{"id":2811,"date":"2017-06-04T10:39:42","date_gmt":"2017-06-04T07:39:42","guid":{"rendered":"http:\/\/www.es-ses.org\/?p=2811"},"modified":"2017-06-04T10:39:42","modified_gmt":"2017-06-04T07:39:42","slug":"yapisal-sorunlar-yamalarla-populist-yaklasimlarla-cozulemez","status":"publish","type":"post","link":"http:\/\/www.es-ses.org\/?p=2811","title":{"rendered":"Yap\u0131sal Sorunlar Yamalarla, Pop\u00fclist Yakla\u015f\u0131mlarla \u00c7\u00f6z\u00fclemez"},"content":{"rendered":"

\"\"<\/a><\/p>\n

De\u011ferli Bas\u0131n Emek\u00e7ileri, De\u011ferli Eski\u015fehir’liler,<\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan, “Aile Hekimli\u011fi Uygulama Y\u00f6netmeli\u011finde De\u011fi\u015fiklik Yap\u0131lmas\u0131na Dair Y\u00f6netmelik” 16 May\u0131s 2017 tarihinde ve 30068 say\u0131l\u0131 Resm\u00ee Gazete\u2019de yay\u0131mland\u0131. Bu y\u00f6netmelik de\u011fi\u015fikli\u011fi ile b\u00fcy\u00fck yald\u0131zlarla sunulan \u2018Aile Hekimli\u011fi\u2019 sisteminin diki\u015f tutmayaca\u011f\u0131 bir kez daha ilan edilmi\u015f oldu.<\/p>\n

Sistemin \u00fclkemize uygun olmad\u0131\u011f\u0131n\u0131 halk\u0131m\u0131z\u0131n sa\u011fl\u0131k sorunlar\u0131n\u0131 \u00e7\u00f6zemeyece\u011fini sa\u011fl\u0131k emek\u00e7ilerine ise orta ve uzun vadede hak kay\u0131plar\u0131 getirece\u011fini s\u00f6ylemi\u015ftik.Uygulamalar sonucu;Birinci basamak b\u00f6l\u00fcnm\u00fc\u015f, ekip hizmeti bozulmu\u015f basamakland\u0131r\u0131lm\u0131\u015f sa\u011fl\u0131k sistemi anlay\u0131\u015f\u0131 terk edilmi\u015f koruyucu hekimlik geri plana at\u0131lm\u0131\u015f sa\u011fl\u0131k emek\u00e7ilerine ise b\u00fcy\u00fck oranda g\u00fcvencesizlik, s\u00f6zle\u015fmeli ve esnek \u00e7al\u0131\u015fma dayat\u0131lm\u0131\u015f durumdad\u0131r. Halk\u0131n sa\u011fl\u0131k hizmetlerinin kalitesi ve ula\u015f\u0131labilirli\u011finin artmad\u0131\u011f\u0131 a\u015f\u0131lama ve ba\u011f\u0131\u015f\u0131klama hizmetlerinde g\u00f6r\u00fcn\u00fcr bir iyile\u015fmenin olmad\u0131\u011f\u0131, hatta \u00e7e\u015fitli d\u0131\u015f nedenlerle dahi olsa bula\u015f\u0131c\u0131 hastal\u0131klar\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 biliyoruz.<\/p>\n

Y\u00f6netmelik de\u011fi\u015fiklikleri ile yap\u0131sal sorunlar\u0131n \u00e7\u00f6z\u00fclemeyece\u011fi gibi dahada derinle\u015fece\u011fi ortadad\u0131r. Temel yakla\u015f\u0131m de\u011fi\u015fmemi\u015f, sistem hala kamusal anlay\u0131\u015ftan uzak halk\u0131n sa\u011fl\u0131k sorunlar\u0131n\u0131n ger\u00e7ek \u00e7\u00f6z\u00fcm\u00fcn\u00fc d\u00fc\u015f\u00fcnmeyen ge\u00e7ici pop\u00fclist yakla\u015f\u0131mlar\u0131 \u00f6nceleyen, sa\u011fl\u0131k emek\u00e7ilerinin i\u015f ve \u00fccret g\u00fcvencesi, kadro taleplerini g\u00f6rmezden gelen bir yakla\u015f\u0131mla haz\u0131rlanm\u0131\u015ft\u0131r<\/p>\n

Bu y\u00f6netmelik de\u011fi\u015fiklikleri ile ana hatlar\u0131yla;
\nBir\u00e7ok aile hekimli\u011fi biriminin doldurulamad\u0131\u011f\u0131n\u0131n itiraf\u0131 ile bo\u015f kalan aile hekimli\u011fi birimlerine mecburi hizmetle atamalar yap\u0131labilece\u011fi,<\/p>\n

Ki\u015filerin aile hekiminin bilgisi ve r\u0131zas\u0131 olmadan, istedi\u011fi aile hekimine elektronik ortamda kay\u0131t olabilece\u011fi bunun bir\u00e7ok hizmet ve etik sorunu ya\u015fatabilece\u011fi,<\/p>\n

Rahim \u0130\u00e7i Ara\u00e7 Uygulanmas\u0131 zorunlulu\u011fu kriteri kald\u0131r\u0131larak \u2018Aile Planlamas\u0131\u2019 politikalar\u0131n\u0131n dahada zay\u0131flayaca\u011f\u0131,
\nBinas\u0131, donan\u0131m\u0131, hem\u015firesi hatta kay\u0131tl\u0131 n\u00fcfusu olmayan birimlerin h\u0131zla a\u00e7\u0131lmas\u0131yla bu birimler genellikle tercih edilmemi\u015f bo\u015f kalm\u0131\u015ft\u0131. B\u00f6ylelikle bir kez daha hizmetlerin derme \u00e7atma binalarda de\u011fil, belli standartlara sahip kamu binalar\u0131nda sunulmas\u0131n\u0131n \u00f6nemi ortaya \u00e7\u0131km\u0131\u015ft\u0131. Buna ra\u011fmen son y\u00f6netmelik de\u011fi\u015fikli\u011fiyle \u2018Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fcklerinin kiralayaca\u011f\u0131 binalarla\u2019 sorunu \u00e7\u00f6zmekten uzak duruldu\u011fu,<\/p>\n

