{"id":51773,"date":"2022-11-07T13:51:07","date_gmt":"2022-11-07T13:51:07","guid":{"rendered":"https:\/\/haberulus.net\/?p=51773"},"modified":"2022-11-07T13:51:07","modified_gmt":"2022-11-07T13:51:07","slug":"aile-hekimleri-tek-tarafli-sozlesme-ile-degil-guvenceli-calismak-istiyoruz","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=51773","title":{"rendered":"Aile Hekimleri: Tek tarafl\u0131 s\u00f6zle\u015fme ile de\u011fil g\u00fcvenceli \u00e7al\u0131\u015fmak istiyoruz"},"content":{"rendered":"<p><b>TTB Aile Hekimli\u011fi Kolu, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n iki y\u0131lda bir aile hekimleri ve di\u011fer ASM sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131yla yapt\u0131\u011f\u0131 tek tarafl\u0131 s\u00f6zle\u015fme \u00f6ncesi 2022-2024 d\u00f6nemi i\u00e7in haz\u0131rlad\u0131\u011f\u0131 s\u00f6zle\u015fme taleplerini kamuoyu ile payla\u015ft\u0131. TTB Aile Hekimli\u011fi Kolu Sekreteri Sibel Uyan, &#8220;Tek tarafl\u0131 s\u00f6zle\u015fme ile de\u011fil g\u00fcvenceli \u00e7al\u0131\u015fmak istiyoruz&#8221; dedi.\u00a0<\/b><\/p>\n<p>T\u00fcrk Tabipleri Birli\u011fi (TTB) Aile Hekimli\u011fi Kolu (AHEK) Orta Anadolu B\u00f6lge Toplant\u0131s\u0131 Eski\u015fehir&#8217;de yap\u0131ld\u0131. Eski\u015fehir Bilecik Tabip Odas\u0131\u2019nda d\u00fczenlenen toplant\u0131da, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ile aile hekimleri ve di\u011fer ASM \u00e7al\u0131\u015fanlar\u0131 aras\u0131nda tek tarafl\u0131 yap\u0131lan s\u00f6zle\u015fme \u00f6ncesi talepler g\u00f6r\u00fc\u015f\u00fcld\u00fc.<\/p>\n<p>Toplant\u0131ya,\u00a0TTB Merkez Konseyi \u00fcyeleri Dr. Adalet \u00c7\u0131b\u0131k, Dr. Alican Bahad\u0131r, Dr. Ayd\u0131n \u015eirin ve Dr. Kaz\u0131m Do\u011fan Ero\u011fullar\u0131, Eski\u015fehir-Bilecik Tabip Odas\u0131 y\u00f6netici ve \u00fcyeleri ile \u0130stanbul, Ankara, \u0130zmir, Bursa, \u015eanl\u0131urfa, Gaziantep, Bal\u0131kesir, Manisa ve Denizli&#8217;den aile hekimleri kat\u0131ld\u0131.<\/p>\n<p><strong>\u201cTALEPLER\u0130M\u0130Z KABUL G\u00d6RENE TEK M\u00dcCADELEM\u0130Z DEVAM EDECEK\u201d<\/strong><\/p>\n<p>\u201cTek tarafl\u0131 s\u00f6zle\u015fme ile de\u011fil g\u00fcvenceli \u00e7al\u0131\u015fmak istiyoruz\u201d diyen TTB Aile Hekimli\u011fi Kolu Sekreteri Sibel Uyan \u015funlar\u0131 s\u00f6yledi:<\/p>\n<p>\u201cHaz\u0131rlad\u0131\u011f\u0131m\u0131z s\u00f6zle\u015fme, taleplerimiz hem toplumun sa\u011fl\u0131k hakk\u0131 hem de birinci basamak sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n haklar\u0131n\u0131 g\u00f6zeterek haz\u0131rlanm\u0131\u015ft\u0131r. Toplumun ihtiyac\u0131 kadar ve yarar\u0131na olacak koruyucu sa\u011fl\u0131\u011f\u0131n \u00f6nemsendi\u011fi kamu g\u00fcc\u00fcyle sunulacak birinci basamak sa\u011fl\u0131k hizmetleri ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ceza ve performansa dayal\u0131 olmayan g\u00fcvence i\u00e7eren eme\u011finin kar\u015f\u0131l\u0131\u011f\u0131 bir \u00fccret ve di\u011fer haklar\u0131n\u0131n korundu\u011fu s\u00f6zle\u015fme taleplerimiz kabul g\u00f6rene dek m\u00fccadelemizi en etkin bir \u015fekilde s\u00fcrd\u00fcrece\u011fiz.