{"id":310,"date":"2013-11-25T16:14:36","date_gmt":"2013-11-25T14:14:36","guid":{"rendered":"http:\/\/www.es-ses.org\/?p=310"},"modified":"2013-11-25T16:14:36","modified_gmt":"2013-11-25T14:14:36","slug":"pratisyen-hekimler-hic-bir-zaman-kimliksiz-degildirler","status":"publish","type":"post","link":"http:\/\/www.es-ses.org\/?p=310","title":{"rendered":"Pratisyen Hekimler Hi\u00e7 Bir Zaman Kimliksiz De\u011fildirler!"},"content":{"rendered":"

\"doktor_001\"<\/a><\/p>\n

TTB ve TTB Pratisyen Hekimler Kolu, Sa\u011fl\u0131k Bakan\u0131 Mehmet M\u00fcezzino\u011flu’nun b\u00fct\u00e7e g\u00f6r\u00fc\u015fmeleri s\u0131ras\u0131nda aile hekimlerinin y\u00fczde 95’inin pratisyen hekim oldu\u011funu belirterek, “Bu pratisyen hekimlerin sa\u011fl\u0131k hizmetindeki verimlili\u011fiyle bug\u00fcnk\u00fc verimlili\u011fi aras\u0131nda bir fark yok’ diyorsak buna kat\u0131lmam m\u00fcmk\u00fcn de\u011fil.<\/p>\n

Biz pratisyen hekim olarak hi\u00e7 kaale al\u0131nmayan yakla\u015f\u0131k 20 bin arkada\u015f\u0131m\u0131z\u0131 bug\u00fcn toplumumuzun insan\u0131yla bire bir muhatap haline getirdik” y\u00f6n\u00fcndeki a\u00e7\u0131klamalar\u0131na ili\u015fkin olarak 23 Kas\u0131m 2013 tarihinde yaz\u0131l\u0131 bir a\u00e7\u0131klama yapt\u0131.<\/p>\n

\n

 <\/p>\n

Bas\u0131n A\u00e7\u0131klamas\u0131<\/p>\n

23 Kas\u0131m 2013<\/p>\n

PRAT\u0130SYEN HEK\u0130MLER H\u0130\u00c7 B\u0130R ZAMAN K\u0130ML\u0130KS\u0130Z DE\u011e\u0130LD\u0130RLER!<\/p>\n

Sa\u011fl\u0131k Bakan\u0131 b\u00fct\u00e7e g\u00f6r\u00fc\u015fmeleri s\u0131ras\u0131nda s\u00f6yledikleriyle sa\u011fl\u0131kta y\u0131k\u0131mlar\u0131n boyutunu gizlemek ve herkesi yan\u0131ltmak i\u00e7in selefini aratmad\u0131. Her g\u00fcn bir yerinden d\u00f6k\u00fclen \u2018\u2019sosyal g\u00fcvenlik ve sa\u011fl\u0131k sistemi\u2019\u2019, yolsuzluk iddialar\u0131, g\u00f6revden almalar, Say\u0131\u015ftay Raporlar\u0131, ortas\u0131nda bunalan Bakan bildik y\u00f6nteme ba\u015fvurdu ve yine hekimleri taciz etti.<\/p>\n

Bas\u0131na yans\u0131yan haberlere g\u00f6re Sa\u011fl\u0131k Bakan\u0131 Mehmet M\u00fcezzino\u011flu, b\u00fct\u00e7e g\u00f6r\u00fc\u015fmeleri s\u0131ras\u0131nda aile hekimlerinin y\u00fczde 95’inin pratisyen hekim oldu\u011funu belirterek, “Bu pratisyen hekimlerin sa\u011fl\u0131k hizmetindeki verimlili\u011fiyle bug\u00fcnk\u00fc verimlili\u011fi aras\u0131nda bir fark yok’ diyorsak buna kat\u0131lmam m\u00fcmk\u00fcn de\u011fil. Biz pratisyen hekim olarak hi\u00e7 kaale al\u0131nmayan yakla\u015f\u0131k 20 bin arkada\u015f\u0131m\u0131z\u0131 bug\u00fcn toplumumuzun insan\u0131yla bire bir muhatap haline getirdik” dedi.<\/p>\n

