{"id":1883,"date":"2021-11-25T15:24:26","date_gmt":"2021-11-25T15:24:26","guid":{"rendered":"https:\/\/transparency.com.al\/?p=1883"},"modified":"2021-11-25T15:25:18","modified_gmt":"2021-11-25T15:25:18","slug":"kontrata-ppp-e-sterilizimit-i-kushton-shtrenjte-sistemit-shendetesor","status":"publish","type":"post","link":"https:\/\/old.transparency.com.al\/en\/kontrata-ppp-e-sterilizimit-i-kushton-shtrenjte-sistemit-shendetesor\/","title":{"rendered":"Kontrata PPP e sterilizimit i kushton shtrenjt\u00eb sistemit sh\u00ebndet\u00ebsor"},"content":{"rendered":"\n
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Pas nj\u00eb operacioni rutin\u00eb n\u00eb spitalin Universitar t\u00eb Traum\u00ebs n\u00eb Tiran\u00eb, kirurgu kthehet n\u00eb zyr\u00eb me nj\u00eb pajisje n\u00eb dor\u00eb, q\u00eb sapo e ka marr\u00eb fshehurazi nga salla e operacionit. Ai e vendos at\u00eb mbi tavolin\u00eb, e \u00e7mb\u00ebshtjell nga nj\u00eb cop\u00eb let\u00ebr higjienike dhe tregon me gisht elektrobisturin\u00eb n\u00eb ngjyr\u00eb blu, ende t\u00eb paketuar n\u00eb qese.
\u201cKy instrument do t\u00eb hidhej n\u00eb mbeturina,\u201d tha kirurgu, i cili foli me BIRN n\u00eb kushtet e anonimatit. \u201cKy \u00ebsht\u00eb shembulli flagrant sesi shp\u00ebrdorohen parat\u00eb tona,\u201d shtoi ai gjat\u00eb bised\u00ebs s\u00eb zhvilluar n\u00eb zyr\u00ebn e tij, n\u00eb mesin e tetorit.
Elektrobisturia mbi tavolin\u00ebn e kirurgut \u00ebsht\u00eb pjes\u00eb e nj\u00ebrit prej seteve kirurgjikale, q\u00eb kompania koncesionare \u201cSaniService\u201d i shet Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb p\u00ebr \u00e7mime q\u00eb variojn\u00eb nga 16 mij\u00eb lek\u00eb deri n\u00eb 45 mij\u00eb lek\u00eb [me TVSH] p\u00ebr \u00e7do nd\u00ebrhyrje.
Mjeku thot\u00eb se ka p\u00ebr q\u00ebllim q\u00eb ta shp\u00ebtoj\u00eb instrumentin duke e sterilizuar \u201cilegalisht\u201d at\u00eb \u2013n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb kursej\u00eb para p\u00ebrmes p\u00ebrdorjes n\u00eb nj\u00eb seri operacionesh t\u00eb tjera.

Episodi i spitalit t\u00eb Traum\u00ebs nuk \u00ebsht\u00eb nj\u00eb rast i izoluar. T\u00eb gjendur n\u00ebn presionin e \u00e7mimeve t\u00eb shtrenjta t\u00eb seteve kirurgjikale, mjek\u00ebt i kan\u00eb kthyer syt\u00eb tek autoklavat e vjetra, q\u00eb jan\u00eb rikthyer tashm\u00eb n\u00eb qarkullim n\u00eb disa prej spitaleve t\u00eb r\u00ebnd\u00ebsishme t\u00eb Tiran\u00ebs.
Kontrata e Partneritetit Publik Privat p\u00ebr sterilizimin e instrumenteve kirurgjikale \u00ebsht\u00eb n\u00eb vitin e pest\u00eb t\u00eb operimit, por ka sh\u00ebnuar rritje t\u00eb kostove t\u00eb parashikuara me gati 30%. Nga 9.6 miliard\u00eb lek\u00eb t\u00eb parashikuara n\u00eb vitin 2015, sterilizimi pritet tashm\u00eb t\u00eb kushtoj\u00eb 12.3 miliard\u00eb lek\u00eb n\u00eb total.
