{"id":58468,"date":"2022-12-06T10:21:03","date_gmt":"2022-12-06T10:21:03","guid":{"rendered":"https:\/\/haberulus.net\/?p=58468"},"modified":"2022-12-06T10:21:03","modified_gmt":"2022-12-06T10:21:03","slug":"doktorlardan-yonetmelik-tepkisi-buzdaginin-gorunmeyen-kismi-da-var","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=58468","title":{"rendered":"Doktorlardan y\u00f6netmelik tepkisi: Buzda\u011f\u0131n\u0131n g\u00f6r\u00fcnmeyen k\u0131sm\u0131 da var\u2026"},"content":{"rendered":"

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan Ocak 2023 itibariyle uygulamaya konacak y\u00f6netmelik ile T\u00fcrkiye genelinde muayenehanesi bulunan 4.500’i cerrah olmak \u00fczere toplam 7 bin doktorun sistem d\u0131\u015f\u0131na itilece\u011fi tart\u0131\u015f\u0131l\u0131yor.<\/p>\n

Y\u00f6netmeli\u011fin iptalini isteyen hekimler, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019na dava a\u00e7acaklar\u0131n\u0131 duyururken konu hakk\u0131nda bir de kamuoyuna a\u00e7\u0131klama yapt\u0131lar.<\/p>\n

\u20187 B\u0130N DOKTOR S\u0130STEM DI\u015eINA \u0130T\u0130LD\u0130\u011e\u0130N\u0130 G\u00d6ZLER \u00d6N\u00dcNE SER\u0130YOR’<\/strong><\/p>\n

45 t\u0131p derne\u011fi temsilcisinin kat\u0131ld\u0131\u011f\u0131 bas\u0131n toplant\u0131s\u0131nda konu\u015fan\u00a0Muayenehaneler Derne\u011fi Ba\u015fkan\u0131 Dr. Cihangir \u00c7ak\u0131c\u0131,\u00a0\u00a0\u201cS\u00f6z konusu d\u00fczenleme anayasayla, kanunlar ve hukukun temel ilkeleriyle ters d\u00fc\u015fmektedir. Gerek doktorlar gerekse hastalar i\u00e7in istenmeyen sonu\u00e7lar do\u011furan bu durum, sa\u011fl\u0131k sekt\u00f6r\u00fc i\u00e7inde \u00e7\u0131kmazlar\u0131 beraberinde getirecektir. Hekimlerin ba\u011f\u0131ms\u0131z \u00e7al\u0131\u015fma hakk\u0131, hastalar\u0131n hekim ve sa\u011fl\u0131k kurulu\u015fu se\u00e7me hakk\u0131 ellerinden al\u0131nd\u0131\u011f\u0131 gibi k\u00fc\u00e7\u00fck ve orta \u00f6l\u00e7ekli hastaneler i\u00e7inde k\u0131sa vadede s\u0131k\u0131nt\u0131l\u0131 s\u00fcre\u00e7ler g\u00f6r\u00fclmesi a\u015fikard\u0131r.<\/p>\n

Y\u00f6netmelik ilk bak\u0131ld\u0131\u011f\u0131nda muayenehanesi olan 7 bin doktorun sistem d\u0131\u015f\u0131na itildi\u011fini g\u00f6zler \u00f6n\u00fcne seriyor. Buzda\u011f\u0131n\u0131n g\u00f6r\u00fcnmeyen k\u0131sm\u0131nda ise hastalar\u0131n doktor ve hastane se\u00e7me \u00f6zg\u00fcrl\u00fc\u011f\u00fcn\u00fcn k\u0131s\u0131tlamas\u0131, serbest \u00e7al\u0131\u015fan hekimlerin \u00fcrettikleri sa\u011fl\u0131k hizmeti ve yaratt\u0131klar\u0131 istihdam\u0131n engellemesi, nitelikli insan g\u00fcc\u00fcn\u00fcn devre d\u0131\u015f\u0131 b\u0131rak\u0131lmas\u0131, i\u015f g\u00fcc\u00fc g\u00f6\u00e7\u00fcn\u00fcn artmas\u0131na zemin olu\u015fturmas\u0131 ve sa\u011fl\u0131k turizminin zarar g\u00f6rmesine kadar varan sonu\u00e7lar\u0131 beraberinde getirdi. Sa\u011fl\u0131k turizmi konusunda d\u00fcnyada 5. olan T\u00fcrkiye, ya\u015fanan komplikasyonlar konusunda d\u00fcnya standartlar\u0131n\u0131n \u00fcst\u00fcnde de\u011fil\u201d\u00a0dedi.<\/p>\n