Buradan say\u0131n Bakana sormak istiyoruz,<\/p>\n

S\u00f6zde sisteminizden \u00f6nce Pratisyen Hekimlerin kimliksiz oldu\u011funu nereden \u00e7\u0131kard\u0131n\u0131z? Size dan\u0131\u015fmanlar\u0131n\u0131z m\u0131 s\u00f6yledi? \u00a0Ya da yapt\u0131\u011f\u0131n\u0131z bilimsel ara\u015ft\u0131rmalar sonucu mu bu kan\u0131ya vard\u0131n\u0131z? \u00a0Ya da topluma \u00f6\u011fretildi\u011fi gibi uzman olmayan hekim zaten kimliksizdir diye mi d\u00fc\u015f\u00fcn\u00fcyorsunuz.<\/p>\n

Pratisyen hekimler Cumhuriyetin ilk y\u0131llar\u0131ndan hatta \u00f6n\u00fcn daha da \u00f6ncesinden \u201cMemleket Tabipli\u011fi\u201d, \u201cH\u00fck\u00fcmet Tabipli\u011fi\u201d, \u201cBelediye Tabipli\u011fi\u201d yaparken bir hekimlik kimli\u011fine sahipti. Kimlikleri ne say\u0131lar\u0131n\u0131n azl\u0131\u011f\u0131 ne de uzman olmay\u0131\u015flar\u0131 ile ilgiliydi. Kimliklerini yapt\u0131klar\u0131 hizmetin niteli\u011finden al\u0131yorlard\u0131.<\/p>\n

Bu \u00fclke o kimlikli\/ki\u015filikli hekimler sayesinde toplumsal \u00f6nemi olan ama \u00f6zel hastanelere, sa\u011fl\u0131k \u00fczerinden ticaret yapanlara \u00e7ok para kazand\u0131rmayan T\u00fcberk\u00fcloz, S\u0131tma, Frengi, Trahom, Lepra gibi yayg\u0131n ve \u00e7ok \u00f6ld\u00fcren, \u00e7ok sakat b\u0131rakan hastal\u0131klar\u0131n \u00fcstesinden geldi.<\/p>\n

\u00dclkemizin emperyalizmin g\u00fcd\u00fcm\u00fcne sokuldu\u011fu so\u011fuk sava\u015f d\u00f6nemi sonras\u0131 tedavi edici hekimli\u011fin\/uzmanl\u0131\u011f\u0131n \u00fclkemizde yayg\u0131nla\u015ft\u0131r\u0131lmaya ba\u015flad\u0131\u011f\u0131, ila\u00e7 \u015firketlerinin talepleri do\u011frultusunda kararlar al\u0131nmaya ba\u015fland\u0131\u011f\u0131 y\u0131llarda pratisyen hekimlik k\u00fc\u00e7\u00fcmsenmeye ba\u015flad\u0131. Herkes uzmanla\u015fmaya zorland\u0131.<\/p>\n

1960’dan sonra 224 say\u0131l\u0131 yasa ile (sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm program\u0131nca ortadan kald\u0131rd\u0131\u011f\u0131n\u0131z SA\u011eLIK OCAKLARI ile) pratisyen hekimlik kimli\u011fi \u00f6ne \u00e7\u0131kmaya ba\u015flay\u0131p iyi sonu\u00e7lar al\u0131nmaya ba\u015flay\u0131nca, yeterince uygulama \u015fans\u0131 b\u0131rakmadan ba\u015far\u0131l\u0131 uygulamalar d\u00f6nemin \u00a0muhafazakar h\u00fck\u00fcmetlerince i\u015flevsizle\u015ftirildi.<\/p>\n

Uzman hekimler i\u00e7in buralar bir d\u00f6nem iyi an\u0131lar\u0131n\u0131n oldu\u011fu yerler olarak hat\u0131rland\u0131. Muhtemelen sizin de b\u00f6yle bir an\u0131n\u0131z var ve buna dayanarak b\u00f6yle konu\u015fuyorsunuz.<\/p>\n

S\u00f6zde ele\u015ftirdi\u011finiz 12 Eyl\u00fcl darbesi t\u0131pk\u0131 sizin gibi ba\u015fta pratisyen hekimler olmak \u00fczere t\u00fcm hekimlere d\u00fc\u015fmanca bir tutum izledi. Mecburi hizmete gitmeyenleri a\u011faca ba\u011flamakla tehdit etti.<\/p>\n

