Tabip Odas\u0131 ve SES \u00a0Mersin \u015eubesi ortak bir bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131. Ger\u00e7ekle\u015ftirdikleri ‘Sa\u011fl\u0131kta Performans \u00c7al\u0131\u015ftay\u0131’n\u0131n sonu\u00e7lar\u0131 kamuoyuyla payla\u015f\u0131larak, Performansa dayal\u0131 \u00fccret, sa\u011fl\u0131kta \u015fiddet ve bask\u0131lar olarak \u00fc\u00e7 temel sorun \u00fczerinde duruldu.<\/p>\n
Mersin Tabip Odas\u0131 ve Sa\u011fl\u0131k ve Sosyal Hizmet Emek\u00e7ileri Sendikas\u0131 (SES) Mersin \u015eubesi performansa dayal\u0131 \u00e7al\u0131\u015fma sisteminin do\u011furdu sonu\u00e7lar \u00fczerine ortak bir bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131. Ge\u00e7ti\u011fimiz haftalarda yapt\u0131klar\u0131, ‘Sa\u011fl\u0131kta Performans \u00c7al\u0131\u015ftay\u0131’ sonu\u00e7lar\u0131n\u0131 kamuoyu ile payla\u015fan Mersin Tabip Odas\u0131 Genel sekreteri Dr. Cemil Galio\u011flu, \u00e7al\u0131\u015ftaya kat\u0131lan; T\u00fcrk Toraks Derne\u011fi, SES Mersin \u015eubesi, Birinci Basamak Birlik ve Dayan\u0131\u015fma Sendikas\u0131 ve MAHDER’in kat\u0131l\u0131m\u0131 ile ger\u00e7ekle\u015fen ve performans\u0131n hekimlere, di\u011fer sa\u011fl\u0131k\u00e7\u0131lara, hekim-hasta ili\u015fkilerine, toplum sa\u011fl\u0131\u011f\u0131na, kamu maliyetine, Birinci Basama\u011fa ve \u00d6zel Hastanelere etkilerinin tart\u0131\u015f\u0131ld\u0131\u011f\u0131 d\u00f6rt grup \u00e7al\u0131\u015fmas\u0131 yapt\u0131klar\u0131n\u0131 belirterek, 3 temel konu hakk\u0131nda \u00e7\u0131kan sonu\u00e7lar\u0131 kamuoyuyla payla\u015ft\u0131lar.\u00a0<\/p>\n
Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131n\u0131n bir uygulamas\u0131 olarak performansa dayal\u0131 (hizmet ba\u015f\u0131) \u00f6deme Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131na ba\u011fl\u0131 kurum ve kurulu\u015flarda 2004 y\u0131l\u0131nda, \u00fcniversite hastanelerinde ise 2011 y\u0131l\u0131ndan itibaren uygulanmaya ba\u015fland\u0131\u011f\u0131n\u0131 ve bu uygulama hekimlerin klinik kararlar\u0131 verirken hastan\u0131n gereksinimi ve t\u0131bb\u0131n olanaklar\u0131 ile var olan bilgi birikimini bir araya getiren mesleki ba\u011f\u0131ms\u0131zl\u0131\u011f\u0131n\u0131 olumsuz y\u00f6nde etkiledi\u011fini belirten Dr. Cemil Galio\u011flu, “Genel olarak hekimin yapt\u0131\u011f\u0131 i\u015f bilgi d\u00fczeyi, beceri d\u00fczeyi ve davran\u0131\u015fsal yeterlikleri ve sonu\u00e7ta nitelikli sa\u011fl\u0131k hizmetinin \u00e7\u0131kt\u0131s\u0131na bak\u0131larak de\u011ferlendirilmelidir. \u00dclkemizde ise halen uygulanan hizmet \u00e7\u0131kt\u0131s\u0131 temelli performans de\u011ferlendirmesinin hekim ve sa\u011fl\u0131k hizmetlerinde olumsuz etkileri bulunmaktad\u0131r. Uygulanan performans sistemi hekimler aras\u0131nda etik d\u0131\u015f\u0131 yar\u0131\u015fmay\u0131 tetikleyip sa\u011fl\u0131k harcamalar\u0131n\u0131 \u00f6l\u00e7\u00fcs\u00fcz ve gereksiz oranda art\u0131rmaktad\u0131r. A\u015f\u0131r\u0131 finansal te\u015fvikler sadece etik de\u011ferleri bozmay\u0131p ayr\u0131ca hukuki sorunlar da olu\u015fturmaktad\u0131r.” ifadelerini kulland\u0131.\u00a0
\nUygulanan performansa dayal\u0131 \u00fccret rejiminin, ekip dayan\u0131\u015fmas\u0131n\u0131 par\u00e7alad\u0131\u011f\u0131n\u0131, hekimi hekime rakip k\u0131ld\u0131\u011f\u0131n\u0131, hekimi ekibin \u00fcyesi olan di\u011fer sa\u011fl\u0131k emek\u00e7ilerine yabanc\u0131la\u015ft\u0131rd\u0131\u011f\u0131n\u0131 ve insan ili\u015fkilerini zedeleyen bir i\u015flev g\u00f6rd\u00fc\u011f\u00fcn\u00fc belirten Galio\u011flu, “Ayr\u0131ca e\u011fitim ve hizmet aras\u0131ndaki dengenin hizmet lehine bozuldu\u011fu, s\u00fcrekli t\u0131p e\u011fitimine olumsuz etkisi oldu\u011fu g\u00f6zlenmi\u015ftir.
