{"id":3631,"date":"2009-10-16T13:15:27","date_gmt":"2009-10-16T10:15:27","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3631"},"modified":"2009-10-16T13:15:27","modified_gmt":"2009-10-16T10:15:27","slug":"sgk-genelgesi-hakkinda-ortak-basin-toplantisi","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3631","title":{"rendered":"SGK genelgesi hakk\u0131nda ortak bas\u0131n toplant\u0131s\u0131"},"content":{"rendered":"

\"a\u00e7\u0131klama\"
\u00a0<\/span><\/strong><\/p>\n

Bug\u00fcn \u0130stanbul Eczac\u0131 Odas\u0131\u2019nda SGK\u2019n\u0131n son genelgesiyle birlikte e\u015fde\u011fer ila\u00e7 tan\u0131m\u0131n\u0131n de\u011fi\u015ftirilmesi ve hastalar\u0131n ila\u00e7lar\u0131na ula\u015fmas\u0131n\u0131n \u00f6n\u00fcne b\u00fcy\u00fck engeller \u00e7\u0131kar\u0131lmas\u0131 hakk\u0131nda bir bas\u0131n toplant\u0131s\u0131 d\u00fczenlendi.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Bas\u0131n toplant\u0131s\u0131na \u0130stanbul Eczac\u0131 Odas\u0131 Ba\u015fkan\u0131 Ecz. Semih G\u00fcng\u00f6r, \u0130stanbul Tabip Odas\u0131 Genel Sekreteri Dr. H\u00fcseyin Demirdizen, Bursa Eczac\u0131 Odas\u0131 Ba\u015fkan\u0131 Ecz. K\u0131van\u00e7 Atmaca ve Gaziantep Eczac\u0131 Odas\u0131 Ba\u015fkan\u0131 Ecz. \u0130rfan Demirci kat\u0131ld\u0131.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Dr. H\u00fcseyin Demirdizen yapt\u0131\u011f\u0131 konu\u015fmada, h\u00fck\u00fcmetin ekonomik y\u00fck\u00fcn tamam\u0131n\u0131 vatanda\u015f\u0131n sa\u011fl\u0131k hakk\u0131ndan kar\u015f\u0131lamaya \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 s\u00f6yledi. Demirdizen vatanda\u015f\u0131n sa\u011fl\u0131k hizmetlerine ula\u015fmas\u0131n\u0131n \u201cs\u0131rat k\u00f6pr\u00fcs\u00fcn\u00fc ge\u00e7mesi kadar\u201d zorla\u015ft\u0131r\u0131ld\u0131\u011f\u0131na dikkat \u00e7ekerek \u00fclkemizde resmi rakamlara g\u00f6re 2 milyon a\u00e7 insan\u0131n ya\u015fad\u0131\u011f\u0131n\u0131 ve bu insanlara sa\u011fl\u0131k kurulu\u015flar\u0131n\u0131n kap\u0131s\u0131n\u0131n 2, 8 ve 15 liradan a\u00e7\u0131ld\u0131\u011f\u0131n\u0131 vurgulad\u0131. SGK\u2019n\u0131n e\u015fde\u011fer kriterlerini \u201cEskiden elmalar birbirine e\u015ftir denilirken, \u015fimdi b\u00fct\u00fcn meyveler birbirine e\u015ftir, deniliyor\u201d diye anlatan Demirdizen, bu genelgenin getirece\u011fi ciddi tehlikelere ve mesleki risklere i\u015faret etti. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Toplant\u0131da \u0130EO Ba\u015fkan\u0131 Ecz. Semih G\u00fcng\u00f6r a\u015fa\u011f\u0131da yay\u0131nlad\u0131\u011f\u0131m\u0131z bas\u0131n a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.<\/span><\/p>\n

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16 Ekim 2009<\/span><\/span><\/span><\/strong><\/p>\n

\u00a0 <\/p>\n

<\/p>\n

\u00a0<\/p>\n

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

BASINA VE KAMUOYUNA<\/span><\/span><\/span><\/strong><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

Sosyal G\u00fcvenlik Kurumu\u2019nun sigortal\u0131 hastalara ila\u00e7 verme kriterlerini belirleyen Sa\u011fl\u0131k Uygulama Tebli\u011fi\u2019nde de\u011fi\u015fiklik yapan genelgesi 12 Ekim 2009 tarihinde yay\u0131nland\u0131. 19 Ekim\u2019den itibaren ge\u00e7erli olacak Genelge \u00e7ok ciddi sa\u011fl\u0131k sorunlar\u0131na neden olacakt\u0131r.<\/span><\/p>\n

