{"id":48330,"date":"2012-02-03T19:02:43","date_gmt":"2012-02-03T17:02:43","guid":{"rendered":"http:\/\/www.korhanyilmaz.com\/?p=48330"},"modified":"2012-02-04T02:00:38","modified_gmt":"2012-02-04T00:00:38","slug":"akpnin-sistemi-coktu","status":"publish","type":"post","link":"http:\/\/www.korhanyilmaz.com\/?p=48330","title":{"rendered":"AKP’nin sistemi \u00e7\u00f6kt\u00fc"},"content":{"rendered":"

\"\"<\/a><\/p>\n

AKP h\u00fck\u00fcmeti d\u00f6neminde kamu hastanesi ve SGK anla\u015fmal\u0131 \u00f6zel hastanelere giden yurtta\u015ftan “ila\u00e7, re\u00e7ete, muayene kat\u0131l\u0131m pay\u0131” ; ile “;e\u015fde\u011fer ila\u00e7 fark\u0131” ad\u0131 alt\u0131nda \u00e7ok say\u0131da kesinti yap\u0131l\u0131yor.<\/p>\n

Cumhuriyet- AKP\u2019nin devrim niteli\u011finde oldu\u011funu savundu\u011fu ve \u00f6zel hastanelerin kap\u0131lar\u0131n\u0131 yurtta\u015flara a\u00e7t\u0131\u011f\u0131 s\u00f6ylemi, yurtta\u015flar\u0131n maa\u015flar\u0131ndan yap\u0131lan kesintilerle ortaya \u00e7\u0131k\u0131nca ger\u00e7ek ge\u00e7 de olsa anla\u015f\u0131ld\u0131.<\/p>\n

Sa\u011fl\u0131k harcamalar\u0131n\u0131n artmas\u0131 \u00fczerine k\u0131s\u0131tlamalara giden h\u00fck\u00fcmet, \u00f6zel-kamu fark etmeksizin \u201ckatk\u0131-kat\u0131l\u0131m pay\u0131, ila\u00e7 kat\u0131l\u0131m pay\u0131, re\u00e7ete kat\u0131l\u0131m pay\u0131\u201d ile yurtta\u015f\u0131n cebinden bu a\u00e7\u0131\u011f\u0131 kapatmaya \u00e7al\u0131\u015f\u0131yor. Kamudan ve Sosyal G\u00fcvenlik Kurumu (SGK) anla\u015fmas\u0131 bulunan \u00f6zel hastanelerden sa\u011fl\u0131k hizmeti alan yurtta\u015flar, \u00f6zellikle de emekliler \u00e7o\u011fu kez bu kesintilerin de fark\u0131na varm\u0131yor. Sa\u011fl\u0131\u011f\u0131n paral\u0131 hale geldi\u011fini belirten yurtta\u015flar, \u201cHani sa\u011fl\u0131k hizmetlerine ula\u015f\u0131m \u00fccretsizdi? Prim \u00f6d\u00fcyoruz, vergimizi veriyoruz, buna kar\u015f\u0131n bir de katk\u0131\/kat\u0131l\u0131m, ila\u00e7 pay\u0131, re\u00e7ete paras\u0131 ad\u0131 alt\u0131nda bir d\u00fcnya para \u00f6d\u00fcyoruz. Paras\u0131 olmayan sa\u011fl\u0131k hizmetine ula\u015famayacak. Bu ger\u00e7e\u011fi ge\u00e7 de olsa fark ettik\u201d dediler. Tabip odas\u0131 \u00fcyeleri de h\u00fck\u00fcmetin \u00f6nce \u201csa\u011fl\u0131\u011f\u0131 t\u00fcketim al\u0131\u015fkanl\u0131\u011f\u0131\u201d haline getirdi\u011fini, ard\u0131ndan da paral\u0131 yaparak yurtta\u015f\u0131 zor durumda b\u0131rakt\u0131\u011f\u0131n\u0131 kaydettiler.<\/p>\n

H\u00fck\u00fcmetin 9 y\u0131ldan bu yana sa\u011fl\u0131k alan\u0131nda yapt\u0131\u011f\u0131 her d\u00fczenleme yurtta\u015flar\u0131, hekim ve eczac\u0131lar\u0131 daha da \u00e7\u0131kmaza soktu. \u2018Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Politikas\u0131\u2019n\u0131n ilk ad\u0131m\u0131 olarak SSK ve devlet hastanelerini Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 \u00e7at\u0131s\u0131 alt\u0131nda birle\u015ftiren h\u00fck\u00fcmet, ilac\u0131n serbest eczanelerden al\u0131nabilmesi ve \u00f6zel hastanelere gidilebilmesinin yolunu a\u00e7t\u0131, kamu hastanelerindeki sevk sistemini kald\u0131rd\u0131, performansa dayal\u0131 \u00f6deme sistemini getirdi.<\/p>\n