Pagesat realizohen sipas skem\u00ebs \u201cp\u00ebrdor dhe paguaj\u201d, ndaj rritja e numrit t\u00eb nd\u00ebrhyrjeve sjell rritje \u201cpa tavan\u201d t\u00eb pagesave. Megjithat\u00eb, numri i operacioneve nuk \u00ebsht\u00eb kalkulimi i vet\u00ebm i gabuar q\u00eb r\u00ebndon sot mbi financat e sektorit t\u00eb sh\u00ebndet\u00ebsis\u00eb.
BIRN intervistoi mjek\u00eb dhe kirurg\u00eb t\u00eb spitave t\u00eb ndryshme t\u00eb Tiran\u00ebs, t\u00eb cilat pohuan se formula e zgjedhur i rrit shpeshher\u00eb kostot edhe fiktivisht. Mjek\u00ebt pranuan se kishin p\u00ebrdorur sete t\u00eb shtrenjta p\u00ebr mikrokirurgjit\u00eb dhe ishin detyruar shpeshher\u00eb q\u00eb t\u00eb hapnin dy ose tre sete gjat\u00eb nj\u00eb operacioni, p\u00ebr t\u00eb gjetur instrumentin kirurgjikal q\u00eb u nevojitej.
Sipas nj\u00eb vler\u00ebsimi t\u00eb Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit, kontrata e sterilizimit \u00ebsht\u00eb hartuar n\u00eb kushte favorizuese vet\u00ebm p\u00ebr koncesionarin dhe pritet t\u00eb sjell\u00eb probleme n\u00eb vazhdim\u00ebsi p\u00ebr financimin e saj.
Kontrata PPP \u00ebsht\u00eb gjithashtu nj\u00eb nga dosjet e para t\u00eb bujshme q\u00eb p\u00ebrfundoi n\u00eb dyert e Prokuroris\u00eb s\u00eb Posa\u00e7me kund\u00ebr Korrupsionit dhe Krimit t\u00eb Organizuar dhe po hetohet prej 11 muajsh p\u00ebr tre vepra penale q\u00eb lidhen me korrupsionin.
Ish-ministri i Sh\u00ebndet\u00ebsis\u00eb, Ilir Beqja e mbrojti kontrat\u00ebn n\u00eb nj\u00eb p\u00ebrgjigje me shkrim p\u00ebr BIRN, pavar\u00ebsisht kostove t\u00eb rritura dhe akuzave t\u00eb regjistruara nga Prokuroria.
\u201cKan\u00eb kaluar tashm\u00eb m\u00eb shum\u00eb se 4 vjet nga nd\u00ebrhyrja e par\u00eb kirurgjikale e realizuar me k\u00ebt\u00eb sh\u00ebrbim t\u00eb ri, por n\u00eb dijenin\u00eb time asgj\u00eb nuk ka shkuar keq,\u201d tha Beqja, firm\u00ebtar i kontrat\u00ebs.
\u201cP\u00ebrkundrazi, tashm\u00eb \u00ebsht\u00eb e provuar se sh\u00ebrbimi kirurgjikal n\u00eb \u00e7do sall\u00eb operacioni t\u00eb Shqip\u00ebris\u00eb \u00ebsht\u00eb ndryshuar radikalisht dhe se \u00e7do kirurg apo obstret\u00ebr n\u00eb Shqip\u00ebri operon n\u00eb kushte shum\u00eb m\u00eb t\u00eb mira steriliteti me instrumenta kirurgjikale t\u00eb gjenerat\u00ebs s\u00eb fundit,\u201d shtoi ai.
Kompania koncesionare, SaniService nuk iu p\u00ebrgjigj pyetjeve t\u00eb BIRN deri n\u00eb publikimin e k\u00ebtij shkrimi.

Dhurimi i stacionit t\u00eb sterilizimit<\/strong>
Kontrata e sterilizimit t\u00eb pajisjeve kirurgjikale \u00ebsht\u00eb nj\u00eb prej 4 projekteve t\u00eb Partneritetit Publik-Privat me mb\u00ebshtetje buxhetore n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb, me zanafill\u00eb te programi i qeverisjes s\u00eb kryeministrit Edi Rama pas ngjitjes s\u00eb tij n\u00eb n\u00eb pushtet n\u00eb vitin 2013.
