{"id":3074,"date":"2013-08-29T13:44:04","date_gmt":"2013-08-29T10:44:04","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3074"},"modified":"2013-08-29T13:44:04","modified_gmt":"2013-08-29T10:44:04","slug":"herkese-parasi-kadar-degil-parasiz-nitelikli-ulasilabilir-saglik-hizmeti","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3074","title":{"rendered":"Herkese paras\u0131 kadar de\u011fil, paras\u0131z-nitelikli-ula\u015f\u0131labilir sa\u011fl\u0131k hizmeti"},"content":{"rendered":"

Ne dedilerse tersini yapt\u0131lar<\/span><\/h2>\n

Vatanda\u015f\u0131n \u00fcniversiteye ba\u015fvurusu, \u00f6zel hastanedeki gibi \u2018ek \u00fccret\u2019le m\u00fcmk\u00fcn olacak!<\/strong><\/p>\n

mustafa s\u00fctla\u015f<\/a> \u0130stanbul – B\u0130A Haber Merkezi 28 A\u011fustos 2013,<\/p>\n<\/div>\n
\n

\u015fu s\u00f6zler eski sa\u011fl\u0131k bakan\u0131 recep akda\u011f taraf\u0131ndan s\u00f6ylenmi\u015fti:<\/p>\n

\u201c\u00e7al\u0131\u015fmayan doktoru \u00e7al\u0131\u015ft\u0131raca\u011f\u0131z\u201d, \u201cb\u0131\u00e7ak paras\u0131n\u0131 kald\u0131raca\u011f\u0131z\u201d, \u201cdoktorun elini hastan\u0131n cebinden \u00e7\u0131karaca\u011f\u0131z\u201d, \u201cart\u0131k vatanda\u015f\u0131 tuzu kuru \u00f6\u011fretim \u00fcyesi hekime soydurmayaca\u011f\u0131z\u201d.<\/p>\n

ba\u015fbakan da her zaman \u201cherkes istedi\u011fi hastaneye ba\u015fvurabilecek\u201d diyordu.<\/p>\n

t\u0131p fak\u00fcltelerinde profes\u00f6r, do\u00e7ent olup da aktif hizmet \u00fcreten doktor da, \u00fcniversitelerin paras\u0131 da kalmad\u0131.<\/p>\n

bilenler \u201cbu b\u00f6yle\u00a0 olmaz\u201d diyordu. olmad\u0131! \u015fimdi \u201cy\u00fczseksen derece\u201d tersi yap\u0131l\u0131yor: art\u0131k \u00fcniversite hastanelerine ba\u015fvuranlar da, \u00f6zel hastanelerde oldu\u011fu gibi ceplerinden \u201cek para\u201d \u00f6deyecekler(1)<\/sup><\/strong>.<\/p>\n

b\u00f6yle olaca\u011f\u0131 1 a\u011fustos 2013 tarihli ve 28725 say\u0131l\u0131 resm\u00ee gazete\u2019de yay\u0131nlanan\u00a0sosyal g\u00fcvenlik kurumu sa\u011fl\u0131k uygulama tebli\u011fi<\/em><\/strong>nde de\u011fi\u015fiklik yap\u0131lmas\u0131na dair tebli\u011f\u2019de yaz\u0131yor.<\/p>\n

\u00f6yle az buz da de\u011fil al\u0131nacak \u201cek \u00fccret\u201dler.<\/p>\n

\u00f6rne\u011fin bir mide operasyonu i\u00e7in \u00fcniversitenin ald\u0131\u011f\u0131 \u015fu andaki \u00fccret 3740tl.<\/p>\n

tebli\u011fe g\u00f6re bunun yar\u0131s\u0131 kadar (1840tl) bir miktar\u0131 da \u201cek \u00fccret\u201d olarak alabilecek.<\/p>\n

tebli\u011fde miktara bir de s\u0131n\u0131r getirilmi\u015f;\u00a0\u201cal\u0131nacak ilave \u00fccret bir defada asgari \u00fccretin iki kat\u0131n\u0131 ge\u00e7emez\u201d<\/strong> diye.<\/p>\n

bu durumda asgari giderinin d\u0131\u015f\u0131nda her ay asgari \u00fccretin iki kat\u0131 kadar paray\u0131 art\u0131ranlar d\u0131\u015f\u0131ndaki yurtta\u015flar b\u00f6yle bir hizmetten yararlanamayacaklar.<\/p>\n

peki ya o i\u015flemi ya da operasyonu, \u00fcniversite ve \u00f6zel hastane d\u0131\u015f\u0131nda bir yerde yapt\u0131rma ko\u015fulu ve bu paray\u0131 \u00f6deyecek geliri olmayanlar ne yapacak?<\/p>\n

