![\"\"](\"http:\/\/www.nationalturk.com\/tr\/wp-content\/uploads\/2017\/10\/kuba-saglik-rakamlar.png\" "\\"\\"")
<\/p>\nK\u00fcba tam +51\u2019lik puan\u0131yla sa\u011fl\u0131kta en ba\u015far\u0131l\u0131 \u00fclke. D\u00fcnyada ba\u015fka hi\u00e7bir \u00fclkenin ba\u015far\u0131 puan\u0131 bu kadar y\u00fcksek de\u011fil. K\u00fcba gelirde \u00e7ok gerilerde olmakla (91.) birlikte, sa\u011fl\u0131kta 29. s\u0131rada yer al\u0131yor.<\/p>\n
Buna kar\u015f\u0131l\u0131k Kanada, Danimarka, T\u00fcrkiye, ABD gelirlerine g\u00f6re sa\u011fl\u0131kta ba\u015far\u0131s\u0131zlar, asl\u0131nda ellerindeki kaynakla daha y\u00fcksek bir s\u0131rada olmalar\u0131 beklenirdi.”<\/p>\n
soL’un haberi;<\/p>\n
Sosyal medyada K\u00fcba\u2019n\u0131n sa\u011fl\u0131ktaki ba\u015far\u0131lar\u0131na \u00e7amur atan yaz\u0131lar dolan\u0131yor. Ne zaman, nerede \u00e7ekildi\u011fi belli olmayan ve K\u00fcba hastanelerini resmetti\u011fi iddia edilen foto\u011fraflarla K\u00fcba\u2019n\u0131n sa\u011fl\u0131kta asl\u0131nda ne kadar geri kalm\u0131\u015f bir \u00fclke oldu\u011fu kan\u0131tlanmaya \u00e7al\u0131\u015f\u0131l\u0131yor.<\/p>\n
Sa\u011fl\u0131ktaki ba\u015far\u0131 nas\u0131l de\u011ferlendirilir?<\/p>\n
\u00dclkelerin sa\u011fl\u0131ktaki ba\u015far\u0131 kriteri b\u00fcy\u00fck ve \u015fa\u015faal\u0131 hastaneleri de\u011fildir. Hatta ne kadar \u00e7ocu\u011fu a\u015f\u0131lad\u0131\u011f\u0131 bile de\u011fildir. Dikkat edilmesi gerekenler halk sa\u011fl\u0131\u011f\u0131n\u0131n d\u00fczeyini \u00f6l\u00e7en sonu\u00e7 g\u00f6stergeleridir.<\/p>\n
Ancak K\u00fcba tedavi hizmetlerinde, ila\u00e7 ara\u015ft\u0131rma ve geli\u015ftirmede, biyolojik \u00fcr\u00fcnlerde, kanser tedavisinde de son derece ba\u015far\u0131l\u0131. Son bir sene i\u00e7inde diyabetik ayak, Alzheimer, akci\u011fer kanseri, cilt kanseri tedavileri i\u00e7in geli\u015ftirdi\u011fi ila\u00e7lar biliniyor ve bu ila\u00e7lar \u015fimdi d\u00fcnyan\u0131n pek \u00e7ok ba\u015fka \u00fclkesinde de kullan\u0131l\u0131yor.<\/p>\n
Gelelim esas konuya.<\/p>\n\n
\u00dclkelerin sa\u011fl\u0131ktaki ba\u015far\u0131s\u0131n\u0131 de\u011ferlendirmek i\u00e7in iki temel g\u00f6sterge kullan\u0131l\u0131r: Bebek \u00f6l\u00fcm h\u0131z\u0131 (B\u00d6H) ve ya\u015fam umudu (YU). B\u00d6H ne kadar d\u00fc\u015f\u00fckse, YU ne kadar y\u00fcksekse \u00fclke sa\u011fl\u0131kta o kadar ba\u015far\u0131l\u0131d\u0131r. Bu ikisinden daha de\u011ferlisi, kimi teknik nedenlerle, B\u00d6H\u2019d\u0131r.<\/p>\n
Sa\u011fl\u0131ktaki ba\u015far\u0131 \u00fclkenin sosyoekonomik bak\u0131mdan da ba\u015far\u0131l\u0131 oldu\u011funun kesin g\u00f6stergedir. \u00c7\u00fcnk\u00fc halk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 e\u011fitim, ki\u015fi ba\u015f\u0131 gelir, gelir da\u011f\u0131l\u0131m\u0131, \u00e7evresel riskler, sosyok\u00fclt\u00fcrel yap\u0131 gibi temel de\u011fi\u015fkenler belirler. Bu de\u011fi\u015fkenlerin olumlu hali sa\u011fl\u0131\u011f\u0131 da geli\u015ftirir. \u015e\u00fcphesiz tabi ki bir de sa\u011fl\u0131k hizmetlerinin durumu. Sa\u011fl\u0131k hizmetine ula\u015f\u0131m kolaysa, hizmet paras\u0131zsa, koruyucu sa\u011fl\u0131k hizmetleri geli\u015fkinse \u00fclkenin sa\u011fl\u0131ktaki ba\u015far\u0131 d\u00fczeyi artar.<\/p>\n