Kontrata u firmos n\u00eb dhjetor 2015 mes ish-ministrit t\u00eb Sh\u00ebndet\u00ebsis\u00eb, Ilir Beqja dhe kompanis\u00eb koncesionare SaniService \u2013aksioner\u00ebt e s\u00eb cil\u00ebs jan\u00eb Investital LLC dhe kompanit\u00eb italiane \u201cServizi Italia\u201d, \u201cTecnosanimed\u201d dhe \u201cU.Jet S.r.l\u201d.
Paket\u00ebn m\u00eb t\u00eb madhe me 40 p\u00ebr qind t\u00eb aksioneve e zot\u00ebron Investital LLC- nj\u00eb kompani e vog\u00ebl e themeluar me kapital 1 mij\u00eb euro n\u00eb Kosov\u00eb nga Ilir Rrapaj. N\u00eb nj\u00eb investigim t\u00eb m\u00ebparsh\u00ebm<\/a>, BIRN zbuloi se Rrapaj u kthye n\u00eb Shqip\u00ebri pas zgjedhjeve t\u00eb vitit 2013 dhe para se t\u00eb fitonte koncesionin, vendosi kontakte t\u00eb shpeshta me ish-ministrin e Sh\u00ebndet\u00ebsis\u00eb, Ilir Beqaj.
Dokumentet e siguruara nga BIRN p\u00ebrmes nj\u00eb hetimi t\u00eb zhvilluar n\u00eb vitin 2016 nga Prokuroria e Tiran\u00ebs tregojn\u00eb se kompania koncesionare e nisi pun\u00ebn nga nj\u00eb stacion modern sterilizimi i nd\u00ebrtuar n\u00eb Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d me kredi t\u00eb qeveris\u00eb shqiptare, por q\u00eb nuk ishte v\u00ebn\u00eb p\u00ebr asnj\u00eb dit\u00eb n\u00eb pun\u00eb.
Sipas nj\u00eb raporti t\u00eb KLSH, pajisje me vler\u00eb mbi 107 milion\u00eb lek\u00eb t\u00eb blera nga qeveria shqiptare iu dhuruan koncesionarit pa pages\u00eb dhe pa asnj\u00eb parashikim n\u00eb kontrat\u00eb.
Qendra e sterilizimit ishte nd\u00ebrtuar n\u00eb vitin 2009 p\u00ebrmes nj\u00eb kredie q\u00eb qeveria shqiptare kishte marr\u00eb n\u00eb Bank\u00ebn e K\u00ebshillit t\u00eb Europ\u00ebs \u2013CEB. Transferimi i saj n\u00ebn administrimin e koncesionarit u b\u00eb pjes\u00eb e hetimit t\u00eb kryer nga Prokuroria e Tiran\u00ebs \u2013i cili u pushua n\u00eb shtator 2016 pa pasoja.
An\u00ebtar\u00ebt e komisionit q\u00eb p\u00ebrgatiti studimin e fizibilitetit p\u00ebr koncesionin e sterilizimit i than\u00eb Prokuroris\u00eb se qendra nuk ishte v\u00ebn\u00eb n\u00eb pun\u00eb prej tet\u00eb vitesh p\u00ebr shkak t\u00eb munges\u00ebs s\u00eb stafit t\u00eb trajnuar. Ata e p\u00ebrdor\u00ebn at\u00eb si nj\u00eb argument m\u00eb shum\u00eb se pse sh\u00ebrbimi duhej dh\u00ebn\u00eb me koncesion.
\u201cKy koncesion pik\u00ebrisht p\u00ebr t\u00eb ruajtur k\u00ebt\u00eb investim, parashikon ta jet\u00ebsoj\u00eb k\u00ebt\u00eb qend\u00ebr, duke e v\u00ebn\u00eb n\u00eb pun\u00eb at\u00eb,\u201d deklaroi n\u00eb Prokurori nj\u00eb nga an\u00ebtaret e komisionit.
Dokumentet e hetimit tregojn\u00eb gjithashtu se Ministria e Sh\u00ebndet\u00ebsis\u00eb e paracaktoi dh\u00ebnien e sh\u00ebrbimit me koncesion dhe u p\u00ebrball me hezitimin e ish-ministrit t\u00eb Financave, Shk\u00eblqim Cani p\u00ebr ta miratuar at\u00eb.
Dy ish-ministrat shk\u00ebmbyen korrespondenc\u00eb nga tetori 2015 deri n\u00eb janar 2016, ku Cani k\u00ebrkoi fillimisht q\u00eb t\u00eb argumentohej se pse ishte zgjedhur koncesioni dhe jo prokurimi i zakonsh\u00ebm.
