{"id":31450,"date":"2022-08-26T10:21:05","date_gmt":"2022-08-26T10:21:05","guid":{"rendered":"https:\/\/haberulus.net\/?p=31450"},"modified":"2022-08-26T10:21:05","modified_gmt":"2022-08-26T10:21:05","slug":"uslu-durun-cok-hasta-bakin-yoksa-para-vermeyiz-yonetmeligi","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=31450","title":{"rendered":"\u2018Uslu durun, \u00e7ok hasta bak\u0131n, yoksa para vermeyiz y\u00f6netmeli\u011fi\u2019"},"content":{"rendered":"

Resmi Gazete\u2019de d\u00fcn yay\u0131nlanan aile hekimlerinin s\u00f6zle\u015fme \u00f6deme y\u00f6netmeli\u011fine kar\u015f\u0131 \u00e7\u0131kan Birlik Sa\u011fl\u0131k Sen Genel Ba\u015fkan\u0131 Ahmet Do\u011fruyol, bunun \u201cAile hekimlerine uslu durun, \u00e7ok hasta bak\u0131n, yoksa para vermeyiz y\u00f6netmeli\u011fi\u201d oldu\u011funu s\u00f6yledi.<\/b><\/p>\n

Resmi Gazete’de d\u00fcn yay\u0131nlanan Aile Hekimli\u011fi S\u00f6zle\u015fme ve \u00d6deme y\u00f6netmeli\u011fine kar\u015f\u0131 \u00e7\u0131kan Birlik Sa\u011fl\u0131k Sen Genel Ba\u015fkan\u0131 Ahmet Do\u011fruyol, \u201cBu y\u00f6netmelikle aile hekimlerimiz, hem\u015fire, ebe, sa\u011fl\u0131k memuru olan arkada\u015flar\u0131m\u0131za adeta \u2018Uslu durun, \u00e7ok hasta bak\u0131n, yoksa para vermeyiz’ denilmektedir\u201d dedi.<\/p>\n

Yakla\u015f\u0131k iki bu\u00e7uk y\u0131ldan bu yana devam eden zorlu bir salg\u0131n d\u00f6neminden ge\u00e7en sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na ba\u015fta Sa\u011fl\u0131k Bakan\u0131 olmak \u00fczere kimsenin sahip \u00e7\u0131kmad\u0131\u011f\u0131n\u0131 belirten Do\u011fruyol, \u201cBirinci basamak koruyucu sa\u011fl\u0131k hizmetlerini en iyi \u015fekilde vererek asli g\u00f6revleri vatanda\u015f\u0131 hasta etmemek olan aile hekimlerimize, poliklinik say\u0131s\u0131n\u0131n \u00e7oklu\u011funa g\u00f6re yani ne kadar \u00e7ok hasta bakt\u0131\u011f\u0131na g\u00f6re \u00fccret \u00f6demek abesle i\u015ftigaldir\u201d diye konu\u015ftu.<\/p>\n

\"\"<\/p>\n

\u201cASIL YAPILMASI GEREKEN YAPILMIYOR\u201d<\/strong><\/p>\n

Hizmeti aksatmamak kayd\u0131yla as\u0131l yap\u0131lmas\u0131 gerekenin yap\u0131lmad\u0131\u011f\u0131n\u0131 da s\u00f6zlerine ekleyen Ahmet Do\u011fruyol \u015f\u00f6yle devam etti:<\/p>\n

\u201cKendisine ba\u011fl\u0131 olan n\u00fcfusun koruyucu sa\u011fl\u0131k hizmetlerini en iyi \u015fekilde vererek, m\u00fcmk\u00fcn oldu\u011funca vatanda\u015f\u0131n hasta olmas\u0131n\u0131 engelleyen hekimlerimize performans verilmelidir.\u00a0 Maalesef sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm program\u0131yla sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131m\u0131z\u0131n de\u011fersizle\u015ftirildi\u011fi, sa\u011fl\u0131kta \u015fiddetin artt\u0131\u011f\u0131, \u00e7al\u0131\u015fanlar\u0131m\u0131z\u0131n itibars\u0131zla\u015ft\u0131r\u0131ld\u0131\u011f\u0131,\u00a0\u00a0 sa\u011fl\u0131\u011f\u0131n ticarile\u015ftirildi\u011fi, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131m\u0131z\u0131n t\u00fckenmi\u015flik sendromuna itildi\u011fi y\u00f6netmeliklere bir yenisi daha eklenmi\u015f oldu.<\/p>\n

