{"id":3005,"date":"2012-12-17T17:19:00","date_gmt":"2012-12-17T15:19:00","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3005"},"modified":"2012-12-17T17:19:00","modified_gmt":"2012-12-17T15:19:00","slug":"saglikta-ileri-ozellestirme-donemine-geciliyor","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3005","title":{"rendered":"Sa\u011fl\u0131kta “\u0130leri \u00d6zelle\u015ftirme” D\u00f6nemine Ge\u00e7iliyor"},"content":{"rendered":"

\u00a0<\/p>\n

Sa\u011fl\u0131kta \u201c\u0130leri \u00d6zelle\u015ftirme\u201d D\u00f6nemine Ge\u00e7iliyor<\/strong><\/p>\n

KAMUSAL SA\u011eLIK H\u0130ZMETLER\u0130NE<\/strong><\/p>\n

SALDIRI YASANIZI GER\u0130 \u00c7EK\u0130N,<\/strong><\/p>\n

K\u00c2R HIRSINIZI D\u0130ZG\u0130NLEMEY\u0130 \u00d6\u011eREN\u0130N!<\/strong><\/div>\n

<\/strong><\/p>\n

T\u00dcRK TAB\u0130PLER\u0130 B\u0130RL\u0130\u011e\u0130 MERKEZ KONSEY\u0130<\/strong><\/p>\n

<\/strong>Bas\u0131n A\u00e7\u0131klamas\u0131<\/span><\/strong><\/p>\n

\u00a0<\/p>\n

\u201cSa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019nca, Kamu \u00d6zel \u0130\u015fbirli\u011fi Modeli ile Tesis Yapt\u0131r\u0131lmas\u0131, Yenilenmesi ve Hizmet Al\u0131nmas\u0131 Hakk\u0131nda Kanun Tasar\u0131s\u0131\u201d, Bakanlar Kurulu taraf\u0131ndan T\u00fcrkiye B\u00fcy\u00fck Millet Meclisi\u2019ne g\u00f6nderildi. <\/p>\n<\/div>\n

\u201cKamu \u00d6zel Ortakl\u0131\u011f\u0131\u201d<\/strong> Kanun Tasar\u0131 metni incelendi\u011finde, b\u00fct\u00fcn\u00fcyle uluslararas\u0131 kredi kurulu\u015flar\u0131 ve \u015firketler yarar\u0131na bir sistem olu\u015fturuldu\u011fu g\u00f6r\u00fclmektedir.<\/p>\n

Tasar\u0131ya g\u00f6re, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n kendi ana hizmet binas\u0131ndan Toplum Sa\u011fl\u0131\u011f\u0131 Merkezlerine kadar t\u00fcm binalar bu modelle yapt\u0131r\u0131labilecek, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n t\u00fcm birimleri kulland\u0131klar\u0131 binalar\u0131n kirac\u0131s\u0131, t\u00fcm sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 da bu \u015firketlerin i\u015f\u00e7isi haline getirilecektir.<\/p>\n

Bu y\u00f6ntemle yap\u0131lacak sa\u011fl\u0131k tesislerinin ihaleyi alan \u015firketler taraf\u0131ndan y\u00f6netilmesi planlanmaktad\u0131r.<\/p>\n

Halen mevcut d\u00fczenlemeye g\u00f6re ihaleyi alan \u015firketlere \u201ct\u0131bbi hizmet d\u0131\u015f\u0131nda kalan hizmetler\u201d devredilmekte iken, Tasar\u0131da hekimlerin ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n verdi\u011fi hizmetlerin t\u00fcm\u00fcn\u00fcn ihaleyi alan \u015firketlere devri \u00f6ng\u00f6r\u00fclmektedir.<\/p>\n

Tasar\u0131n\u0131n gerek\u00e7esinde \u201ctesislerdeki sa\u011fl\u0131k hizmetleri kamu taraf\u0131ndan sunulmaya devam edilmektedir\u201d denilmektedir. Oysa Tasar\u0131n\u0131n 1. Maddesinin 2. F\u0131kras\u0131n\u0131n ( e ) bendinde \u201chizmet bedeli\u201d tan\u0131m\u0131 yap\u0131lmakta ve \u201cBedelin bir unsuru olup\u00a0657 Say\u0131l\u0131 Devlet Memurlar\u0131 Kanununun 36 \u0131nc\u0131 maddesinde belirtilen yard\u0131mc\u0131 hizmetler s\u0131n\u0131f\u0131 ile sa\u011fl\u0131k hizmetleri ve yard\u0131mc\u0131 sa\u011fl\u0131k hizmetleri s\u0131n\u0131f\u0131 personeli taraf\u0131ndan yerine getirilmesi gereken hizmetler<\/strong>den y\u00fckleniciye g\u00f6rd\u00fcr\u00fclecek hizmetlerin sunulmas\u0131 kar\u015f\u0131l\u0131\u011f\u0131nda idare taraf\u0131ndan y\u00fckleniciye \u00f6denen ve d\u00f6nemsel piyasa testi ile g\u00fcncellenen bedeli\u201d oldu\u011fu belirtilmektedir.<\/p>\n

