{"id":3069,"date":"2013-07-12T15:31:23","date_gmt":"2013-07-12T12:31:23","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3069"},"modified":"2013-07-12T15:31:23","modified_gmt":"2013-07-12T12:31:23","slug":"sgkdan-olumcul-tasarruf","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3069","title":{"rendered":"SGK’dan ‘\u00f6l\u00fcmc\u00fcl’ tasarruf"},"content":{"rendered":"

Sosyal G\u00fcvenlik Kurumu tek kullan\u0131ml\u0131k malzemelerin tekrar tekrar kullan\u0131lmas\u0131n\u0131n yolunu a\u00e7t\u0131. Kritik ameliyatlar\u0131 da kapsayan bu d\u00fczenleme, hastalar a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck risk ta\u015f\u0131yor.<\/strong> <\/span><\/p>\n

\n
\u0130stanbul Tabip Odas\u0131 T\u00fcrk Tabipleri Birli\u011fi Delegesi Dr. G\u00fcray K\u0131l\u0131\u00e7 da, \u201cTek kullan\u0131ml\u0131k \u00fcr\u00fcnlerin tasarruf ad\u0131na yeniden kullan\u0131m\u0131n\u0131n ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7aca\u011f\u0131 a\u015fik\u00e2rd\u0131r. Sa\u011fl\u0131k i\u015fletmelerinde bu kararlar, amac\u0131 k\u00e2r\u0131 art\u0131rmak olan y\u00f6neticilere b\u0131rak\u0131lamaz\u201d dedi.<\/div>\n
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Radikal<\/p>\n<\/div>\n
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http:\/\/www.radikal.com.tr\/ekonomi\/sgkdan_olumcul_tasarruf-1141475<\/a><\/div>\n
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Milliyet gazetesinden Mithat Yurdakul’un haberine g\u00f6re SGK, \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131ndan ald\u0131\u011f\u0131 sa\u011fl\u0131k hizmetinin bedelini artt\u0131rmamak i\u00e7in tekrar kullan\u0131lmamas\u0131 gereken t\u0131bbi malzemelerin yeniden kullan\u0131lmas\u0131n\u0131n yolunu a\u00e7t\u0131.\u00a0<\/p>\n

Yeni d\u00fczenleme ile kalp anjiyosu gibi kritik m\u00fcdahalelerde ayn\u0131 malzemeler tekrar tekrar kullan\u0131labilecek. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, tek kullan\u0131ml\u0131k malzemenin tekrar kullan\u0131m\u0131ndan do\u011facak olumsuz durumlarda sorumlulu\u011fun hekim ve hastane y\u00f6netimlerinde olaca\u011f\u0131 uyar\u0131s\u0131nda bulunuyor.\u00a0<\/p>\n

\u00d6zel sa\u011fl\u0131k kurumlar\u0131ndan hizmet sat\u0131n al\u0131m s\u00f6zle\u015fmesinde bulunan, \u201cTekrar kullan\u0131lmamas\u0131 gereken t\u0131bbi malzemelerin, tekrar kullan\u0131m\u0131 halinde bedelleri \u00f6denmez ve her bir kullan\u0131m i\u00e7in 10 bin TL cezai \u015fart uygulan\u0131r\u201d h\u00fckm\u00fc SGK taraf\u0131ndan yay\u0131mlanan zeyilname ile s\u00f6zle\u015fme metninden \u00e7\u0131kar\u0131ld\u0131.\u00a0<\/p>\n

B\u00f6ylece, tek kullan\u0131ml\u0131k t\u0131bbi malzemelerin \u00f6zel hastane ve vak\u0131f \u00fcniversitesi hastanelerinde \u00e7ok defa kullan\u0131lmas\u0131n\u0131n \u00f6n\u00fc a\u00e7\u0131ld\u0131.\u00a0<\/p>\n

R\u0130SK \u00c7OK B\u00dcY\u00dcK<\/strong>
Yeni uygulama ile \u00f6zel hastanelere maliyetlerini b\u00fcy\u00fck \u00f6l\u00e7\u00fcde azalt\u0131p daha \u00e7ok k\u00e2r etme olana\u011f\u0131 sa\u011flan\u0131rken, bu kurumlar\u0131n SGK\u2019ya fatura etti\u011fi harcamalarda da otomatik olarak d\u00fc\u015f\u00fc\u015f ger\u00e7ekle\u015fece\u011fi belirtiliyor. Tekrar kullan\u0131lmamas\u0131 gereken tek kullan\u0131ml\u0131k t\u0131bbi \u00fcr\u00fcnler; kardiyolojide anjiyografi ve anjiyoplasti uygulamalar\u0131nda, g\u00f6z ameliyatlar\u0131nda, laparaskobik cerrahide ve giri\u015fimsel radyolojide yayg\u0131n olarak kullan\u0131l\u0131yor.\u00a0
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 \u0130la\u00e7 ve Eczac\u0131l\u0131k Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019n\u00fcn t\u0131bbi cihazlar\u0131n sterilizasyonu ile ilgili ge\u00e7ti\u011fimiz y\u0131llarda yay\u0131mlad\u0131\u011f\u0131 talimat\u0131nda ise tek kullan\u0131m i\u00e7in piyasaya sunulan malzemenin, rutin sterilizasyon i\u015flemi uygulanm\u0131\u015f olsa bile, t\u0131bbi malzemenin yap\u0131s\u0131ndan kaynakl\u0131 sebeplerle ideal sterilizasyonun sa\u011flanamad\u0131\u011f\u0131 belirtiliyor.\u00a0<\/p>\n