B\u00fct\u00fcn olumsuzluklara ra\u011fmen<\/p>\n

1989 y\u0131l\u0131nda \u00a0T\u00fcrk Tabipleri Birli\u011fi Pratisyen Hekimler Kolu ve 1998’den itibaren Pratisyen Hekimlik Derne\u011fi ve T\u00fcrk Tabipleri Birli\u011fi \u00a0Genel Pratisyenlik Enstit\u00fcs\u00fc kuruldu. Mesleklerine ve mesleki geleceklerine sahip \u00e7\u0131karak kimlikli\/ki\u015filikli pratisyen hekimler olarak \u201cUZMANLA\u015eMAK KURTULU\u015e MU?\u201d adl\u0131 manifestolar\u0131 ile toplumun, t\u0131p ortam\u0131n\u0131n, sa\u011fl\u0131k otoritelerinin kar\u015f\u0131s\u0131na ba\u011f\u0131ms\u0131z bir t\u0131p disiplinin temsilcileri olarak \u00e7\u0131kt\u0131lar.<\/p>\n

Sizin kimliksiz\/verimsiz olarak tan\u0131d\u0131\u011f\u0131n\u0131z ya da size \u00f6yle tan\u0131t\u0131lan pratisyen hekimler;<\/p>\n

1990’l\u0131 y\u0131llar\u0131n ba\u015f\u0131nda T\u00fcrkiye\u2019de \u201cSa\u011fl\u0131k Reformu\u201d tart\u0131\u015fmalar\u0131nda taraf oldular.<\/p>\n

1990’dan bu yana ulusal ve uluslararas\u0131 kat\u0131l\u0131m\u0131l\u0131 18 bilimsel kongre d\u00fczenlediler.<\/p>\n

Bu kongrelerde y\u00fczlerce bilimsel ara\u015ft\u0131rma\/poster sunumu yapt\u0131lar.<\/p>\n

1992 y\u0131l\u0131ndan bu yana yay\u0131nlanan kendilerine \u00f6zg\u00fc bir bilimsel yay\u0131n (STED) \u00e7\u0131kart\u0131yorlar.<\/p>\n

\u00dcniversitelerde t\u0131p fak\u00fcltesi \u00f6\u011frencilerine Genel Pratisyenli\u011fi tan\u0131tan dersler verdiler.<\/p>\n

\u00dclkemizi 1992 y\u0131l\u0131nda ilk kez UEMO (Avrupa Pratisyen Hekimler Birli\u011finde) temsil ettiler. 1997 de UEMO \u00fcyesi oldular.<\/p>\n

Tababet Uzmanl\u0131k T\u00fcz\u00fc\u011f\u00fc ile uzmanl\u0131k e\u011fitimi veren ‘Aile Hekimi Uzmanl\u0131\u011f\u0131\u2019 n\u0131n \u00fclkemizin birinci basamak insan g\u00fcc\u00fcn\u00fc yeti\u015ftiremeye, \u00a0pratisyen hekimlikle ilgili \u00a0uluslararas\u0131 kuralara uygun olmad\u0131\u011f\u0131n\u0131 belirttiler.<\/p>\n

1989’da TTB Pratisyen Hekimler Kolu’nu, 1998 y\u0131l\u0131nda hem bilimsel derneklerini (PHD) hem mesleki e\u011fitimleri ile ilgili enstit\u00fclerini (TTB GPE) kurdular.<\/p>\n

Mesleki e\u011fitim programlar\u0131n\u0131 ve e\u011fitici e\u011fitimi programlar\u0131n\u0131 olu\u015fturdular.<\/p>\n

S\u00fcrekli mesleki e\u011fitim\/geli\u015fim etkinliklerini yurt \u00e7ap\u0131nda yayg\u0131nla\u015ft\u0131rd\u0131lar.<\/p>\n

Enstit\u00fcleri (TTB GPE) aral\u0131\u011f\u0131 ile 200’\u00fc a\u015fk\u0131n kendi e\u011fiticilerini yeti\u015ftirdiler.<\/p>\n

Sahada (sa\u011fl\u0131k ocaklar\u0131nda) \u00a0bu e\u011fiticilerle genel pratisyenlik mesleki e\u011fitimini uygulamaya ba\u015flad\u0131lar. Talepleri kar\u015f\u0131lamada zorlanmaya ba\u015flad\u0131lar.<\/p>\n