Ish-ministri i Financave paralajm\u00ebroi gjithashtu rritjen e kostove p\u00ebrtej tavaneve buxhetore, por e miratoi kontrat\u00ebn me kushtin q\u00eb financimi i projektit t\u00eb respektonte n\u00eb m\u00ebnyr\u00eb rigoroze limitin buxhetor t\u00eb parashikuar p\u00ebr k\u00ebto sh\u00ebrbime.
\u201cLidhur me riskun e k\u00ebrkes\u00ebs, duke qen\u00eb dakord me m\u00ebnyr\u00ebn e p\u00ebrballimit t\u00eb tij\u2026 do t\u00eb k\u00ebrkonim q\u00eb Ministria e Sh\u00ebndet\u00ebsis\u00eb t\u00eb marr\u00eb t\u00eb gjitha masat e duhura, q\u00eb ky risk t\u00eb minimizohet sa m\u00eb shum\u00eb q\u00eb t\u00eb jet\u00eb e mundur p\u00ebrgjat\u00eb periudh\u00ebs s\u00eb koncesionit,\u201d shkruante Cani n\u00eb janar 2015.
Prokuroria e Tiran\u00ebs iu rikthye arsyeve se pse Ministria e Sh\u00ebndet\u00ebsis\u00eb zgjodhi procedur\u00ebn PPP p\u00ebrball\u00eb prokurimit t\u00eb zakonsh\u00ebm n\u00eb seanc\u00ebn e pyetjeve me an\u00ebtar\u00ebt e komisionit, nd\u00ebrkoh\u00eb q\u00eb k\u00ebta t\u00eb fundit dhan\u00eb si argument munges\u00ebn e fondeve p\u00ebr investim n\u00eb buxhetin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.
Ish-zv.ministri i Sh\u00ebndet\u00ebsis\u00eb, Klodian Rrjepaj, i cili ishte edhe kryetar i komisionit i tha Prokuroris\u00eb se rinovimi i instrumenteve kirurgjikale kapte shifrat e 11 milion\u00eb eurove, ose dyfish e gjysm\u00eb mbi z\u00ebrin q\u00eb Ministria e Sh\u00ebndet\u00ebsis\u00eb kishte n\u00eb dispozicion p\u00ebr investime.
\u201cSkema PPP \u00ebsht\u00eb m\u00eb e favorshme p\u00ebr shkak t\u00eb investimit fillestar t\u00eb madh, q\u00eb nuk p\u00ebrballohet nga shteti si dhe p\u00ebr shkak t\u00eb marrjes s\u00eb riskut totalisht nga privati,\u201d shton Rrjepaj n\u00eb d\u00ebshmi.
Ndryshe nga parashikimi n\u00eb studimin e fizibilitetit, Ministria e Sh\u00ebndet\u00ebsis\u00eb paguan \u00e7do vit nj\u00eb fatur\u00eb edhe m\u00eb t\u00eb shtrenjt\u00eb sesa investimi fillestar prej 11 milion\u00eb eurosh \u2013me kosto q\u00eb luhaten n\u00eb nj\u00eb mesatare vjetore prej 1.6 miliard\u00eb lek\u00ebsh ose gati 13 milion\u00eb euro.

Fryrja e kostove<\/strong>
<\/a>Ministrja e Sh\u00ebndet\u00ebsis\u00eb, Ogerta Manastirliu dhe ish ministri Ilir Beqaj, gjat\u00eb nj\u00eb vizite n\u00eb sh\u00ebrbimin e Hemodinamik\u00ebs n\u00eb QSUT, ku \u00ebsht\u00eb p\u00ebruruar nj\u00eb pajisje e re e angiografis\u00eb q\u00eb monitoron en\u00ebt e gjakut q\u00eb furnizojn\u00eb zemr\u00ebn. | Foto nga : LSA
N\u00eb dy maternitetet e Tiran\u00ebs, Ko\u00e7o Gliozheni dhe Mbret\u00ebresha Geraldin\u00eb, jan\u00eb rikthyer instrumentet tradicionale p\u00ebr nj\u00eb pjes\u00eb t\u00eb madhe t\u00eb lindjeve natyrale. Metoda e vjet\u00ebr e sterilizimit me autoklav\u00eb funksionin gjithashtu n\u00eb gjysm\u00eb-ilegalitet, pas k\u00ebrkesave verbale t\u00eb epror\u00ebve p\u00ebr t\u00eb ulur p\u00ebrdorimin e seteve.