Yani yap\u0131lacak d\u00fczenleme ile \u201cmesleki e\u011fitim g\u00f6rerek yeti\u015fmi\u015f olan tabip, di\u015f tabibi, eczac\u0131, veteriner hekim gibi memurlar ile bu hizmet sahas\u0131nda \u00e7al\u0131\u015fan y\u00fcksek \u00f6\u011frenim g\u00f6rm\u00fc\u015f fizikoterapist, t\u0131p teknolo\u011fu, ebe, hem\u015fire, sa\u011fl\u0131k memuru, sosyal hizmetler m\u00fctehass\u0131s\u0131, biyolog, pisikolog, diyet\u00e7i, sa\u011fl\u0131k muhendisi, sa\u011fl\u0131k fizik\u00e7isi, sa\u011fl\u0131k idarecisi ile ebe ve hem\u015fire, hem\u015fire yard\u0131mc\u0131s\u0131, (Fizik tedavi, laboratuvar, eczac\u0131, di\u015f anestezi, r\u00f6ntgen teknisyenleri ve yard\u0131mc\u0131lar\u0131, \u00e7evre sa\u011fl\u0131\u011f\u0131 ve toplum sa\u011fl\u0131\u011f\u0131 teknisyeni dahil) sa\u011fl\u0131k sava\u015f memuru\u201d hizmetlerinin tamam\u0131m\u0131n\u00a0\u015firketlere devri<\/strong>nin \u00f6n\u00fc a\u00e7\u0131lmaktad\u0131r.<\/p>\n

\u015eirketler, yapt\u0131klar\u0131 binalar\u0131n bedelini alacaklar\u0131 kiralardan kar\u015f\u0131layacak, di\u011fer yandan ger\u00e7ekte \u201ckamunun\u201d \u00e7ekilmesi ile kamu g\u00f6r\u00fcn\u00fcm\u00fc alt\u0131nda \u00f6zel sa\u011fl\u0131k hizmeti sunarak 49 y\u0131la kadar kamu maliyesinden para alma imtiyaz\u0131na kavu\u015facakt\u0131r.<\/p>\n

\u015eirketler ayr\u0131ca sa\u011fl\u0131k tesislerinin \u00e7evresine kurduklar\u0131 ticari alanlar\u0131 i\u015fleterek k\u00e2r elde edecek, \u00fcstelik bu gelirleri\u00a0KDV, Damga Vergisi ve Har\u00e7lardan muaf<\/strong> olacakt\u0131r.<\/p>\n

T\u00fcrk Tabipleri Birli\u011fi\u2019nin a\u00e7t\u0131\u011f\u0131 davalarda gelen belgelerden anla\u015f\u0131lm\u0131\u015ft\u0131r ki; Y\u00fcksek Planlama Kurulu, bu projelere var olan\u00a0kamu hastanelerinin kapat\u0131lmas\u0131<\/strong> kayd\u0131yla izin vermektedir. Dolay\u0131s\u0131yla, kamu \u00f6zel ortakl\u0131\u011f\u0131 yolu ile yap\u0131lan hastaneler tamamland\u0131\u011f\u0131nda o \u015fehirde \u00f6zel \u015firketlerin i\u015fletmeyece\u011fi 2. Ve 3. Basamak ba\u015fka bir deyi\u015fle \u2018Devlet Hastanesi\u2019 kalmayacakt\u0131r. Zaten Kamu Hastaneler Birli\u011fi ile ilgili yap\u0131lan d\u00fczenlemelerle\u00a0\u201cDevlet Hastanesi\u201d ibaresi tarih olmu\u015ftur.<\/strong><\/p>\n

Bug\u00fcne kadar Kayseri, Ankara-Etlik, Ankara-Bilkent, Elaz\u0131\u011f, Yozgat, Manisa, Konya-Karatay, \u0130stanbul-\u0130kitelli, Mersin, Adana, Gaziantep, \u0130zmir-Bayrakl\u0131, Bursa \u201c\u015eehir hastanesi-Entegre sa\u011fl\u0131k kamp\u00fcs\u00fc\u201d ihaleleri yap\u0131lm\u0131\u015ft\u0131r. Ayr\u0131ca 8 ayr\u0131 ilde farkl\u0131 yatak kapasiteleri ile fizik tedavi rehabilitasyon, psikiyatri ve y\u00fcksek g\u00fcvenlikli adli psikiyatri hastaneleri ihalesi de tamamlanmak \u00fczeredir. Eski\u015fehir, Kocaeli ve Isparta ihale s\u00fcreci devam etmektedir. Y\u00fcksek Planlama Kurulu\u2019na Antalya, Denizli, Diyarbak\u0131r, Kahramanmara\u015f, Samsun, \u015eanl\u0131urfa, Tekirda\u011f illerinin yan\u0131 s\u0131ra \u0130zmir, \u0130stanbul i\u00e7in yeni projeler de sunulmu\u015ftur.<\/p>\n

