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\u00dcN\u0130VERS\u0130TE HASTANELER\u0130N\u0130 DE KAPSAYAN EMEKL\u0130L\u0130\u011eE YANSIYAN TEMEL \u00dcCRET \u0130ST\u0130YORUZ!<\/p>\n
(EK \u00d6DEMELER AD\u0130L VE AYRIMSIZ OLMALIDIR!)<\/p>\n
\u00dcniversite hastaneleri sa\u011fl\u0131k hizmetlerinin \u00f6nemli par\u00e7as\u0131 ve nitelikli sa\u011fl\u0131k hizmeti \u00fcretiminin de en belirleyici unsurlar\u0131ndan olmas\u0131na ra\u011fmen sa\u011fl\u0131k sistemimiz i\u00e7erisinde \u00fcvey evlat olarak g\u00f6r\u00fclmektedir. COVID-19 pandemisi s\u0131ras\u0131nda bu durum daha g\u00f6r\u00fcn\u00fcr hale gelmi\u015ftir.<\/p>\n
\u00dclkenin her taraf\u0131na g\u00f6nderilen hekimlerin yeti\u015ftirildi\u011fi, tedavi edici sa\u011fl\u0131k hizmetlerinde sevk zincirinin en son basama\u011f\u0131, d\u00fcnya \u00e7ap\u0131nda isim yapm\u0131\u015f sayg\u0131n t\u0131p insanlar\u0131n\u0131n bilimsel ve \u00f6zerk hareket edebilmeleri sayesinde \u00fclkemizde kamusal sa\u011fl\u0131k hizmetinin ileriye ta\u015f\u0131nmas\u0131nda itici bir rol oynayan kurumlar\u0131m\u0131z, bug\u00fcn bor\u00e7 bata\u011f\u0131ndan \u00e7\u0131kmak i\u00e7in m\u00fccadele etmektedir. \u00dcniversite hastanelerinin mali, idari ve bilimsel \u00f6zerkli\u011fi Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan adeta ku\u015fat\u0131lm\u0131\u015f \u00fcniversite hastanelerinin Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131na ba\u011flanmas\u0131 i\u00e7in her t\u00fcrl\u00fc yasal zemin olu\u015fturulmaya ba\u015flanm\u0131\u015ft\u0131r.<\/p>\n
Devlet \u00fcniversite hastanelerimizin yeniden, \u00fclkemizde ya\u015famakta olan herkese, paras\u0131z sa\u011fl\u0131k hizmeti sunabilecek duruma gelmesi i\u00e7in kayna\u011f\u0131 genel b\u00fct\u00e7e olmak \u00fczere, t\u00fcm bor\u00e7lar\u0131n\u0131n \u00f6denmesi ve daha fazla gecikmeden b\u00fct\u00fcn gereksinimlerinin kar\u015f\u0131lanmas\u0131 gerekirken bu durum Devlet \u00fcniversite hastanelerinin Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131na ba\u011flanmas\u0131 i\u00e7in bir f\u0131rsat olarak g\u00f6r\u00fcl\u00fcyor. Sa\u011fl\u0131k hizmet sunumu do\u011frudan hasta ba\u015fvurusu ile de\u011fil \u00fc\u00e7\u00fcnc\u00fc basamak sa\u011fl\u0131k hizmet sunumu \u015feklinde olmas\u0131, hastalar\u0131n 1. ve 2. basamaktan gelmesi gereken ve temel g\u00f6revi e\u011fitim, \u00f6\u011fretim ve ara\u015ft\u0131rma olan devlet \u00fcniversite hastanelerimiz bu kimli\u011finden \u00e7oktan \u00e7\u0131kar\u0131lm\u0131\u015f ve devlet hastanesi kimli\u011fine sokulmu\u015ftur. Asistan hekimler hasta, i\u015f y\u00fck\u00fc ve angaryalar nedeniyle e\u011fitim i\u00e7in yeterli zaman bulamazken, \u00f6\u011fretim \u00fcyeleri de finansal bask\u0131lar nedeniyle hizmet a\u011f\u0131rl\u0131kl\u0131 \u00e7al\u0131\u015fmaya zorlan\u0131yorlar. Ek \u00f6deme, performans ve \u00fccret bask\u0131s\u0131 nedeniyle alan\u0131nda isim yapm\u0131\u015f t\u0131p insanlar\u0131 kamusal alandan \u00e7ekilerek \u00f6zel sekt\u00f6re y\u00f6neliyor. Bir k\u0131sm\u0131 da yurtd\u0131\u015f\u0131na gidiyor. Oysa t\u00fcm \u00fclkenin vatanda\u015flar\u0131n\u0131n sa\u011fl\u0131\u011fa eri\u015fim hakk\u0131 kapsam\u0131nda bu hekimlere ihtiyac\u0131 varken sadece paras\u0131 olanlar \u015fifa buluyorlar.<\/p>\n