Ama sa\u011fl\u0131ktaki ba\u015far\u0131y\u0131 niceliksel olarak de\u011ferlendirmede kullan\u0131lan esas y\u00f6ntem \u00fclkenin ki\u015fi ba\u015f\u0131 gelirdeki s\u0131ras\u0131 ile B\u00d6H\u2019ndaki s\u0131ras\u0131 aras\u0131ndaki farka bakmakt\u0131r. Ba\u015far\u0131l\u0131 \u00fclkelerin B\u00d6H\u2019ndaki konumlar\u0131, gelirdeki konumlar\u0131na g\u00f6re daha yukar\u0131dad\u0131r. Sa\u011fl\u0131ktaki ba\u015far\u0131 artt\u0131k\u00e7a bu fark da artar. Yani d\u00fc\u015f\u00fck gelirleriyle B\u00d6H\u2019n\u0131 d\u00fc\u015f\u00fcrmeyi ba\u015farm\u0131\u015f \u00fclkeler sa\u011fl\u0131kta daha ba\u015far\u0131l\u0131d\u0131r.<\/p>\n
Bunlar, bu konularda konu\u015fmaya, yazmaya cesaret edenlerin bilmeleri, en az\u0131ndan \u00f6\u011frenmeye niyet etmeleri gereken asgari teknik bilgiler.<\/p>\n
\u015eimdi bu \u00e7er\u00e7eveyle somut duruma bakabiliriz.<\/p>\n
\u00dclkelerin sa\u011fl\u0131ktaki durumu<\/p>\n
<\/p>\n
K\u00fcba\u2019y\u0131 sa\u011fl\u0131kta ba\u015far\u0131l\u0131 oldu\u011fu bilinen kimi Avrupa \u00fclkeleri ve y\u00fcksek gelirli \u00fclkelerle kar\u015f\u0131la\u015ft\u0131ral\u0131m. B\u00f6ylece herhangi bir \u201ctorpil\u201dden ka\u00e7\u0131nm\u0131\u015f oluruz. Analize bir de T\u00fcrkiye\u2019yi ekleyelim. En sonunda da K\u00fcba\u2019n\u0131n co\u011frafi olarak i\u00e7inde yer ald\u0131\u011f\u0131 Latin Amerika \u00fclkelerinin durumunu verelim. A\u015fa\u011f\u0131daki tablo UNICEF\u2019in 2016 raporundan olu\u015fturuldu.<\/p>\n
Yukar\u0131daki tablonun sonucu \u00e7ok net: K\u00fcba tam +51\u2019lik puan\u0131yla sa\u011fl\u0131kta en ba\u015far\u0131l\u0131 \u00fclke. D\u00fcnyada ba\u015fka hi\u00e7bir \u00fclkenin ba\u015far\u0131 puan\u0131 bu kadar y\u00fcksek de\u011fil. K\u00fcba gelirde \u00e7ok gerilerde olmakla (91.) birlikte, sa\u011fl\u0131kta 29. s\u0131rada yer al\u0131yor. Buna kar\u015f\u0131l\u0131k Kanada, Danimarka, T\u00fcrkiye, ABD gelirlerine g\u00f6re sa\u011fl\u0131kta ba\u015far\u0131s\u0131zlar, asl\u0131nda ellerindeki kaynakla daha y\u00fcksek bir s\u0131rada olmalar\u0131 beklenirdi. \u00d6rne\u011fin 51630 Dolarl\u0131k geliriyle Kanada B\u00d6H\u2019n\u0131 binde 3\u2019e d\u00fc\u015f\u00fcrebilir. \u00c7\u00fcnk\u00fc Almanya bunu daha d\u00fc\u015f\u00fck geliriyle ba\u015farm\u0131\u015f.<\/p>\n
K\u00fcba\u2019n\u0131n geliri S\u0131rbistan d\u0131\u015f\u0131ndaki b\u00fct\u00fcn Avrupa \u00fclkelerinden ve b\u00fct\u00fcn y\u00fcksek gelirli \u00fclkelerden d\u00fc\u015f\u00fck olmakla birlikte B\u00d6H bak\u0131m\u0131ndan Letonya, Yeni Zelanda, Romanya, Slovakya, Rusya, S\u0131rbistan, T\u00fcrkiye ve ABD\u2019den daya iyi durumda. K\u00fcba\u2019n\u0131n B\u00d6H \u0130ngiltere, \u0130spanya, Yunanistan, Kanada ile e\u015fit.<\/p>\n
K\u00fcba\u2019n\u0131n ya\u015fam umudu Danimarka, Letonya ile e\u015fit ve ABD, T\u00fcrkiye, S\u0131rbistan, Slovakya, Romanya, Macaristan\u2019dan daha uzun.<\/p>\n