Kamu ve SGK anla\u015fmas\u0131 bulunan \u00f6zel hastanelere giden yurtta\u015flardan \u201cila\u00e7 kat\u0131l\u0131m pay\u0131, e\u015fde\u011fer ila\u00e7 fark pay\u0131, muayene kat\u0131l\u0131m pay\u0131\u201d ad\u0131 alt\u0131nda kesintiler yap\u0131lmaya ba\u015fland\u0131, anla\u015fmal\u0131 \u00f6zel hastaneler A, B, C, D, E s\u0131n\u0131f\u0131na ayr\u0131ld\u0131 ve bu hastanelere giden yurtta\u015flardan y\u00fczde 70 ile y\u00fczde 30 aras\u0131nda fark \u00fccreti al\u0131nmaya ba\u015fland\u0131.<\/p>\n

Sa\u011fl\u0131k hizmeti almak i\u00e7in her ge\u00e7en g\u00fcn daha \u00e7ok \u00f6deme yapan ve kesintilerle kar\u015f\u0131 kar\u015f\u0131ya kalan yurtta\u015flar, \u00f6zellikle emekliler, maa\u015flar\u0131ndaki y\u00fcksek miktarlarda kesintileri g\u00f6rd\u00fcklerinde \u015fa\u015f\u0131rd\u0131klar\u0131n\u0131 s\u00f6ylediler. Yurtta\u015flar, h\u00fck\u00fcmetin \u2018Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131\u2019n\u0131n \u201csa\u011fl\u0131kta y\u0131k\u0131ma neden oldu\u011funu\u201d belirterek, paras\u0131 olmayan\u0131n sa\u011fl\u0131k hizmetine ula\u015famaz hale geldi\u011fini vurgulay\u0131p \u201cVatanda\u015f art\u0131k ger\u00e7e\u011fi g\u00f6rmeli, sa\u011fl\u0131k hizmeti paral\u0131 hale geldi\u201d diyerek sa\u011fl\u0131k sistemini ele\u015ftirdiler.<\/p>\n

Fatura yine yurtta\u015fa\u00a0<\/strong><\/p>\n

\u0130stanbul Eczac\u0131 Odas\u0131 Ba\u015fkan\u0131 Semih G\u00fcng\u00f6r, \u00f6n\u00fcm\u00fczdeki g\u00fcnlerde ila\u00e7 ve sa\u011fl\u0131k hizmetlerine bug\u00fcnk\u00fcnden daha fazla katk\u0131 pay\u0131 verilmesi ile kar\u015f\u0131 kar\u015f\u0131ya kal\u0131nabilece\u011fi uyar\u0131s\u0131nda bulunarak \u201cBug\u00fcne de hasta kat\u0131l\u0131m pay\u0131, muayene \u00fccreti, ila\u00e7 fiyat fark\u0131 al\u0131n\u0131yordu. Ama bug\u00fcn ba\u015fka bir \u015fey daha vermeye ba\u015flayacak. Her zaman birinci basamak hizmetlerin \u00fccretsiz oldu\u011funu \u00f6ne s\u00fcren h\u00fck\u00fcmet, birinci basamak olan aile hekimli\u011fi hizmetinden de bir katk\u0131 pay\u0131 almaya ba\u015flayacak\u201d dedi.<\/p>\n

Milyonlarca re\u00e7etenin y\u00fczde 60-70\u2019inin aile sa\u011fl\u0131\u011f\u0131 merkezlerinden \u00e7\u0131kt\u0131\u011f\u0131n\u0131, buralardan da katk\u0131 pay\u0131 al\u0131nmaya ba\u015flanmas\u0131n\u0131n SGK i\u00e7in ciddi kaynak olu\u015fturaca\u011f\u0131n\u0131 vurgulayan G\u00fcng\u00f6r, \u201cAyr\u0131ca 3 kalemi a\u015fan re\u00e7etelerden 1 TL al\u0131nmas\u0131 da kayna\u011f\u0131 artt\u0131racak. SGK\u2019nin yapt\u0131\u011f\u0131 tasarruftan ziyade ticarettir\u201d diye sordu.<\/p>\n

