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\u015eARTLI DESTEK, \u015eARTLI TE\u015eV\u0130K DE\u011e\u0130L<\/p>\n
YOKSULLUK SINIRI \u00dcZER\u0130NDE \u0130NSANCA YA\u015eAMAYA YETECEK TEMEL \u00dcCRET \u0130ST\u0130YORUZ<\/p>\n
De\u011ferli Bas\u0131n Emek\u00e7ileri, De\u011ferli Eski\u015fehirliler<\/p>\n
Ge\u00e7ti\u011fimiz haftalarda Bakanl\u0131 hastaneler i\u00e7in i\u00e7inde bir\u00e7ok adaletsizlik bar\u0131nd\u0131ran ek \u00f6deme y\u00f6netmeli\u011fi yay\u0131nlam\u0131\u015f ancak ASM ve T\u0131p Fak\u00fcltesi \u00e7al\u0131\u015fanlar\u0131 unutulmu\u015ftu. Bunun \u00fczerine SES olarak \u00fclke \u00e7ap\u0131nda eylem ve etkinlik karar\u0131 alm\u0131\u015ft\u0131k. Ancak d\u00fcn itibari Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ASM \u00e7al\u0131\u015fanlar\u0131yla ilgili ek \u00f6deme y\u00f6netmeli\u011fini yay\u0131nlad\u0131. Beklentilerimizle uzaktan yak\u0131ndan ilgisi olmayan bu y\u00f6netmelikte bir\u00e7ok adaletsizli\u011fi i\u00e7inde bar\u0131nd\u0131r\u0131yor.<\/p>\n
Aile Hekimli\u011fi uygulama y\u00f6netmeli\u011fi ile ba\u015flayan ve her g\u00fcn de\u011fi\u015fen d\u00fczenlemeler ile birinci basamak sa\u011fl\u0131k hizmetlerinin koruyucu sa\u011fl\u0131\u011f\u0131 geli\u015ftiren \u00f6zelli\u011finden her ge\u00e7en g\u00fcn uzakla\u015f\u0131lmaktad\u0131r. Bu alanda \u00e7al\u0131\u015fan sa\u011fl\u0131k emek\u00e7ilerinin de i\u015f g\u00fcvencesi her y\u0131l yenilenip yenilenmeyece\u011fi belirsiz olan s\u00f6zle\u015fmeye dayal\u0131 istihdamla ortadan kalkm\u0131\u015f, i\u015f y\u00fck\u00fc ve \u015fiddet tehdidi, b\u00fct\u00fcn bunlara ba\u011fl\u0131 olarak da emek\u00e7iler a\u00e7\u0131s\u0131ndan kendini de\u011fersiz hissetme duygusu artm\u0131\u015ft\u0131r. Bireysel ve tek tarafl\u0131 s\u00f6zle\u015fmelerle \u00fccretlerin ve \u00e7al\u0131\u015fma s\u00fcresinin belirlenmesi \u00fccret ve i\u015f g\u00fcvencesizli\u011fi yaratmaktad\u0131r. Bug\u00fcne kadar yap\u0131lan her de\u011fi\u015fiklikte geriye gidilmi\u015f, hak kay\u0131plar\u0131 hatta cezaland\u0131rmalar olu\u015fturulmu\u015ftur. T\u00fcm bunlar halk\u0131n ve sa\u011fl\u0131k \u00f6rg\u00fctlerinin itirazlar\u0131na ra\u011fmen \u0131srarla uygulanmaktad\u0131r.<\/p>\n
Sa\u011fl\u0131k bakanl\u0131\u011f\u0131 y\u00fcr\u00fctt\u00fc\u011f\u00fcm\u00fcz m\u00fccadele sonucunda taleplerimizi tam olarak kar\u0131\u015f\u0131lmasa bile k\u0131smi bir iyile\u015ftirme yapmak zorunda kalm\u0131\u015ft\u0131r. Ancak, Sa\u011fl\u0131k Bakan\u0131n\u0131n alg\u0131 yaratarak birinci basamak sa\u011fl\u0131k hizmetlerinin t\u00fcm sorunlar\u0131n\u0131n \u00e7\u00f6z\u00fcmlenmi\u015f g\u00f6sterdi\u011fi y\u00f6netmelikte halen \u201ck\u00fcme d\u0131\u015f\u0131\u201d \u00e7ok ki\u015fi b\u0131rak\u0131lm\u0131\u015ft\u0131r.<\/p>\n
