{"id":192624,"date":"2023-04-10T13:27:48","date_gmt":"2023-04-10T11:27:48","guid":{"rendered":"https:\/\/sdk.mk\/?p=192624"},"modified":"2023-04-10T13:27:48","modified_gmt":"2023-04-10T11:27:48","slug":"fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/","title":{"rendered":"FONDI I SH\u00cbNDET\u00cbSIS\u00cb P\u00cbR TRE MUAJ ME RADH\u00cb NUK ZBATON VENDIMIN GJYQ\u00cbSOR P\u00cbR OPERIM JASHT\u00cb SHTETIT T\u00cb NJ\u00cb PERSONI T\u00cb PAL\u00cbVIZSH\u00cbM, E BINDIN SE NUK KA DOR\u00cbZUAR DIAGNOZ\u00cb"},"content":{"rendered":"<div class=\"f52428582a4b906b2d2e2a7d733c7d27\" data-index=\"7\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n<!-- MSP Ads Asynchronous JS Tag - Generated with Revive Adserver v5.4.1 -->\r\n<ins data-revive-zoneid=\"167\" data-revive-id=\"060fdb01f6430ec164d3519234aa4967\"><\/ins>\r\n<script async src=\"\/\/panel.ads.com.mk\/www\/delivery\/asyncjs.php\"><\/script>\n<\/div>\n<p>I ulur n\u00eb dysheme n\u00eb nj\u00eb dhom\u00eb t\u00eb vog\u00ebl t\u00eb nj\u00eb sht\u00ebpie mbi nj\u00eb rrug\u00eb t\u00eb pjerr\u00ebt, i mb\u00ebshtetur n\u00eb nj\u00eb shtrat, Orce Dimitrov nga Kratova, i cili \u00ebsht\u00eb diagnostikuar me s\u00ebmundjen e Parkinsonit n\u00eb mosh\u00ebn 38-vje\u00e7are, ka tre muaj q\u00eb pret nj\u00eb kompensim nga Fondi i Sigurimeve Sh\u00ebndet\u00ebsore (FZO), t\u00eb cilin e fitoi n\u00eb gjykat\u00eb.<\/p>\n<p>N\u00eb Gjykat\u00ebn Administrative nuk ka kaluar loja e Fondit, i cili ka refuzuar k\u00ebrkes\u00ebn e t\u00eb s\u00ebmurit t\u00eb r\u00ebnd\u00eb p\u00ebr kurim jasht\u00eb vendit, me pretekstin se do t\u00eb shkonte p\u00ebr diagnoz\u00eb dhe jo p\u00ebr operacion. N\u00eb n\u00ebntor, gjyqtarja Edita Naskovska e rr\u00ebzoi vendimin e refuzimit, duke vendosur n\u00eb favor t\u00eb Orces. Ajo urdh\u00ebroi FZO-n\u00eb t\u00eb dilte me nj\u00eb zgjidhje t\u00eb re brenda 15 dit\u00ebve dhe t\u00eb miratonte fondet p\u00ebr nj\u00eb operacion q\u00eb do t\u00eb implantonte nj\u00eb stimulues n\u00eb trurin e tij, n\u00eb m\u00ebnyr\u00eb q\u00eb ai t\u00eb mund t\u00eb l\u00ebvizte p\u00ebrs\u00ebri dhe t\u00eb jetonte.<\/p>\n<p>N\u00eb aktgjykim, ajo i tha Fondit t\u00eb Sh\u00ebndet\u00ebsis\u00eb se dokumentacionin mjek\u00ebsor dhe historin\u00eb e s\u00ebmundjes dhe trajtimit t\u00eb tij e ka n\u00eb dor\u00eb dhe mund t\u00eb pretendohet se pacienti shkon p\u00ebr diagnoz\u00eb.\u00a0 Ai e ka pasur diagnoz\u00ebn q\u00eb nga viti 2004, t\u00eb shkruar nga neurolog\u00eb nga klinikat lokale.<\/p>\n<p>Nuk kan\u00eb kaluar 15, por 100 dit\u00eb. Fondi ende nuk e ka njoftuar Orce Dimitrovin p\u00ebr vendimin e ri dhe gjendja e tij sh\u00ebndet\u00ebsore sa vjen e p\u00ebrkeq\u00ebsohet.<\/p>\n<p>Ne iu drejtuam OFZ-s\u00eb, pyet\u00ebm pse nuk u veprua sipas aktgjykimit n\u00eb rastin e Orce Dimitrov. Nga aty jan\u00eb p\u00ebrgjigjur se vendimi do t\u00eb n\u00ebnshkruhet n\u00eb mbledhjen e radh\u00ebs t\u00eb bordit drejtues. Deri at\u00ebher\u00eb nuk do t\u00eb jepet asnj\u00eb informacion.