SGK\u2019nin geri \u00f6deme listesindeki ila\u00e7lar ile raporlu ila\u00e7lar\u0131n kapsam\u0131n\u0131 daraltabilece\u011fini, raporlar\u0131n al\u0131nmas\u0131n\u0131n zorla\u015ft\u0131r\u0131labilece\u011fini, bunlar\u0131n da yine yurtta\u015f\u0131n cebinden ilave katk\u0131 paylar\u0131 olarak \u00e7\u0131kaca\u011f\u0131n\u0131 an\u0131msatan G\u00fcng\u00f6r, uygulanan sa\u011fl\u0131k politikalar\u0131 nedeniyle de eczac\u0131lar ile yurtta\u015flar\u0131n kar\u015f\u0131 kar\u015f\u0131ya kald\u0131\u011f\u0131n\u0131 kaydetti.<\/p>\n

G\u00fcng\u00f6r, \u201cAile hekimli\u011fi ve kutu ba\u015f\u0131na ila\u00e7tan katk\u0131 pay\u0131 almaya ba\u015flad\u0131\u011f\u0131m\u0131zda, hastalar \u2018Bu nereden \u00e7\u0131kt\u0131?\u2019 diyecek ve sorumlusu olarak eczac\u0131y\u0131 g\u00f6recekler ve tart\u0131\u015fmalar ya\u015fanacakt\u0131r. Ayr\u0131ca katk\u0131 paylar\u0131 nedeniyle doktora gitmeden direkt eczaneye giderek ila\u00e7 al\u0131nmas\u0131 g\u00fcndeme gelecek, gereksiz ve yanl\u0131\u015f ila\u00e7 kullan\u0131lmalar\u0131 da olacakt\u0131r\u201d de\u011ferlendirmesini yapt\u0131.<\/p>\n

\u2018Tamamlay\u0131c\u0131 sigorta\u2019\u00a0<\/strong><\/p>\n

\u0130stanbul Tabip Odas\u0131 y\u00f6netim kurulu \u00fcyesi Dr. G\u00fcray K\u0131l\u0131\u00e7, AKP\u2019nin b\u00fct\u00fcn sa\u011fl\u0131k sisteminin yalan \u00fczerine kurulu oldu\u011funu savunarak \u201cBu yalana \u00e7ok uygun dozlarda, yava\u015f yava\u015f getirdiler. Sistem esas olarak SGK b\u00fct\u00e7esinden daha az para \u00e7\u0131kmas\u0131, yurtta\u015f\u0131n da bu s\u00fcrece katk\u0131 vermesi \u00fczerine kurgulanm\u0131\u015ft\u0131. Y\u0131llard\u0131r SGK\u2019nin kara deli\u011finin kapat\u0131lmas\u0131 i\u00e7in \u00e7al\u0131\u015f\u0131ld\u0131\u201d dedi.<\/p>\n

Ge\u00e7en g\u00fcnlerde \u201cEmekli Sand\u0131\u011f\u0131 Kanunu ile Baz\u0131 Kanunlar\u0131n De\u011fi\u015fiklik Yap\u0131lmas\u0131na Y\u00f6nelik Kanun\u201d ile GSS\u2019nin baz\u0131 maddelerinde d\u00fczenlemelere gidildi\u011fini an\u0131msatan K\u0131l\u0131\u00e7, d\u00fczenlemelere g\u00f6re SGK\u2019nin her y\u0131l hangi ila\u00e7lar\u0131, hangi sa\u011fl\u0131k hizmetlerini \u00f6deyece\u011fini kendisinin belirleyece\u011fini, b\u00f6ylelikle zaman i\u00e7inde \u00f6deme listesini daha da daraltaca\u011f\u0131n\u0131 ve yurtta\u015f\u0131n cebinden ilaca ve sa\u011fl\u0131k hizmetlerine ula\u015fmak i\u00e7in daha \u00e7ok para \u00e7\u0131kaca\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n

K\u0131l\u0131\u00e7, yurtta\u015f\u0131n \u00f6dedi\u011fi primlerin sa\u011fl\u0131k hizmetlerine eri\u015fimde yetersiz kalaca\u011f\u0131n\u0131 ve bu durumda \u201ctamamlay\u0131c\u0131 sa\u011fl\u0131k sigortalar\u0131n\u0131n\u201d devreye girece\u011fini, \u00f6zel sa\u011fl\u0131k sigortalar\u0131n\u0131n bu konuyu g\u00fcndemine ald\u0131\u011f\u0131n\u0131 iddia ederek \u015funlar\u0131 s\u00f6yledi:<\/p>\n