Bu \u00e7al\u0131\u015fmalar\u0131 ile akademik, bilimsel ortamlardan \u00f6vg\u00fc ald\u0131lar birlikte etkinlikler ger\u00e7ekle\u015ftirdiler. \u00a0\u00dcstelik t\u00fcm bunlar\u0131 arkalar\u0131nda bir iktidar g\u00fcc\u00fc olmadan meslek kurulu\u015flar\u0131n\u0131n olanaklar\u0131 ve kendi \u00f6zverileri ile yapt\u0131lar.<\/p>\n

Sa\u011fl\u0131\u011f\u0131n ticarile\u015ftirilmesinden yana olanlar bu geli\u015fmelerden kayg\u0131l\u0131yd\u0131lar.<\/p>\n

2003 y\u0131l\u0131nda T\u00fcrkiye\u2019de AKP iktidar\u0131 ve onun uygulamaya koydu\u011fu Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 kapsam\u0131ndaki Aile Hekimli\u011fi Uygulamas\u0131 ile birinci basamak sa\u011fl\u0131k hizmetleri de ticarile\u015ftirildi. Hastalar\u0131n m\u00fc\u015fteri davran\u0131\u015f\u0131na, hekimler ticari davran\u0131\u015fa y\u00f6nlendirildi.<\/p>\n

Hekimlerde 5-7 g\u00fcnl\u00fck e\u011fitimlerle farkl\u0131 stat\u00fc\/kimlik kazand\u0131r\u0131ld\u0131\u011f\u0131 alg\u0131s\u0131 yarat\u0131lmaya \u00e7al\u0131\u015f\u0131ld\u0131. D\u00fczce\u2019den bu yana 8 y\u0131l ge\u00e7ti ama de\u011fi\u015fen bir \u015fey yok. \u0130\u015fin asl\u0131 t\u00fcm \u00fclke geneline yayg\u0131nla\u015ft\u0131r\u0131l\u0131nca ortaya \u00e7\u0131kt\u0131.<\/p>\n

Aile sa\u011fl\u0131\u011f\u0131 merkezi sorumlu hekimleri sigorta sicil numaras\u0131 al\u0131nca birimlerinin kamu de\u011fil \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131na verilen numara ile (2 ile) ba\u015flad\u0131\u011f\u0131n\u0131 g\u00f6rd\u00fcler. Maliye bakanl\u0131\u011f\u0131 \u00a0b\u00f6yle oldu\u011funu zaten s\u00f6yl\u00fcyordu. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 da \u00a0bir dava nedeni ile verdi\u011fi m\u00fctalaada buralar\u0131n \u00f6zel kurulu\u015f oldu\u011funu belirtiyordu.<\/p>\n

Peki, Pratisyen Hekimlere siz ne kazand\u0131rd\u0131n\u0131z? S\u00f6yleyelim.<\/p>\n

S\u00f6zle\u015fmesinin tek tarafl\u0131 belirlendi\u011fi \u00f6zel hekim kimli\u011fi kazand\u0131rd\u0131n\u0131z.<\/p>\n

Hekimlere kazand\u0131rd\u0131\u011f\u0131n\u0131z kimlik mesleki kimlik de\u011fil i\u015fletmeci kimli\u011fi oldu.<\/p>\n

Hekimlerin \u00e7al\u0131\u015fma s\u00fcresi haftal\u0131k en az 40 saat olarak tan\u0131mlay\u0131p esnek \u00e7al\u0131\u015fma kimli\u011fi kazand\u0131rd\u0131n\u0131z.<\/p>\n

\u0130zne ayr\u0131lan hekime “yerine hekim bul \u00fccretinin yar\u0131s\u0131n\u0131 ona ver” kimli\u011fi kazand\u0131rd\u0131n\u0131z.<\/p>\n

180 g\u00fcn\u00fc a\u015fan sakatl\u0131k\/hastal\u0131k raporunda s\u00f6zle\u015fmesini sona erdirme kimli\u011fi kazand\u0131rd\u0131n\u0131z.<\/p>\n

Mesai saatleri i\u00e7erisinde s\u00fcrekli e\u011fitim ve mesleki e\u011fitim olanaklar\u0131n\u0131 sa\u011flamama kimli\u011fi kazand\u0131rd\u0131n\u0131z.<\/p>\n

Ayn\u0131 i\u015fi yap\u0131p farkl\u0131 \u00fccreti ve kimlikleri olan hekimler (aile hekimi uzman\u0131 olan\/olmayan, \u00a0A,B,C,D,E tipi ASM de \u00e7al\u0131\u015fan\/ \u00e7al\u0131\u015fmayan) yaratt\u0131n\u0131z.<\/p>\n

