Global b\u00fct\u00e7e uygulamas\u0131 kapsam\u0131nda SGK\u2019n\u0131n ila\u00e7 harcamalar\u0131 i\u00e7in 2010 y\u0131l\u0131 hedefi 14,6 milyar TL olarak hesaplanm\u0131\u015ft\u0131. \u0130la\u00e7 fiyatlar\u0131 d\u00fc\u015f\u00fcr\u00fcld\u00fc, kamu kurum iskontolar\u0131 art\u0131r\u0131ld\u0131 ama yetmedi. 2011 y\u0131l\u0131 i\u00e7in de hedef 15,5 milyar TL. Yine yetmeyecek. O halde paray\u0131 biraz idareli harcamak laz\u0131m. Halk\u0131m\u0131z \u00e7ok \u015f\u00fck\u00fcr durumundan \u00e7ok mutlu, ama yetmez, tebess\u00fcmler g\u00fcl\u00fc\u015flere, g\u00fcl\u00fc\u015fler kahkahalara d\u00f6n\u00fc\u015fmeli.<\/p>\n
Ayr\u0131ca eczac\u0131lar herkes\u00e7e de kabul edildi\u011fi \u00fczere az \u00e7al\u0131\u015f\u0131p \u00e7ok kazan\u0131yorlar, her birinin 2\u2019\u015fer 3\u2019er yazl\u0131\u011f\u0131, birer de cipi var. O halde onlar\u0131 da \u00e7ok \u00e7al\u0131\u015ft\u0131r\u0131p az kazand\u0131rmal\u0131.<\/p>\n
Efendim bunlar benim na\u00e7izane \u00f6nerilerim. SGK bunlar\u0131 uygularsa kendileri i\u00e7in \u00e7ok hay\u0131rl\u0131 olaca\u011f\u0131 kanaatindeyim.<\/p>\n
1) Medula serverlar\u0131 \u00e7ok elektrik yakt\u0131\u011f\u0131ndan g\u00fcn\u00fcn belirli saatlerinde kapat\u0131ls\u0131n. Hatta m\u00fcmk\u00fcnse eczac\u0131lar re\u00e7etelerini offline olarak CD\u2019ye kaydedip kuruma kolilerle beraber elden teslim etsin.<\/p>\n
2) 6 sene aradan sonra g\u00fcncellenen majistral tarife m\u00fcmk\u00fcnse en az bir 6 sene daha g\u00fcncellenmesin.<\/p>\n
3) Kat\u0131l\u0131m paylar\u0131n\u0131n detaylar\u0131n\u0131 g\u00f6rmek i\u00e7in MEDULA\u2019da bir buton konulsun. Bu butona her bir t\u0131klama ba\u015f\u0131na eczac\u0131n\u0131n alaca\u011f\u0131ndan 8 TL d\u00fc\u015f\u00fcls\u00fcn.<\/p>\n
4) M\u00fckemmel i\u015fleyen \u0130la\u00e7 Takip Sistemini t\u00fcrl\u00fc hackerl\u0131klar ve bilumum \u015feytani y\u00f6ntemlerle delen \u00e7etelerin \u00f6n\u00fcne ge\u00e7mek i\u00e7in G2D\u2019li ila\u00e7 i\u00e7eren re\u00e7eteler noterce tasdik ettirildikten sonra fatura edilsin.<\/p>\n
5) Depolar haz\u0131r \u0130TS\u2019ye ge\u00e7memi\u015fken \u00fcretici ve ithalat\u00e7\u0131 firmalar da aradan \u00e7\u0131kar\u0131ls\u0131n. Eczaneler Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019ndan ald\u0131klar\u0131 bo\u015f s\u00fcr\u015farj karekodlar\u0131n\u0131 elle nak\u0131\u015f nak\u0131\u015f i\u015fleyerek sisteme s\u0131ras\u0131yla \u00fcretim bildirimi, \u00fcretici sat\u0131\u015f bildirimi, depo mal al\u0131m bildirimi, depo sat\u0131\u015f bildirimi, eczane mal al\u0131m bildirimi ve eczane sat\u0131\u015f bildirimi yaps\u0131n.<\/p>\n
6) Primi d\u00fc\u015f\u00fck yatan hastan\u0131n yol paras\u0131 eczanelerden tahsil edilsin. Eczac\u0131n\u0131n bunu uygulamas\u0131n\u0131 zorunlu k\u0131lmak i\u00e7in de SUT\u2019a bir madde eklensin (Bu madde ger\u00e7ekten \u00e7ok \u00f6nemli, se\u00e7imlerde \u00e7ok i\u015fe yarar).<\/p>\n