\"\"<\/p>\n

Y\u00d6NETMEL\u0130K 2023’TE UYGULAMAYA KONACAK<\/strong><\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan Ocak 2023 itibariyle uygulamaya konacak y\u00f6netmeli\u011fin iptali i\u00e7in bug\u00fcne kadar yapt\u0131klar\u0131 t\u00fcm \u00e7a\u011fr\u0131lara sessiz kal\u0131nd\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Do\u00e7. Dr. \u00c7ak\u0131c\u0131, \u201c\u00d6zellikle sa\u011fl\u0131k turizmi ile gelen hastalar\u0131n kay\u0131t alt\u0131na al\u0131namamas\u0131n\u0131n\u00a0 gerek\u00e7e g\u00f6sterilmesinin kabul edilemeyecek bir durum. Gerekli denetimlerin yap\u0131lmas\u0131 i\u00e7in var olan birimler yine Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’na ba\u011fl\u0131.<\/p>\n

D\u00fczenlemenin dayand\u0131r\u0131ld\u0131\u011f\u0131 gerek\u00e7e sistemi de\u011fi\u015ftirmeyle de\u011fil, denetlemeyle \u00e7\u00f6z\u00fcm bulur.\u00a0Bu noktada muayenehane doktorlar\u0131 yasalara uygun olarak g\u00f6revlerini yerine getiriyor.\u00a0 Yapt\u0131klar\u0131 t\u00fcm operasyonlar hastaneler taraf\u0131ndan her ay sa\u011fl\u0131k m\u00fcd\u00fcrl\u00fcklerine ve her y\u0131l vergi daireleri m\u00fcd\u00fcrl\u00fcklerine bildiriliyor.<\/p>\n

Ba\u015fka aksakl\u0131klar\u0131n tespiti halinde sorunun giderilmesi i\u00e7in Bakanl\u0131\u011fa ba\u011fl\u0131 t\u00fcm birimlerin i\u015flerini kolayla\u015ft\u0131racak Anayasa ve yasalara uygun \u00e7\u00f6z\u00fcm \u00f6nerileri ile masaya oturmaya da haz\u0131r\u0131z\u201d dedi.<\/p>\n

\u2018185 B\u0130N DOKTORUN SERBEST \u00c7ALI\u015eMA \u00d6ZG\u00dcRL\u00dc\u011e\u00dc ORTADAN KALKACAK’<\/strong><\/p>\n

Muayenehaneler Derne\u011fi \u0130stanbul Temsilcisi Dr. Murat Emaneto\u011flu ise serbest \u00e7al\u0131\u015fma hakk\u0131n\u0131n di\u011fer mesleklerde oldu\u011fu gibi hekimlerinde hakk\u0131 oldu\u011funun alt\u0131n\u0131 \u00e7izerek, \u201cY\u00f6netmelik ile 185 bin doktorun serbest \u00e7al\u0131\u015fma \u00f6zg\u00fcrl\u00fc\u011f\u00fc ortadan kalkacak. Hizmete a\u00e7\u0131lan ve yatak kapasiteleri verimli kullan\u0131lmayan \u015eehir Hastaneleri ile di\u011fer Devlet hastanelerinde serbest hekimlerin, yatan hastalar\u0131n\u0131n tedavi ve ameliyatlar\u0131n\u0131 yapabilmeleri i\u00e7in t\u00fcm d\u00fczenlemelerin yap\u0131lmas\u0131 gerekir.<\/p>\n