<\/p>\n<p>\u201cGjykata administrative e pranoi padin\u00eb e t\u00eb siguruarit Orce Dimitrov nga Kratova dhe e ktheu l\u00ebnd\u00ebn p\u00ebr vendim t\u00eb ri. Komisioni p\u00ebr mjekim jasht\u00eb vendit ka marr\u00eb nj\u00eb vendim q\u00eb duhet t\u00eb n\u00ebnshkruhet nga kryetari i Bordit Drejtues, p\u00ebr t\u00eb qen\u00eb zyrtar. Pasi ta n\u00ebnshkruaj\u00eb n\u00eb takimin e ardhsh\u00ebm t\u00eb bordit, do t\u2019i d\u00ebrgohet n\u00eb adres\u00ebn e sht\u00ebpis\u00eb\u201d, na than\u00eb nga Fondi i Sh\u00ebndet\u00ebsis\u00eb.<\/p>\n<p>Ndon\u00ebse kjo s\u00ebmundje e pash\u00ebrueshme, q\u00eb e than trurin, shfaqet zakonisht pas mosh\u00ebs gjasht\u00ebdhjet\u00eb vje\u00e7are, Orce e mori at\u00eb si pasoj\u00eb e nj\u00eb goditjeje q\u00eb p\u00ebsoi n\u00eb nj\u00eb mosh\u00eb shum\u00eb t\u00eb re. Ai \u00ebsht\u00eb n\u00eb pritje t\u00eb mb\u00ebshtetjes nga shteti p\u00ebr nj\u00eb operacion q\u00eb do t\u00eb implantoj\u00eb nj\u00eb stimulues truri n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb filloj\u00eb t\u00eb ec\u00eb dhe t\u00eb flas\u00eb p\u00ebrs\u00ebri.<\/p>\n<div id=\"attachment_190236\" style=\"width: 910px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4.jpg\"><img aria-describedby=\"caption-attachment-190236\" loading=\"lazy\" class=\"wp-image-190236 size-full\" src=\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4.jpg\" alt=\"\" width=\"900\" height=\"473\" srcset=\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4.jpg 900w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-400x210.jpg 400w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-650x342.jpg 650w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-250x131.jpg 250w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-768x404.jpg 768w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-150x79.jpg 150w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-50x26.jpg 50w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-100x53.jpg 100w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-200x105.jpg 200w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-300x158.jpg 300w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-350x184.jpg 350w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-450x237.jpg 450w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-500x263.jpg 500w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-550x289.jpg 550w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-4-800x420.jpg 800w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/a><p id=\"caption-attachment-190236\" class=\"wp-caption-text\">Gjyqtarja Edita Naskovska nga Gjykata Administrative e anuloi vendimin refuzues n\u00eb n\u00ebntor, duke vendosur n\u00eb favor t\u00eb Orces. (Foto: SDK.MK)<\/p><\/div>\n<p>S\u00ebmundja po p\u00ebrparon aq shum\u00eb tek ai dita-dit\u00ebs, sa koh\u00ebt e fundit po p\u00ebrdor karrige me rrota. Ai flet r\u00ebnd\u00eb dhe n\u00eb m\u00ebnyr\u00eb t\u00eb pakuptueshme, gjendja e tij sa vjen e p\u00ebrkeq\u00ebsohet. Merr edhe ila\u00e7e p\u00ebr depresion t\u00eb r\u00ebnd\u00eb, ka pagjum\u00ebsi, syt\u00eb i ka vazhdimisht t\u00eb hapur dhe ka s\u00ebmundje t\u00eb tjera shoq\u00ebruese. Nga p\u00ebrpjekja p\u00ebr t\u00eb biseduar me t\u00eb, kuptuam se ai shpreson se Fondi do t\u00eb duhet t\u00eb p\u00ebrmbush\u00eb vendimin q\u00eb ka marr\u00eb para Gjykat\u00ebs Administrative.