Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ge\u00e7ti\u011fimiz g\u00fcnlerde Aile Hekimli\u011fi Y\u00f6netmeli\u011fi’nde \u00f6nemli de\u011fi\u015fiklikler yaparak bir kez daha ‘Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131’ ad\u0131yla uygulad\u0131klar\u0131 politikalar\u0131n koflu\u011funu, \u00e7\u00f6kt\u00fc\u011f\u00fcn\u00fc tescil etmi\u015f oldu. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 tam da sa\u011fl\u0131k emek\u00e7ileri b\u00fct\u00fcn g\u00fcc\u00fcyle salg\u0131nla m\u00fccadele ederken \u00e7al\u0131\u015fanlar\u0131n taleplerini beklentilerini g\u00f6rmezden gelmeye haklar\u0131n\u0131 budamaya devam etti. Y\u00f6netmelikle \u00e7ok \u00f6nemli hak kay\u0131plar\u0131 dayat\u0131ld\u0131 ve ne yaz\u0131k ki Temmuz ay\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe girmesinin ard\u0131ndan a\u011f\u0131r sonu\u00e7lar\u0131 ortaya \u00e7\u0131kmaya ba\u015flam\u0131\u015ft\u0131r. ASM \u00e7al\u0131\u015fanlar\u0131n\u0131n gelirlerinde bu ay itibariyle %10’lar\u0131 bulan ceza kesintileri yap\u0131lm\u0131\u015ft\u0131r. Her \u015feyin zamland\u0131\u011f\u0131 memur maa\u015f art\u0131\u015flar\u0131n\u0131n konu\u015fuldu\u011fu bu g\u00fcnlerde ASM \u00c7ALI\u015eANLARININ GEL\u0130RLER\u0130N\u0130N AZALMASI UTAN\u00c7 VER\u0130C\u0130D\u0130R. Bu haks\u0131zl\u0131kt\u0131r, f\u0131rsat\u00e7\u0131l\u0131kt\u0131r,hukuksuzluktur ve bu nedenlerle de KABUL ED\u0130LEMEZD\u0130R.<\/p><\/blockquote>\n
Y\u00f6netmelik de\u011fi\u015fikli\u011fi ile aile hekimli\u011fi \u00e7al\u0131\u015fanlar\u0131n\u0131n stat\u00fcs\u00fc, il sa\u011fl\u0131k m\u00fcd\u00fcrl\u00fcklerine ba\u011fl\u0131 i\u015f\u00e7ilik noktas\u0131na getirilmi\u015f, bizlerin \u00e7al\u0131\u015fma bi\u00e7imleri adeta k\u00f6lelik sistemine ta\u015f\u0131nm\u0131\u015ft\u0131r. Ayn\u0131 zamanda ba\u015fta pandemi s\u00fcrecinde oldu\u011fu gibi, toplum sa\u011fl\u0131\u011f\u0131n\u0131 ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n haklar\u0131n\u0131 savunan, kamuoyunu bilgilendiren, g\u00f6r\u00fc\u015f ve \u00f6nerilerini, taleplerini bas\u0131n ve sosyal medya arac\u0131l\u0131\u011f\u0131yla \u00fc\u00e7 kez dile getiren aile sa\u011fl\u0131\u011f\u0131 merkezi (ASM) sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n s\u00f6zle\u015fmelerinin feshedilece\u011fi y\u00f6netmelikte yer alm\u0131\u015ft\u0131r. Aile hekimli\u011fi uygulamas\u0131nda zaten sorunlu olan i\u015f g\u00fcvencesi bu y\u00f6netmelikle sona ermi\u015ftir. B\u00f6yle bir d\u00fczenlemeyi kabul etmemiz m\u00fcmk\u00fcn de\u011fildir!<\/p>\n