Benzer bi\u00e7imde kamuda g\u00f6revli hekimlerin de belirli mesai saatleri d\u0131\u015f\u0131nda kay\u0131tl\u0131 ve vergilendirilmi\u015f olarak serbest hekimlik yapabilmeleri, \u00f6zel hastane ve t\u0131p merkezlerinde \u00e7al\u0131\u015fabilmeleri sa\u011flanmal\u0131d\u0131r. \u0130nsan kayna\u011f\u0131m\u0131z\u0131 kamu-\u00f6zel olarak maksimuma \u00e7\u0131kararak en verimli \u015fekilde kullanman\u0131n yolunun bu oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz\u201d diye konu\u015ftu.<\/p>\n

T\u00fcrk Jinekoloji ve Obstetrik Derne\u011fi ad\u0131na toplant\u0131da konu\u015fan Dr. Turgut Ayd\u0131n da bu d\u00fczenlemenin sadece hekimin de\u011fil ayn\u0131 zamanda hastan\u0131n da ma\u011fduriyetine sebep olaca\u011f\u0131n\u0131 s\u00f6yleyerek, \u201c\u015eu an hastanede kadrolu \u00e7al\u0131\u015fan ve bu d\u00fczenlemeden etkilenmeyen bir hekim, \u00e7al\u0131\u015ft\u0131\u011f\u0131 kurumdan ayr\u0131lmak durumunda oldu\u011funda mesle\u011fini nerede ve nas\u0131l icra edecektir. S\u00f6z konusu d\u00fczenleme, meslekta\u015flar\u0131m\u0131z\u0131n hekimlik uygulamalar\u0131nda sadece cerrahi k\u0131sm\u0131n\u0131 ellerinden al\u0131p kad\u00fck b\u0131rakmayacak, ayn\u0131 zamanda hastaya yakla\u015f\u0131m algoritmalar\u0131n\u0131 da sekteye u\u011fratacakt\u0131r\u201d dedi.<\/p>\n

Bas\u0131n toplas\u0131nda s\u00f6z alan Riskli Gebelikler ve Riskli Bebekler Derne\u011fi’nden Dr. Arda Lambet, \u201cHastalar\u0131m\u0131z\u0131n hekim se\u00e7me \u00f6zg\u00fcrl\u00fc\u011f\u00fcn\u00fc tamam\u0131yla ortadan kald\u0131ran ve \u00a0biz hekimlerin de i\u015fini yapmas\u0131na s\u0131n\u0131rlama getiren bu y\u00f6netmeli\u011fin problem do\u011furaca\u011f\u0131 a\u015fik\u00e2rd\u0131r. \u0130vedilikle geri \u00e7ekilmesini\u00a0bekliyoruz\u201d \u015feklinde konu\u015ftu.<\/p>\n

\u2018BU Y\u00d6NETMEL\u0130K KAMUSAL HEK\u0130M A\u00c7I\u011eINI KAPATMAK \u0130\u00c7\u0130N HAZIRLANMI\u015eTIR’<\/strong><\/p>\n

T\u00fcrk Plastik, Rekonstr\u00fcktif ve Estetik Cerrahi Derne\u011fi’inden Dr. H\u00fcseyin G\u00fcner, son y\u0131llarda sa\u011fl\u0131k hizmetlerinde \u00f6zel sekt\u00f6r\u00fcn ve zincir hastanelerin pay\u0131 artarken, kamusal sa\u011fl\u0131k hizmetlerinin \u00f6zel bir i\u015fletme mant\u0131\u011f\u0131 ile ele al\u0131nd\u0131\u011f\u0131n\u0131 belirterek, \u201cBu mant\u0131kla haz\u0131rland\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fcz son y\u00f6netmelik, do\u011frudan muayenehaneleri hedef almaktad\u0131r.<\/p>\n