ilk yan\u0131t tek ve kesin \u201c\u00f6lecek!\u201d<\/p>\n

ikinci yan\u0131t \u201cbir yolunu bulacak!\u201d<\/p>\n

o yolu bulanlar\u0131n, asl\u0131nda birilerinin yollar\u0131n\u0131 bulmas\u0131na yard\u0131mc\u0131 olduklar\u0131ndan ku\u015fkunuz olmas\u0131n.<\/p>\n

yolunu bulacak olan di\u011ferleri<\/strong><\/h2>\n

bu paradan i\u015flemi yapacak \u00f6\u011fretim \u00fcyesine verilecek pay da belirtilmi\u015f: ayn\u0131 i\u015flem i\u00e7in hocaya \u00f6denecek miktar 1103tl. yani yakla\u015f\u0131k % 60.<\/p>\n

kalan % 40 ise, bu i\u015flem \u00fczerinden \u00fcniversitenin elde etti\u011fi gelir.<\/p>\n

bunun anlam\u0131 \u00fcniversiteyi hasta vatanda\u015f\u0131n verece\u011fi parayla finanse etmek.<\/p>\n

itiraz ederseniz:<\/p>\n

-\u201ceee ne yapal\u0131m siz de hastalanmay\u0131n!\u201d denecek.<\/p>\n

tabii bir de \u015fu boyutu var bu olay\u0131n; daha \u00f6nce onu da s\u0131k olarak ya\u015fad\u0131k.<\/p>\n

hocalar sadece getirisi \u00e7ok y\u00fcksek olan operasyonlar yapacak.<\/p>\n

daha basit, dolay\u0131s\u0131yla ucuz i\u015flemler i\u00e7in ya g\u00fcnler sonras\u0131na randevu verilecek, ya da operasyon \u201choca yap\u0131yor\u201d denilip, \u201casistan\u201da yapt\u0131r\u0131lacak, veya yetkinli\u011fi yeterli olmayanlar bu giri\u015fimleri yapacak.<\/p>\n

bunu s\u00f6yledi\u011finizde de yan\u0131t muhtemelen yine ayn\u0131 olacak:<\/p>\n

-\u201ceee ne yapal\u0131m siz de hastalanmay\u0131n!\u201d<\/p>\n

bu uygulama geni\u015fleyecek<\/h2>\n

\u00f6zel hastanelerde cepten \u00f6denecek miktarlar art\u0131r\u0131lm\u0131\u015ft\u0131. uygulama \u015fimdi \u00fcniversite hastanelerine de yayg\u0131nla\u015ft\u0131r\u0131ld\u0131. ama burada durmayaca\u011f\u0131n\u0131 s\u00f6ylemek kehanet olmayacak.<\/p>\n

t\u00fcm sa\u011fl\u0131k kurulu\u015flar\u0131na zaten her ba\u015fvuruda \u00f6denen \u201ckatk\u0131 paylar\u0131\u201d da bir s\u00fcre sonra artt\u0131r\u0131lacak.<\/p>\n

\u00e7\u00fcnk\u00fc ba\u015fka t\u00fcrl\u00fc olmas\u0131 olanaks\u0131z. bu karar ve uygulama o itiraz edilen \u201cb\u0131\u00e7ak paras\u0131\u201d olgusunu me\u015frula\u015ft\u0131rmakla kalmay\u0131p resmile\u015ftirdi\u011fi gibi, as\u0131l hedeflenenin insanlar\u0131n \u201csa\u011fl\u0131\u011f\u0131\u201d ya da \u201csa\u011fl\u0131k hizmetine eri\u015fimi\u201d olmad\u0131\u011f\u0131n\u0131 da ortaya koyuyor.<\/p>\n

tan\u0131 tedavi hizmetlerine \u015fu anda paras\u0131z ula\u015fmak olanaks\u0131z. ancak \u00f6denen miktarlar \u015fimdilik en yoksul kesim d\u0131\u015f\u0131nda \u00f6denebiliyor. ama bir s\u00fcre sonra\u00a0 \u00f6denemez hale gelecek.<\/p>\n

o zaman toplumun bir kesimi i\u00e7in sa\u011fl\u0131k hizmetine eri\u015fim ve yararlanma hakk\u0131 t\u00fcm\u00fcyle ihl\u00e2l edilmi\u015f olacak.<\/p>\n

tek \u00e7\u00f6z\u00fcm\u00fc var<\/h2>\n

bu duruma dair bir de\u011ferlendirme haz\u0131rlayan dr. erg\u00fcn demir ve dr. g\u00fcray k\u0131l\u0131\u00e7 \u015f\u00f6yle diyorlar:<\/p>\n

