A\u0130LE SA\u011eLI\u011eI MERKEZLER\u0130NDEK\u0130 SORUNLAR KANGRENE D\u00d6N\u00dc\u015eM\u00dc\u015eT\u00dcR<\/p>\n
17-18 \u015eUBATTA TALEPLER\u0130M\u0130Z\u0130N KAR\u015eILANMASI AMACIYLA \u0130\u015e B\u0130RAKIYORUZ<\/p>\n
De\u011ferli Bas\u0131n Emek\u00e7ileri<\/p>\n
Aile sa\u011fl\u0131\u011f\u0131 merkezleri ve orada \u00e7al\u0131\u015fan sa\u011fl\u0131k emek\u00e7ileri art\u0131k katlan\u0131lamaz boyutlardaki sorunlarla i\u00e7 i\u00e7edir. En ba\u015ftan yanl\u0131\u015f kurgulanan halk\u0131n sa\u011fl\u0131k sorunlar\u0131n\u0131 \u00e7\u00f6zmeye de\u011fil de, sa\u011fl\u0131\u011f\u0131 piyasaya a\u00e7mak amac\u0131yla olu\u015fturulan Aile Hekimli\u011fi Sistemi geldi\u011fimiz noktada (b\u00fct\u00fcn sa\u011fl\u0131k sistemiyle beraber )bir kangren haline d\u00f6n\u00fc\u015fm\u00fc\u015ft\u00fcr. Sa\u011fl\u0131k hizmetlerinin par\u00e7alanmas\u0131, bilimsel yakla\u015f\u0131mlardan uzakla\u015f\u0131larak keyfi ve g\u00fcn\u00fcbirlik uygulamalara gidilmesi sistemi y\u0131k\u0131ma do\u011fru g\u00f6t\u00fcrm\u00fc\u015ft\u00fcr, g\u00f6t\u00fcrmektedir.\u00d6zellikle pandemi s\u00fcrecinin yanl\u0131\u015f ve bilim d\u0131\u015f\u0131 uygulamalar\u0131yla ekonomik krizin etkisiyle ve \u00e7\u0131kar\u0131lan son ceza y\u00f6netmeli\u011fi ile sorunlar ayyuka \u00e7\u0131km\u0131\u015ft\u0131r. \u00c7al\u0131\u015fanlar mutsuzdur. Pahal\u0131l\u0131k yoksulluk artan \u015fiddet angaryalar mobbing derecesine varan bask\u0131lar \u00e7al\u0131\u015fanlar\u0131 bezdirmi\u015ftir. \u00c7al\u0131\u015fanlar\u0131n reel gelirleri d\u00fc\u015fm\u00fc\u015f, maa\u015flara yap\u0131lan s\u00f6zde art\u0131\u015flar yetmemi\u015ftir. \u00c7al\u0131\u015fma ko\u015fullar\u0131 a\u011f\u0131rla\u015fm\u0131\u015ft\u0131r.<\/p>\n
Aile Sa\u011fl\u0131\u011f\u0131 Merkezleri, ekonomik kiriz ve ard\u0131ndan s\u00fcren ZAM FURYASINDAN 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,\u00e7al\u0131\u015fma ortamlar\u0131n\u0131n sorunlar\u0131, 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.<\/p>\n
Cari gider \u00f6demelerindeki son yap\u0131lan art\u0131\u015fta devede kulak kalm\u0131\u015f ASM lerin k\u00f6kten sars\u0131lmas\u0131n\u0131n devam edece\u011fi anla\u015f\u0131lm\u0131\u015ft\u0131r.Y\u00f6neticilerin derdinin sa\u011fl\u0131k hizmeti olmad\u0131\u011f\u0131 bir kez daha anla\u015f\u0131lm\u0131\u015ft\u0131r.<\/p>\n
Birinci Basamak Sa\u011fl\u0131k hizmetlerine ve \u00e7al\u0131\u015fanlar\u0131na y\u00f6nelik acil taleplerimiz<\/p>\n
1. B\u00fct\u00fcn birinci basamak sa\u011fl\u0131k hizmetleri \u00e7al\u0131\u015fanlar\u0131na insanca ya\u015fayacak emeklili\u011fe yans\u0131yacak temel \u00fccretler istiyoruz. Mobbinge keyfiyete yanda\u015f sendika bask\u0131s\u0131na kurals\u0131z ve g\u00fcvencesiz \u00e7al\u0131\u015fmaya anti demokratik uygulamalara, sa\u011fl\u0131ks\u0131z \u00e7al\u0131\u015fma ortamlar\u0131na son verilmesini istiyoruz.<\/p>\n
2. Cezaland\u0131rma y\u00f6netmeli\u011fi geri \u00e7ekilmelidir. ASMlerin \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
3. ASM binalar\u0131 kamusal olarak belli standartlarda b\u00f6lgesel planlamalar ile yap\u0131lmal\u0131d\u0131r. T\u00fcm donan\u0131m\u0131 kamusal kaynaklarla yap\u0131lmal\u0131,t\u00fcm giderleri kamu taraf\u0131ndan 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