Sosyal G\u00fcvenlik Kurumu y\u00fcr\u00fcrl\u00fckte olan Sa\u011fl\u0131k Uygulama Tebli\u011fi\u2019nde e\u015fde\u011fer ila\u00e7 uygulamas\u0131n\u0131 \u201cayn\u0131 endikasyon i\u00e7in kullan\u0131labilecek ayn\u0131 etken maddeyi<\/strong> i\u00e7eren \u00fcr\u00fcnlerin fiyat kar\u015f\u0131la\u015ft\u0131rmas\u0131\u201d esas\u0131na dayand\u0131rm\u0131\u015fken; 12 Ekim 2009 tarihinde yay\u0131nlad\u0131\u011f\u0131 genelge ile bu kez e\u015fde\u011fer ila\u00e7 uygulamas\u0131n\u0131 sadece \u201cayn\u0131 endikasyon i\u00e7in kullan\u0131labilecek kimyasal\/farmakolojik\/terap\u00f6tik alt grup etken maddeyi<\/strong> ya da maddeleri i\u00e7eren \u00fcr\u00fcnlerin fiyat kar\u015f\u0131la\u015ft\u0131rmas\u0131\u201d esas\u0131na dayand\u0131rm\u0131\u015ft\u0131r.<\/span><\/p>\n

Yap\u0131lan bu d\u00fczenleme gerek mevzuatta gerekse bilimsel literat\u00fcrdeki e\u015fde\u011ferlilik tan\u0131m\u0131na ayk\u0131r\u0131d\u0131r. \u015e\u00f6yle ki:<\/span><\/p>\n

Be\u015feri T\u0131bbi \u00dcr\u00fcnlerin Fiyatland\u0131r\u0131lmas\u0131 Hakk\u0131nda Tebli\u011f<\/strong>\u2019de e\u015fde\u011fer \u00fcr\u00fcn, \u201cetken madde, farmas\u00f6tik form ve birim hammadde miktar\u0131 ayn\u0131 olan \u00fcr\u00fcnleri\u201d tan\u0131mlamaktad\u0131r.<\/span><\/span><\/span><\/p>\n

Be\u015feri T\u0131bbi \u00dcr\u00fcnler Ruhsatland\u0131rma Y\u00f6netmeli\u011fi<\/strong>\u2019nde yer alan jenerik ila\u00e7 (e\u015fde\u011fer ila\u00e7) tan\u0131m\u0131 ise \u201cetken maddeler a\u00e7\u0131s\u0131ndan orijinal t\u0131bbi \u00fcr\u00fcn ile ayn\u0131 kalitatif ve kantitatif terkibe ve ayn\u0131 farmas\u00f6tik forma sahip olan\u201d ve orijinal t\u0131bbi \u00fcr\u00fcn ile biyoe\u015fde\u011ferlili\u011fi dahi kan\u0131tlanm\u0131\u015f \u00fcr\u00fcn olarak yap\u0131lm\u0131\u015ft\u0131r.<\/span><\/span><\/span><\/p>\n

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\u00a0<\/span><\/p>\n

BU GENELGE \u0130LE:<\/span><\/span><\/span><\/strong><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

1)<\/span>\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/strong>E\u015fde\u011fer tan\u0131m\u0131 de\u011fi\u015ftirilmektedir.<\/span><\/strong><\/span><\/span><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

a)<\/span>\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Maliye Bakanl\u0131\u011f\u0131\u2019na ba\u011fl\u0131 bir kurum olan Sosyal G\u00fcvenlik Kurumu, ancak Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n bilimsel kurullar\u0131nca yap\u0131labilecek bir de\u011fi\u015fikli\u011fi salt finansal gerek\u00e7elerle ve tamamen bilim d\u0131\u015f\u0131 bir bi\u00e7imde yaparak yetki alan\u0131n\u0131n d\u0131\u015f\u0131na \u00e7\u0131kmaktad\u0131r. Halk sa\u011fl\u0131\u011f\u0131n\u0131 da ciddi anlamda tehlikeye atmaktad\u0131r. B\u00f6ylelikle hekimin sa\u011falt\u0131m, eczac\u0131n\u0131n ila\u00e7 hizmeti verme, hastan\u0131n iyile\u015fme hakk\u0131n\u0131 ortadan kald\u0131ran \u201cabs\u00fcrd\u201d bir durum ortaya \u00e7\u0131kmaktad\u0131r.<\/span><\/span><\/span><\/p>\n