7) \u015eeker \u00e7ubuklar\u0131na 32 kuru\u015f \u00f6densin ancak \u00e7ubuklar\u0131n boylar\u0131 yar\u0131ya indirilsin.<\/p>\n
8) \u00d6rnekleme y\u00f6ntemi gitsin, yerine takvim y\u00f6ntemi gelsin. Ay\u0131n 12. ve 16. g\u00fcnleri aras\u0131nda kolisini teslim etmeyenlerin re\u00e7eteleri sonraki aylar da dahil olmak \u00fczere al\u0131nmas\u0131n.<\/p>\n
9) Fiyat\u0131 artan ila\u00e7lar eczac\u0131lar farkedene kadar Medula\u2019da g\u00fcncellenmesin. Farkeden olursa \u201cbiz de \u015fimdi onu g\u00fcncelliyorduk\u201d denilsin.<\/p>\n
10) Kredi bor\u00e7lar\u0131n\u0131 kredi kart\u0131ndan \u00e7ektirmek isteyen sigortal\u0131lar i\u00e7in kurum bo\u015fu bo\u015funa POS cihaz\u0131 almas\u0131n. Bu primler halihaz\u0131rda POS cihaz\u0131na sahip eczaneler arac\u0131l\u0131\u011f\u0131yla tahsil edilsin.<\/p>\n
11) Hastalar Temel f\u0131kras\u0131yla kar\u015f\u0131lans\u0131n. SGK hakk\u0131nda en ufak bir olumsuz s\u00f6zc\u00fck kullan\u0131lmas\u0131n. Eczanelere 10 santimetrelik puntolarla, 50×70 ebatlar\u0131nda ve her taraftan g\u00f6r\u00fclecek \u015fekilde \u0131\u015f\u0131kland\u0131r\u0131lm\u0131\u015f \u201cBurada SGK hakk\u0131nda olumsuz konu\u015fulmaz, Cezas\u0131 62 TL\u201d yazan levhalar as\u0131ls\u0131n.<\/p>\n
12)\u00a0 \u00c7\u00f6lyak hastalar\u0131n\u0131n her ay hesab\u0131na yat\u0131r\u0131lacak beslenme \u00fcr\u00fcnleri i\u00e7in yanda\u015f bankalardan hastalara kredi kart\u0131 verilsin. TEB eczac\u0131lardan ald\u0131\u011f\u0131 s\u00f6zle\u015fme bedelleriyle bu kartlar\u0131n borcunu \u00f6desin.<\/p>\n
13)\u00a0 Geri \u00f6deme listesine tansiyon hastalar\u0131 i\u00e7in limon ve tuzlu ayran, kolesterol hastalar\u0131 i\u00e7in ceviz ve elma, \u015feker hastalar\u0131 i\u00e7in sarm\u0131sak ve zencefil al\u0131ns\u0131n. Bunlar\u0131n haricindeki tansiyon, kolesterol ve \u015feker d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar geri \u00f6deme listesinden \u00e7\u0131kar\u0131ls\u0131n.<\/p>\n
14)\u00a0 Kab\u0131z olanlar \u0131k\u0131ns\u0131n, ishal olanlar alt\u0131na bez ba\u011flas\u0131n.<\/p>\n
15)\u00a0 Terap\u00f6tik e\u015fde\u011ferlikten ziyade, alfabetik e\u015fde\u011ferlik gelsin. Ayn\u0131 harfle ba\u015flayan ila\u00e7lardan en ucuzu \u00f6densin. B\u00f6ylece yakla\u015f\u0131k 30 tane taban fiyat olsun.<\/p>\n
16)\u00a0 E-rapor ba\u015flad\u0131, e-re\u00e7ete gelecek, madem \u00f6yle e-hasta uygulamas\u0131 da gelsin. \u0130nterneti olan hastalar webcam ile, telefonu destekleyen hastalar da aile hekimlerine 3G ile muayene olsun. B\u00f6ylece hastane \u00f6nlerindeki gereksiz y\u0131\u011f\u0131lmalar\u0131n \u00f6n\u00fcne ge\u00e7ilsin.<\/p>\n
17)\u00a0 Yarg\u0131 kararlar\u0131yla kurumun i\u015fleyi\u015fini s\u00fcrekli bozan Dan\u0131\u015ftay\u2019\u0131n \u00e7al\u0131\u015fanlar\u0131n\u0131n re\u00e7eteleri Sosyal G\u00fcvenlik Kurumu\u2019nca kar\u015f\u0131lanmas\u0131n.<\/p>\n