Angarya g\u00f6revlerle kar\u015f\u0131 kar\u015f\u0131ya b\u0131rakarak var olan kimli\u011fini de yok ettiniz.<\/p>\n

Bu nas\u0131l bir kimliktir ki hekimler bu uygulamadan gelecek belirsizli\u011fi, \u00fccret g\u00fcvencesizli\u011fi kayg\u0131s\u0131 duyuyorlar.<\/p>\n

Daha \u00f6nce ebe, hem\u015fire, sa\u011fl\u0131k memuru, \u00e7evre sa\u011fl\u0131\u011f\u0131 teknisyeni\u2026 Kimlikleri olan ekip arkada\u015flar\u0131m\u0131z\u0131 \u201celaman\u201d diye kimliksizle\u015ftirdiniz.<\/p>\n

Say\u0131n bakan art\u0131k m\u0131zrak \u00e7uvala s\u0131\u011fm\u0131yor.<\/p>\n

D\u00fcnya Bankas\u0131 ve IMF\u2019nin projesi olan \u201c Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131n\u0131\u201d ne kadar \u015firin g\u00f6stermeye \u00e7al\u0131\u015fsan\u0131z da ba\u015faramayacaks\u0131n\u0131z. Sisteminizi \u00f6verken yok ettiklerinizi gizleyemeyeceksiniz. Pratisyen hekimleri kimliksiz ve verimsiz ilan ederek ger\u00e7ekte kimliksiz, verimsiz politikalar\u0131n\u0131z\u0131 gizleyemeyeceksiniz.<\/p>\n

Bizler ASM, TSM, \u0130\u015fyeri hekimi, Kurum Hekimi, 112 Acil’de \u00e7al\u0131\u015fan birinci basamak hekimi genel pratisyenleriz. \u00dclkemizde bir t\u00fcrl\u00fc becerilemeyen mesleki e\u011fitimlerimizi Avrupa\u2019n\u0131n bir\u00e7ok \u00fclkesinde oldu\u011fu gibi meslek \u00f6rg\u00fctlerimiz arac\u0131l\u0131\u011f\u0131 ile ger\u00e7ekle\u015ftirip mesleki de\u011ferlerimizi ve halk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 KORUYACA\u011eIZ.<\/p>\n

Kimsenin her ne ama\u00e7 ve \u00e7\u0131kar i\u00e7in olursa olsun bunu bozmas\u0131na izin vermeyece\u011fiz.<\/p>\n

Biz pratisyen hekimler mesleki gelece\u011fimizin kendi ellerimizde oldu\u011funu biliyoruz. Ger\u00e7ekten halktan yana, \u00fccretsiz, nitelikli, kamusal, bilimsel, anadilde \u00a0bir sa\u011fl\u0131k sistemini, hekimlerin ve t\u00fcm sa\u011fl\u0131k emek\u00e7ilerinin insanca \u00e7al\u0131\u015faca\u011f\u0131 bir ortam\u0131 yaratmak i\u00e7in m\u00fccadelemizi s\u00fcrd\u00fcrece\u011fiz.<\/p>\n

TTB MERKEZ KONSEY\u0130<\/p>\n

TTB PRAT\u0130SYEN HEK\u0130MLER KOLU<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

TTB ve TTB Pratisyen Hekimler Kolu, Sa\u011fl\u0131k Bakan\u0131 Mehmet M\u00fcezzino\u011flu’nun b\u00fct\u00e7e g\u00f6r\u00fc\u015fmeleri s\u0131ras\u0131nda aile hekimlerinin y\u00fczde 95’inin pratisyen hekim oldu\u011funu belirterek, “Bu pratisyen hekimlerin sa\u011fl\u0131k hizmetindeki verimlili\u011fiyle bug\u00fcnk\u00fc verimlili\u011fi aras\u0131nda bir fark yok’ diyorsak buna kat\u0131lmam m\u00fcmk\u00fcn de\u011fil. Biz pratisyen hekim olarak hi\u00e7 kaale al\u0131nmayan yakla\u015f\u0131k 20 bin arkada\u015f\u0131m\u0131z\u0131 bug\u00fcn toplumumuzun insan\u0131yla bire bir muhatap […]<\/p>\n","protected":false},"author":3,"featured_media":311,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-310","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\/310","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\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=310"}],"version-history":[{"count":0,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/310\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/311"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=310"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}