\u201d<\/p>\n<p><strong>\u201c\u00c7ALI\u015eANLARIN HAKLARI KAR\u015eILANMALIDIR\u201d<\/strong><\/p>\n<p>ASM&#8217;de \u00e7al\u0131\u015fan hekimlere her alt\u0131 ayda bir sendikalar taraf\u0131ndan belirlenen yoksulluk s\u0131n\u0131r\u0131 rakamlar\u0131n\u0131n en az 2 kat\u0131n\u0131n alt\u0131nda olmamak kayd\u0131yla, net temel \u00fccret \u00f6denmesini talep ettiklerini ifade eden Uyan taleplerini \u015fu \u015fekilde s\u0131ralad\u0131:<\/p>\n<p>\u201cBirinci basamak sa\u011fl\u0131k hizmetleri; \u2018koruyucu hizmetlerin&#8217; temel al\u0131nd\u0131\u011f\u0131, toplumun t\u00fcm\u00fcne, ihtiyac\u0131 olan, b\u00f6lge ve n\u00fcfus tabanl\u0131, e\u015fit, ula\u015f\u0131labilir, tamamen \u00fccretsiz, yeterli ve nitelikli insan g\u00fcc\u00fcyle, birinci ve ikinci basamak kurumlar\u0131yla kar\u015f\u0131l\u0131kl\u0131 i\u015f birli\u011fi i\u00e7inde sunulmal\u0131d\u0131r.<\/p>\n<p>Topluma y\u00f6nelik birinci basamak koruyucu sa\u011fl\u0131k hizmetlerinin yeterli d\u00fczeyde sunulmas\u0131 i\u00e7in, bula\u015f\u0131c\u0131 hastal\u0131klar, salg\u0131n kontrol\u00fc, adli t\u0131bbi hizmetleri ve \u00f6l\u00fcm kay\u0131t hizmetleri, \u00e7evre sa\u011fl\u0131\u011f\u0131 hizmetleri, evde sa\u011fl\u0131k hizmetleri, a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 hizmetleri veren kurum ve birimlerin kadrolar\u0131 g\u00fc\u00e7lendirilmeli, \u00e7al\u0131\u015fanlar\u0131n temel haklar\u0131 yeterli d\u00fczeyde kar\u015f\u0131lanmal\u0131d\u0131r.<\/p>\n<p>Birinci basamak sa\u011fl\u0131k hizmetinin; \u00e7e\u015fitli nedenlerden dolay\u0131 Aile Hekimlerine kay\u0131tl\u0131 olmayan ki\u015filere (s\u0131\u011f\u0131nmac\u0131, mevsimlik i\u015f\u00e7i, kimliksizlere vs.) misafir n\u00fcfusa da, \u00e7al\u0131\u015fanlar\u0131n eme\u011finin kar\u015f\u0131lanmas\u0131 ko\u015fuluyla sunulmas\u0131n\u0131; hekim ba\u015f\u0131na d\u00fc\u015fen n\u00fcfusun, hekimin ald\u0131\u011f\u0131 \u00fccreti de\u011fi\u015ftirmeyecek bi\u00e7imde azalt\u0131lmas\u0131n\u0131 talep ediyoruz.<\/p>\n<p>Pandemi s\u00fcrecinde ya\u015fad\u0131\u011f\u0131m\u0131z en \u00f6nemli sorunlardan biri hizmet verilen ASM mek\u00e2nlar\u0131m\u0131z\u0131n, binalar\u0131m\u0131z\u0131n uygunsuzlu\u011fu olmu\u015ftur. Bu durum hem sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n hem de hizmet alan halk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 olduk\u00e7a olumsuz etkilemektedir. ASM&#8217;lerin standart projeler d\u00e2hilinde, A s\u0131n\u0131f\u0131 stat\u00fcs\u00fcnde kamu binalar\u0131nda hizmet vermesi, ortak kullan\u0131lacak demirba\u015f ve t\u0131bb\u0131 malzemelerin sa\u011flanmas\u0131, yenilenmesi, binalar\u0131n her t\u00fcrl\u00fc bak\u0131m onar\u0131m ihtiyac\u0131n\u0131n zaman\u0131nda ve tam olarak sa\u011flanmas\u0131n\u0131 istiyoruz.<\/p>\n<p>ASM&#8217;lerde \u00e7al\u0131\u015fan hekim ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na, kamu g\u00f6revlisi stat\u00fcs\u00fcnde, toplu s\u00f6zle\u015fme ve grev hakk\u0131 i\u00e7eren g\u00fcvenceli\/g\u00fcvenli i\u015f, g\u00fcvenli \u00e7al\u0131\u015fma ortam\u0131n\u0131n sa\u011flanmas\u0131n\u0131 talep ediyoruz.