<\/p>\n<p>&#8220;Un\u00eb dua t\u00eb jetoj. Dua t\u00eb jem n\u00eb gjendje t\u00eb shkoj p\u00ebrs\u00ebri&#8230;\u201d ia doli t\u00eb na thoshte Orce ngadal\u00eb dhe vet\u00ebm me disa shkronja t\u00eb k\u00ebtyre fjal\u00ebve.<\/p>\n<p>U diagnostikua me s\u00ebmundjen e Parkinsonit n\u00eb vitin 2004. Prej at\u00ebher\u00eb e deri m\u00eb sot \u00ebsht\u00eb duke u trajtuar vazhdimisht n\u00eb Klinik\u00ebn Universitare p\u00ebr Neurologji, n\u00eb Spitalin \u201c8 Shtatori\u201d, ka qen\u00eb n\u00eb klinikat n\u00eb Beograd, n\u00eb Lubjan\u00eb, derisa e ka harxhuar denarin e fundit t\u00eb kursyer.<\/p>\n<p>Pensionin e vog\u00ebl t\u00eb invaliditetit dhe 4000 denar\u00eb p\u00ebr p\u00ebrkujdesje Orce dhe gruaja e tij Ubavka i japin p\u00ebr mbi 20 barna t\u00eb ndryshme q\u00eb duhet t\u00eb marr\u00eb, disa prej t\u00eb cilave jan\u00eb shum\u00eb t\u00eb shtrenjt\u00eb.\u00a0 Udh\u00ebtimi p\u00ebr n\u00eb Shkup tashm\u00eb \u00ebsht\u00eb i pamundur, jo vet\u00ebm sepse Ubavka nuk mund ta ngrej\u00eb bashk\u00ebshortin e pal\u00ebvizsh\u00ebm, por edhe p\u00ebr shkak se udh\u00ebtimi me taksi nga maja e kodr\u00ebs n\u00eb Kratov\u00eb, ku \u00ebsht\u00eb sht\u00ebpia e tyre, deri n\u00eb Klinik\u00ebn e Neurologjis\u00eb n\u00eb Shkup \u00ebsht\u00eb 3600 denar\u00eb.<\/p>\n<p>Ubavka kujdeset edhe p\u00ebr babain e saj, i cili ka skleroz\u00eb dhe sulm n\u00eb tru. Edhe ai nuk \u00ebsht\u00eb i l\u00ebvizsh\u00ebm dhe nuk \u00ebsht\u00eb as i kontaktuesh\u00ebm.<\/p>\n<p>Nga grumbullimet e raporteve t\u00eb profesor\u00ebve t\u00eb lart\u00eb universitar\u00eb, specialist\u00ebve, drejtor\u00ebve t\u00eb Klinik\u00ebs s\u00eb Neurologjis\u00eb, si dhe nga opinionet konsullore, shihet se t\u00eb gjith\u00eb rekomandojn\u00eb t\u00eb nj\u00ebjt\u00ebn gj\u00eb &#8211; trajtim jasht\u00eb vendit.<\/p>\n<p>Se si fondi i shkeli t\u00eb gjitha rekomandimet, raportet dhe mendimet e specialist\u00ebve, madje nuk mori t\u00eb nj\u00ebjtat mendime nga neurolog\u00ebt m\u00eb t\u00eb mir\u00eb nga klinikat universitare n\u00eb Beograd dhe Lubjan\u00eb, dhe si an\u00ebtar\u00ebt e komisionit mjek\u00ebsor t\u00eb nivelit t\u00eb par\u00eb nuk e pan\u00eb k\u00ebt\u00eb diagnoz\u00ebn e s\u00ebmundjes s\u00eb Parkinsonit, nuk \u00ebsht\u00eb e qart\u00eb.<\/p>\n<p>Por \u00ebsht\u00eb e paqart\u00eb se si njer\u00ebzit n\u00eb Fond, p\u00ebrfshir\u00eb edhe drejtor\u00ebt, t\u00eb cil\u00ebt keqtrajtojn\u00eb pacient\u00eb n\u00eb gjendje t\u00eb rrezikshme p\u00ebr jet\u00ebn, q\u00eb kan\u00eb shteruar t\u00eb gjitha mund\u00ebsit\u00eb p\u00ebr trajtim n\u00eb Maqedoni dhe kan\u00eb nevoj\u00eb p\u00ebr ndihm\u00eb financiare nga shteti jasht\u00eb vendit, nuk mund t\u00eb mbajn\u00eb p\u00ebrgjegj\u00ebsi.