\u201c\u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda oldu\u011fu gibi \u00fcniversite hastanelerinde de vatanda\u015f\u0131n cebinden ilave \u00fccret al\u0131nmas\u0131 ile bu kurumlar \u00f6zel hastane stat\u00fcs\u00fcne ge\u00e7irilmi\u015ftir.<\/em><\/p>\n

ba\u015fbakan ve sa\u011fl\u0131k bakan\u0131, \u00fcniversite hastanelerinin ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n sorunlar\u0131n\u0131 vatanda\u015f\u0131n cebinden al\u0131nacak paran\u0131n payla\u015f\u0131m\u0131ndan ibaret sanmaktad\u0131rlar! oysa \u00f6\u011fretim \u00fcyeleri ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n en \u00f6nemli sorunlar\u0131n\u0131n ba\u015f\u0131nda i\u015f, gelir ve gelecek g\u00fcvencesi sa\u011flanmas\u0131, mesleki ba\u011f\u0131ms\u0131zl\u0131k ve nitelikli t\u0131p ve uzmanl\u0131k e\u011fitiminin s\u00fcrd\u00fcr\u00fclmesi gelmektedir.<\/em><\/p>\n

\u00f6\u011fretim \u00fcyeleri ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 g\u00f6revlerini performans, ciro ve sut bask\u0131s\u0131 alt\u0131nda kalmadan ve gelecek kayg\u0131s\u0131 duymadan yapmak istemektedirler. t\u0131bbi hizmeti de\u011fersizle\u015ftiren, hastalar\u0131 puan ve kat\u0131l\u0131m pay\u0131na d\u00f6n\u00fc\u015ft\u00fcren \u00fccretlendirme modeli yerine i\u015f ve \u00fccret g\u00fcvencesi olan,\u00a0 insanca ya\u015famaya ve mesleki geli\u015fimi s\u00fcrd\u00fcrmeye yetecek, emeklili\u011fe yans\u0131yacak \u00fccretlendirme sistemine ge\u00e7ilmesini talep etmektedirler.\u201d<\/em><\/p>\n

hep s\u00f6ylendi, s\u00f6yledik:<\/p>\n

\u201csa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm program\u0131<\/strong> sa\u011fl\u0131kl\u0131l\u0131\u011f\u0131 sa\u011flamaz, hastal\u0131klar\u0131 ve bunun i\u00e7in harcanan paray\u0131 \u00e7o\u011falt\u0131r!\u201d<\/p>\n

dedi\u011fimiz gibi oldu!<\/p>\n

\u00e7\u00f6z\u00fcm\u00fc de i\u015faret etmi\u015ftik, yine edelim:<\/p>\n

\u201csa\u011fl\u0131kla ilgili hizmetlerin finansman\u0131n\u0131n genel b\u00fct\u00e7eden kar\u015f\u0131lanmas\u0131. herkese paras\u0131 kadar de\u011fil, paras\u0131z-nitelikli-ula\u015f\u0131labilir sa\u011fl\u0131k hizmeti. \u201d<\/p>\n

bunu yap(a)mayacaklar\u0131n\u0131 da biliyoruz!<\/p>\n

toma veya biber gaz\u0131 almak i\u00e7in, yani \u00f6ld\u00fcrmek i\u00e7in harcanan paralar \u201cgenel b\u00fct\u00e7e\u201dden \u00e7\u0131karken hem de!<\/p>\n

biliyoruz: davul onlar\u0131n s\u0131rt\u0131nda ama tokmak ba\u015fkalar\u0131n\u0131n elinde.<\/p>\n

onlar i\u00e7in ise bu \u00fclkenin yurtta\u015f\u0131n\u0131n zerre kadar de\u011feri yok.<\/p>\n

hep g\u00f6rd\u00fck, halen de g\u00f6r\u00fcyoruz.<\/p>\n

\u201cbir yanl\u0131\u015f\u201d uygulamaya konuldu\u011funda, onun sorunlar\u0131n\u0131 \u00e7\u00f6z\u00fcm\u00fc ba\u015fka yanl\u0131\u015flar\u0131 yapmay\u0131 gerektiriyor. yani \u201cyanl\u0131\u015f her zaman yanl\u0131\u015f\u0131 do\u011furuyor! (ms\/hk)
<\/sup><\/p>\n

(1)<\/sup><\/strong> sosyal g\u00fcvenlik kurumu sa\u011fl\u0131k uygulama tebli\u011finde de\u011fi\u015fiklik yap\u0131lmas\u0131na dair tebli\u011f 1 a\u011fustos 2013 tarihli ve 28725 say\u0131l\u0131 resm\u00ee gazete<\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Ne dedilerse tersini yapt\u0131lar Vatanda\u015f\u0131n \u00fcniversiteye ba\u015fvurusu, \u00f6zel hastanedeki gibi \u2018ek \u00fccret\u2019le m\u00fcmk\u00fcn olacak! mustafa s\u00fctla\u015f \u0130stanbul – B\u0130A Haber...<\/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-3074","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\/3074","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=3074"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3074\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3074"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}