<\/p>\n<p>Aile Sa\u011fl\u0131\u011f\u0131 Birimlerinin baz\u0131lar\u0131nda aile hekimleri tek ba\u015f\u0131na \u00e7al\u0131\u015fmakta, ba\u015fta a\u015f\u0131lama, izlem ve salg\u0131n kontrol hizmetleri olmak \u00fczere hizmetin b\u00fct\u00fcn\u00fcnde aksamalar oldu\u011fu bilinmelidir. Aile hekimlerinin t\u00fcm\u00fc aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131 ile birlikte \u00e7al\u0131\u015facak \u015fekilde yeterli insan g\u00fcc\u00fc sa\u011flanmal\u0131d\u0131r.<\/p>\n<p>Aile hekimli\u011fi hizmetine olumlu katk\u0131s\u0131 olmayan, keyfili\u011fe a\u00e7\u0131k nitelikteki ceza puan\u0131 ve negatif ya da pozitif performans uygulamalar\u0131n\u0131n tamamen kald\u0131r\u0131lmas\u0131n\u0131 talep ediyoruz.<\/p>\n<p>Haftal\u0131k \u00e7al\u0131\u015fma s\u00fcresinin en fazla 40 saat oldu\u011funun kabul edilmesi ve bu s\u00fcreyi a\u015facak \u015fekilde d\u00fczenleme yap\u0131lmas\u0131ndan ka\u00e7\u0131n\u0131lmas\u0131, n\u00f6bet ad\u0131 alt\u0131nda veya ba\u015fka isimlerle esnek ve fazla mesai uygulamalar\u0131n\u0131n bir daha g\u00fcndeme getirilememesini talep ediyoruz.<\/p>\n<p>Cezaevleri, kre\u015f, bak\u0131mevleri ve askeri birlikler gibi \u00f6zel hizmet gerektiren gruplara sunulacak birinci basamak sa\u011fl\u0131k hizmetlerinin, ihtiyaca uygun d\u00fczenlenmi\u015f kurum hekimlikleri taraf\u0131ndan verilmesini talep ediyoruz.<\/p>\n<p>Bebek-\u00e7ocuk a\u015f\u0131lar\u0131 ile bebek-\u00e7ocuk ve okul izlemleri, gebe ve 15-49 izlemlerinin tam yap\u0131labilmesi, toplum tabanl\u0131 kanser taramalar\u0131, gerekli e\u011fitim ve bilgilendirmelere yeterli zaman ayr\u0131labilmesi i\u00e7in birim ba\u015f\u0131na ek hem\u015fire kadrosunun sa\u011flanmas\u0131n\u0131 talep ediyoruz.<\/p>\n<p>Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131&#8217;n\u0131n pandemi d\u00f6neminde sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n kullanmas\u0131 amac\u0131yla standartlar\u0131na uygun yeterli d\u00fczeyde ki\u015fisel koruyucu ekipmanlar\u0131n ko\u015fulsuz ve zaman\u0131nda sa\u011flamas\u0131n\u0131 talep ediyoruz.<\/p>\n<p>Aile hekimlerinin, mevzuatta tan\u0131mlanan \u2018hastay\u0131 reddetme\u2019 ve \u2018tedaviyi bitirmeden b\u0131rakma\u2019 haklar\u0131n\u0131 kullanabilmesinin \u00f6n\u00fcndeki engellerin kald\u0131r\u0131lmas\u0131n\u0131 ve konunun ivedilikle de\u011ferlendirilip yerine getirilmesini talep ediyoruz.\u201d<\/p>\n<p><strong>\u201cCOVID-19 MESLEK HASTALI\u011eI OLARAK DE\u011eERLEND\u0130R\u0130LMEL\u0130\u201d<\/strong><\/p>\n<p>\u201cPandemi s\u00fcrecinde onlarca hekim ve sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 mesleklerini yapt\u0131klar\u0131 s\u00fcrede Covid-19 nedeniyle ya\u015famlar\u0131n\u0131 yitirdi, Covid-19 meslek hastal\u0131\u011f\u0131 olarak de\u011ferlendirilip, bunun i\u00e7in yasal d\u00fczenleme yap\u0131lmal\u0131d\u0131r. Hekimlik mesle\u011finin riskli meslek grubu i\u00e7inde de\u011ferlendirilerek, mesleki y\u0131pranma ve g\u00f6rev tazminat\u0131n\u0131n \u00f6denmesi i\u00e7in gerekli yasal d\u00fczenlemelerin geriye d\u00f6n\u00fckte yap\u0131lmas\u0131n\u0131 talep ediyoruz.<\/p>\n<p>K\u0131dem tazminat\u0131 \u00f6zelden aile hekimli\u011fine ge\u00e7en meslekta\u015flar\u0131m\u0131za ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131na da e\u015fitlik ilkesi gere\u011fi \u00f6denmelidir.