\u00dcniversite hastanesine bu genel bak\u0131\u015ftan sonra \u015funlar\u0131 da ifade etmeden ge\u00e7emeyiz. \u00dcniversite hastaneleri \u00e7al\u0131\u015fanlar\u0131 di\u011fer t\u00fcm sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ya\u015fad\u0131\u011f\u0131 emeklili\u011fe yans\u0131mayan yoksulluk s\u0131n\u0131r\u0131 alt\u0131ndaki d\u00fc\u015f\u00fck \u00fccretler, istihdam bi\u00e7imindeki farkl\u0131l\u0131klar ve farkl\u0131 \u00fccretlendirmeler, \u015fiddet, mobbing gibi bir\u00e7ok sorunun yan\u0131nda bug\u00fcn en az hem\u015fire ve sa\u011fl\u0131k hizmetleri s\u0131n\u0131f\u0131 mensuplar\u0131 ile hizmet \u00fcretmeye \u00e7al\u0131\u015f\u0131yorlar. Yeterince personel olmad\u0131\u011f\u0131 i\u00e7in asistan hekimler k\u0131rtasiye i\u015fi, b\u00fcro memurlu\u011fu gibi ekstra i\u015fleri yapmak zorunda b\u0131rak\u0131l\u0131yorlar. \u00dcniversite hastanelerinde \u00e7al\u0131\u015fan emek\u00e7iler halen tayin hakk\u0131na sahip de\u011filler.<\/p>\n
\u00dcniversite hastanelerindeki sa\u011fl\u0131k emek\u00e7ileri ba\u015fta olmak \u00fczere t\u00fcm sa\u011fl\u0131k emek\u00e7ilerinin acil ve \u00e7\u00f6z\u00fclmesi gereken sorunlar\u0131 ortadayken, ge\u00e7en hafta Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan \u00e7\u0131kar\u0131lan ek \u00f6deme y\u00f6netmeli\u011fi yeni bir sorun haline gelmi\u015ftir. Pandemi boyunca \u00fcniversite hastanelerinde \u00e7al\u0131\u015fan emek\u00e7ilerin eme\u011fini g\u00f6rmeyen Bakanl\u0131k ge\u00e7en hafta yay\u0131nlad\u0131\u011f\u0131 y\u00f6netmelikle bir kez daha \u00fcniversite hastanelerini yok sayd\u0131\u011f\u0131n\u0131 ortaya koymu\u015ftur.<\/p>\n
D\u00fczenleme \u00fcniversite hastanelerinde \u00e7al\u0131\u015fan emek\u00e7ileri kapsamamaktad\u0131r. Kapsam d\u0131\u015f\u0131nda b\u0131rak\u0131lan \u00fcniversite hastanelerindeki emek\u00e7iler, h\u00fck\u00fcmete g\u00f6re sa\u011fl\u0131k hizmetleri \u00fcretmiyorlar.<\/p>\n
\u00dcniversite hastaneleri 2547 say\u0131l\u0131 Kanunun 58. Maddesi kapsam\u0131nda oldu\u011fundan, buralarda \u00e7al\u0131\u015fanlar ile ilgili Y\u00d6K taraf\u0131ndan bir \u00e7er\u00e7eve y\u00f6netmelik \u00e7\u0131kar\u0131lmas\u0131 ve ilgili \u00fcniversite y\u00f6netim kurullar\u0131n\u0131n da bu \u00e7er\u00e7eve y\u00f6netmeli\u011fe g\u00f6re kendi kararlar\u0131n\u0131 almalar\u0131 gerekti\u011fini biliyoruz. Ancak sa\u011fl\u0131k hizmeti bir b\u00fct\u00fcnd\u00fcr. Sa\u011fl\u0131k emek\u00e7ileri i\u00e7in bir d\u00fczenleme \u00e7\u0131kar\u0131lacaksa herkesi kapsamal\u0131 ve e\u015f zamanl\u0131 olarak \u00e7\u0131kar\u0131lmal\u0131d\u0131r. Bu y\u00f6netmelik haz\u0131rlan\u0131rken nas\u0131l ki sa\u011fl\u0131k emek\u00e7ilerinin \u00f6rg\u00fctlerinin g\u00f6r\u00fc\u015fleri dahi dikkate al\u0131nmam\u0131\u015fsa, Y\u00d6K ve \u00fcniversite y\u00f6netimleri de dikkate al\u0131nmam\u0131\u015f e\u015f g\u00fcd\u00fcm halinde \u00e7\u0131kar\u0131lmas\u0131 i\u00e7in \u00e7aba harcanmam\u0131\u015ft\u0131r. \u00dcniversite hastaneleri i\u00e7in y\u00f6netmeli\u011fin ne zaman \u00e7\u0131kar\u0131laca\u011f\u0131na dair herhangi bir bilgi ya da a\u00e7\u0131klama yap\u0131lmam\u0131\u015ft\u0131r. Bug\u00fcn yarat\u0131lan ma\u011fduriyetin aylar\u0131, y\u0131llar\u0131 bulmamas\u0131 i\u00e7in bu a\u00e7\u0131klamalar\u0131 ger\u00e7ekle\u015ftiriyoruz. M\u00fccadele etmeden hi\u00e7bir hakk\u0131m\u0131z\u0131 alamayaca\u011f\u0131m\u0131z\u0131 bug\u00fcne kadar ki uygulamalardan dolay\u0131 gayet iyi biliyoruz.<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 i\u00e7in \u00e7\u0131kar\u0131lan ek \u00f6deme y\u00f6netmeli\u011fine de \u00e7ok ciddi ele\u015ftirilerimiz bulunmaktad\u0131r. Bunlardan baz\u0131lar\u0131;<\/p>\n