b)<\/span>\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>E\u015fde\u011fer ila\u00e7 uygulamas\u0131, t\u00fcm d\u00fcnyada belirli bilimsel kriterlere g\u00f6re s\u00fcrd\u00fcr\u00fclen ve kamunun tasarruf sa\u011flamas\u0131na b\u00fcy\u00fck katk\u0131s\u0131 olan bir uygulamad\u0131r. Bu uygulamay\u0131 biz eczac\u0131lar olarak y\u0131llard\u0131r destekliyoruz. Ancak \u00f6z\u00fcnde bir finansal kurum haline getirilen SGK\u2019n\u0131n s\u00f6zkonusu genelgeyle kabul etti\u011fini a\u00e7\u0131klad\u0131\u011f\u0131 \u201ce\u015fde\u011fer ila\u00e7 tan\u0131m\u0131\u201d bilimsellikten tamamen uzak bir tan\u0131md\u0131r. Bu tan\u0131ma g\u00f6re hastalar\u0131m\u0131za \u201ce\u015fde\u011feri\u201d diye sunmam\u0131z dayat\u0131lan ila\u00e7lar, asl\u0131nda bilimsel anlamda \u201ce\u015fde\u011feri\u201d olmayacakt\u0131r.<\/span><\/span><\/span><\/p>\n

c)<\/span>\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>SGK bu genelgesiyle toplum sa\u011fl\u0131\u011f\u0131n\u0131 hi\u00e7e saymakta, ortaya \u00e7\u0131kacak vahim tabloyu umursamayarak yaln\u0131zca \u201csa\u011fl\u0131\u011fa daha az para \u00f6deme\u201d ad\u0131na her t\u00fcrl\u00fc riski hastalara reva g\u00f6rmektedir. Biz eczac\u0131lar SGK\u2019n\u0131n bu kendinden menkul \u201ce\u015fde\u011fer ila\u00e7\u201d tan\u0131m\u0131yla hastalar\u0131m\u0131za re\u00e7etelerinde yazan ila\u00e7taki \u201cetken madde\u201dyi i\u00e7ermeyen ba\u015fka ila\u00e7lar vermek zorunda kalaca\u011f\u0131z. Hastalar ise re\u00e7etede yazan ilac\u0131n kendisini veyahut eczac\u0131 taraf\u0131ndan ona verilecek bilimsel anlamda ger\u00e7ek \u201ce\u015fde\u011ferini\u201d almak istediklerinde dahi; \u00e7\u0131kan y\u00fcksek miktardaki fiyat farklar\u0131n\u0131 ceplerinden \u00f6demek zorunda kalacaklar. Y\u0131llard\u0131r savundu\u011fumuz \u201ce\u015fde\u011fer ila\u00e7\u201d uygulamas\u0131n\u0131n bu \u015fekilde yozla\u015ft\u0131r\u0131larak, \u00f6z\u00fcnde ortadan kald\u0131r\u0131lmas\u0131na Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan derhal m\u00fcdahale edilmelidir. <\/span><\/span><\/span><\/p>\n

\u00a0<\/span><\/p>\n

2)<\/span>\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/strong>Hastalar\u0131m\u0131z\u0131n ila\u00e7lar\u0131na ula\u015fmalar\u0131 daha da zorla\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r.<\/span><\/strong><\/span><\/span><\/p>\n

\u00a0<\/span><\/p>\n

SGK\u2019n\u0131n bu genelgesiyle ya\u015famsal \u00f6neme sahip ve halk\u0131m\u0131z\u0131n en \u00e7ok kulland\u0131\u011f\u0131 kalp ve tansiyon ila\u00e7lar\u0131n\u0131n neredeyse t\u00fcm\u00fcne re\u00e7etelerinin nefroloji, endokrinoloji veya kardiyoloji uzman hekimi taraf\u0131ndan d\u00fczenlenmesi ko\u015fulu getirilmi\u015ftir. Bu hastalar\u0131m\u0131z\u0131n neredeyse y\u00fczde 90\u2019\u0131n\u0131n, ila\u00e7lar\u0131n\u0131 yazd\u0131rmak i\u00e7in art\u0131k \u00fcniversite veya e\u011fitim-ara\u015ft\u0131rma hastanelerine gitmeleri gerekecektir.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Daha \u00f6nce iki y\u0131ll\u0131k raporunu sa\u011fl\u0131k oca\u011f\u0131na g\u00f6t\u00fcrerek ilac\u0131n\u0131 re\u00e7eteye yazd\u0131ran bir kalp hastas\u0131, bu genelgeden sonra ancak bu \u00fc\u00e7 uzman hekimden en az birinin bulundu\u011fu hastanelere gitmek zorunda kalacakt\u0131r. \u00dcstelik re\u00e7eteyi hastanede yazd\u0131raca\u011f\u0131 i\u00e7in \u00f6deyece\u011fi muayene kat\u0131l\u0131m pay\u0131 da \u00e7ok daha y\u00fcksek olacakt\u0131r. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u015eu anda \u0130stanbul\u2019daki devlet hastanelerimizin bir\u00e7o\u011funda bile bu \u00fc\u00e7 uzman hekimden herhangi biri bulunmazken, Anadolu\u2019daki hastalar\u0131m\u0131z\u0131n bu hekimlerin bulundu\u011fu kurulu\u015flara ula\u015fmalar\u0131 neredeyse imkans\u0131zd\u0131r. Buradan da anla\u015f\u0131laca\u011f\u0131 \u00fczere SGK tasarruf ad\u0131 alt\u0131nda getirdi\u011fi d\u00fczenlemeyle hastalar\u0131m\u0131za \u201cya \u00f6l ya da ilac\u0131n\u0131 paranla al\u201d demektedir.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