\u201cGeri \u00f6deme listesindeki ila\u00e7 ve sa\u011fl\u0131k harcamalar\u0131n\u0131 belirleme yetkisini eline alan SGK, zamanla bir\u00e7ok ila\u00e7 geri \u00f6deme listesinden \u00e7\u0131kar\u0131lacak, eczac\u0131 ile yurtta\u015f kar\u015f\u0131 kar\u015f\u0131ya kalacak. \u00d6zel sa\u011fl\u0131k sigortalar\u0131n\u0131n \u015fu an i\u00e7in 10 milyon ki\u015fiyi hedefledi\u011fi belirtiliyor\u201d diye konu\u015ftu. Sosyal G\u00fcvenlik Uzman\u0131 Ali Tezel ise \u201cYasan\u0131n bu maddesinin etkileri \u00f6n\u00fcm\u00fczdeki y\u0131llarda daha da belirgin hale gelebilir. SGK birden \u00f6deme listesinde daraltmaya gitmez, yard\u0131mc\u0131 sa\u011fl\u0131k sigortas\u0131n\u0131 da hemen devreye sokmaz, bunu yava\u015f yava\u015f yapar.\u201d<\/p>\n

\u0130stanbul Tabip Odas\u0131 Sa\u011fl\u0131k Komisyonu \u00fcyesi Dr. S\u00fcheyla Akko\u00e7 da AKP h\u00fck\u00fcmetinin sa\u011fl\u0131\u011f\u0131 \u00f6nce t\u00fcketim malzemesi haline getirdi\u011fini ard\u0131ndan da \u201cHizmet alabilirsiniz ama paran\u0131z\u0131 vermek ko\u015fulu\u201d ile dedi\u011fini an\u0131msatarak sa\u011fl\u0131k politikalar\u0131n\u0131 ele\u015ftirdi.<\/p>\n

Katk\u0131 kat\u0131l\u0131m paylar\u0131n\u0131n emekli maa\u015flar\u0131na yans\u0131mas\u0131na de\u011finen Akko\u00e7, \u201c\u00d6zellikle bakmakla y\u00fck\u00fcml\u00fc oldu\u011fu insanlar\u0131n, e\u015flerinin kesintileri de maa\u015flar\u0131na yans\u0131d\u0131\u011f\u0131nda bu oran daha da art\u0131yor. Katlanarak b\u00fcy\u00fck mebla\u011f haline geliyor\u201d ifadelerine yer verdi.<\/p>\n

Yurtta\u015ftan nerede, ne kadar kesinti yap\u0131l\u0131yor?\u00a0<\/strong><\/p>\n

\u2022 Kamu hastaneleri: 3 TL re\u00e7ete kat\u0131l\u0131m pay\u0131 + 5 TL muayene \u00fccreti: Toplam 8 TL kesinti.<\/p>\n

\u2022 SGK anla\u015fmal\u0131 \u00f6zel hastaneler: 12 TL muayene \u00fccreti + 3 TL re\u00e7ete \u00fccreti: Toplam 15 TL kesinti.<\/p>\n

\u2022 SGK anla\u015fmas\u0131 olan \u00f6zel hastaneler \u201cpoliklinik, yo\u011fun bak\u0131m, ameliyathane, tedavi standartlar\u0131, hasta haklar\u0131 ve g\u00fcvenli\u011fi, enfeksiyon kontrol\u00fc, tesis y\u00f6netimi, yatak, doktor ve hem\u015firde say\u0131s\u0131\u201d gibi kriterlere g\u00f6re A-B-C-D-E- olmak \u00fczere 5 grupta s\u0131n\u0131fland\u0131r\u0131ld\u0131.<\/p>\n

\u2022 A s\u0131n\u0131f\u0131 \u00f6zel hastane y\u00fczde 70, B grubu y\u00fczde 60, C grubu y\u00fczde 50, D grubu y\u00fczde 40, E grubu ise y\u00fczde 30\u2019a varan oranda ayr\u0131ca fark \u00fccretini de hastadan talep ediliyor.<\/p>\n