Yeni y\u00f6netmelik ile s\u00f6zle\u015fme yenilme ve fesih yetkisi \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fcklerine verilmi\u015f olup zaten iller aras\u0131nda var olan uygulama farkl\u0131l\u0131klar\u0131 ki\u015filerin insaf\u0131na b\u0131rak\u0131lm\u0131\u015ft\u0131r. A\u00e7\u0131\u011fa alma, s\u00f6zle\u015fme yenilememe gibi ola\u011fan\u00fcst\u00fc yetkiler, t\u00fcm hukuk kurallar\u0131 \u00e7i\u011fnenerek verilmi\u015ftir. \u0130\u015f bar\u0131\u015f\u0131n\u0131 bozan fiillerden, yapboz tahtas\u0131 gibi s\u00fcrekli de\u011fi\u015fikliklerden vazge\u00e7ilmelidir. Hukuk \u00e7er\u00e7evesinde g\u00fcvenceli \u00e7al\u0131\u015fman\u0131n \u00e7al\u0131\u015fma hak ve ilkelerinin uluslararas\u0131 normlara ve standartlara dayanan bir yasa \u00e7\u0131kar\u0131lmadan sistemin y\u00fcr\u00fct\u00fclebilir olmas\u0131 imk\u00e2ns\u0131zd\u0131r.<\/p>\n
Aile Hekimleri ve Aile Sa\u011fl\u0131\u011f\u0131 \u00c7al\u0131\u015fanlar\u0131n\u0131n i\u015f y\u00fck\u00fcn\u00fc azaltarak, angarya \u00e7al\u0131\u015fmaya son verilmelidir. Yeni y\u00f6netmeli\u011fin neresinden tutarsak kopuyor. \u00d6rne\u011fin; entegre aile hekimli\u011fi \u00e7al\u0131\u015fanlar\u0131n\u0131n en temel insani hakk\u0131 olan sa\u011fl\u0131k iznine g\u00f6z dikmi\u015flerdir. Yani \u201c\u00e7al\u0131\u015fan hasta da olsa kanser de olsa, kaza da ge\u00e7irse, raporlu da olsa 5 n\u00f6bet tutamazsa s\u00f6zle\u015fmesi fesih edilir\u201d denilmektedir. Bu durum insan oldu\u011fumuz ger\u00e7e\u011fini unutmu\u015f bir zihniyetin koruyucu sa\u011fl\u0131k hizmetlerine yakla\u015f\u0131m\u0131na dair ipu\u00e7lar\u0131 da vermektedir asl\u0131nda.<\/p>\n
Oysa; Aile hekimli\u011fi \u00e7al\u0131\u015fanlar\u0131 yapt\u0131klar\u0131 \u00f6zverili \u00e7al\u0131\u015fmaya salg\u0131nda da devam etmi\u015fler, COVID-19 a\u015f\u0131lamas\u0131n\u0131n b\u00fcy\u00fck bir \u00e7o\u011funlu\u011fu ASM\u2019lerde uygulam\u0131\u015flard\u0131r. Ayr\u0131ca Phizer\/Biontec a\u015f\u0131lar\u0131 da aile sa\u011fl\u0131\u011f\u0131 merkezlerinde yap\u0131lmaya ba\u015flanm\u0131\u015f bir\u00e7ok uygulama zorlu\u011funa ra\u011fmen g\u00fcnde 600 bin ki\u015finin \u00fczerinde a\u015f\u0131lama yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n
Ancak aile hekimli\u011fi \u00e7al\u0131\u015fanlar\u0131 10 y\u0131ld\u0131r %60 gelir erimesi ya\u015farken, \u00f6zl\u00fck haklar\u0131n\u0131 kaybederken b\u00fct\u00fcn itirazlara, ba\u015fvurulara ra\u011fmen d\u00fczenleme yap\u0131lmad\u0131\u011f\u0131nda ayl\u0131k 1000-1500 TL aras\u0131 gelir kayb\u0131 olaca\u011f\u0131 ortaya \u00e7\u0131km\u0131\u015ft\u0131r.<\/p>\n
Aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fan\u0131 a\u00e7\u0131\u011f\u0131 t\u00fcm \u00fclkede %15 oran\u0131nda devam ederken, hasta sorumlulu\u011fu yokken, teknik ve e\u011fitim alt yap\u0131s\u0131 olmadan bu kadar b\u00fcy\u00fck bir i\u015f y\u00fck\u00fcn\u00fcn pandemi d\u00f6neminde pozitif performans alg\u0131s\u0131yla negatif olarak verilmesini kabul etmiyoruz.<\/p>\n
Aile Hekimli\u011fi \u00d6deme ve S\u00f6zle\u015fme y\u00f6netmeli\u011fi bir an \u00f6nce geri \u00e7ekilmelidir. Halk\u0131n sa\u011fl\u0131k sorunlar\u0131n\u0131 \u00f6nceleyen sa\u011fl\u0131k emek\u00e7ilerinin \u00f6zl\u00fck haklar\u0131n\u0131 b\u00fcy\u00fcten kadrolu g\u00fcvenceli \u00e7al\u0131\u015fma esas\u0131na dayal\u0131 bir sa\u011fl\u0131k sistemi kurulmal\u0131,y\u00f6netmelik ise ivedi olarak sa\u011fl\u0131k emek ve meslek \u00f6rg\u00fctlerinin de g\u00f6r\u00fc\u015f\u00fc al\u0131narak yeniden d\u00fczenlenmelidir.<\/p>\n
Sorunlar b\u00fcy\u00fcm\u00fc\u015f art\u0131k bir \u00e7\u0131\u011f gibi \u00fczerimize gelmi\u015ftir. \u00dclkemizde birinci basamaktaki y\u00fckler o kadar a\u011f\u0131rla\u015fm\u0131\u015ft\u0131r ki, gelir kay\u0131plar\u0131,artan \u015fiddet, mobbing, keyfi y\u00f6netim, her t\u00fcrl\u00fc angarya sa\u011fl\u0131k emek\u00e7ilerini dayanamaz noktaya getirmi\u015ftir. Birinci basamak sa\u011fl\u0131k hizmetlerinin geldi\u011fi durum nedeniyle \u00fclkemizin her yerinde sorunlar\u0131n \u00e7\u00f6z\u00fclmesi hak kay\u0131plar\u0131n\u0131n giderilmesi amac\u0131yla eylem, etkinlikler d\u00fczenlenmesi ve i\u015f b\u0131rakmaya varan uyar\u0131lar yap\u0131lmas\u0131 g\u00fcndeme gelmi\u015ftir. Geli\u015fmeleri an be an izleyen SES Genel Merkezimiz \u00fcyelerimizin talebiyle i\u015f b\u0131rakma karar\u0131n\u0131 desteklemektedir. Genel Merkezimiz;<\/p>\n
\u201cSorunlar\u0131m\u0131z\u0131n s\u0131cakl\u0131\u011f\u0131n\u0131n artmas\u0131, birinci basamak sa\u011fl\u0131k hizmetlerinin ve koruyucu sa\u011fl\u0131k hizmetlerinin bu y\u00f6netim yap\u0131s\u0131 ve y\u00f6netim anlay\u0131\u015f\u0131 ile bitirilme noktas\u0131na gelinmesi nedeni ile birinci basamakta \u00e7al\u0131\u015fan \u00fcyemiz aile hekimlerimiz ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131m\u0131z i\u015f b\u0131rakma karar\u0131 al\u0131nmas\u0131n\u0131 ve alan\u0131m\u0131zda \u00f6rg\u00fctl\u00fc AHEF, AHESEN, Birinci Basamak Dayan\u0131\u015fma Sendikas\u0131, Genel Sa\u011fl\u0131k \u0130\u015f ve TAHUD taraf\u0131ndan al\u0131nm\u0131\u015f olan i\u015f b\u0131rakma karar\u0131n\u0131n desteklenmesini uygun g\u00f6rm\u00fc\u015flerdir. Bu nedenle genel merkez olarak tabandan gelen bu talep kar\u015f\u0131s\u0131nda 16 A\u011fustos’ta i\u015f b\u0131rakma karar\u0131n\u0131 destekliyor ve \u00f6rg\u00fctl\u00fc oldu\u011fumuz t\u00fcm birimlerde i\u015f b\u0131rakma karar\u0131 