{"id":2855,"date":"2006-09-07T18:56:52","date_gmt":"2006-09-07T15:56:52","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2855"},"modified":"2014-05-21T01:40:59","modified_gmt":"2014-05-20T22:40:59","slug":"ilac-fiyatlari-artiyor-eczaci-geliri-azaliyor","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2855","title":{"rendered":"\u0130LA\u00c7 F\u0130YATLARI ARTIYOR ECZACI GEL\u0130R\u0130 AZALIYOR!"},"content":{"rendered":"<p><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">\u0130LA\u00c7 F\u0130YATLARI ARTIYOR ECZACI GEL\u0130R\u0130 AZALIYOR!<\/span><\/span><\/span><\/strong><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">2004 y\u0131l\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe giren ila\u00e7 fiyat kararnamesiyle ilgili ya\u015fanacak olumsuzluklar\u0131 \u00c7a\u011fda\u015f Eczac\u0131lar Derne\u011fi olarak yapm\u0131\u015f oldu\u011fumuz bas\u0131n toplant\u0131s\u0131yla s\u0131ca\u011f\u0131 s\u0131ca\u011f\u0131na \u00fclke<\/span><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\"><span>\u00a0<\/span>kamuoyuna a\u00e7\u0131klam\u0131\u015f ve bu konu ile ilgili bir kitap\u00e7\u0131k yay\u0131nlam\u0131\u015ft\u0131k.<\/span><\/span><\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Ya\u015fanan s\u00fcre\u00e7 bizim hakl\u0131l\u0131\u011f\u0131m\u0131z\u0131 kan\u0131tlad\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Yeni \u0130la\u00e7 Fiyat Kararnamesi ile ila\u00e7 maliyet fiyatlar\u0131 Euro\u2019ya, eczac\u0131 kar marj\u0131 ise kategorize edilerek YTL.\u2019ye endekslendi. <\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Eczac\u0131 kar marj\u0131n\u0131n belli fiyat aral\u0131klar\u0131na g\u00f6re kategorize edilmesi ekonomik parametrelerin s\u00fcrekli de\u011fi\u015fkenlik g\u00f6sterdi\u011fi T\u00fcrkiye ve benzeri \u00fclkelerde sorunlar yarataca\u011f\u0131, kararname \u00fczerinde s\u00fcrd\u00fcr\u00fclen tart\u0131\u015fmalar s\u0131ras\u0131nda dile getirilen \u00f6nemli itirazlardan biriydi. <\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7 zamlar\u0131yla birlikte bu sorunun nas\u0131l bir seyir izledi\u011fini, kategorize edilen eczac\u0131 kar marj\u0131n\u0131n nas\u0131l bir de\u011fi\u015fim g\u00f6sterdi\u011fine bakmak, yap\u0131lan bu tart\u0131\u015fmalar\u0131 daha anlamal\u0131 k\u0131lacakt\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Eczac\u0131 kar marj\u0131n\u0131n fiyat aral\u0131klar\u0131 \u015f\u00f6yle kategorize<span>\u00a0 <\/span>edilmi\u015ftir;<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0\u00a0 <\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\"><span>\u00a0<\/span>0 -10 YTL.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span>\u00a0\u00a0<\/span><span>\u00a0\u00a0<\/span>% 25<\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">10 \u2013 50 YTL.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>%24<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">50 \u2013 100 YTL.