Bir kez daha belirtmek isteriz ki yoksulluk s\u0131n\u0131r\u0131n\u0131n \u00fczerinden belirlenecek temel \u00fccret ve bu \u00fccretin \u00fczerinde, yap\u0131lan i\u015fin niteli\u011fine g\u00f6re \u00fccretlendirme yap\u0131larak t\u00fcm \u00fccretlerin emeklili\u011fe yans\u0131yacak bi\u00e7imde belirlenmesini savunmaya devam edece\u011fiz. Bu y\u00f6netmelikle \u00e7al\u0131\u015f\u0131rken elde edilen \u00fccretler, emekli olunca tamamen ortadan kalkmakta ve olduk\u00e7a d\u00fc\u015f\u00fck emekli ayl\u0131\u011f\u0131na mahk\u00fbm edilmek istenmekteyiz. Bu tarz \u00fccretlendirme politikalar\u0131 ile hekimler 72 ya\u015f\u0131na kadar, hekim d\u0131\u015f\u0131 sa\u011fl\u0131k emek\u00e7ileri de 65 ya\u015f\u0131na kadar \u00e7al\u0131\u015fmaya zorlanacaklard\u0131r.<\/p>\n
Bu y\u00f6netmelikle \u201cperformans\u201d kavram\u0131 yerine \u201cte\u015fvik\u201d kavram\u0131 getirilmi\u015ftir. B\u00f6ylece y\u0131llard\u0131r ele\u015ftirdi\u011fimiz ve \u201csa\u011fl\u0131kta performansa dayal\u0131 \u00fccret olmaz\u201d g\u00f6r\u00fc\u015f\u00fcm\u00fcz do\u011frulanm\u0131\u015ft\u0131r. Ancak bu g\u00f6r\u00fc\u015f\u00fcm\u00fcz do\u011frulanmas\u0131na ra\u011fmen buna uygun bir d\u00fczenleme yap\u0131lmak yerine kelimeler ile oynanarak \u201cte\u015fvik\u201d ad\u0131 alt\u0131nda performans\u0131 gizleyen ve sorunu \u00e7\u00f6zmekten uzak bir yakla\u015f\u0131m sergilenmi\u015ftir. Bu y\u00f6netmelik ile sa\u011fl\u0131k personelinin ek \u00f6demesi \u00fc\u00e7 ba\u015fl\u0131k alt\u0131nda toplanm\u0131\u015ft\u0131r: Bunlardan ilki 375 Say\u0131l\u0131 KHK\u2019nin ek 9. Maddesi emsal al\u0131narak 209 say\u0131l\u0131 kanunun 5. Maddesine g\u00f6re sabit \u00f6denen ek \u00f6deme, ikincisi bu y\u00f6netmelikle ilk defa getirilen taban katsay\u0131ya g\u00f6re \u00f6denecek olan taban ek \u00f6deme, \u00fc\u00e7\u00fcnc\u00fcs\u00fc ise bu y\u00f6netmelik ile getirilen te\u015fvik ad\u0131 alt\u0131nda esas\u0131nda fazla \u00e7al\u0131\u015fma ve fazla giri\u015fimsel i\u015flemlere dayal\u0131 te\u015fvik ek \u00f6demesidir. Sabit ek \u00f6demeden gelir vergisi al\u0131nmamaktad\u0131r. Ancak taban ve te\u015fvik ek \u00f6demesinden gelir vergisi al\u0131nmaktad\u0131r. Her \u00fc\u00e7 ek \u00f6deme de hi\u00e7bir \u015fekilde emeklili\u011fe yans\u0131mamaktad\u0131r. Emeklili\u011fe yans\u0131mak yerine sadece hekimler i\u00e7in ilave emekli ayl\u0131\u011f\u0131 d\u00fczenlemesi getirilmi\u015f ve hekim d\u0131\u015f\u0131 personel kapsamda yer almam\u0131\u015ft\u0131r.<\/p>\n