\nPerformansa dayal\u0131 \u00e7al\u0131\u015fma sisteminde hekimlerde izin kullanmamaya ba\u011fl\u0131 a\u015f\u0131r\u0131 stres ortaya \u00e7\u0131kt\u0131\u011f\u0131 tespit edilmi\u015ftir. Hekimler de\u011fi\u015fen oranlarda endikasyonsuz m\u00fcdahalelerin, etik olmayan uygulamalar\u0131n malpraktis ve komplikasyon say\u0131s\u0131n\u0131n artt\u0131\u011f\u0131n\u0131, verilen sa\u011fl\u0131k hizmetinin niteli\u011finin ve hasta ba\u015f\u0131na d\u00fc\u015fen muayene s\u00fcresinin d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc ifade etmi\u015flerdir. T\u00fcm bu nedenlerle 15 y\u0131ld\u0131r uygulanan performansa dayal\u0131(hizmet ba\u015f\u0131) \u00f6deme sisteminde defalarca genelgeler ile de\u011fi\u015fiklikler yap\u0131lm\u0131\u015f ancak sorunlar \u00e7\u00f6z\u00fclememi\u015ftir. \u0130\u00e7inden ge\u00e7ti\u011fimiz kriz s\u00fcrecinde sa\u011fl\u0131k emek g\u00fcc\u00fcn\u00fcn daha da de\u011fersizle\u015fece\u011fi, d\u00f6ner sermayelerin \u00f6denemeyece\u011fi ve sa\u011fl\u0131k kurumlar\u0131n\u0131n giderek hizmet \u00fcretme s\u00fcre\u00e7lerinin aksayaca\u011f\u0131 \u00f6ng\u00f6r\u00fclm\u00fc\u015ft\u00fcr.”dedi.<\/p>\n
“Sa\u011fl\u0131kta \u015eiddet Yasas\u0131’n\u0131n bir an \u00f6nce \u00e7\u0131kar\u0131lmas\u0131n\u0131 talep ediyoruz”
\n\u00a0
\nGalio\u011flu, “Sa\u011fl\u0131k hizmetlerine ula\u015f\u0131m hakk\u0131 engellenmi\u015ftir\u201d vurgusu yaparak,\u201d Hizmet niteli\u011fi olumsuz etkilenmi\u015ftir. De\u011ferlere yabanc\u0131la\u015fma h\u0131zlanm\u0131\u015ft\u0131r. \u00c7al\u0131\u015fma bar\u0131\u015f\u0131 bozulmu\u015ftur. Sa\u011fl\u0131kta \u015fiddet yayg\u0131nla\u015fm\u0131\u015ft\u0131r. Emeklili\u011fe yans\u0131mayan bir \u00fccret politikas\u0131 uygulanm\u0131\u015ft\u0131r. G\u00fcvencesiz bir \u00f6deme sistemi yerle\u015ftirilmi\u015ftir.T\u00fcm bu nedenlerle performansa dayal\u0131 d\u00f6ner sermaye uygulamas\u0131na son verilerek temel \u00fccretin ve \u00f6zl\u00fck haklar\u0131n\u0131n g\u00fc\u00e7lendirildi\u011fi, sa\u011fl\u0131kl\u0131 ya\u015fama ve \u00e7al\u0131\u015fma ko\u015fullar\u0131n\u0131n sa\u011fland\u0131\u011f\u0131, nitelikli bir sa\u011fl\u0131k hizmetleri sunumuna ge\u00e7ilmesi ‘Sa\u011fl\u0131kta Performans \u00c7al\u0131\u015ftay\u0131’n\u0131n en belirgin sonu\u00e7lar\u0131ndand\u0131r.”