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>% 23<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">100- 200 YTL<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>% 16<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">200 \u00fczeri YTL<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>% 10<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Her ila\u00e7 zamm\u0131 ile birlikte bu grupland\u0131rma i\u00e7inde 0-10 YTL aral\u0131\u011f\u0131ndan ba\u015flayarak; yukar\u0131ya do\u011fru ila\u00e7 ge\u00e7i\u015fleri olaca\u011f\u0131, bu ge\u00e7i\u015fler artt\u0131k\u00e7a, eczac\u0131 kar marj\u0131nda tersine olarak % 25 lik dilimden itibaren azalaca\u011f\u0131n\u0131 da daha \u00f6nceden belirtmi\u015ftik. <\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\"><strong>Tablo 1, 2<\/strong> <strong>i\u00e7in<\/strong> <a href=\"..\/dosyalar\/30_ZAM_GELEN_ISFLERDEKI_DEGISIM_ORANI.xls\" target=\"_blank\" title=\"tablolar\"><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff;\">t\u0131klay\u0131n\u0131z<\/span><\/span><\/a>.\u00a0<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Haziran 2006 imalat\u00e7\u0131 fiyatlar\u0131 baz al\u0131nd\u0131\u011f\u0131nda; olas\u0131 %30\u2019luk zam sonras\u0131nda, 0 \u2013 10 YTL. aras\u0131ndaki ila\u00e7lardan <span>\u00a0<\/span>409 adedinin (%9,74) fiyat\u0131 azal\u0131yor. 10 \u2013 50YTL aras\u0131nda 247 adedinin (%16,42), 50 \u2013 100YTL aras\u0131 94 adedinin ( % 37,60) , 100 \u2013 200YTL aras\u0131nda 17 adedinin (% 10,49), 200YTL. \u00dcst\u00fc ila\u00e7larda ise <span>\u00a0<\/span>51 adedinin (%22.57) fiyat\u0131n\u0131n artarak bir \u00fcst dilime ge\u00e7ti\u011fi g\u00f6r\u00fclmektedir (Tablo 3) . \u00d6zetle ucuz ila\u00e7lar\u0131n say\u0131s\u0131 azal\u0131yor, pahal\u0131 ila\u00e7lar\u0131n say\u0131s\u0131 ise art\u0131yor.<\/span><strong><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Tablo 3 i\u00e7in <a href=\"..\/dosyalar\/30_ZAM_GELEN_ISFLERDEKI_DEGISIM_ORANI.xls\" target=\"_blank\" title=\"tablolar\"><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff;\">t\u0131klay\u0131n\u0131z<\/span><\/span><\/a>.<\/span><\/span><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Tabloda g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi en b\u00fcy\u00fck say\u0131da de\u011fi\u015fen ila\u00e7 grubu 0 -10 YTL aras\u0131nda olu\u015fmaktad\u0131r. <\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bu ayn\u0131 zamanda eczac\u0131 kar marj\u0131n\u0131n en y\u00fcksek(%25) oldu\u011fu dilimdir.<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Haziran 2006 fiyatlar\u0131 ile her ila\u00e7tan birer kutu al\u0131p, birer kutu satan eczac\u0131; ald\u0131\u011f\u0131 ila\u00e7lar i\u00e7in 240.956,00 YTL \u00f6deyip, 282.845.00YTL tutar\u0131nda sat\u0131\u015f yapacak. Yani %17.38 kazanacakt\u0131. <\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bu ila\u00e7lara %30 oran\u0131nda zam geldi\u011finde; \u00f6denecek rakam 312.392.00YTL ye sat\u0131\u015f\u0131n tutar\u0131da 364.661.00YTL ye \u00e7\u0131kmakta, yani kar oran\u0131 %16.73\u2019e d\u00fc\u015fmektedir. <span>\u00a0<\/span>%17.38 lik bir kazan\u00e7 oran\u0131ndaki 0.65 puan azalma(17.38-16.73=0.65) y\u00fczdesel ifade ile %3.74 oran\u0131ndaki bir kazan\u00e7 azalmas\u0131n\u0131 ifade eder.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Eczanelerin reel durumunu g\u00f6z \u00f6n\u00fcn\u00fc alacak olursak sat\u0131\u015f ag\u0131rl\u0131\u011f\u0131 0-10YTL ile 10-50YTL olan eczanelerde kar marj\u0131 erezyonu, daha y\u00fcksek fiyatl\u0131 ila\u00e7larla sat\u0131s ag\u0131rl\u0131\u011f\u0131 olan eczanelere nazaran daha az olacakt\u0131r. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Tablo 4-5 i\u00e7in <a href=\"..