18)\u00a0 Yap\u0131lacak yasal bir de\u011fi\u015fiklikle SGK genelgeleri, \u0130la\u00e7 ve Eczac\u0131l\u0131k Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc genelgelerinin \u00fcst\u00fcnde say\u0131ls\u0131n.<\/p>\n
\u0130nan\u0131n o kadar zor de\u011fil bunlar\u0131 hayata ge\u00e7irmek. 4 Aral\u0131k 2009 Eczane Kapatma Eyleminden sonra TEB ile olan protokol\u00fc tek tarafl\u0131 olarak fesheden SGK protokole hangi maddeleri eklemeye \u00e7al\u0131\u015fm\u0131\u015ft\u0131 hat\u0131rlayal\u0131m:<\/p>\n
1) Bundan sonra, hi\u00e7bir \u015fekilde herhangi bir eylemin yap\u0131lmayaca\u011f\u0131n\u0131n imzalanacak s\u00f6zle\u015fmede yer almas\u0131<\/p>\n
2) \u0130la\u00e7 Takip Sistemi’ne ko\u015fulsuz, \u015farts\u0131z ve bir an evvel ge\u00e7i\u015fin kabul edilmesi<\/p>\n
3) Eczanelerin camekan ve vitrinlerindeki g\u00f6r\u00fcnt\u00fc kirlili\u011finin kald\u0131r\u0131lmas\u0131, vitrinde sadece “SGK ile S\u00f6zle\u015fmeli Eczane” ifadesinin yer almas\u0131, hastalar\u0131n g\u00fclery\u00fczle kar\u015f\u0131lanmas\u0131, eczac\u0131lar taraf\u0131ndan halka kar\u015f\u0131 SGK hakk\u0131nda olumsuz s\u00f6zlerin s\u00f6ylenmesinin engellenmesi<\/p>\n
4) Protokol\u00fcn 3.7 maddesi gere\u011fince kurulan re\u00e7ete da\u011f\u0131t\u0131m sistemleri nedeniyle, sistemden yararlanan \u00fcyelerden giderleri kar\u015f\u0131layacak miktarda B\u00f6lge Eczac\u0131 Odalar\u0131nca al\u0131nan hizmet bedelinin al\u0131nmamas\u0131<\/p>\n
5) S\u00f6zle\u015fme kar\u015f\u0131l\u0131\u011f\u0131nda herhangi bir bedel al\u0131nmamas\u0131<\/p>\n
Eh yani protokole girmese bile 1. ve 2. maddeler zaten uygulanmakta. Bu da demektir ki s\u0131rada 3., 4., 5. ve bizim hen\u00fcz bilmedi\u011fimiz maddeler var. Hadi bakal\u0131m hay\u0131rl\u0131s\u0131.<\/p>\n
<\/p>\n
Havanhaber.org sitesinden al\u0131nt\u0131d\u0131r.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"
Global b\u00fct\u00e7e uygulamas\u0131 kapsam\u0131nda SGK\u2019n\u0131n ila\u00e7 harcamalar\u0131 i\u00e7in 2010 y\u0131l\u0131 hedefi 14,6 milyar TL olarak hesaplanm\u0131\u015ft\u0131. \u0130la\u00e7 fiyatlar\u0131 d\u00fc\u015f\u00fcr\u00fcld\u00fc, kamu...<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-4161","post","type-post","status-publish","format-standard","hentry","category-ecz-murat-gumus"],"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\/4161","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\/6"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4161"}],"version-history":[{"count":2,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/4161\/revisions"}],"predecessor-version":[{"id":4239,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/4161\/revisions\/4239"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4161"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}