SORUMLULUK HEK\u0130MDE<\/strong><\/p>\n

T\u0131bbi malzemenin fonksiyonel, fiziksel ve kimyasal \u00f6zelliklerinin sterilizasyon ile korunamad\u0131\u011f\u0131na i\u015faret edilen genelgede, \u015fu ifadelere yer verildi:\u00a0
\u201cT\u0131bbi malzemenin tek kullan\u0131ml\u0131k olanlar\u0131n\u0131n kullan\u0131m k\u0131lavuzuna ayk\u0131r\u0131 olarak tekrar steril edilerek kullan\u0131lmas\u0131 durumunda ise ortaya \u00e7\u0131kabilecek her t\u00fcrl\u00fc olumsuz durum kar\u015f\u0131s\u0131nda t\u00fcm sorumlulu\u011fun ilgili hekim ve idare \u00fczerinde olaca\u011f\u0131 a\u00e7\u0131kt\u0131r. Dolay\u0131s\u0131yla tek kullan\u0131ml\u0131k olarak \u00fcretilen t\u0131bbi malzemelerin kullan\u0131m k\u0131lavuzuna ayk\u0131r\u0131 olarak kesinlikle birden fazla kullan\u0131m\u0131 yoluna gidilmemelidir.\u201d\u00a0<\/p>\n

RAPORLA BEL\u0130RLEND\u0130<\/strong>
Tek kullan\u0131ml\u0131k malzemenin tekrar kullan\u0131lmas\u0131 ile ilgili \u00f6rnek olay, 2011\u2019de \u0130zmir Dr. Suat Seren G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 ve Cerrahisi E\u011fitim ve Ara\u015ft\u0131rma Hastanesi\u2019nde meydana geldi. Katarakt ameliyat\u0131 sonucu endoftalmi geli\u015fen bir hasta i\u00e7in tekrar kullan\u0131lan malzemelere i\u015faret edildi. Olayla ilgili raporda, hastalarda tubing setinin ve fako cihaz\u0131 elci\u011finin (handpiece) ortak kullan\u0131ld\u0131\u011f\u0131na i\u015faret edilerek, \u201cS\u00f6zkonusu ameliyatlarda 8 hasta i\u00e7in tek bir tubing seti ve el\u00e7ik kullan\u0131ld\u0131\u011f\u0131 tespit edilmi\u015ftir\u201d denildi.\u00a0<\/p>\n

SES \u0130zmir \u015eube Denetim Kurulu \u00fcyesi Dr. Erg\u00fcn Demir, yeni d\u00fczenlemeyle \u00f6zel hastanelerde birim harcamalar\u0131n azalt\u0131lmas\u0131n\u0131n ama\u00e7land\u0131\u011f\u0131n\u0131, b\u00f6ylelikle \u00f6zel hastanelerin SGK faturalar\u0131n\u0131n mevcut tarifelere uydurulaca\u011f\u0131n\u0131 s\u00f6yledi.\u00a0
Demir, \u0130zmir\u2019de katarakt ameliyat\u0131 olduktan sonra g\u00f6zlerini kaybetme riski ile kar\u015f\u0131 kar\u015f\u0131ya kalan hastalarla ilgili skandal\u0131n da tekrar kullan\u0131lan malzemeler nedeniyle meydana geldi\u011fini ifade etti. Demir, yeniden kullan\u0131lan malzemelerle ilgili ya\u015fanabilecek can kay\u0131plar\u0131 ile ilgili sakatl\u0131klarda cezai faturan\u0131n hekimlere \u00e7\u0131kaca\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izdi.\u00a0<\/p>\n

\u0130stanbul Tabip Odas\u0131 T\u00fcrk Tabipleri Birli\u011fi Delegesi Dr. G\u00fcray K\u0131l\u0131\u00e7 da, \u201cTek kullan\u0131ml\u0131k \u00fcr\u00fcnlerin tasarruf ad\u0131na yeniden kullan\u0131m\u0131n\u0131n ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7aca\u011f\u0131 a\u015fik\u00e2rd\u0131r. Sa\u011fl\u0131k i\u015fletmelerinde bu kararlar, amac\u0131 k\u00e2r\u0131 art\u0131rmak olan y\u00f6neticilere b\u0131rak\u0131lamaz\u201d dedi. Bu uygulamalar\u0131n halk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 tehlikeye ataca\u011f\u0131n\u0131 kaydeden K\u0131l\u0131\u00e7, \u015f\u00f6yle konu\u015ftu:\u00a0
\u201cSGK bu zeyilnameyi acilen iptal etmelidir. Bu malzemelerin bedeli SGK taraf\u0131ndan kar\u015f\u0131lanmal\u0131 ve k\u00f6t\u00fc kullan\u0131m durumunda a\u011f\u0131r cezai yapt\u0131r\u0131m uygulanmas\u0131 yeniden getirilmelidir.\u201d<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Sosyal G\u00fcvenlik Kurumu tek kullan\u0131ml\u0131k malzemelerin tekrar tekrar kullan\u0131lmas\u0131n\u0131n yolunu a\u00e7t\u0131. Kritik ameliyatlar\u0131 da kapsayan bu d\u00fczenleme, hastalar a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck...<\/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-3069","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\/3069","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=3069"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3069\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3069"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}