ald\u0131\u011f\u0131m\u0131z\u0131 ilan ediyoruz. \u0130\u015f b\u0131rakma karar\u0131m\u0131z yaln\u0131zca ek \u00f6deme y\u00f6netmeli\u011fine kar\u015f\u0131 al\u0131nan bir karar olmay\u0131p, birinci basamak sa\u011fl\u0131k hizmetlerinin yeniden organizasyonu, birinci basamak sa\u011fl\u0131k hizmeti \u00fcreten sa\u011fl\u0131k emek\u00e7ilerinin ekonomik ve \u00f6zl\u00fck haklar\u0131n\u0131n yeniden d\u00fczenlenmesi, birinci basama\u011fa ayr\u0131lan sa\u011fl\u0131k b\u00fct\u00e7esinin art\u0131r\u0131lmas\u0131 i\u00e7in h\u00fck\u00fcmete bir uyar\u0131 mesaj\u0131d\u0131r.\u201d<\/p>\n
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\u201c16 A\u011fustos’ta \u00f6rg\u00fctl\u00fc oldu\u011fumuz her ASM’de i\u015f b\u0131rak\u0131lmas\u0131, bu hafta boyunca 20 A\u011fustos tarihine kadar bir hafta s\u00fcrecek etkinlikte \u015fube\/temsilciliklerimiz; illerindeki t\u00fcm milletvekillerine, mecliste grubu bulunan ve bulunmayan t\u00fcm siyasi partilere genel merkez taraf\u0131ndan haz\u0131rlanacak taleplerimizi i\u00e7eren mektuplar\u0131 randevu alarak ziyaret edip teslim edeceklerdir.\u201d<\/p>\n
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Diyerek tutumunu net bir \u015fekilde ortaya koymu\u015ftur. Buradan \u00f6ncelikle alanda \u00f6rg\u00fctl\u00fc t\u00fcm sendikalara derneklere ve meslek \u00f6rg\u00fctlerine i\u015f birli\u011fini b\u00fcy\u00fctmek birlikte m\u00fccadele etmek i\u00e7in \u00e7al\u0131\u015fanlar\u0131n yan\u0131nda olmaya davet ediyoruz.<\/p>\n
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SES t\u00fcm sa\u011fl\u0131k ve sosyal hizmet emek\u00e7ilerinin ger\u00e7ek sendikas\u0131 oldu\u011fu gibi ayr\u0131ms\u0131z birinci basamak \u00e7al\u0131\u015fanlar\u0131n\u0131n da ger\u00e7ek ve g\u00fcvenilir sendikas\u0131d\u0131r. Hak kay\u0131plar\u0131na kar\u015f\u0131 \u00e7ekinmeden e\u011filmeden b\u00fck\u00fclmeden m\u00fccadeleyi bir g\u00f6rev bilir.Bu inan\u00e7la i\u015f b\u0131rakma karar\u0131n\u0131 destekleyecektir.<\/p>\n
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Acil taleplerimiz olan y\u00f6netmeli\u011fin derhal geri \u00e7ekilmesi hak kay\u0131plar\u0131n\u0131n giderilmesi yan\u0131nda<\/p>\n
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1- ASM s\u00f6zle\u015fmelerinin genel i\u015flem ko\u015fullar\u0131na sahip olmas\u0131 ve hekimlerin \u00f6devler g\u00fcc\u00fc kar\u015f\u0131s\u0131nda zay\u0131f durumda olmas\u0131ndan kaynaklanan s\u00f6zle\u015fme ko\u015fullar\u0131ndaki dengesizli\u011fi ortadan kald\u0131rmak \u0130\u00e7in s\u00f6zle\u015fmeleri de toplu s\u00f6zle\u015fmeye dahil edilmesini<\/p>\n