<\/p>\n<p>Arsyetimi n\u00eb vendimet refuzuese, si i komisionit mjek\u00ebsor t\u00eb nivelit t\u00eb par\u00eb, ashtu edhe t\u00eb atij t\u00eb dyt\u00eb t\u00eb apelit, \u00ebsht\u00eb se kur jan\u00eb drejtuar n\u00eb Klinik\u00ebn e Neurologjis\u00eb, nga atje kan\u00eb marr\u00eb njoftim se pacienti ka s\u00ebmundjen e Parkinsonit, rekomandohet vler\u00ebsim i m\u00ebtutjesh\u00ebm.\u00a0 Fondi e interpretoi si diagnoz\u00eb, jo operacion, duke i shp\u00ebrfillur 70 raportet dhe opinionet konsullore t\u00eb paraqitura nga Orce, se n\u00eb rastin e tij \u00ebsht\u00eb ezauruar mund\u00ebsia e trajtimit n\u00eb vendin ton\u00eb, se nj\u00eb operacion p\u00ebr stimulim t\u00eb thell\u00eb t\u00eb trurit nuk b\u00ebhet k\u00ebtu, por jasht\u00eb vendit.<\/p>\n<p>I pafuqish\u00ebm, ai dhe gruaja e tij kontaktuan Shoqat\u00ebn Maqedonase t\u00eb Jurist\u00ebve t\u00eb Rinj (SHMJR) n\u00eb Shkup.<\/p>\n<p>\u201cPersoni Orce Dimitrov nga Kratova ka paraqitur k\u00ebrkes\u00eb p\u00ebr trajtim jasht\u00eb vendit n\u00eb Fondin e Sigurimeve Sh\u00ebndet\u00ebsore n\u00eb korrik t\u00eb vitit 2021. Trajtimi jasht\u00eb vendit \u00ebsht\u00eb i rregulluar me Ligjin p\u00ebr sigurime sh\u00ebndet\u00ebsore dhe me Rregulloren p\u00ebr m\u00ebnyr\u00ebn e p\u00ebrdorimit t\u00eb sh\u00ebrbimeve sh\u00ebndet\u00ebsore p\u00ebr personat e siguruar jasht\u00eb vendit. S\u00eb bashku me k\u00ebrkes\u00ebn, pala ka paraqitur edhe t\u00eb gjith\u00eb dokumentacionin e nevojsh\u00ebm t\u00eb parashikuar n\u00eb nenin 3 t\u00eb Rregullores, me q\u00ebllim miratimin e p\u00ebrdorimit t\u00eb s\u00eb drejt\u00ebs p\u00ebr trajtim jasht\u00eb vendit, p\u00ebrkat\u00ebsisht: propozimin p\u00ebr referim p\u00ebr trajtim jasht\u00eb vendit nga nj\u00eb klinik\u00eb p\u00ebrkat\u00ebse universitare n\u00eb Shkup, si dhe dokumentacion voluminoz mjek\u00ebsor p\u00ebr rrjedh\u00ebn e trajtimit n\u00eb objektet sh\u00ebndet\u00ebsore n\u00eb republik\u00eb. N\u00eb gusht t\u00eb vitit 2021, drejtori i Fondit ka nxjerr\u00eb vendim me t\u00eb cilin e ka refuzuar k\u00ebrkes\u00ebn e Orce Dimitrov p\u00ebr trajtim jasht\u00eb vendit si t\u00eb pabazuar. N\u00eb shpjegimin e vendimit thuhet se arsyeja p\u00ebr k\u00ebt\u00eb \u00ebsht\u00eb se pas nj\u00eb k\u00ebrkese n\u00eb Klinik\u00ebn e Neurologjis\u00eb p\u00ebr t\u00eb specifikuar llojin e nd\u00ebrhyrjes, Klinika u ka d\u00ebrguar p\u00ebrgjigje elektronike se ai si pacient duhet t&#8217;i referohet nj\u00eb vler\u00ebsimi t\u00eb m\u00ebtejsh\u00ebm (p\u00ebrcaktim i diagnoz\u00ebs apo vler\u00ebsim)\u201d, thot\u00eb Andrijana Markovska nga Shoqata e Jurist\u00ebve t\u00eb Rinj t\u00eb Maqedonis\u00eb p\u00ebr rastin e t\u00eb s\u00ebmurit r\u00ebnd\u00eb Dimitrov.<\/p>\n<p>I pak\u00ebnaqur me vendimin, Orce n\u00eb afatin e parapar\u00eb me ligj prej 15 dit\u00ebsh, me ndihm\u00ebn e k\u00ebsaj shoqate, ka paraqitur ankes\u00eb kund\u00ebr vendimit n\u00eb organin e shkall\u00ebs s\u00eb dyt\u00eb &#8211; Bordin drejtues t\u00eb Fondit t\u00eb Sigurimeve Sh\u00ebndet\u00ebsore t\u00eb RMV-s\u00eb.