Nj\u00eb mjek gjinekolog i tha BIRN se setet kirurgjikale jan\u00eb t\u00eb panevojshme p\u00ebr lindjet natyrale.
\u201cNdryshe nga operacionet, nj\u00eb lindje natyrale ka nevoj\u00eb p\u00ebr dy-tre instrumente ndaj na \u00ebsht\u00eb k\u00ebrkuar verbalisht, n\u00ebn rekomandimin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, q\u00eb n\u00eb k\u00ebto raste t\u00eb minimizohet p\u00ebrdorimi i paketave me instrumenta t\u00eb sterilizuar,\u201d tha ai.
Si shum\u00eb koleg\u00eb t\u00eb tij, edhe mjeku gjinekolog pranoi t\u00eb intervistohej nga BIRN me kushtin q\u00eb t\u00eb mos i p\u00ebrmendej emri.
\u201cNe realizojm\u00eb mesatarisht 30 nd\u00ebrhyrje dhe lindje n\u00eb dit\u00eb. T\u00eb blesh nj\u00eb set kirugjikal kushton mesatarisht 40 mij\u00eb lek\u00eb t\u00eb reja\u2026E kuptoni se sa shum\u00eb \u00ebsht\u00eb rritur kostoja e nj\u00eb nd\u00ebrhyrjeje kirugjikale?\u201d pyeti ai.
Dy maternitetet e Tiran\u00ebs u faj\u00ebsuan pjes\u00ebrisht p\u00ebr rritjen e kostove n\u00eb vitin 2018, pasi nj\u00eb grup kontrolli nga Fondi i Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor verifikoi se p\u00ebr lindjet natyrale ishin p\u00ebrdorur paketa t\u00eb kompleksitetit t\u00eb ul\u00ebt. Mjek\u00ebt u k\u00ebshilluan q\u00eb p\u00ebr lindjet normale t\u00eb p\u00ebrdornin sete t\u00eb sterilizimit me avull, t\u00eb cilat kushtojn\u00eb 319 lek\u00eb copa.
Pjesa tjet\u00ebr i faturohet mikrokirurgjive, t\u00eb cilat nuk num\u00ebroheshin si nd\u00ebrhyrje p\u00ebrpara dh\u00ebnies s\u00eb sh\u00ebrbimit me koncesion.
Kirurgu Arben Gjata, rektor i Universitetit t\u00eb Mjek\u00ebsis\u00eb dhe pjes\u00eb e komisionit q\u00eb p\u00ebrgatiti studimin e fizibilitetit e mburri koncesionin si \u201cgj\u00ebja m\u00eb e mir\u00eb\u201d p\u00ebr sistemin sh\u00ebndet\u00ebsor. Megjithat\u00eb, Gjata pranoi se nj\u00eb kategori mikrond\u00ebrhyrjesh nuk deklaroheshin m\u00eb par\u00eb dhe nuk ishin llogaritur. Ai p\u00ebrmendi n\u00eb k\u00ebt\u00eb kategori nd\u00ebrhyrje t\u00eb tilla si rrethprerja (syneti), heqja e nj\u00eb thoi apo e nj\u00eb nishani.
\u201cPas futjes s\u00eb koncensionarit duheshin deklaruar, pasi do t\u00eb p\u00ebrdoren setet kirurgjikale. Kan\u00eb rezultuar t\u00eb jen\u00eb rreth 8 mij\u00eb t\u00eb tilla n\u00eb t\u00eb gjith\u00eb vendin dhe sigurisht kan\u00eb rritur numrin e nd\u00ebrhyrjeve kirurgjikale, duke rritur edhe kostot,\u201d tha kirurgu Gjata.