Ek \u00f6deme y\u00f6netmeli\u011fi ile sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 aras\u0131ndaki gelir u\u00e7urumu daha da a\u00e7\u0131lm\u0131\u015ft\u0131r. Her ne kadar bu y\u00f6netmelikle taban \u00f6deme alt\u0131nda hekim d\u0131\u015f\u0131 personele c\u00fczi bir \u00f6deme getirilmi\u015fse de bunun yeterli olmad\u0131\u011f\u0131n\u0131 taban \u00f6deme katsay\u0131lar\u0131n\u0131n hekim d\u0131\u015f\u0131 personel bak\u0131m\u0131ndan daha y\u00fcksek olmas\u0131 gerekti\u011fini vurgulamak isteriz.<\/p>\n
Yine izin kullan\u0131mlar\u0131nda ek \u00f6demenin kesilecek olmas\u0131, disiplin cezalar\u0131nda ikinci bir cezaland\u0131rma olarak ek \u00f6demelerin kesilecek olmas\u0131 kabul edilebilir de\u011fildir.<\/p>\n
Bu nedenle \u00fcniversite hastaneleri i\u00e7in \u00e7\u0131kar\u0131lacak y\u00f6netmelikte bu itirazlar\u0131m\u0131z\u0131n dikkate al\u0131nmas\u0131n\u0131 bekliyoruz. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ek \u00f6deme y\u00f6netmeli\u011fi i\u00e7in y\u00fcr\u00fctece\u011fimiz hukuksal ve demokratik m\u00fccadelemiz kapsam\u0131na \u00fcniversite hastanelerini de eklemek istemiyoruz. \u00d6zcesi bizi de yormay\u0131n kendinizi de yormay\u0131n diyoruz.<\/p>\n
Bu nedenle ek \u00f6deme, te\u015fvik, taban ek \u00f6deme, performans gibi \u00fccretlendirme bi\u00e7imlerini kabul etmiyoruz. Yoksulluk s\u0131n\u0131r\u0131 \u00fczerinde emeklili\u011fe yans\u0131yacak temel \u00fccret belirlenmesi ve bu \u00fccretlerin e\u011fitim d\u00fczeyi, yap\u0131lan i\u015fin niteli\u011fi ve riski, hizmet y\u0131l\u0131 gibi kriterler ile giydirilecek bir \u00fccret sisteminin olu\u015fturulmas\u0131n\u0131 \u00fcniversite hastanelerinde \u00e7al\u0131\u015fan t\u00fcm emek\u00e7iler i\u00e7inde talep ediyor ve m\u00fccadelesini y\u00fcr\u00fctmeye devam edece\u011fimizi ifade etmek istiyoruz.<\/p>\n
Te\u015fvik ile Sa\u011fl\u0131k Sistemi Y\u00fcr\u00fcmez!<\/p>\n
Te\u015fvik \u0130le Maa\u015f Olmaz!<\/p>\n
B\u0130RT\u00dcRK \u00d6ZKAVAK<\/p>\n
SES \u015eUBE E\u015e BA\u015eKANI<\/p>\n
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<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00dcN\u0130VERS\u0130TE HASTANELER\u0130N\u0130 DE KAPSAYAN EMEKL\u0130L\u0130\u011eE YANSIYAN TEMEL \u00dcCRET \u0130ST\u0130YORUZ! (EK \u00d6DEMELER AD\u0130L VE AYRIMSIZ OLMALIDIR!) \u00dcniversite hastaneleri sa\u011fl\u0131k hizmetlerinin \u00f6nemli par\u00e7as\u0131 ve nitelikli sa\u011fl\u0131k hizmeti \u00fcretiminin de en belirleyici unsurlar\u0131ndan olmas\u0131na ra\u011fmen sa\u011fl\u0131k sistemimiz i\u00e7erisinde \u00fcvey evlat olarak g\u00f6r\u00fclmektedir. COVID-19 pandemisi s\u0131ras\u0131nda bu durum daha g\u00f6r\u00fcn\u00fcr hale gelmi\u015ftir. \u00dclkenin her taraf\u0131na g\u00f6nderilen hekimlerin […]<\/p>\n","protected":false},"author":2,"featured_media":4497,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4496","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\/4496","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=4496"}],"version-history":[{"count":1,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4496\/revisions"}],"predecessor-version":[{"id":4498,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4496\/revisions\/4498"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/4497"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4496"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4496"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4496"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}