K\u00fcba Latin Amerika \u00fclkelerinden ise a\u00e7\u0131k ara \u00f6nde.<\/p>\n
K\u00fcba 1959 y\u0131l\u0131ndan beri ABD\u2019nin siyasi, askeri ve ekonomik ablukas\u0131na muhatap durumda ya\u015f\u0131yor. En kritik mallar\u0131 uluslar aras\u0131 piyasadan bulmas\u0131 bile olanaks\u0131z olabiliyor. Petrol bunlar\u0131n ba\u015f\u0131nda geliyor. Zira ambargo di\u011fer \u00fclkeleri de K\u00fcba ile ticaret konusunda s\u0131n\u0131rl\u0131yor.<\/p>\n
Dolay\u0131s\u0131yla K\u00fcba\u2019n\u0131n sa\u011fl\u0131ktaki bu ba\u015far\u0131s\u0131 son derece k\u0131ymetli. \u00c7\u00fcnk\u00fc K\u00fcba sa\u011fl\u0131k hizmeti sunmakta gerekli malzemeleri ve cihazlar\u0131 tedarik etmekte yine ambargo nedeniyle s\u0131k s\u0131k \u00e7ok ciddi s\u0131k\u0131nt\u0131lar ya\u015f\u0131yor.<\/p>\n
Buna ra\u011fmen sa\u011fl\u0131k hizmetleri i\u00e7in ay\u0131rd\u0131\u011f\u0131 kaynaklar\u0131 azaltm\u0131yor, sa\u011fl\u0131k ara\u015ft\u0131rmalar\u0131na \u00f6ncelik veriyor ve koruyucu sa\u011fl\u0131k hizmetlerinin niteli\u011fini kesinlikle d\u00fc\u015f\u00fcrm\u00fcyor.<\/p>\n
Bu yetersiz bilgili ve belki de \u00f6n yarg\u0131l\u0131\/k\u00f6t\u00fc niyetli yazarlara, bize K\u00fcba\u2019n\u0131n sa\u011fl\u0131ktaki ba\u015far\u0131lar\u0131n\u0131 yeniden hat\u0131rlatma olana\u011f\u0131 verdikleri i\u00e7in te\u015fekk\u00fcr ederiz.<\/p>\n\n","protected":false},"excerpt":{"rendered":"
K\u00fcba tam +51\u2019lik puan\u0131yla sa\u011fl\u0131kta en ba\u015far\u0131l\u0131 \u00fclke. D\u00fcnyada ba\u015fka hi\u00e7bir \u00fclkenin ba\u015far\u0131 puan\u0131 bu kadar y\u00fcksek de\u011fil. K\u00fcba gelirde \u00e7ok gerilerde olmakla (91.) birlikte, sa\u011fl\u0131kta 29. s\u0131rada yer al\u0131yor. Buna kar\u015f\u0131l\u0131k Kanada, Danimarka, T\u00fcrkiye, ABD gelirlerine g\u00f6re sa\u011fl\u0131kta ba\u015far\u0131s\u0131zlar, asl\u0131nda ellerindeki kaynakla daha y\u00fcksek bir s\u0131rada olmalar\u0131 beklenirdi.” soL’un haberi; Sosyal medyada K\u00fcba\u2019n\u0131n sa\u011fl\u0131ktaki …<\/p>\n","protected":false},"author":4,"featured_media":255201,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6665,6155,6771,5005,6669],"tags":[1887,14,195942,130792],"class_list":["post-255199","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dunya","category-gundem","category-latin-amerika","category-manset","category-saglik","tag-abd","tag-kuba","tag-saglik","tag-sol"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/255199","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/comments?post=255199"}],"version-history":[{"count":0,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/255199\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media\/255201"}],"wp:attachment":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media?parent=255199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/categories?post=255199"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/tags?post=255199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}