<\/p>\n
Cari Gider \u00d6demeleri \u0130ki Kat\u0131na \u00c7\u0131kar\u0131lmal\u0131d\u0131r<\/p>\n
Maa\u015flar Ger\u00e7ek Enflasyon Baz Al\u0131narak Art\u0131r\u0131lmal\u0131d\u0131r<\/p>\n
Cezaland\u0131rma Y\u00f6netmeli\u011fi Geri \u00c7ekilmelidir<\/p>\n
De\u011ferli Bas\u0131n Emek\u00e7ileri<\/p>\n
\u00dclkemizde birinci basamak sa\u011fl\u0131k hizmetlerinin b\u00fcy\u00fck \u00f6l\u00e7\u00fcde y\u00fck\u00fcn\u00fc \u00e7eken Aile Sa\u011fl\u0131\u011f\u0131 Merkezleri ekonomik kiriz ve ard\u0131ndan s\u00fcren ZAM Furyas\u0131ndan en \u00e7ok etkilenen kurumlardan ba\u015f\u0131nda geliyor. Yine artan \u015fiddet olaylar\u0131, g\u00fcvencesiz \u00e7al\u0131\u015fman\u0131n dayat\u0131lmas\u0131, angaryalar, \u00fccret g\u00fcvencesizli\u011fi,pandemi ko\u015fullar\u0131, a\u015f\u0131 ve t\u00fcm di\u011fer rutin hizmetlerinin yo\u011funlu\u011fu, a\u011f\u0131rl\u0131\u011f\u0131 ve en son ceza y\u00f6netmeli\u011finin dayat\u0131lmas\u0131yla ASM \u00e7al\u0131\u015fanlar\u0131 son derece demoralize ve mutsuzdur<\/p>\n
Sorunlar\u0131n en ba\u015f\u0131nda artan fahi\u015f fiyatlar d\u00fc\u015f\u00fck \u00fccretler vard\u0131r. Bilindi\u011fi gibi Aile Sa\u011fl\u0131\u011f\u0131 Merkezleri b\u00fct\u00fcn giderlerini (grupland\u0131rma k\u0131stas\u0131na g\u00f6re hesaplanan cari \u00f6demelerden)kar\u015f\u0131l\u0131yor. \u0130ki binli y\u0131llar\u0131n ortalar\u0131nda b\u00fcy\u00fck ele\u015ftirilere ra\u011fmen getirilen sistem bir nevi \u00f6zelle\u015ftirilmi\u015f bir hizmet sunumu anlay\u0131\u015f\u0131na g\u00f6re i\u015fliyor. Ancak ekonomik krizin derinle\u015fmesi giderlerin ola\u011fan\u00fcst\u00fc artmas\u0131 ASM lerin i\u015fleyi\u015fini zora sokmu\u015ftur.<\/p>\n
Gerek kamu binalar\u0131nda gerek \u00f6zel binalarda hizmet veren ASM lerin kira giderleri ge\u00e7ti\u011fimiz y\u0131la g\u00f6re %36 -150 yi bulan art\u0131\u015flar g\u00f6stermektedir.<\/p>\n
Personel giderleri % 50 artm\u0131\u015ft\u0131r.<\/p>\n
Sarf malzemeleri nin fiyat art\u0131\u015f\u0131 (pamuk, gazl\u0131 bez, batikon, eldiven,acil serum ve ila\u00e7lar temizlik malzemleri,t\u0131bb\u0131 ara\u00e7 ve gere\u00e7lerin temini bak\u0131m ve onar\u0131m\u0131 vb) % 100-150 civar\u0131ndad\u0131r<\/p>\n
Do\u011falgaz, elektrik, su art\u0131\u015flar\u0131 %50-150 civar\u0131ndad\u0131r<\/p>\n
S\u0131f\u0131r n\u00fcfuslu ve yeni bir ASM kurulmas\u0131,(binan\u0131n tadilat\u0131 i\u00e7 te\u015frifat\u0131n\u0131n yap\u0131lmas\u0131 vb ) ise b\u00f6lgesine binan\u0131n durumuna, poliklinik say\u0131s\u0131 vb g\u00f6re de\u011fi\u015fmekle beraber y\u00fcz binlerce liray\u0131 bulmakta b\u00fct\u00fcn bu giderlerin ise tamamen hekimler taraf\u0131ndan kar\u015f\u0131lanmas\u0131 beklenmektedir.<\/p>\n
Ayr\u0131ca g\u00fcndelik i\u015fleyi\u015f s\u0131ras\u0131nda bir\u00e7ok farkl\u0131 kalemde giderler olu\u015fmakta sonu\u00e7ta b\u00fct\u00fcn harcamalar zamlardan etkilenerek ola\u011fan\u00fcst\u00fc artmaktad\u0131r.<\/p>\n
B\u00fct\u00fcn bu art\u0131\u015flar\u0131n cari gider \u00f6demelerinden yap\u0131ld\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcrse s\u00fcrekli devam eden zamlar kar\u015f\u0131s\u0131nda \u00e7ok zorlan\u0131laca\u011f\u0131 ve ASM lerin temel i\u015flevlerini yerine getirmekte s\u0131k\u0131nt\u0131lar ya\u015fayaca\u011f\u0131 a\u00e7\u0131kt\u0131r. S\u0131n\u0131fland\u0131rma kriterlerinin sa\u011flanmas\u0131nda, hizmet sunumun kalitesinde s\u0131k\u0131nt\u0131lar \u00e7\u0131kaca\u011f\u0131 bellidir. \u00dcstelik ASM \u00e7al\u0131\u015fanlar\u0131n\u0131n reel \u00fccretleri de s\u00fcrekli d\u00fc\u015fmektedir.Son derece moralsizdirler.Kendilerinin unutuldu\u011funu ve cezaland\u0131r\u0131lmaya \u00e7al\u0131\u015f\u0131ld\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnmektedirler.<\/p>\n