<\/p>\n<div id=\"attachment_190233\" style=\"width: 910px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1.jpg\"><img aria-describedby=\"caption-attachment-190233\" loading=\"lazy\" class=\"size-full wp-image-190233\" src=\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1.jpg\" alt=\"\" width=\"900\" height=\"473\" srcset=\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1.jpg 900w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-400x210.jpg 400w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-650x342.jpg 650w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-250x131.jpg 250w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-768x404.jpg 768w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-150x79.jpg 150w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-50x26.jpg 50w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-100x53.jpg 100w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-200x105.jpg 200w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-300x158.jpg 300w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-350x184.jpg 350w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-450x237.jpg 450w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-500x263.jpg 500w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-550x289.jpg 550w, https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-1-800x420.jpg 800w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/a><p id=\"caption-attachment-190233\" class=\"wp-caption-text\">S\u00ebmundja e Orces po p\u00ebrparon aq shum\u00eb dita-dit\u00ebs sa koh\u00ebt e fundit ai p\u00ebrdor nj\u00eb karrige me rrota. (Foto: SDK.MK)<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb me ankimimin, ai ka paraqitur edhe k\u00ebrkes\u00eb p\u00ebr shqyrtimin e dosjeve t\u00eb \u00e7\u00ebshtjes dhe kopjimin e dokumentacionit t\u00eb nevojsh\u00ebm p\u00ebr arsye se me vendimin q\u00eb refuzon k\u00ebrkes\u00ebn p\u00ebr mjekim jasht\u00eb vendit, nuk i \u00ebsht\u00eb ofruar konstatimi dhe mendimi nga komisioni mjek\u00ebsor i nivelit t\u00eb par\u00eb dhe t\u00eb dyt\u00eb n\u00eb baz\u00eb t\u00eb t\u00eb cilit \u00ebsht\u00eb refuzuar p\u00ebr mjekim jasht\u00eb vendit.<\/p>\n<p>\u201cPas dor\u00ebzimit t\u00eb k\u00ebrkes\u00ebs p\u00ebr shqyrtim t\u00eb shkresave t\u00eb l\u00ebnd\u00ebs, ai nuk \u00ebsht\u00eb informuar fare n\u00ebse i \u00ebsht\u00eb miratuar apo jo\u201d, thot\u00eb Markovska.<\/p>\n<p>N\u00eb ankes\u00ebn kund\u00ebr vendimit \u00ebsht\u00eb dor\u00ebzuar s\u00ebrish dokumentacion i gjer\u00eb mjek\u00ebsor nga i cili konstatohet se personi \u00ebsht\u00eb diagnostikuar me s\u00ebmundjen e Parkinsonit q\u00eb nga viti 2004 dhe se pacienti ka nevoj\u00eb p\u00ebr trajtim jasht\u00eb vendit.<\/p>\n<p>\u201cNuk \u00ebsht\u00eb e qart\u00eb se p\u00ebr \u00e7far\u00eb arsye organi i shkall\u00ebs s\u00eb par\u00eb merr vendim negativ me arsyetimin se nj\u00eb procedur\u00eb diagnostike para fillimit t\u00eb trajtimit nuk bie n\u00eb shpenzimet e Fondit, duke pasur parasysh se nga dokumentacioni mjek\u00ebsor si dhe nga komisioni mjek\u00ebsor n\u00eb Fond dhe nga konstatimet dhe mendimet e Klinik\u00ebs p\u00ebr Neurologji, tashm\u00eb \u00ebsht\u00eb vendosur diagnoza e Orces. \u201cAi vuan nga s\u00ebmundja e Parkinsonit dhe ka nevoj\u00eb p\u00ebr trajtim jasht\u00eb vendit p\u00ebr stimulim t\u00eb thell\u00eb t\u00eb trurit\u201d, thot\u00eb Andrijana.