\nSa\u011fl\u0131kta \u015fiddetin katlanarak artt\u0131\u011f\u0131n\u0131 ve yeni ya\u015fad\u0131klar\u0131 bir \u015fiddet olay\u0131 nedeniyle g\u00fcndemlerinin bir di\u011fer ikinci konusunun, Sa\u011fl\u0131kta \u015eiddet olay\u0131 olu\u015fturdu\u011fu belirten Galio\u011flu,” \u00d6nceki g\u00fcn, madde ba\u011f\u0131ml\u0131s\u0131 bir hastan\u0131n \u0130zmir’de FTR asistanl\u0131\u011f\u0131 yapan bir hekim arkada\u015f\u0131m\u0131z\u0131n bo\u011faz\u0131n\u0131, kesici alet ile kesmesi sonucu a\u011f\u0131r yaralanma meydana gelmi\u015f, hekim arkada\u015f\u0131m\u0131z \u00f6l\u00fcmden d\u00f6nm\u00fc\u015ft\u00fcr. Bu \u015fiddet vakalar\u0131n\u0131 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 kamusal sa\u011fl\u0131k hizmetlerinin tasfiyesi i\u00e7in kullanmakta ve \u00f6zellikle ses \u00e7\u0131kartmamaktad\u0131r. B\u00f6ylelikte sa\u011fl\u0131\u011f\u0131n ticarile\u015fmesinin ve piyasaya terk edilmesinin \u00f6n\u00fc a\u00e7\u0131lmaktad\u0131r.Bizler t\u00fcm sa\u011fl\u0131k \u00f6rg\u00fctleri olarak Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131n\u0131 bir kez daha g\u00f6reve \u00e7a\u011f\u0131r\u0131yor ve ‘Sa\u011fl\u0131kta \u015eiddet Yasas\u0131’n\u0131n bir an \u00f6nce \u00e7\u0131kar\u0131lmas\u0131n\u0131 talep ediyoruz. Bu konuda sabr\u0131m\u0131z\u0131n ta\u015ft\u0131\u011f\u0131n\u0131n ve en k\u0131sa s\u00fcrede gerekli giri\u015fimler yap\u0131lmazsa \u0130\u015e BIRAKMA etkinli\u011finin yurt \u00e7ap\u0131nda \u00f6rg\u00fctlenece\u011finin bilinmesini istiyoruz.” a\u00e7\u0131klamas\u0131nda bulundu.\u00a0<\/p>\n
” G\u00f6zda\u011f\u0131 ve tehdide sessiz kalmayaca\u011f\u0131z”<\/p>\n
\u00dc\u00e7\u00fcnc\u00fc konunun da bir t\u00fcr \u015fiddeti i\u00e7erdi\u011fini vurgusunu yapan Galio\u011flu, “Ak Parti h\u00fck\u00fcmeti gerek TTB’yi ve gerekse muhalif kamu \u00e7al\u0131\u015fanlar\u0131n\u0131 boyunduruk alt\u0131na alamay\u0131nca seslerini k\u0131smaya \u00e7al\u0131\u015fmakta, \u0131srarla do\u011frular\u0131 s\u00f6yleyenleri de kamu g\u00f6revinden ihra\u00e7 etmektedir.Bu \u015fiddetin son kurban\u0131, Tabip Odas\u0131 ve SES \u00fcyesi, merkez delegemiz Dr. Zeki Sinan Do\u011fan’d\u0131r. Ge\u00e7irdi\u011fi ve savc\u0131l\u0131k taraf\u0131ndan “kovu\u015fturmaya yer olmad\u0131\u011f\u0131” karar\u0131 verilen bir soru\u015fturma nedeniyle \u00f6nce Aile Hekimli\u011fi s\u00f6zle\u015fmesi feshedilmi\u015f, \u015fimdi de Y\u00fcksek Disiplin Kurulu karar\u0131yla kamu g\u00f6revine son verilmi\u015ftir.\u00d6ncelikle \u015funu belirtmek isteriz ki bizler, sa\u011fl\u0131k \u00f6rg\u00fctleri olarak Zeki arkada\u015f\u0131m\u0131z\u0131n yan\u0131nday\u0131z ve gerek hukuki m\u00fccadelemizi ve gerekse de demokratik itirazlar\u0131m\u0131z\u0131 sonuna kadar yapaca\u011f\u0131z. Ama sa\u011fl\u0131k bakanl\u0131\u011f\u0131 ve h\u00fck\u00fcmet \u015funu \u00e7ok iyi bilmelidir ki; Zeki arkada\u015f\u0131m\u0131z\u0131 ihra\u00e7 ederek bizlere verilen g\u00f6zda\u011f\u0131 ve tehdide sessiz kalmayaca\u011f\u0131z. Dr. Zeki Sinan Do\u011fan bizlerin onurudur. Bu onuru son nefesimize dek koruyaca\u011f\u0131z. “dedi.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
Tabip Odas\u0131 ve SES \u00a0Mersin \u015eubesi ortak bir bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131. Ger\u00e7ekle\u015ftirdikleri ‘Sa\u011fl\u0131kta Performans \u00c7al\u0131\u015ftay\u0131’n\u0131n sonu\u00e7lar\u0131 kamuoyuyla payla\u015f\u0131larak, Performansa dayal\u0131 \u00fccret, sa\u011fl\u0131kta \u015fiddet ve bask\u0131lar olarak \u00fc\u00e7 temel sorun \u00fczerinde … Devam\u0131n\u0131 Oku…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/4639"}],"collection":[{"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4639"}],"version-history":[{"count":0,"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/4639\/revisions"}],"wp:attachment":[{"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4639"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4639"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mersinekonomipolitikagazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4639"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}