<\/p>\n<p>Ayr\u0131ca, aile hekimli\u011fi uzmanl\u0131k e\u011fitimi planlan\u0131rken hekimlerin birinci basamak sa\u011fl\u0131k hizmetinde ge\u00e7irmi\u015f oldu\u011fu s\u00fcre ve deneyimler dikkate al\u0131n\u0131p, TTB Genel Pratisyenlik Enstit\u00fcs\u00fc&#8217;n\u00fcn (GPE) bu alandaki \u00e7al\u0131\u015fmalar\u0131n\u0131n temel al\u0131nd\u0131\u011f\u0131 tamamlay\u0131c\u0131 bir program\u0131n ivedilikle ya\u015fama ge\u00e7irilmesini talep ediyoruz.<\/p>\n<p>Aile hekimi asistanlar\u0131n\u0131n saha e\u011fitimlerinin standardize edilmesi, aile hekimi uzmanlar\u0131n\u0131n aile hekimi olarak sadece birinci basamak birimlerinde istihdam edilmesini \u00f6neriyoruz.<\/p>\n<p>Aile Hekimli\u011fi Sistemine ge\u00e7ilmesiyle kapat\u0131lan \u2018Adli T\u0131p Birimleri\u2019nin, illerin n\u00fcfuslar\u0131na g\u00f6re yeniden olu\u015fturularak adli raporlar\u0131n ve defin ruhsatlar\u0131n\u0131n verilmesi i\u015finin bu konuda e\u011fitim alm\u0131\u015f, bilgi, beceri ve deneyim sahibi hekimlerce yap\u0131lmas\u0131 i\u00e7in gerekli d\u00fczenlemelerin yap\u0131lmas\u0131n\u0131 talep ediyoruz.<\/p>\n<p>T\u00fcm kanser taramalar\u0131n\u0131n, toplum sa\u011fl\u0131\u011f\u0131na sa\u011flad\u0131\u011f\u0131 faydas\u0131n\u0131n ve bilimsel ge\u00e7erlili\u011finin g\u00fcncel bilimsel kan\u0131tlar \u0131\u015f\u0131\u011f\u0131nda titizlikle g\u00f6zden ge\u00e7irilmesini talep ediyoruz.<\/p>\n<p>Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na y\u00f6nelik artan \u015fiddet olaylar\u0131na kar\u015f\u0131 ASM d\u00fczeyinde \u00f6nleyici, cayd\u0131r\u0131c\u0131 tedbirlerin al\u0131nmas\u0131n\u0131, ASM\u2019lerin g\u00fcvenli\u011finin Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan ivedilikle sa\u011flanmas\u0131n\u0131, her ASM&#8217;ye bir g\u00fcvenlik eleman\u0131 kadrosunun sa\u011flanmas\u0131n\u0131 talep ediyoruz.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TTB Aile Hekimli\u011fi Kolu, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n iki y\u0131lda bir aile hekimleri ve di\u011fer ASM sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131yla yapt\u0131\u011f\u0131 tek tarafl\u0131 s\u00f6zle\u015fme \u00f6ncesi &#8230;<\/p>\n","protected":false},"author":1,"featured_media":51774,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[9176,1895,1239,8324,177],"class_list":["post-51773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-asm","tag-calisanlari","tag-hekim","tag-hizmetleri","tag-saglik"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/51773","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=51773"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/51773\/revisions"}],"predecessor-version":[{"id":51775,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/51773\/revisions\/51775"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/51774"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=51773"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=51773"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=51773"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}