4. Bu g\u00fcnlerde en \u00f6nemli sorunlardan biri Cari Gider \u00d6demeleridir.Zamlar kar\u015f\u0131s\u0131nda eriyen ve hizmet sunumunu olumsuz etkileyen Cari gider \u00f6demelerinde art\u0131\u015flar yeterli de\u011fildir.\u00c7ok 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
5. Giderek artan \u015fiddet olaylar\u0131na kar\u015f\u0131 etkili cayd\u0131r\u0131c\u0131 bir \u015fiddet yasas\u0131 \u00e7\u0131kar\u0131lmal\u0131d\u0131r.<\/p>\n
6. Kamu Binalar\u0131nda veya \u00d6zel binalarda yerle\u015fmi\u015f bulunan ASM lerinin elektrik ve do\u011falgaz giderlerinden \u00fccret al\u0131nmamal\u0131d\u0131r.<\/p>\n
Sorunlar\u0131n ola\u011fan\u00fcst\u00fc b\u00fcy\u00fcmesi kar\u015f\u0131s\u0131nda ge\u00e7ti\u011fimiz g\u00fcnlerde defalarca bas\u0131n a\u00e7\u0131klamalar\u0131 ve i\u015f b\u0131rakmalar\u0131 yaparak taleplerimizi dile getirerek yetkililerden \u00e7\u00f6z\u00fcm bulmalar\u0131n\u0131 istedik. Hala duymazl\u0131ktan gelen yetkilileri bir kez daha uyarmak i\u00e7in ve ger\u00e7ekten sorunlar\u0131m\u0131z\u0131n \u00e7\u00f6z\u00fclmesini sa\u011flamak i\u00e7in 17-18 \u015eubat Tarihlerinde i\u015f b\u0131rakma karar\u0131 ald\u0131k. Buradan i\u015f b\u0131rakma karar\u0131 alan di\u011fer sendika dernek ve meslek \u00f6rg\u00fctlerine sesleniyoruz.\u00d6n\u00fcm\u00fczdeki s\u00fcreci ge\u00e7i\u015ftirilecek tarihler olarak de\u011fil ger\u00e7ekten sonu\u00e7 alacak ,sa\u011fl\u0131k emek\u00e7ilerinin sorunlar\u0131n\u0131 \u00e7\u00f6zebilecek \u015fekilde de\u011ferlendirelim. Temel taleplerimizde ortakla\u015ft\u0131rarak bir araya gelelim.G\u00f6stermelik de\u011fil ger\u00e7ek bir m\u00fccadele perspektifiyle i\u015f b\u0131rakma karar\u0131n\u0131 uygulayal\u0131m.SES tarihsel birikimiyle Kangrene d\u00f6n\u00fc\u015fm\u00fc\u015f sorunlar\u0131n \u00e7\u00f6z\u00fcm\u00fc i\u00e7in haz\u0131rd\u0131r.<\/p>\n
B\u0130RT\u00dcRK \u00d6ZKAVAK\/SES \u015eUBE Y\u00d6NET\u0130M\u0130<\/p>\n
<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
A\u0130LE SA\u011eLI\u011eI MERKEZLER\u0130NDEK\u0130 SORUNLAR KANGRENE D\u00d6N\u00dc\u015eM\u00dc\u015eT\u00dcR 17-18 \u015eUBATTA TALEPLER\u0130M\u0130Z\u0130N KAR\u015eILANMASI AMACIYLA \u0130\u015e B\u0130RAKIYORUZ De\u011ferli Bas\u0131n Emek\u00e7ileri Aile sa\u011fl\u0131\u011f\u0131 merkezleri ve orada \u00e7al\u0131\u015fan sa\u011fl\u0131k emek\u00e7ileri art\u0131k katlan\u0131lamaz boyutlardaki sorunlarla i\u00e7 i\u00e7edir. En ba\u015ftan yanl\u0131\u015f kurgulanan halk\u0131n sa\u011fl\u0131k sorunlar\u0131n\u0131 \u00e7\u00f6zmeye de\u011fil de, sa\u011fl\u0131\u011f\u0131 piyasaya a\u00e7mak amac\u0131yla olu\u015fturulan Aile Hekimli\u011fi Sistemi geldi\u011fimiz noktada (b\u00fct\u00fcn sa\u011fl\u0131k sistemiyle beraber )bir […]<\/p>\n","protected":false},"author":2,"featured_media":4334,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4333","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\/4333","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=4333"}],"version-history":[{"count":1,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4333\/revisions"}],"predecessor-version":[{"id":4335,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4333\/revisions\/4335"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/4334"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4333"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}