\u2022 Bug\u00fcne dek \u00fccretsiz olarak hizmet veren aile hekimlerinden de \u00fccret al\u0131nmas\u0131 g\u00fcndemde. 1 Ocak\u2019ta y\u00fcr\u00fcrl\u00fc\u011fe giren Sosyal Sigortalar ve Genel Sa\u011fl\u0131k Sigortas\u0131 Kanunu\u2019nda yap\u0131lan yeni de\u011fi\u015fiklikler, aile hekimine giden bir yurtta\u015ftan 3 TL kat\u0131l\u0131m ve her kurumdan yaz\u0131lan re\u00e7ete baz\u0131nda 3 kalem ila\u00e7tan sonra 1 TL pay\u0131 al\u0131nmas\u0131 g\u00fcndeme getirildi. SGK talep etti\u011fi takdirde aile hekimlerinden de \u00fccret al\u0131nacak.<\/p>\n

S\u0131n\u0131fland\u0131rmalar yanl\u0131\u015f\u2019\u00a0<\/strong><\/p>\n

\u00d6zel Hastaneler ve Sa\u011fl\u0131k Kurulu\u015flar\u0131 Derne\u011fi (OHSAD) Ba\u015fkan\u0131 Dr. Re\u015fat Bahat da \u00f6zel hastanelerden fark \u00fccreti al\u0131nmas\u0131n\u0131n ve hastanelerin s\u0131n\u0131fland\u0131r\u0131lmas\u0131n\u0131n do\u011fru olmad\u0131\u011f\u0131n\u0131 belirterek, \u015funlar\u0131 s\u00f6yledi:<\/p>\n

\u201cHastane, doktor s\u0131n\u0131fland\u0131r\u0131l\u0131r m\u0131? Hastaneyi ve doktoru s\u0131n\u0131fland\u0131rmak hastay\u0131 s\u0131n\u0131fland\u0131rmak de\u011fil midir? O zaman ucuz hizmette baz\u0131 eksikliklerin olmas\u0131n\u0131 beklememiz gerekmez mi? Hasta haklar\u0131n\u0131n olmad\u0131\u011f\u0131 yerde sa\u011fl\u0131k d\u00fczg\u00fcn i\u015flemez.<\/p>\n

Baz\u0131 \u00f6zel hastanelerin gereksiz tahlil ve tetkikler istedi\u011fi zaman zaman g\u00fcndeme geliyor. Hekimlerin ve hastanelerin hastalar\u0131 suiistimal edecekleri her t\u00fcrl\u00fc y\u00f6ntemin \u00f6n\u00fcne ge\u00e7mek gerekir. Bunlar\u0131n \u00f6n\u00fcne ge\u00e7ecek bir denetim mekanizmas\u0131n\u0131n olmas\u0131 gerekir.<\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, tabip odalar\u0131 ve meslek \u00f6rg\u00fctleri bununla etkili m\u00fccadele ederse sekt\u00f6rde ciddi bir temizlenme sa\u011flanabilir. Kamu s\u0131k\u0131nt\u0131s\u0131n\u0131 hazineden ald\u0131\u011f\u0131 payla azalt\u0131yor. Ancak bizler vatanda\u015ftan ald\u0131\u011f\u0131m\u0131z farkla ya\u015fayabiliyoruz, bunun i\u00e7in d\u00fczg\u00fcn bir \u00f6deme sistemi kurmam\u0131z laz\u0131m.\u201d<\/p>\n

Haber :\u00a0Sibel Bah\u00e7etepe<\/span><\/p>\n

Kaynak : Cumhuriyet Haber Portal\u0131<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\n

AKP h\u00fck\u00fcmeti d\u00f6neminde kamu hastanesi ve SGK anla\u015fmal\u0131 \u00f6zel hastanelere giden yurtta\u015ftan “ila\u00e7, re\u00e7ete, muayene kat\u0131l\u0131m pay\u0131” ; ile “;e\u015fde\u011fer ila\u00e7 fark\u0131” ad\u0131 alt\u0131nda \u00e7ok say\u0131da kesinti yap\u0131l\u0131yor.<\/p>\n

Cumhuriyet- AKP\u2019nin devrim niteli\u011finde oldu\u011funu savundu\u011fu ve \u00f6zel hastanelerin kap\u0131lar\u0131n\u0131 yurtta\u015flara a\u00e7t\u0131\u011f\u0131 s\u00f6ylemi, yurtta\u015flar\u0131n maa\u015flar\u0131ndan yap\u0131lan kesintilerle ortaya \u00e7\u0131k\u0131nca ger\u00e7ek <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,5],"tags":[],"class_list":["post-48330","post","type-post","status-publish","format-standard","hentry","category-ekonomi","category-saglik","odd"],"_links":{"self":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/posts\/48330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=48330"}],"version-history":[{"count":0,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/posts\/48330\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48330"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}