Y\u00f6netmelikte;<\/p>\n
Aile Hekimli\u011fi S\u00f6zle\u015fme Ve \u00d6deme Y\u00f6netmeli\u011finde De\u011fi\u015fiklik Yap\u0131larak t\u0131pk\u0131 d\u00f6ner sermaye y\u00f6netmeli\u011findeki gibi yeni bir \u00fccret rejimi getirilmi\u015ftir. Y\u00f6netmelik de\u011fi\u015fikli\u011fi 25\/08\/2022 tarihli Resm\u00ee Gazete \u2019de yay\u0131mlanarak y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015ftir. Ceza puan\u0131na ba\u011fl\u0131 s\u00f6zle\u015fme feshi ciddi bir tehdit olu\u015fturmakta iken yeni y\u00f6netmelikte ihtar puan\u0131 alanlara bir aydan \u00fc\u00e7 aya kadar destek \u00f6demesi yap\u0131lmayaca\u011f\u0131 h\u00fckm\u00fc de getirilmi\u015ftir.<\/p>\n
1.Hali haz\u0131rda aile hekimlerine \u00f6denen \u00fccretin yan\u0131 s\u0131ra \u201cdestek \u00f6demesi\u201d ad\u0131 alt\u0131nda yeni bir \u00f6deme kalemi getirilmi\u015ftir. Buna g\u00f6re; halk sa\u011fl\u0131\u011f\u0131n\u0131n geli\u015ftirilmesi ama\u00e7lanarak tavan \u00fccretinin y\u00fczde 42 si oran\u0131nda \u00f6deme yap\u0131laca\u011f\u0131 belirtilmi\u015ftir. Dolay\u0131s\u0131yla k\u0131smi bir iyile\u015ftirme yap\u0131lm\u0131\u015ft\u0131r. Ancak ihtar puan\u0131nda belirtilen hususlar ile ilgili y\u00f6netmelikle d\u00fczenleme yap\u0131lamayaca\u011f\u0131na dair AYM karar\u0131na ra\u011fmen, bu \u00f6deme yap\u0131l\u0131rken ihtar puan cetvelinde belirtilen ihtar puan\u0131 alanlara bir aydan \u00fc\u00e7 aya kadar destek \u00f6demesi yap\u0131lmayaca\u011f\u0131 h\u00fckm\u00fc getirilerek adeta bir fiile iki ceza mant\u0131\u011f\u0131 i\u015fletilmi\u015ftir. Bu durum yarg\u0131ya ta\u015f\u0131nacakt\u0131r.<\/p>\n
2.Y\u00f6netmelik de\u011fi\u015fikli\u011fi ile t\u0131pk\u0131 ek \u00f6demede oldu\u011fu gibi te\u015fvik \u00f6demesi ad\u0131 alt\u0131nda daha fazla \u00e7al\u0131\u015fma kar\u015f\u0131l\u0131\u011f\u0131nda ilave \u00fccret getirilmi\u015ftir. G\u00fcnl\u00fck muayene say\u0131s\u0131n\u0131n 40\u2019\u0131n \u00fczerine \u00e7\u0131kmas\u0131 halinde tavan \u00fccretin y\u00fczde 10\u2019u ile y\u00fczde 42\u2019si aras\u0131nda te\u015fvik \u00f6demesi getirilmektedir. B\u00f6ylece ne kadar \u00e7ok hasta muayene edilirse o kadar \u00e7ok \u00fccret anlay\u0131\u015f\u0131 getirilerek koruyucu sa\u011fl\u0131k hizmetlerinin yerine getirilmesinde zaman sorunu yaratm\u0131\u015f olacakt\u0131r. Bu durum halk sa\u011fl\u0131\u011f\u0131n\u0131n geli\u015ftirilmesi anlay\u0131\u015f\u0131na ve