Lindjet natyrale dhe mikrokirurgjit\u00eb nuk jan\u00eb t\u00eb vetmet nd\u00ebrhyrje q\u00eb soll\u00ebn rritje t\u00eb paparashikuar t\u00eb kostove. Mjek\u00ebt p\u00ebrmend\u00ebn si arsye edhe grupimin e instrumenteve brenda nj\u00eb seti apo mungesat e shpeshta t\u00eb paket\u00ebs s\u00eb vog\u00ebl prej 319 lek\u00ebsh, q\u00eb i detyron ata t\u00eb shp\u00ebrdorojn\u00eb setet kirurgjikale.
\u201cProblemi q\u00ebndron se p\u00ebr nj\u00eb nd\u00ebrhyrje, ne mund t\u00eb hapim edhe deri n\u00eb tre sete, sepse nuk gjejm\u00eb dot t\u00eb gjitha instrumentet q\u00eb na duhen n\u00eb nj\u00ebrin set,\u201d tha nj\u00ebri prej kirurg\u00ebve. \u201cUn\u00eb n\u00eb sall\u00eb operacioni mendoj se si t\u00eb shp\u00ebtoj jet\u00ebn e pacientit dhe jo sa lek\u00eb po harxhoj,\u201d shtoi ai, duke pohuar se presioni mbi kostot r\u00ebndon vazhdimisht mbi pun\u00ebn e tyre.
Nj\u00eb ish-drejtues i nj\u00ebrit prej spitaleve universitare u ankua se koncesionari e ofron rrall\u00eb paket\u00ebn e vog\u00ebl t\u00eb sterilizuar n\u00eb avull dhe kjo i detyron mjek\u00ebt q\u00eb t\u00eb shp\u00ebrdorojn\u00eb shpesh sete p\u00ebr t\u00eb p\u00ebrdorur qoft\u00eb edhe vet\u00ebm nj\u00eb instrument.
\u201cKjo mendoj se \u00ebsht\u00eb kle\u00e7ka q\u00eb e rrit shum\u00eb koston q\u00eb duhet t\u2019i paguajm\u00eb pastaj n\u00eb fund,\u201d tha kirurgu, pa dashur q\u00eb t\u2019i p\u00ebrdoret emri.
Kirurgu urolog, Artan Koni, i cili denoncoi n\u00eb SPAK kostot e shtrenjta t\u00eb sterilizimit i tha BIRN se rigrupimi i instrumenteve brenda nj\u00eb seti \u00ebsht\u00eb nj\u00eb formul\u00eb q\u00eb nuk funksionon.
\u201c\u2026asnj\u00ebher\u00eb nuk mund t\u00eb b\u00ebsh nj\u00eb renditje optimale t\u00eb seteve, sepse operacioni nuk shkon asnj\u00ebher\u00eb si\u00e7 do ti,\u201d tha Koni. \u201cMund t\u00eb ndodh\u00eb q\u00eb gjat\u00eb operacionit t\u00eb duhet di\u00e7ka q\u00eb nuk e parashikon dhe nuk e planifikon dot. Ndaj do t\u00eb ket\u00eb gjithmon\u00eb p\u00ebrdorim t\u00eb dy ose tre seteve,\u201d shtoi ai.

Cil\u00ebsi vs. kosto<\/strong>
Cil\u00ebsia e dob\u00ebt e instrumentave kirurgjikal\u00eb dhe infeksionet e larta spitalore ishin dy argumentet kryesore n\u00eb favor t\u00eb dh\u00ebnies me koncesion t\u00eb sh\u00ebrbimit t\u00eb sterilizimit n\u00eb sallat kirurgjikale. Rinovimi i instrumentarit dhe ulja e infesioneve spitalore mbeten edhe sot argumente n\u00eb mbrojtje t\u00eb saj.
Ish-ministri i Sh\u00ebndet\u00ebsis\u00eb, Ilir Beqja i tha BIRN n\u00eb nj\u00eb p\u00ebrgjigje me shkrim se kontrata e sterilizimit ishte e nevojshme dhe treguesi m\u00eb i mir\u00eb p\u00ebr k\u00ebt\u00eb \u00ebsht\u00eb shkurtimi i dit\u00ebve t\u00eb q\u00ebndrimit n\u00eb spital p\u00ebr pacient\u00ebt q\u00eb i jan\u00eb n\u00ebnshtruar operacioneve.