Zira cerrahi bran\u015flar ve bir \u00e7ok dahili bran\u015f hastanelerden ve laboratuarlardan hizmet almadan mesle\u011fini icra edemez. Muayenehane hekimleri art\u0131k ameliyat yapamayacak. Oysa i\u015fimiz ameliyat yapmak. Zira bir\u00e7ok yan\u0131k hasta, dudak damak yar\u0131\u011f\u0131 olan bebekler, eli, kolu, baca\u011f\u0131, y\u00fcz\u00fc anomalili do\u011fan \u00e7ocuklar, parma\u011f\u0131 kopan ya da yaralanan i\u015f\u00e7iler, y\u00fcz\u00fc, g\u00f6z\u00fc yaralanan \u00e7ocuklar gibi bir\u00e7oklar\u0131 \u00f6zel muayenehanelerden yararlanamayacaklar.<\/p>\n

Bir\u00e7ok kanserli hastan\u0131n tedavisi aksayacak. Ge\u00e7mi\u015fte kamuda \u00fccretli \u00e7al\u0131\u015fan doktorlar yar\u0131 zamanl\u0131 devlette ve yar\u0131 zamanl\u0131 \u00f6zel muayenehanesinde \u00e7al\u0131\u015fabiliyordu. B\u00f6ylece az say\u0131da hekim olmas\u0131na ra\u011fmen hem kamusal hem de \u00f6zel sa\u011fl\u0131k hizmetleri aksamadan devam ediyordu. \u00d6nce hekimler tercih yapmaya zorland\u0131 ve muayenehanelerini kapatmadan kamuda \u00e7al\u0131\u015famayacaklar\u0131 s\u00f6ylendi. Bir gurup hekim muayenehaneleri tercih ederek kazan\u0131lm\u0131\u015f kamusal kurumda \u00e7al\u0131\u015fma hakk\u0131ndan vazge\u00e7ti.<\/p>\n

Di\u011ferleri kamuda tam zamanl\u0131 \u00e7al\u0131\u015fmaya ge\u00e7erek kazan\u0131lm\u0131\u015f muayenehane hakk\u0131ndan vazge\u00e7ti. Bu tercih g\u00f6n\u00fcll\u00fc olmad\u0131, zorunlu oldu. Bu uygulama sonu\u00e7 vermedi ve zamanla hekim a\u00e7\u0131\u011f\u0131 h\u0131zla artt\u0131. Daha az say\u0131da hekimle daha nitelikli sa\u011fl\u0131k hizmeti verirken bug\u00fcn, daha fazla hekimle daha niteliksiz hizmet \u00fcretmekteyiz.<\/p>\n

6 Ekim kararlar\u0131 kamusal hekim a\u00e7\u0131\u011f\u0131n\u0131 kapatmak i\u00e7in haz\u0131rlanan ve doktorlar\u0131 kamuda \u00e7al\u0131\u015fmaya zorlayan bir kararname olarak haz\u0131rland\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyoruz. Oysa bizler zaten yar\u0131 zamanl\u0131 kamu hizmetine seve seve destek veririz. Ve bu a\u00e7\u0131\u011f\u0131 kapat\u0131r\u0131z. Ama bizden g\u00f6r\u00fc\u015f istenmiyor\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"

‘\u00d6zel Hastaneler Y\u00f6netmeli\u011fi’ ile sistem d\u0131\u015f\u0131na itilece\u011fi belirtilen muayenehanesi olan 7 bin doktor ad\u0131na yap\u0131lan ortak a\u00e7\u0131klamada konu\u015fan Muayenehaneler Derne\u011fi Ba\u015fkan\u0131 Dr. Cihangir \u00c7ak\u0131c\u0131 tepkileri dile getirdi.<\/p>\n","protected":false},"author":1,"featured_media":58469,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[317,1239,1368,3541,177],"class_list":["post-58468","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","tag-calisma","tag-hekim","tag-hizmet","tag-muayenehane","tag-saglik"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/58468","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=58468"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/58468\/revisions"}],"predecessor-version":[{"id":58470,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/58468\/revisions\/58470"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/58469"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58468"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58468"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58468"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}