
The Mother Teresa Hospital Center (QSUT) covers about 42 percent of the hospital service at the national level but receives only 23% of the fund for hospitals.
A few days ago, the Council of Ministers approved and detailed the hospital service fund for this year, according to which QSUT will be financed with 7.8 billion lek, which is 23 percent of the fund of about 33 billion lek that will be allocated in 2024 for hospitals.
But on the other hand, QSUT handles almost half of the volume of work offered by our public hospitals in the country. According to official data, in 2022 about 278 thousand people were admitted to the hospital, where about 115 thousand or 42% were admitted to the wards of the "Mother Teresa" university hospital.
Other data show that QSUT is the largest provider of all hospital services. The concentration of services in this center has been increasing year after year, due to shortages in human resources and equipment in regional hospitals.
District hospitals have large shortages in all specialties, displacing the receipt of services at QSUT even for simple anomalies in health.
But apart from the fact that QSUT has a small budget in relation to the service it provides, its funds are eroded by concessions. Since hospitalizations and surgical interventions are numerous, a good part of the QSUT budget goes to PPP concessions and support services. For example, this year 10.8 percent of the total budget of QSUT will be payment for the laboratory concession, as large expenses go to sterilization of surgical rooms, cleaning, food, etc.
On the other hand, QSUT currently has shortages in human resources in all wards, both in nursing and doctors.
Budgetary spending on health has been distorted by concessionary contracts, which are absorbing funds for secondary services, at a time when public spending on health remains very low in our country.
Budgetary expenditures for health for 2022 were ALL 63.8 billion. In relation to the Gross Domestic Product (GDP) they reached 2.98% and have recorded an annual decrease of 0.44 percentage points, while expressed as a percentage of total public expenditure, they have recorded a decrease of 0.90 percentage points, compared to 2021 .
Budgetary spending on health in relation to GDP was at the lowest level since 2017.
The economy and budgetary capacity have increased over the past decade, but funding for basic health services, such as drug reimbursement and primary care, has remained stagnant at a time when the needs for pharmaceuticals and health services in an aging population are increasing. .