Yaln\u0131zca proje ve ihale s\u00fcreci ba\u015flat\u0131lm\u0131\u015f olan yerler bile T\u00fcrkiye\u2019nin sa\u011fl\u0131k hizmetlerinin y\u00fczde 70\u2019e yak\u0131n\u0131n\u0131n verildi\u011fi, en fazla say\u0131da sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 bulunduran ve n\u00fcfusu en yo\u011fun olan illerdedir.<\/p>\n

Bug\u00fcne kadar yap\u0131lan 13 ihale ile belirlenebildi\u011fi kadar\u0131yla \u00f6n\u00fcm\u00fczdeki 25 y\u0131l i\u00e7in\u00a050 Katrilyon<\/strong> Liran\u0131n \u00fczerinde bir kamu borcu olu\u015fmu\u015f bulunuyor.<\/p>\n

Bug\u00fcn bas\u0131nda yer alan haberlere g\u00f6re, \u00c7al\u0131\u015fma Bakan\u0131 Faruk \u00c7elik\u00a0\u201cOlu\u015facak borcu torunlar\u0131m\u0131z bile \u00f6deyemez.\u201d <\/strong>diyerek uygulamaya kar\u015f\u0131 \u00e7\u0131kmaktad\u0131r. Ancak, H\u00fck\u00fcmet\u2019in, yerli ve uluslararas\u0131 sermaye \u00e7evrelerinin a\u011fz\u0131n\u0131n suyunu ak\u0131tan bu \u201cBe\u015f Y\u0131ld\u0131zl\u0131 Soygun<\/strong>\u201d sistemini, hem sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131 hem de yurtta\u015flar\u0131n sa\u011fl\u0131k hakk\u0131n\u0131 yutacak bi\u00e7imde geni\u015fletmekte kararl\u0131 oldu\u011fu anla\u015f\u0131lmaktad\u0131r.<\/p>\n

Sonu\u00e7 olarak sa\u011fl\u0131k alan\u0131 t\u00fcm\u00fcyle \u00f6zelle\u015ftirilmektedir. Bu hastanelerde \u00e7al\u0131\u015fan t\u00fcm hekimler ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n uluslar aras\u0131 konsorsiyumlar\u0131n i\u015f\u00e7isi olmak d\u0131\u015f\u0131nda \u00e7al\u0131\u015fma olanaklar\u0131 kalmamaktad\u0131r. Tasar\u0131da bu durum a\u00e7\u0131kl\u0131kla yer almaktad\u0131r.<\/p>\n

Hekimler olarak, sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 dostlar\u0131m\u0131z ve sa\u011fl\u0131k hakk\u0131na sahip \u00e7\u0131kan yurtta\u015flar\u0131m\u0131zla birlikte, T\u00fcrkiye\u2019deki t\u00fcm sa\u011fl\u0131k hizmetlerini \u00f6zelle\u015ftiren, kamusal sa\u011fl\u0131k hizmetlerini\u00a0\u201cnostaljik bir an\u0131\u201d<\/strong> haline getirmeye \u00e7al\u0131\u015fan bu d\u00fczenlemelere kar\u015f\u0131 sonuna adar m\u00fccadele etmeye kararl\u0131 oldu\u011fumuzu kamuoyuna duyururuz.<\/p>\n

\u00a0<\/p>\n

T\u00dcRK TAB\u0130PLER\u0130 B\u0130RL\u0130\u011e\u0130
MERKEZ KONSEY\u0130<\/strong><\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 Sa\u011fl\u0131kta \u201c\u0130leri \u00d6zelle\u015ftirme\u201d D\u00f6nemine Ge\u00e7iliyor KAMUSAL SA\u011eLIK H\u0130ZMETLER\u0130NE SALDIRI YASANIZI GER\u0130 \u00c7EK\u0130N, K\u00c2R HIRSINIZI D\u0130ZG\u0130NLEMEY\u0130 \u00d6\u011eREN\u0130N! T\u00dcRK TAB\u0130PLER\u0130 B\u0130RL\u0130\u011e\u0130...<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[62],"tags":[],"class_list":["post-3005","post","type-post","status-publish","format-standard","hentry","category-sagliktan-haberler"],"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\/3005","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\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3005"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3005\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3005"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}