebndet\u00ebsor t\u00eb pun\u00ebmarr\u00ebsit.<br \/>\n\u25cf Receta mjek\u00ebsore e l\u00ebshuar nga mjek\u00ebt n\u00eb Gjermani funksionon si recet\u00eb elektronike nga janari 2024. Dometh\u00ebn\u00eb pacienti vizitohet te mjeku dhe receta i l\u00ebshohet n\u00eb sistem te karta e sh\u00ebndetit dhe shkon i merr ila\u00e7et duke paraqitur kart\u00ebn e sh\u00ebndetit n\u00eb farmaci. P\u00ebr pacient\u00ebt q\u00eb jan\u00eb t\u00eb s\u00ebmur\u00eb kronik\u00eb dhe marrin \u00e7do muaj ila\u00e7e, nuk \u00ebsht\u00eb nevoja t\u00eb shkojn\u00eb gjithmon\u00eb t\u00eb mjeku i familjes p\u00ebr t\u00eb marr\u00eb recet\u00ebn. Kjo metod\u00eb e recet\u00ebs elektronike sjell shmangien e gabimeve dhe keqinterpretimeve t\u00eb shkrimit t\u00eb mjek\u00ebve nga farmacist\u00ebt n\u00ebse receta do shkruhej me dor\u00eb dhe eleminon rrug\u00ebn dhe pritjen e pacient\u00ebve te mjeku familjes p\u00ebr t\u00eb marr\u00eb recet\u00ebn. Recetat kan\u00eb ngjyra t\u00eb ndryshme q\u00eb lidhen me koh\u00ebzgjatjen e vlefshm\u00ebris\u00eb s\u00eb recet\u00ebs, llojin e ila\u00e7eve q\u00eb p\u00ebrshkruhen. Pacienti paguan nj\u00eb tarif\u00eb fikse prej 5-10\u20ac p\u00ebr recet\u00eb dhe pjes\u00ebn tjet\u00ebr e mbulon siguracioni. Po ashtu pjesa m\u00eb e madhe e ila\u00e7eve nuk merren dot pa recet\u00eb nga mjeku duke shmangur abuzimin dhe marrjen pa kriter t\u00eb ila\u00e7eve  si antibiotik\u00ebt, analgjezik\u00eb (ila\u00e7e kund\u00ebr dhimbjeve)  etj.<br \/>\nKrahasimisht me vendin ton\u00eb, recetat vazhdojn\u00eb t\u00eb shkruhen me dor\u00eb, shpesh ndodhin gabime ne interpretim dhe shum\u00eb ila\u00e7e jan\u00eb kosto p\u00ebr xhepin e pacient\u00ebve. Gjithashtu \u00e7dokush mund t\u00eb blej\u00eb \u00e7far\u00ebdo ila\u00e7i t\u00eb doj\u00eb n\u00eb farmaci edhe pa recet\u00eb.<br \/>\n\u25cf Shteti gjerman \u00ebsht\u00eb i detyruar ti ofroj\u00eb \u00e7do qytetari q\u00eb ka nj\u00eb siguracion sh\u00ebndet\u00ebsor \u00e7do sh\u00ebrbim sh\u00ebndet\u00ebsor q\u00eb \u00ebsht\u00eb i nevojsh\u00ebm p\u00ebr t\u00eb shp\u00ebtuar jet\u00ebn e pacientit dhe p\u00ebrmir\u00ebsuar cil\u00ebsin\u00eb e saj duke p\u00ebrfshir\u00eb edhe trajtime rehabilitues. N\u00eb vendin ton\u00eb  shum\u00eb sh\u00ebrbime mjek\u00ebsore   kan\u00eb kosto t\u00eb lart\u00eb financiare dhe jet\u00ebsore p\u00ebr pacient\u00ebt sepse nuk ofrohen n\u00eb sh\u00ebrbimin sh\u00ebndet\u00ebsor publik si p\u00ebr shembull trombektomia n\u00eb rastin e nj\u00eb ishemie cerebrale. Fatkeq\u00ebsisht pacient\u00ebt detyrohen t\u00eb drejtohen n\u00eb spitale private me kosto marramend\u00ebse p\u00ebr t\u00eb marr\u00eb k\u00ebto sh\u00ebrbime.<br \/>\n\u25cf N\u00eb Gjermani spitalet ofrojn\u00eb specializime p\u00ebr mjek\u00ebt e rinj duke mos e centralizuar k\u00ebt\u00eb formim vet\u00ebm n\u00eb nj\u00eb spital si QSUT n\u00eb Shqip\u00ebri si i vetmi spital formimi postuniversitar. Kjo sjell nj\u00eb shp\u00ebrndarje m\u00eb t\u00eb barabart\u00eb t\u00eb mjek\u00ebve n\u00eb vend.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr Marseda Spiro Mjeke Interne, Gjermani. Sistemi sh\u00ebndet\u00ebsor \u00ebsht\u00eb nga hallkat m\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb nj\u00eb vendi. N\u00ebp\u00ebrmjet k\u00ebtij postimi do doja t\u00eb ndalesha n\u00eb disa pika p\u00ebr t\u00eb p\u00ebrballur dy realitete t\u00eb sistemit sh\u00ebndet\u00ebsor t\u00eb nj\u00eb vendi per\u00ebndimor si Gjermania dhe vendit ton\u00eb Shqip\u00ebris\u00eb me aspiratat e m\u00ebdhaja p\u00ebr t\u00eb qen\u00eb pjes\u00eb e bashkimit [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":91120,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":{"0":"post-91119","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\/91119","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=91119"}],"version-history":[{"count":1,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/91119\/revisions"}],"predecessor-version":[{"id":91121,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/91119\/revisions\/91121"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/media\/91120"}],"wp:attachment":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/media?parent=91119"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/categories?post=91119"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/tags?post=91119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}