\u201cEdhe ecuria e infeksioneve prej SARS-CoV-2 n\u00eb sallat kirurgjikale q\u00eb prej marsit 2020 e n\u00eb vijim [zero mjek\u00eb apo infermier\u00eb t\u00eb s\u00ebmur\u00eb me COVID-19] provon se n\u00ebp\u00ebrmjet k\u00ebsaj kontrate \u00ebsht\u00eb arritur cil\u00ebsi maksimale n\u00eb sterilitetin e sallave operatore,\u201d pretendoi Beqja.
Kirurgu Arben Gjata kujton se n\u00eb koh\u00ebn q\u00eb po jepej koncesioni i sterilizimit, ai p\u00ebrdorte ende nj\u00eb bisturi t\u00eb mark\u00ebs \u201cUrna\u201d, q\u00eb ishte donacion i qeveris\u00eb amerikane i vitit 1945. Ai thot\u00eb se operon sot me instrumente t\u00eb mark\u00ebs \u201cMartin\u201d, q\u00eb i konsideron nd\u00ebr m\u00eb cil\u00ebsoret n\u00eb Europ\u00eb.
\u201cT\u00eb krahasosh kushtet me t\u00eb cilat operojm\u00eb sot, me ato q\u00eb kishim para dh\u00ebnies me koncension t\u00eb sterilizimit, \u00ebsht\u00eb nj\u00ebsoj si t\u00eb kesh nj\u00eb supermakin\u00eb e t\u00eb thuash se gazi \u201869 i koh\u00ebs s\u00eb Enverit ishte m\u00eb i mir\u00eb se harxhonte pak,\u201d tha Gjata, duke i konsideruar ankesat p\u00ebr koncesionin si politike.
\u201cSigurisht q\u00eb kemi debate me koncensionarin, sepse ka vegla q\u00eb na prishen apo na amortizohen dhe k\u00ebrkojm\u00eb q\u00eb t\u00eb na sjell\u00eb t\u00eb reja, por t\u00eb v\u00ebsh n\u00eb dyshim cil\u00ebsin\u00eb m\u00eb duket e pakuptimt\u00eb,\u201d shtoi ai.
Por kirurgu urolog, Artan Koni b\u00ebn nj\u00eb llogari t\u00eb thjesht\u00eb matematikore, nd\u00ebrsa thot\u00eb se setet kirurgjikale po blihen \u201csa fr\u00ebngu pul\u00ebn\u201d.
Sipas Konit, sterilizimi i pajisjeve kirurgjikale me autoklav\u00eb do t\u00eb kushtonte rreth 215 mij\u00eb euro n\u00eb vit n\u00eb rang komb\u00ebtar, nd\u00ebrkoh\u00eb q\u00eb koncesionarit i paguhen deri n\u00eb 16 milion\u00eb euro. Mjeku shton n\u00eb llogari edhe kosto t\u00eb supozuara t\u00eb blerjes nga e para t\u00eb instrumentarit dhe arrin n\u00eb p\u00ebrfundimin se koncesionari paguhet n\u00eb nj\u00eb vit aq sa sh\u00ebrbimi kushton n\u00eb 10 vite.
\u201cPak a shum\u00eb, kirurg\u00ebt p\u00ebr nj\u00eb operacion marrin 15 mij\u00eb lek\u00eb t\u00eb vjetra, por minimalisht i japin [koncesionarit] 130 mij\u00eb lek\u00eb p\u00ebr setin,\u2019 tha Koni p\u00ebr BIRN.
\u201cMendoj se q\u00eb kjo kontrat\u00eb ishte keq q\u00eb n\u00eb konceptim, sepse nuk mund t\u2019i jepet me koncension privatit nj\u00eb sh\u00ebrbim i till\u00eb. Nuk ka logjik\u00eb, as mjek\u00ebsore, as ekonomike, asnj\u00eb vend n\u00eb Evrop\u00eb nuk e ka me koncension,\u201d shtoi ai.

Ulje \u00e7mimesh? Jo, ulje nd\u00ebrhyrjesh<\/strong>
N\u00eb vitin 2018, numri i nd\u00ebrhyrjeve t\u00eb raportuara nga t\u00eb gjitha spitalet e vendit kap\u00ebrceu n\u00eb 90 mij\u00eb, nga 63 mij\u00eb t\u00eb parashikuara n\u00eb kontrat\u00eb. Nga 1.6 miliard\u00eb lek\u00eb t\u00eb planifikuara p\u00ebr t\u2019u paguar n\u00eb vitin 2018, vlera u rrit n\u00eb 2.1 miliard\u00eb -duke mbartuar nj\u00eb pjes\u00eb t\u00eb detyrimeve edhe p\u00ebr vitin 2019.
