{"id":89166,"date":"2011-11-23T10:34:30","date_gmt":"2011-11-23T08:34:30","guid":{"rendered":"http:\/\/www.nationalturk.com\/?p=89166"},"modified":"2019-03-28T11:05:16","modified_gmt":"2019-03-28T08:05:16","slug":"saglik-sistemi-alarmda-5142","status":"publish","type":"post","link":"https:\/\/www.nationalturk.com\/tr\/saglik-sistemi-alarmda-5142\/","title":{"rendered":"Sa\u011fl\u0131k Sistemi Alarmda"},"content":{"rendered":"<h2><a href=\"http:\/\/www.nationalturk.com\/tr\/wp-content\/uploads\/2011\/03\/emregollu_yatay.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-63492\" title=\"Emre G\u00f6ll\u00fc\" src=\"http:\/\/www.nationalturk.com\/tr\/wp-content\/uploads\/2011\/03\/emregollu_yatay.jpg\" alt=\"\" width=\"280\" height=\"202\"><\/a><\/h2>\n<h2>NationalTurk yorumcusu Emre G\u00f6ll\u00fc \u2018n\u00fcn &#8220;Sa\u011fl\u0131k Sistemi Alarmda&#8221; ba\u015fl\u0131kl\u0131 makalesini sizlerle payla\u015f\u0131yoruz.<\/h2>\n<p>Van\u2019da art arda ya\u015fanan deprem fel\u00e2ketlerinin yaralar\u0131n\u0131n sar\u0131lmaya \u00e7al\u0131\u015f\u0131lmas\u0131, A Mill\u00ee Futbol Tak\u0131m\u0131m\u0131z\u0131n yeni teknik direkt\u00f6r\u00fc, bedelli askerlik yasa tasar\u0131s\u0131 konular\u0131 kamuoyunun g\u00fcndeminde \u00f6ncelikle yer al\u0131rken, geri planda da \u00f6nemli geli\u015fmeler oluyor ki bunlar\u0131n baz\u0131lar\u0131, sa\u011fl\u0131k sistemini alarma ge\u00e7irmi\u015f durumda. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan ba\u015flat\u0131lan \u201cSa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131\u201dn\u0131n getirece\u011fi de\u011fi\u015fiklikleri protesto amac\u0131yla \u0130stanbul \u00dcniversitesi\u2019nin Cerrahpa\u015fa ve \u00c7apa T\u0131p Fak\u00fcltelerinde grev ba\u015flad\u0131.<\/p>\n<p>Bu arada, kamuoyunda uzun zamand\u0131r \u201cTam G\u00fcn Yasas\u0131\u201d olarak bilinen yasan\u0131n y\u00fcr\u00fcrl\u00fc\u011fe konulmas\u0131n\u0131n etkileri, buna ba\u011fl\u0131 olarak yabanc\u0131 \u00fclkelerden doktor getirilmesi hususlar\u0131 zaten tart\u0131\u015f\u0131l\u0131yordu, bu tart\u0131\u015fmalar da devam edece\u011fe benziyor. \u00dcniversite hastanelerinden, akademik kariyer sahibi \u00f6nemli doktorlar\u0131n ayr\u0131ld\u0131\u011f\u0131 haberleri art arda gelmi\u015fti. Peki, bu gidi\u015f nereye varacak?<\/p>\n<p>Yeni uygulamayla, akademisyen doktorlar\u0131n, fak\u00fcltelerinde derse girmeleri engellenmiyor g\u00f6z\u00fckse de asl\u0131nda kendilerinin yapacaklar\u0131 tercihe ba\u011fl\u0131 olarak fak\u00fclteden ayr\u0131lmalar\u0131, hem klinik faaliyetlerinde hem de a\u015fa\u011f\u0131dan gelecek uzman hekimlerin pratik uygulamalarla yeti\u015fmesinde cidd\u00ee s\u0131k\u0131nt\u0131lar do\u011furacak bana g\u00f6re. D\u00fc\u015f\u00fcn\u00fcn ki, \u00fcst d\u00fczey bir akademisyen doktor, mecbur kald\u0131\u011f\u0131 tercih noktas\u0131nda fak\u00fclteden ayr\u0131l\u0131yor, gerek klinik gerek akademik hi\u00e7bir \u00e7al\u0131\u015fma yapamayacak duruma geliyor. A\u015fa\u011f\u0131dan gelen akademisyen hekimler, uygulamada destek alamay\u0131nca nas\u0131l yeti\u015fecekler bu durumda? Ayr\u0131ca, ameliyatlar\u0131 ger\u00e7ekle\u015ftiren ekiplerin b\u00fct\u00fcnl\u00fc\u011f\u00fc ve yeterlili\u011fi nas\u0131l sa\u011flanacak? Bir an i\u00e7in, yabanc\u0131 uyruklu doktorlar\u0131n gelip g\u00f6reve ba\u015flad\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnelim. Bunlar, poliklinikte nas\u0131l muayene yapacaklar? Yanlar\u0131nda \u00e7evirmen bulundurarak m\u0131?