GENELGE \u0130PTAL ED\u0130LMEL\u0130D\u0130R!<\/span><\/span><\/span><\/strong><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

Bilime, halk sa\u011fl\u0131\u011f\u0131na ayk\u0131r\u0131 bu genelgenin iptali i\u00e7in gerekli yasal i\u015flemleri \u0130stanbul Eczac\u0131 Odas\u0131 olarak ba\u015flatm\u0131\u015f bulunmaktay\u0131z. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019na da halk sa\u011fl\u0131\u011f\u0131n\u0131 hi\u00e7e sayan bu genelgenin iptali i\u00e7in giri\u015fimde bulunmas\u0131 konusunda \u00e7a\u011fr\u0131da bulunuyoruz.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00d6te yandan son olarak y\u00fcr\u00fcrl\u00fc\u011fe konan bu genelge \u00fclkemizde sa\u011fl\u0131k sisteminin, IMF ve D\u00fcnya Bankas\u0131 g\u00fcd\u00fcm\u00fcnde AKP eliyle getirildi\u011fi noktay\u0131 \u00e7ok net olarak g\u00f6zler \u00f6n\u00fcne sermektedir.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

AKP h\u00fck\u00fcmetinin Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131\u2019n\u0131 propaganda ederken \u00e7izdi\u011fi toz pembe tablonun renkleri akmakta, alt\u0131ndaki kapkara tuval her ge\u00e7en g\u00fcn daha bir a\u00e7\u0131kl\u0131kla ortaya \u00e7\u0131kmaktad\u0131r. Sa\u011fl\u0131kta masal bitmi\u015ftir!<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Biz eczac\u0131lar, hekimler, di\u015fhekimleri, veteriner hekimler, hem\u015fireler, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131, hastalar\u0131m\u0131z, t\u00fcm yurtta\u015flar\u0131m\u0131z, en temel insan hakk\u0131m\u0131z olan sa\u011fl\u0131k hakk\u0131na sahip \u00e7\u0131kmak i\u00e7in 18 Ekim\u2019de saat 13.00\u2019te Kad\u0131k\u00f6y\u2019de toplan\u0131yoruz. Sa\u011fl\u0131k hakk\u0131m\u0131z\u0131 ancak birle\u015ferek kazanabiliriz. T\u00fcm vatanda\u015flar\u0131m\u0131za \u201cilac\u0131na sahip \u00e7\u0131k\u201d diyor, Pazar g\u00fcn\u00fc sa\u011fl\u0131\u011f\u0131m\u0131z, eme\u011fimiz, mesleki onurumuz i\u00e7in ger\u00e7ekle\u015ftirece\u011fimiz mitinge kat\u0131lmaya \u00e7a\u011f\u0131r\u0131yoruz.<\/span><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

\u0130STANBUL ECZACI ODASI<\/span><\/span><\/span><\/strong><\/p>\n

\u0130STANBUL TAB\u0130P ODASI<\/span><\/span><\/span><\/strong><\/p>\n

BURSA ECZACI ODASI<\/span><\/span><\/span><\/strong><\/p>\n

KOCAEL\u0130 ECZACI ODASI<\/span><\/span><\/span><\/strong><\/p>\n

GAZ\u0130ANTEP ECZACI ODASI<\/span><\/span><\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 Bug\u00fcn \u0130stanbul Eczac\u0131 Odas\u0131\u2019nda SGK\u2019n\u0131n son genelgesiyle birlikte e\u015fde\u011fer ila\u00e7 tan\u0131m\u0131n\u0131n de\u011fi\u015ftirilmesi ve hastalar\u0131n ila\u00e7lar\u0131na ula\u015fmas\u0131n\u0131n \u00f6n\u00fcne b\u00fcy\u00fck engeller...<\/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":[1],"tags":[],"class_list":["post-3631","post","type-post","status-publish","format-standard","hentry","category-ced"],"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\/3631","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=3631"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3631\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3631"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3631"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}