Tejkalimi i tavanit t\u00eb miratuar buxhetor e detyroi Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb t\u00eb urdh\u00ebronte nj\u00eb \u201cmoratorium\u201d t\u00eb shkurt\u00ebr p\u00ebr nd\u00ebrhyrjet e planifikuara si dhe t\u00eb rinegocionte termat e kontrat\u00ebs me kompanin\u00eb koncesionare.
Negociatat me kompanin\u00eb SaniService u mbyll\u00ebn n\u00eb janar 2020 me amendimin e kontrat\u00ebs. Ministria arriti t\u00eb reduktonte me 25% \u00e7mimet vet\u00ebm p\u00ebr setet q\u00eb tejkalojn\u00eb tavanin e parashikuar n\u00eb kontrat\u00eb prej 63 mij\u00eb nd\u00ebrhyrjesh. Ministria tha gjithashtu se kjo zbritje shtrihet edhe p\u00ebr paketimet n\u00eb avull mbi limitin prej 63 mij\u00eb setesh.
E pyetur nga BIRN p\u00ebr luhatjen e madhe t\u00eb numrit t\u00eb operacioneve nga nj\u00ebri vit n\u00eb tjetrin, Ministria e Sh\u00ebndet\u00ebsis\u00eb u p\u00ebrgjigj se kishte arritur t\u2019i ulte ato p\u00ebrmes programimit m\u00eb racional nga spitalet si dhe monitorimit n\u00eb koh\u00eb reale t\u00eb interventeve sipas tipologjis\u00eb p\u00ebr \u00e7do repart.
BIRN m\u00ebsoi se n\u00eb negociata ishin diskutuar edhe formula t\u00eb tjera, t\u00eb cilat nuk ishin pranuar nga Ministria e Sh\u00ebndet\u00ebsis\u00eb.
Rektori Gjata i tha BIRN se ai vet\u00eb kishte sugjeruar shtimin e nj\u00eb seti t\u00eb kat\u00ebrt n\u00eb vend t\u00eb reduktimit t\u00eb miratuar.
\u201cI sugjerova Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe koncensionarit q\u00eb t\u00eb ofroj\u00eb edhe nj\u00eb paket\u00eb t\u00eb kat\u00ebrt t\u00eb instrumenteve t\u00eb sterilizimit, me nj\u00eb kosto prej 2-3 mij\u00eb lek\u00eb t\u00eb reja, q\u00eb do t\u00eb p\u00ebrdorej p\u00ebr t\u00eb realizuar ato q\u00eb ne i quajm\u00eb mikrokirugji apo edhe lindjet natyrale,\u201d tha Gjata.
\u201cKoncensionari ishte dakord, por propozimi u refuzua nga Ministria e Sh\u00ebndet\u00ebsis\u00eb, pasi jurist\u00ebt e konsiderojn\u00eb si ndryshim t\u00eb termave t\u00eb kontrat\u00ebs dhe kjo mund t\u00eb sillte pasoja ligjore,\u201d shtoi ai.
P\u00ebr kirurgun Artan Koni, rishikimi i kontrat\u00ebs nuk ka prekur asgj\u00eb nga fitimet e koncesionarit, por ka shtuar presionin indirekt ndaj mjek\u00ebve.
\u201cThon\u00eb q\u00eb kemi caktuar nj\u00eb num\u00ebr mesatar operacionesh, por kjo n\u00eb m\u00ebnyr\u00eb indirekte shkakton nj\u00eb lloj presioni tek mjek\u00ebt, q\u00eb u duhet t\u2019i shtyjn\u00eb ato,\u201d tha Koni. \u201cNga k\u00ebto keqllogaritje buxheti \u00ebsht\u00eb boshatisur, por n\u00eb vend q\u00eb t\u00eb uleshin kostot, u ul\u00ebn operacionet,\u201d p\u00ebrfundoi ai.<\/figcaption><\/figure>\n\n\n\n

Burimi:<\/strong> reporter.al<\/p>\n\n\n\n

Autor:<\/strong> Anila Hoxha <\/p>\n","protected":false},"excerpt":{"rendered":"

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