Buradan y\u00f6neticilere sesleniyoruz. Birinci Basamak Sa\u011fl\u0131k hizmetlerine y\u00f6nelik acil taleplerimiz bir an \u00f6nce kar\u015f\u0131lanmal\u0131d\u0131r.<\/p>\n
1.Cezaland\u0131rma y\u00f6netmeli\u011fi geri \u00e7ekilmelidir.ASM lerin \u00e7al\u0131\u015fmas\u0131 performans kriterlerine g\u00f6re de\u011fil bilimsel ve halk\u0131n sa\u011fl\u0131k ihtiya\u00e7lar\u0131na g\u00f6re olmal\u0131d\u0131r. T\u00fcm ASM \u00e7al\u0131\u015fanlar\u0131 kadrolu g\u00fcvenceli olmal\u0131d\u0131r. Bu sa\u011flanana kadar t\u00fcm \u00e7al\u0131\u015fanlar\u0131n \u00fccretleri devlet taraf\u0131ndan kar\u015f\u0131lanmal\u0131d\u0131r.<\/p>\n
2.ASM binalar\u0131 kamusal olarak belli standartlarda b\u00f6lgesel planlamalar ile yap\u0131lmal\u0131d\u0131r. T\u00fcm te\u015frifat\u0131 kamusal kaynaklarla yap\u0131lmal\u0131 her t\u00fcrl\u00fc i\u00e7 donan\u0131m\u0131 sa\u011flanmal\u0131d\u0131r. Yeni a\u00e7\u0131lacak b\u00f6lgelerde \u00e7al\u0131\u015fanlar\u0131n \u00fccretlendirmesi reel ko\u015fullara g\u00f6re hesaplanarak derece kademelerine g\u00f6re uygun maa\u015f almalar\u0131 sa\u011flanarak ma\u011fduriyetleri engellenmelidir.<\/p>\n
3.Bu g\u00fcnlerde en \u00f6nemli sorunlardan biri Cari Gider \u00d6demeleridir.Zamlar kar\u015f\u0131s\u0131nda eriyen ve hizmet sunumunu olumsuz etkileyen Cari gider \u00f6demeleri \u00e7ok ivedi \u015fekilde en az iki kat\u0131na \u00e7\u0131kar\u0131lmal\u0131d\u0131r.Ger\u00e7ek enflasyon oran\u0131nda s\u00fcrekli g\u00fcncellenmelidir.Uzun vadede t\u00fcm giderler kamu taraf\u0131ndan kar\u015f\u0131lanmal\u0131 birinci basamak hizmetleri desteklenmelidir<\/p>\n
SES olarak birinci basamak sa\u011fl\u0131k kurumlar\u0131ndaki sorunlar\u0131n bir an \u00e7\u00f6z\u00fclmesini talep ediyoruz. T\u00fcm ASM \u00e7al\u0131\u015fanlar\u0131 birlikte m\u00fccadeleye SES te \u00f6rg\u00fctlenmeye \u00e7a\u011f\u0131r\u0131yoruz. B\u00fcy\u00fcd\u00fck\u00e7e ba\u015faraca\u011f\u0131z. Ba\u015fard\u0131k\u00e7a b\u00fcy\u00fcyece\u011fiz.<\/p>\n
DR.B\u0130RT\u00dcRK \u00d6ZKAVAK<\/p>\n
SES \u015eUBE Y\u00d6NET\u0130M KURULU ADINA<\/p>\n
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Cari Gider \u00d6demeleri \u0130ki Kat\u0131na \u00c7\u0131kar\u0131lmal\u0131d\u0131r Maa\u015flar Ger\u00e7ek Enflasyon Baz Al\u0131narak Art\u0131r\u0131lmal\u0131d\u0131r Cezaland\u0131rma Y\u00f6netmeli\u011fi Geri \u00c7ekilmelidir De\u011ferli Bas\u0131n Emek\u00e7ileri \u00dclkemizde birinci basamak sa\u011fl\u0131k hizmetlerinin b\u00fcy\u00fck \u00f6l\u00e7\u00fcde y\u00fck\u00fcn\u00fc \u00e7eken Aile Sa\u011fl\u0131\u011f\u0131 Merkezleri ekonomik kiriz ve ard\u0131ndan s\u00fcren ZAM Furyas\u0131ndan en \u00e7ok etkilenen kurumlardan ba\u015f\u0131nda geliyor. Yine artan \u015fiddet olaylar\u0131, g\u00fcvencesiz \u00e7al\u0131\u015fman\u0131n dayat\u0131lmas\u0131, angaryalar, \u00fccret g\u00fcvencesizli\u011fi,pandemi […]<\/p>\n","protected":false},"author":2,"featured_media":4270,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4269","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"_links":{"self":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4269","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=4269"}],"version-history":[{"count":1,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4269\/revisions"}],"predecessor-version":[{"id":4271,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4269\/revisions\/4271"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/4270"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4269"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}