Koruyucu sa\u011fl\u0131k hizmetlerini bir kenara b\u0131rakarak, daha \u00e7ok hasta bak, daha \u00e7ok tetkik yap, daha \u00e7ok ila\u00e7 yaz ve hi\u00e7bir \u015feye itiraz etme, sesini \u00e7\u0131karma, uslu \u00e7ocuk ol, mant\u0131\u011f\u0131yla \u00e7\u0131kart\u0131lm\u0131\u015f olan y\u00f6netmelik, yo\u011fun \u00e7al\u0131\u015fma ko\u015fullar\u0131 alt\u0131nda ezilen hekim ve hem\u015firelerimizin daha \u00e7ok t\u00fckenmesi demektir.<\/p>\n

Mevcut y\u00f6netmelikle, \u00e7ocuklar\u0131m\u0131z\u0131n a\u015f\u0131lar\u0131n\u0131 yapan, gebelerin takiplerini yapan, tek tek hastalar\u0131 arayan, onlar\u0131 \u00f6m\u00fcr boyu koruyacak a\u015f\u0131lar\u0131n\u0131 anne ve babas\u0131ndan daha fazla takip eden, milyonlar \u00e7ocu\u011fumuzun otizm taramalar\u0131n\u0131n, milyonlarca vatanda\u015f\u0131m\u0131z\u0131n kanser taramalar\u0131n\u0131n yap\u0131lmas\u0131 i\u00e7in fedakarca \u00e7al\u0131\u015fan aile hekimli\u011finde g\u00f6rev yapan hekim d\u0131\u015f\u0131 sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131m\u0131z da yay\u0131nlanan y\u00f6netmelikle yok say\u0131lm\u0131\u015flard\u0131r.\u201d<\/p>\n

\u201cYARGININ \u0130PTAL ETT\u0130\u011e\u0130 \u0130HTAR PUANLARI YEN\u0130DEN GET\u0130R\u0130LMES\u0130 HUKUKSUZLUK\u201d<\/strong><\/p>\n

Daha yarg\u0131n\u0131n yeni iptal etti\u011fi ihtar puanlar\u0131n\u0131n, bu y\u00f6netmelikle tekrar hekimlerin \u00f6n\u00fcne konarak ihtar puan\u0131 al\u0131rsan paran\u0131 keserim demenin hukuk d\u0131\u015f\u0131 oldu\u011funu da belirten Do\u011fruyol, \u201cSa\u011fl\u0131k Bakanl\u0131\u011f\u0131m\u0131z\u0131n \u00f6ncelikli g\u00f6revi, koruyucu sa\u011fl\u0131k hizmetleri \u00fczerine yo\u011funla\u015fmak, vatanda\u015f\u0131n erken te\u015fhis ve tedavi hizmeti almas\u0131n\u0131 sa\u011flamak, son g\u00fcnlerde kamu hastanelerimizden randevu alamayan hastalar\u0131m\u0131za doktor temin etmektir.<\/p>\n

Aile hekimli\u011finde g\u00f6rev yapan hekim ve hem\u015firelerimizin eme\u011fini de\u011fersizle\u015ftiren, konu\u015fma, \u00e7ok hasta bak yoksa keserim maa\u015f\u0131n\u0131 zihniyetiyle sa\u011fl\u0131k hizmeti sundurmaya \u00e7al\u0131\u015fmak \u00fcz\u00fcc\u00fcd\u00fcr. Sa\u011fl\u0131k bakanl\u0131\u011f\u0131n\u0131n as\u0131l g\u00f6revi personelini tehdit etmek de\u011fil, hem \u00e7al\u0131\u015fan\u0131n\u0131 sahip \u00e7\u0131kmak, hem de toplumun sa\u011fl\u0131\u011f\u0131n\u0131 korumakt\u0131r\u201d dedi.<\/p>\n