\/dosyalar\/30_ZAM_GELEN_ISFLERDEKI_DEGISIM_ORANI.xls\" target=\"_blank\" title=\"tablolar\"><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff;\">t\u0131klay\u0131n\u0131z<\/span><\/span><\/a><\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Her ge\u00e7en y\u0131,l eczane masraflar\u0131 (kira,personel gideri, Ba\u011fkur pirimi, SSK pirimi, muasebe giderleri,elektrik,su,telofon,eczane sigortas\u0131,tadilat ,teknolojik yat\u0131r\u0131mlar,oda aidatlari ,yak\u0131t giderleri g\u00f6r\u00fcnmez vs. giderler) enflasyonun \u00e7ok \u00fczerinde artarken; toplamda eczac\u0131n\u0131n gelirinin azalmas\u0131, di\u011fer etmenlerle birlikte, k\u00fc\u00e7\u00fck \u00f6l\u00e7ekli eczanelerin kapanma s\u00fcrecini h\u0131zland\u0131racakt\u0131r.<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bug\u00fcn \u00fclkemizde, 1900 eczane toplam pazar\u0131n %45\u2019ini denetlemektedir. Geri kalan 20.000 eczane de %55 ini denetlemektedir. <\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00d6n\u00fcm\u00fczdeki s\u00fcre\u00e7te ekonomide ya\u015fanacak olumsuzluklara ba\u011fl\u0131 olarak, g\u00fcndeme gelecek ila\u00e7 zamlar\u0131yla birlikte, eczac\u0131 kar marj\u0131ndaki erezyonun artarak devam edece\u011fi a\u00e7\u0131kt\u0131r.<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Farkl\u0131la\u015fan eczane yap\u0131lar\u0131 i\u00e7inde, k\u00fc\u00e7\u00fck \u00f6l\u00e7ekli eczanelerin bu s\u00fcre\u00e7ten en fazla zarar g\u00f6recekleri tart\u0131\u015f\u0131lmaz bir ger\u00e7ektir. Buna, her y\u0131l artan eczane masraflar\u0131n\u0131 da ekledi\u011fimizde, tablonun k\u00fc\u00e7\u00fck eczaneler a\u00e7\u0131s\u0131ndan ne kadar vahim oldu\u011fu ortad\u0131r.Bu durum, farkl\u0131la\u015fan eczane yap\u0131lar\u0131 aras\u0131ndaki u\u00e7urumu daha da derinle\u015ftirecektir.. K\u00fc\u00e7\u00fck ve orta \u00f6l\u00e7ekli eczanelerin say\u0131lar\u0131 ve pazardaki paylar\u0131 h\u0131zla gerilerken, di\u011ferlerinin pazar hakimiyeti artacakt\u0131r. <\/span><span style=\"font-size: 12pt; font-family: 'Times New Roman'\"><span style=\"color: #000000;\">B\u00fct\u00fcn bu tabloda, eczac\u0131 kar marj\u0131n\u0131 d\u00fczenleyen, yeni \u0130la\u00e7 Fiyat Kararnamesi\u2019nin kendisinin sorun oldu\u011fu g\u00f6r\u00fcl\u00fcyor. Kararnamenin de\u011fi\u015ftirilmesi, eczac\u0131 meslek hakk\u0131n\u0131n yeniden d\u00fczenlenmesi ka\u00e7\u0131n\u0131lmazd\u0131r.<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0130LA\u00c7 F\u0130YATLARI ARTIYOR ECZACI GEL\u0130R\u0130 AZALIYOR! 2004 y\u0131l\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe giren ila\u00e7 fiyat kararnamesiyle ilgili ya\u015fanacak olumsuzluklar\u0131 \u00c7a\u011fda\u015f Eczac\u0131lar Derne\u011fi olarak&#46;&#46;&#46;<\/p>\n","protected":false},"author":18,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[50],"tags":[],"class_list":["post-2855","post","type-post","status-publish","format-standard","hentry","category-ecz-sedat-guclu"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2855","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2855"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2855\/revisions"}],"predecessor-version":[{"id":4040,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2855\/revisions\/4040"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2855"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2855"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}