<\/p>\n<p>Autoriteti i shkall\u00ebs s\u00eb par\u00eb kishte detyrimin t\u00eb deklaronte dhe t\u00eb shpjegonte n\u00eb detaje arsyet pse Orce nuk i plot\u00ebson kushtet p\u00ebr mjekim jasht\u00eb vendit, si dhe t\u00eb shpjegonte me detaje arsyen p\u00ebr t\u00eb cil\u00ebn provat tregojn\u00eb se ai \u00ebsht\u00eb referuar p\u00ebr diagnostikimin e s\u00ebmundjes dhe jo p\u00ebr trajtim, por kjo nuk u b\u00eb.<\/p>\n<p>\u201cDuke marr\u00eb parasysh se organi i shkall\u00ebs s\u00eb par\u00eb ka b\u00ebr\u00eb shkelje t\u00eb rregullores s\u00eb procedur\u00ebs, si dhe ka konstatuar n\u00eb m\u00ebnyr\u00eb t\u00eb gabuar dhe jo t\u00eb plot\u00eb gjendjen faktike, \u00ebsht\u00eb mjaft e logjikshme q\u00eb gabimisht ta ket\u00eb zbatuar edhe ligjin material dhe n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb ka marr\u00eb vendim t\u00eb kund\u00ebrligjsh\u00ebm\u201d, vazhdon Markovska.<\/p>\n<p>N\u00eb baz\u00eb t\u00eb nenit 30 paragrafi 1 t\u00eb Ligjit p\u00ebr Sigurimet Sh\u00ebndet\u00ebsore: \u201cPersoni i siguruar mund t\u00eb p\u00ebrdor\u00eb trajtimin spitalor jasht\u00eb vendit me miratimin e Fondit, n\u00ebse \u00ebsht\u00eb s\u00ebmundje q\u00eb nuk mund t\u00eb trajtohet n\u00eb Republik\u00eb dhe n\u00eb shtetin ku i siguruari udh\u00ebzohet, ekziston mund\u00ebsia p\u00ebr mjekim t\u00eb suksessh\u00ebm t\u00eb asaj s\u00ebmundjeje\u201d.<\/p>\n<p>N\u00eb baz\u00eb t\u00eb nenit 4 paragrafi 2 t\u00eb Rregullores p\u00ebr m\u00ebnyr\u00ebn e shfryt\u00ebzimit t\u00eb sh\u00ebrbimeve sh\u00ebndet\u00ebsore p\u00ebr personat e siguruar jasht\u00eb vendit: \u201cPropozimi p\u00ebr referim p\u00ebr trajtim jasht\u00eb vendit p\u00ebrmban t\u00eb dh\u00ebnat baz\u00eb p\u00ebr personin e siguruar, fillimin dhe ecurin\u00eb e s\u00ebmundjes, m\u00ebnyr\u00ebn e trajtimit, analizat laboratorike, radiodiagnostike dhe analizat e tjera diagnostike, n\u00eb baz\u00eb t\u00eb t\u00eb cilave \u00ebsht\u00eb vendosur diagnoza, mendimi se s\u00ebmundja nuk mund t\u00eb trajtohet me sukses n\u00eb Republik\u00eb, me propozim p\u00ebr d\u00ebrgimin e t\u00eb siguruarit n\u00eb mjekim spitalor jasht\u00eb vendit\u201d.<\/p>\n<p>Dhe komisioni i nivelit t\u00eb dyt\u00eb, n\u00eb vend q\u00eb t\u00eb rishkruaj\u00eb opinionet e pasakta dhe arbitrare t\u00eb komisionit t\u00eb nivelit t\u00eb par\u00eb, duhet t\u00eb plot\u00ebsoj\u00eb konstatimet dhe opinionin e tij dhe t\u00eb sakt\u00ebsoj\u00eb llojin e nd\u00ebrhyrjes. K\u00ebshtu obligon neni 17 paragrafi 1 i Rregullores p\u00ebr m\u00ebnyr\u00ebn e shfryt\u00ebzimit t\u00eb sh\u00ebrbimeve sh\u00ebndet\u00ebsore p\u00ebr personat e siguruar jasht\u00eb vendit.<\/p>\n<p>Pas ankes\u00ebs s\u00eb parashtruar, Orce ka marr\u00eb vendimin m\u00eb dat\u00eb 16.09.2021 nga Bordi Drejtues i Fondit t\u00eb Sigurimeve Sh\u00ebndet\u00ebsore t\u00eb RMV, i cili e ka refuzuar ankes\u00ebn si t\u00eb pabazuar dhe\u00a0 ka mbetur n\u00eb fuqi vendimi i shkall\u00ebs s\u00eb par\u00eb.