y\u00f6netmeli\u011fin amac\u0131yla da tezat olu\u015fturdu\u011fu gibi birincil g\u00f6revi koruyucu sa\u011fl\u0131k hizmeti olan ASM\u2019lere de daha fazla muayene yapma bask\u0131s\u0131 getirecektir. Aile hekimliklerinde gelirler biraz arts\u0131n diye muayene edilecek ki\u015fi say\u0131s\u0131 61 veya 76 hasta \u00fcst\u00fcne \u00e7\u0131kar\u0131lmaya \u00e7al\u0131\u015facak ve mesai saatlerinin de uzamas\u0131na neden olacakt\u0131r. Bu durum sa\u011fl\u0131k hizmetlerinin niteli\u011fini d\u00fc\u015f\u00fcrece\u011fi gibi k\u00f6lelik ko\u015fullar\u0131nda \u00e7al\u0131\u015fmay\u0131 artt\u0131racakt\u0131r. Halk\u0131n ve sa\u011fl\u0131k emek\u00e7ilerinin sa\u011fl\u0131\u011f\u0131n\u0131 hi\u00e7e sayan bu uygulaman\u0131n kabul edilebilir yan\u0131 yoktur.<\/p>\n
3.Y\u00f6netmelik de\u011fi\u015fikli\u011fi ile aile hekimlerine getirilen destek \u00f6demesi oran\u0131 y\u00fczde 42 iken aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131na bu oran\u0131n y\u00fczde 3 olarak belirlenmesi yani ekip \u00e7al\u0131\u015fanlar\u0131n\u0131n ek \u00f6demeleri aras\u0131nda %39 oran\u0131nda anormal bir fark olmas\u0131 \u00fccrette adalet ilkesine ayk\u0131r\u0131d\u0131r. Dolay\u0131s\u0131yla bu oran\u0131n mutlaka y\u00fckseltilmesi gerekmektedir. Kald\u0131 ki yine ekibin bir par\u00e7as\u0131 olan ASM\u2019 de \u00e7al\u0131\u015fan i\u015f\u00e7ileri ise bu ek \u00f6demeden hi\u00e7bir \u015fekilde yararlanamayacakt\u0131r. Bu ayr\u0131mc\u0131l\u0131\u011f\u0131 kabullenmek m\u00fcmk\u00fcn de\u011fildir.<\/p>\n
4.Halihaz\u0131rdaki uygulamada kay\u0131tl\u0131 n\u00fcfus say\u0131s\u0131na g\u00f6re \u00f6deme alan aile hekimlerinde, d\u00fc\u015f\u00fck n\u00fcfuslu yeni a\u00e7\u0131lm\u0131\u015f birim ile tam dolulukta olan birimlerdeki ele ge\u00e7ecek \u00fccret fark\u0131 bu d\u00fczenleme ile iyice a\u00e7\u0131laca\u011f\u0131 a\u015fikard\u0131r. B\u00f6ylece e\u015fitler aras\u0131ndaki dengede bozularak, aile hekimli\u011fi sisteminde olumsuz tart\u0131\u015fmalar artacakt\u0131r.<\/p>\n
SES olarak d\u00f6ner sermaye ve ek \u00f6demeye, Te\u015fvik\u2019e dayal\u0131 \u00f6deme sistemi yerine tek kalemde, emeklili\u011fe yans\u0131yacak, insanca ya\u015famam\u0131za yetecek, yoksulluk s\u0131n\u0131r\u0131 ve OECD ortalamalar\u0131 d\u00fczeyinde bir \u00fccret istemekteyiz. \u00dccret rejiminin gelir getirip getirmemeye, performansa, te\u015fvike, katsay\u0131lara ba\u011flanmas\u0131, meslek gruplar\u0131n\u0131n kendileri aras\u0131nda ve di\u011fer meslekler aras\u0131nda gelir fark\u0131 yarat\u0131lmas\u0131 sa\u011fl\u0131k sisteminin sorunlar\u0131n\u0131 \u00e7\u00f6zmek yerine daha ciddi sorunlara yol a\u00e7maktad\u0131r ki son zamanda yap\u0131lan d\u00fczenlemeler k\u0131sa s\u00fcrede sahada yaratt\u0131\u011f\u0131 sorunlar nedeniyle yeniden revize edilmektedir. Oysa biz sa\u011fl\u0131k emek\u00e7ilerinin revizyona de\u011fil sa\u011fl\u0131\u011f\u0131n finansman, organizasyon ve y\u00f6netim a\u00e7\u0131s\u0131ndan koruyucu sa\u011fl\u0131k hizmetlerine odaklanarak yeniden in\u015fa edilmesine ihtiyac\u0131m\u0131z oldu\u011funu d\u00fc\u015f\u00fcnmekteyiz. Sa\u011fl\u0131k emek\u00e7ilerinin de di\u011fer devlet memurlar\u0131 gibi uluslararas\u0131 s\u00f6zle\u015fmelerden, insan hak ve h\u00fcrriyetlerinden, \u00e7al\u0131\u015fma haklar\u0131ndan, anayasal haklar\u0131ndan kaynakl\u0131 olarak gelir getirme ko\u015fuluna ba\u011flanmadan gelirleri art\u0131r\u0131lmal\u0131d\u0131r. SES olarak \u00e7al\u0131\u015f\u0131rken ve emeklilikte insanca ya\u015famaya yetecek \u00fccret m\u00fccadelemizden hi\u00e7bir ko\u015fulda vazge\u00e7miyoruz.<\/p>\n
Bu konudaki temel taleplerimizi hayata ge\u00e7irinceye kadar hukuk m\u00fccadelesi ve sendikal m\u00fccadeleyi sa\u011fl\u0131k emek ve meslek \u00f6rg\u00fctleriyle birlikte ayr\u0131\u015fmadan, dayan\u0131\u015fmayla s\u00fcrd\u00fcrmeye devam edece\u011fiz.<\/p>\n
Dr.Birt\u00fcrk \u00d6zkavak<\/p>\n
SES ESK\u0130\u015eEH\u0130R \u015eUBE BA\u015eKANI<\/p>\n
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\u015eARTLI DESTEK, \u015eARTLI TE\u015eV\u0130K DE\u011e\u0130L YOKSULLUK SINIRI \u00dcZER\u0130NDE \u0130NSANCA YA\u015eAMAYA YETECEK TEMEL \u00dcCRET \u0130ST\u0130YORUZ De\u011ferli Bas\u0131n Emek\u00e7ileri, De\u011ferli Eski\u015fehirliler Ge\u00e7ti\u011fimiz haftalarda Bakanl\u0131 hastaneler i\u00e7in i\u00e7inde bir\u00e7ok adaletsizlik bar\u0131nd\u0131ran ek \u00f6deme y\u00f6netmeli\u011fi yay\u0131nlam\u0131\u015f ancak ASM ve T\u0131p Fak\u00fcltesi \u00e7al\u0131\u015fanlar\u0131 unutulmu\u015ftu. Bunun \u00fczerine SES olarak \u00fclke \u00e7ap\u0131nda eylem ve […]<\/p>\n","protected":false},"author":2,"featured_media":4508,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4507","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\/4507","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=4507"}],"version-history":[{"count":1,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4507\/revisions"}],"predecessor-version":[{"id":4509,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4507\/revisions\/4509"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/4508"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4507"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}