Kay\u0131tl\u0131 hasta say\u0131lar\u0131n\u0131n 4000 den 2000 lere d\u00fc\u015f\u00fcr\u00fclece\u011fi s\u00f6ylenerek yap\u0131lmas\u0131 planlananlarla saha ger\u00e7eklerinin (hekim, di\u011fer sa\u011fl\u0131k emek\u00e7ilerinin say\u0131s\u0131 bina vb donan\u0131m sorunlar\u0131 )aras\u0131nda \u00f6nemli \u00e7eli\u015fkiler oldu\u011fu, sa\u011fl\u0131k emek\u00e7ileri \u00fccretlerine negatif bir bask\u0131 gelece\u011fi, bahsedilen performans kriterlerinin \u00fccret adaletsizli\u011fini daha derinle\u015ftirece\u011fi, bilimsel de\u011ferlendirmenin olmayaca\u011f\u0131,<\/p>\n

Daha sonra yay\u0131nlanaca\u011f\u0131 s\u00f6ylenen \u00fccret y\u00f6netmeli\u011fi ile Birinci basamak sa\u011fl\u0131k hizmeti y\u00fcr\u00fct\u00fcc\u00fclerinin \u00fccret adaletsizli\u011finin \u00e7\u00f6z\u00fclmeyece\u011fi, var olan u\u00e7urumun maskelenmesine \u00e7al\u0131\u015f\u0131laca\u011f\u0131 i\u015f ve gelir g\u00fcvencesinin daha da zedelenece\u011fi g\u00f6r\u00fcl\u00fcyor.<\/p>\n

Birinci basamak sa\u011fl\u0131k hizmetlerini kamusal alandan \u00e7\u0131karan, i\u015f ve gelir g\u00fcvencesinden uzakla\u015ft\u0131r\u0131p esnek ve performans \u00e7al\u0131\u015fma sistemini dayatan, ekip hizmetini bozan, mesleki ba\u011f\u0131ms\u0131zl\u0131\u011f\u0131 ve kimlikleri zedeleyen, \u00e7al\u0131\u015fanlar\u0131 rekabet i\u00e7inde, ceza puanlar\u0131yla bask\u0131layan kontrol eden bir anlay\u0131\u015fla y\u00f6netmekten vazge\u00e7ilmelidir<\/p>\n

Toplumun birinci basamak sa\u011fl\u0131k hizmeti ihtiyac\u0131 belirlenerek, koruyucu sa\u011fl\u0131k hizmetlerinin \u00f6ncelendi\u011fi, herkesin ayr\u0131ms\u0131z, hi\u00e7bir \u00fccret \u00f6demeden hizmet alabilece\u011fi, kamu olanaklar\u0131yla verilecek bir birinci basamak sa\u011fl\u0131k hizmetinin m\u00fcmk\u00fcn oldu\u011funu biliyoruz. Sa\u011fl\u0131k emek\u00e7ilerin ise kadrolu g\u00fcvenceli \u00e7al\u0131\u015faca\u011f\u0131 g\u00fcvenli ortamlarda, mesleki ba\u011f\u0131ms\u0131zl\u0131klar\u0131n\u0131 koruyabilecekleri, emeklili\u011fe yans\u0131yan insani bir \u00fccret alabilecekleri bir sa\u011fl\u0131k ortam\u0131n\u0131 talep ediyoruz Bu ama\u00e7larla m\u00fccadelemizi kararl\u0131l\u0131kla s\u00fcrd\u00fcrece\u011fimizi bir kez daha ilan ediyoruz.<\/p>\n

DR.B\u0130RT\u00dcRK \u00d6ZKAVAK
\nSES ESK\u0130\u015eEH\u0130R \u015eUBES\u0130
\nY\u00d6NET\u0130M KURULU ADINA<\/p>\n","protected":false},"excerpt":{"rendered":"

De\u011ferli Bas\u0131n Emek\u00e7ileri, De\u011ferli Eski\u015fehir’liler, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan, “Aile Hekimli\u011fi Uygulama Y\u00f6netmeli\u011finde De\u011fi\u015fiklik Yap\u0131lmas\u0131na Dair Y\u00f6netmelik” 16 May\u0131s 2017 tarihinde ve 30068 say\u0131l\u0131 Resm\u00ee Gazete\u2019de yay\u0131mland\u0131. Bu y\u00f6netmelik de\u011fi\u015fikli\u011fi ile b\u00fcy\u00fck yald\u0131zlarla sunulan \u2018Aile Hekimli\u011fi\u2019 sisteminin diki\u015f tutmayaca\u011f\u0131 bir kez daha ilan edilmi\u015f oldu. Sistemin \u00fclkemize uygun olmad\u0131\u011f\u0131n\u0131 halk\u0131m\u0131z\u0131n sa\u011fl\u0131k sorunlar\u0131n\u0131 \u00e7\u00f6zemeyece\u011fini sa\u011fl\u0131k emek\u00e7ilerine ise […]<\/p>\n","protected":false},"author":2,"featured_media":2812,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-2811","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/2811","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2811"}],"version-history":[{"count":0,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/2811\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/2812"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2811"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}