<\/p>\n<p>Kund\u00ebr k\u00ebtij vendimi \u00ebsht\u00eb ngritur padi n\u00eb Gjykat\u00ebn Administrative t\u00eb RMV-s\u00eb m\u00eb 22 tetor 2021. M\u00eb 9 n\u00ebntor 2022, Gjykata Administrative ka marr\u00eb vendimin n\u00eb favor t\u00eb Dimitrovit, i cili ende nuk \u00ebsht\u00eb zbatuar.<\/p>\n<p>\u201cT\u00eb gjitha institucionet p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb vendosur p\u00ebr t\u00eb drejtat e mbrojtjes sh\u00ebndet\u00ebsore, jan\u00eb p\u00ebrgjegj\u00ebse p\u00ebr zvarritjen e k\u00ebtyre procedurave. Me k\u00ebt\u00eb rast nuk jan\u00eb respektuar afatet nga organet kompetente dhe p\u00ebr ato arsye \u00ebsht\u00eb paraqitur edhe urgjenca n\u00eb procedur\u00eb. Ekziston edhe mund\u00ebsia e ankimimit p\u00ebr heshtjen e administrat\u00ebs p\u00ebr shkak t\u00eb mos marrjes s\u00eb vendimit brenda afateve t\u00eb parashikuara ligjore, por edhe kjo nuk do t\u00eb zgjidh\u00eb problemin e pal\u00ebs&#8221;, thon\u00eb nga SHMJR.<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>S. K. DELEVSKA<\/strong><\/em><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>I ulur n\u00eb dysheme n\u00eb nj\u00eb dhom\u00eb t\u00eb vog\u00ebl t\u00eb nj\u00eb sht\u00ebpie mbi nj\u00eb rrug\u00eb t\u00eb pjerr\u00ebt, i mb\u00ebshtetur n\u00eb [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":190234,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"no","inline_featured_image":false},"categories":[3085,3087],"tags":[],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-2-650x342.jpg","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-2-250x131.jpg","categoryNames":["Histori t\u00eb parr\u00ebfyera","Maqedonia"],"feature_caption":"Orce e mori s\u00ebmundjen n\u00eb mosh\u00ebn 38 vje\u00e7are si pasoj\u00eb e nj\u00eb sulmi n\u00eb tru q\u00eb p\u00ebsoi n\u00eb mosh\u00eb shum\u00eb t\u00eb re. Ai \u00ebsht\u00eb n\u00eb pritje t\u00eb mb\u00ebshtetjes nga shteti p\u00ebr nj\u00eb operacion q\u00eb do t\u00eb implantoj\u00eb nj\u00eb stimulues truri n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb filloj\u00eb t\u00eb ec\u00eb dhe t\u00eb flas\u00eb p\u00ebrs\u00ebri. (Foto: SDK.MK)","subtitle":"","views":"37","source":"Shkup, (SAKAMDAKAZAM.MK)","yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v15.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>FONDI I SH\u00cbNDET\u00cbSIS\u00cb P\u00cbR TRE MUAJ ME RADH\u00cb NUK ZBATON VENDIMIN GJYQ\u00cbSOR P\u00cbR OPERIM JASHT\u00cb SHTETIT T\u00cb NJ\u00cb PERSONI T\u00cb PAL\u00cbVIZSH\u00cbM, E BINDIN SE NUK KA DOR\u00cbZUAR DIAGNOZ\u00cb - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/\" \/>\n<meta property=\"og:locale\" content=\"mk_MK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FONDI I SH\u00cbNDET\u00cbSIS\u00cb P\u00cbR TRE MUAJ ME RADH\u00cb NUK ZBATON VENDIMIN GJYQ\u00cbSOR P\u00cbR OPERIM JASHT\u00cb SHTETIT T\u00cb NJ\u00cb PERSONI T\u00cb PAL\u00cbVIZSH\u00cbM, E BINDIN SE NUK KA DOR\u00cbZUAR DIAGNOZ\u00cb - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"I ulur n\u00eb dysheme n\u00eb nj\u00eb dhom\u00eb