YAYINLANAN Y\u00d6NETMEL\u0130\u011eE G\u00d6RE YAPILAN HESAPLAMALAR<\/strong><\/p>\n

Yeni uygulamada ceza puan\u0131na g\u00f6re kimin ne kadar alaca\u011f\u0131n\u0131 a\u00e7\u0131klayan Do\u011fruyol, \u201cEk \u00f6deme olarak aile hekimlerine birinci destek \u00f6demesi yap\u0131lacak olup, destek \u00f6demesi alabilmeleri i\u00e7in \u00f6n \u015fart ceza puan\u0131 almam\u0131\u015f olmakt\u0131r. \u0130lgili ayda ceza puan\u0131 almayan aile hekimine o ay 5 bin TL net \u00f6deme yap\u0131lacakt\u0131r. 10 ihtar puan\u0131 alana bir ay, 20 ihtar puan\u0131 alana 2 ay, 21 ihtar puan\u0131 \u00fcst\u00fcnde alana 3 ay destek ek \u00f6demesi yap\u0131lmayacakt\u0131r. Bu destek \u00f6demesini ceza puanlar\u0131na ba\u011flam\u0131\u015flar.<\/p>\n

Aile sa\u011fl\u0131\u011f\u0131nda \u00e7al\u0131\u015fan sa\u011fl\u0131k personellerimize; ceza puan\u0131 almayana net 400 TL, 10 ihtar puan\u0131 alana bir ay, 20 ihtar puan\u0131 alana 2 ay, 21 ihtar puan\u0131 \u00fcst\u00fcnde alana 3 ay destekleme ek \u00f6demesi yap\u0131lmayacakt\u0131r. Te\u015fvik ek \u00f6demesi; te\u015fvik ek \u00f6demesi aile hekiminin poliklinik say\u0131s\u0131na yani g\u00fcnl\u00fck bakt\u0131\u011f\u0131 hasta say\u0131s\u0131na ba\u011flanm\u0131\u015f olup, G\u00fcnl\u00fck muayene say\u0131s\u0131 ( rapor ve izinler d\u00fc\u015ft\u00fckten sonra ayl\u0131k toplam muayene say\u0131s\u0131n\u0131n fiilen \u00e7al\u0131\u015f\u0131lan g\u00fcn say\u0131s\u0131na b\u00f6l\u00fcnmesine g\u00f6re) ortalama 41-50 muayene aras\u0131nda ise 1.200 TL, 51-60 muayene aras\u0131nda ise 2 bin 400 TL, 61-75 muayene\u00a0 aras\u0131nda ise 3 bin 600 TL, 76 ve \u00fczeri muayene\u00a0 ise 5 bin TL aile hekimine, sa\u011fl\u0131k personeline ise, aile hekimli\u011fi muayene say\u0131s\u0131; 40- 60 aras\u0131nda ise 200 TL,\u00a0 61\u00a0 ve \u00fczerinde ise 400 TL te\u015fvik ek \u00f6demesi yap\u0131lacakt\u0131r.<\/p>\n

Talebimiz mevcut y\u00f6netmeli\u011fin\u00a0 ceza puan\u0131 ve poliklinik say\u0131s\u0131na endekslenmeden hekim d\u0131\u015f\u0131 sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131m\u0131z\u0131n da varl\u0131\u011f\u0131n\u0131 kabul eden \u015fekilde revize edilmesidir\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"

Resmi Gazete\u2019de d\u00fcn yay\u0131nlanan aile hekimlerinin s\u00f6zle\u015fme \u00f6deme y\u00f6netmeli\u011fine kar\u015f\u0131 \u00e7\u0131kan Birlik Sa\u011fl\u0131k Sen Genel Ba\u015fkan\u0131 Ahmet Do\u011fruyol, bunun …<\/p>\n","protected":false},"author":1,"featured_media":31451,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[1079,624,1239,1726,177],"class_list":["post-31450","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","tag-aile","tag-calisan","tag-hekim","tag-odeme","tag-saglik"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/31450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31450"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/31450\/revisions"}],"predecessor-version":[{"id":31452,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/31450\/revisions\/31452"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/31451"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31450"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}