2- N\u00fcfusa ve performansa dayal\u0131 sa\u011fl\u0131k hizmeti yerine b\u00f6lge tabanl\u0131 hizmet sunumu yap\u0131lmas\u0131n\u0131<\/p>\n
3- ASM ve TSM\u2019lerdeki g\u00f6rev tan\u0131m\u0131 belirsizli\u011fi ortadan kald\u0131r\u0131lmal\u0131d\u0131r. \u00c7al\u0131\u015fan say\u0131s\u0131n\u0131n art\u0131r\u0131lmal\u0131 ve kadrolu istihdam yarat\u0131lmal\u0131d\u0131r.<\/p>\n
4.Ge\u00e7ici g\u00f6revlendirme adaletsizlikleri, mobbing, kay\u0131rmac\u0131l\u0131k yanda\u015fl\u0131k liyakatsiz y\u00f6netim anlay\u0131\u015f\u0131na son verilmelidir.T\u00fcm birinci basamak sa\u011fl\u0131k emek\u00e7ilerini insanca ya\u015fayacak bir \u00fccret kadrolu g\u00fcvenceli bir \u00e7al\u0131\u015fma sa\u011flanmal\u0131d\u0131r.<\/p>\n
5-T\u00fcm ASM \u00e7al\u0131\u015fanlar\u0131 kadroya al\u0131nmal\u0131d\u0131r.<\/p>\n
6.ASM binalar\u0131n\u0131n iyile\u015ftirilmesi ve standart bir yap\u0131ya kavu\u015fturulmas\u0131n\u0131 bunun kamusal olarak finanse edilmesi sa\u011flanmal\u0131d\u0131r.<\/p>\n
7- ASM de \u00e7al\u0131\u015fan emek\u00e7ilerin senelik, hastal\u0131k ve sendika izinlerinin kullan\u0131m\u0131nda izni kullanan ki\u015finin kendi yerine birini bulma \u015fart\u0131 kald\u0131r\u0131lmal\u0131 ve hi\u00e7bir \u00fccret kesintisi yap\u0131lmamal\u0131d\u0131r.<\/p>\n
8- Mobil hizmetlerin nitelikli sunulmas\u0131 i\u00e7in ara\u00e7, gere\u00e7 ve uygun mekan tahsis edilmeli, binalar\u0131n fiziki yetersizlikleri bakanl\u0131k taraf\u0131ndan giderilmeli, \u00e7al\u0131\u015fanlar \u0130\u00e7in dinlenme alanlar\u0131 sa\u011flanmal\u0131d\u0131r.<\/p>\n
9- ASM \u00e7al\u0131\u015fanlar\u0131na e\u015f ve \u00e7ocuk yard\u0131m\u0131 yap\u0131lmal\u0131d\u0131r.<\/p>\n
10- Aile hekimi ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fan emek\u00e7ilerinin (kad\u0131n) gebelik ve emzirme izinleri 4\/B ve di\u011fer kadrolarda yer alanlar i\u00e7in 4\/A\u2019ya tabi sa\u011fl\u0131k emek\u00e7ileri i\u00e7in yap\u0131lan d\u00fczenlemeye e\u015fitlenmelidir.<\/p>\n
T\u00fcm bunlar olmas\u0131, yap\u0131lmas\u0131 gereken ve yap\u0131labilecek temel ve gerekli talepleridir.<\/p>\n
T\u00fcm halk\u0131m\u0131z\u0131n sa\u011fl\u0131k emek\u00e7ilerinin yan\u0131nda olaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyoruz. Halktan ve \u00e7al\u0131\u015fandan yana, herkese ,e\u015fit ,nitelikli, bilimsel ,kamucu ,halk\u00e7\u0131 bir sa\u011fl\u0131k sistemi i\u00e7in m\u00fccadeleye \u00e7a\u011f\u0131yoruz. 16 A\u011fustos’ta Aile Hekiminizi ve Aile Sa\u011fl\u0131\u011f\u0131 \u00c7al\u0131\u015fan\u0131n\u0131z\u0131 destekleyin diyoruz.<\/p>\n
Sayg\u0131larm\u0131zla<\/p>\n
SES ESK\u0130\u015eEH\u0130R \u015eUBE Y\u00d6NET\u0130M KURULU<\/p>\n
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