<\/p>\n<p>Bu sorular yan\u0131t ararken di\u011fer bir \u00f6nemli husus da sa\u011fl\u0131k hizmetinin, genel sa\u011fl\u0131k sigortas\u0131na ba\u011flanmas\u0131 olarak ortaya \u00e7\u0131k\u0131yor. Prim \u00f6demelerinin uygulamada nas\u0131l ger\u00e7ekle\u015fece\u011fini ve sistemin buna ba\u011fl\u0131 olarak nas\u0131l i\u015fleyece\u011fini g\u00f6rece\u011fiz ancak ba\u015flang\u0131\u00e7tan itibaren b\u00fcy\u00fck s\u0131k\u0131nt\u0131lara gebe bir durumun kar\u015f\u0131m\u0131za \u00e7\u0131kaca\u011f\u0131n\u0131 \u00f6ng\u00f6rmek zor olmuyor do\u011frusu.<\/p>\n<p>Sistemi alarma ge\u00e7iren di\u011fer bir unsuru da ila\u00e7 sekt\u00f6r\u00fc olu\u015fturuyor. \u0130la\u00e7 fiyatlar\u0131n\u0131n belirlenmesinde 2004 y\u0131l\u0131ndan bu yana ge\u00e7erli olan referans fiyat uygulamas\u0131nda, kurum iskontosu oranlar\u0131nda ve orijinal ila\u00e7lar ile jenerik ila\u00e7lar aras\u0131ndaki geri \u00f6deme oran\u0131 band\u0131nda son d\u00fczenlemeler, gerek yerli gerekse \u00e7okuluslu firmalarda tepki uyand\u0131rd\u0131. D\u00f6viz kurlar\u0131ndaki art\u0131\u015f\u0131n yaratt\u0131\u011f\u0131 maliyetin bask\u0131s\u0131 alt\u0131nda olan ila\u00e7 firmalar\u0131, bir de bu d\u00fczenlemelere ba\u011fl\u0131 olarak \u00fcr\u00fcnlerin fiyatlar\u0131nda olu\u015fan d\u00fc\u015f\u00fc\u015flerden kayba u\u011fray\u0131nca, deyim yerindeyse \u201cb\u0131\u00e7a\u011f\u0131n kemi\u011fe dayand\u0131\u011f\u0131\u201d noktaya gelindi. Bu durumda, sekt\u00f6r\u00fcn derneklerinin yaz\u0131l\u0131 bas\u0131na ortak verdikleri ilanda yerald\u0131\u011f\u0131 gibi, \u00f6nemli ila\u00e7lara eri\u015fim konusunda riskler ka\u00e7\u0131n\u0131lmaz olacak.<\/p>\n<p>Sa\u011fl\u0131k sistemini tedarik zinciri mant\u0131\u011f\u0131yla d\u00fc\u015f\u00fcn\u00fcrsek, zinciri olu\u015fturan halkalarda \u015fiddetli gerilmeler kendini g\u00f6steriyor ki bir halka dahi k\u0131r\u0131l\u0131rsa zincirde kopman\u0131n \u00f6n\u00fcne ge\u00e7ilemeyecek. Vatanda\u015fa ilac\u0131 ucuz ve sa\u011fl\u0131k hizmetini etkili sunmak \u00f6nemli bir hedef gibi g\u00f6r\u00fcnebilir ancak bu hedefe giden yolda sistemin unsurlar\u0131n\u0131n zarara u\u011framas\u0131 engellenemez g\u00f6r\u00fcn\u00fcyorsa, uygulamadan \u00f6nce durup y\u00f6ntemi ve hedefi g\u00f6zden ge\u00e7irmenin gerekli oldu\u011fu g\u00f6r\u00fc\u015f\u00fcndeyim.<\/p>\n<p><strong>Emre G\u00d6LL\u00dc<\/strong><\/p>\n<!-- Error, Advert is not available at this time due to schedule\/geolocation restrictions! -->\n","protected":false},"excerpt":{"rendered":"<p>NationalTurk yorumcusu Emre G\u00f6ll\u00fc \u2018n\u00fcn &#8220;Sa\u011fl\u0131k Sistemi Alarmda&#8221; ba\u015fl\u0131kl\u0131 makalesini sizlerle payla\u015f\u0131yoruz.<\/p>\n","protected":false},"author":9192204,"featured_media":63492,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6155,26554,5005,6669],"tags":[85950,38958,21197,85949],"class_list":["post-89166","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","category-haftanin-yorumu","category-manset","category-saglik","tag-capa-tip-fakultesi","tag-doktor","tag-istanbul-universitesi","tag-saglik-sistemi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/89166","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\/9192204"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/comments?post=89166"}],"version-history":[{"count":0,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/89166\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media\/63492"}],"wp:attachment":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media?parent=89166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/categories?post=89166"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/tags?post=89166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}