t\u00eb vog\u00ebl t\u00eb nj\u00eb sht\u00ebpie mbi nj\u00eb rrug\u00eb t\u00eb pjerr\u00ebt, i mb\u00ebshtetur n\u00eb [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/\" \/>\n<meta property=\"og:site_name\" content=\"\u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-10T11:27:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"900\" \/>\n\t<meta property=\"og:image:height\" content=\"473\" \/>\n<meta property=\"fb:app_id\" content=\"2407985809428537\" \/>\n<meta name=\"twitter:card\" content=\"summary\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/sdk.mk\/#website\",\"url\":\"https:\/\/sdk.mk\/\",\"name\":\"\\u0421\\u0430\\u043a\\u0430\\u043c \\u0414\\u0430 \\u041a\\u0430\\u0436\\u0430\\u043c\",\"description\":\"\\u0417\\u0430 \\u0441\\u043b\\u043e\\u0431\\u043e\\u0434\\u043e\\u0443\\u043c\\u043d\\u0438\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"https:\/\/sdk.mk\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"mk-MK\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/#primaryimage\",\"inLanguage\":\"mk-MK\",\"url\":\"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/03\/parkinson-2.jpg\",\"width\":900,\"height\":473},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/#webpage\",\"url\":\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/\",\"name\":\"FONDI I SH\\u00cbNDET\\u00cbSIS\\u00cb P\\u00cbR TRE MUAJ ME RADH\\u00cb NUK ZBATON VENDIMIN GJYQ\\u00cbSOR P\\u00cbR OPERIM JASHT\\u00cb SHTETIT T\\u00cb NJ\\u00cb PERSONI T\\u00cb PAL\\u00cbVIZSH\\u00cbM, E BINDIN SE NUK KA DOR\\u00cbZUAR DIAGNOZ\\u00cb - \\u0421\\u0430\\u043a\\u0430\\u043c \\u0414\\u0430 \\u041a\\u0430\\u0436\\u0430\\u043c\",\"isPartOf\":{\"@id\":\"https:\/\/sdk.mk\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/#primaryimage\"},\"datePublished\":\"2023-04-10T11:27:48+00:00\",\"dateModified\":\"2023-04-10T11:27:48+00:00\",\"author\":{\"@id\":\"https:\/\/sdk.mk\/#\/schema\/person\/737021aeacbe893f7e2c347186c5c7a1\"},\"inLanguage\":\"mk-MK\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/fondi-i-shendetesise-per-tre-muaj-me-radhe-nuk-zbaton-vendimin-gjyqesor-per-operim-jashte-shtetit-te-nje-personi-te-palevizshem-e-bindin-se-nuk-ka-dorezuar-diagnoze\/\"]}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/sdk.mk\/#\/schema\/person\/737021aeacbe893f7e2c347186c5c7a1\",\"name\":\"\\u0424\\u0458\\u043e\\u043b\\u0430 \\u0417\\u043b\\u0430\\u0442\\u043a\\u0443\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","_links":{"self":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/posts\/192624"}],"collection":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/comments?post=192624"}],"version-history":[{"count":0,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/posts\/192624\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/media\/190234"}],"wp:attachment":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/media?parent=192624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/categories?post=192624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/tags?post=192624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}