Di\u015f Hekimleri Dayan\u0131\u015fma Platformu taraf\u0131ndan yay\u0131nlanan rapor \u015f\u00f6yle,<\/p>\n
T\u00fcrkiye\u2019de hekim ve di\u015f hekimine m\u00fcracaat verilerine g\u00f6re OECD\u00a0 tablosundaki dengesizlik: \u00a0<\/span>T\u00fcrkiye\u2019de s\u00f6z konusu oran hekim m\u00fcraacat\u0131 \u00f6zelinde 2013 y\u0131l\u0131nda 8,2 iken 2023\/2024\u00a0 d\u00f6neminde 12,2\u2019ye y\u00fckselmi\u015f; bu art\u0131\u015f yakla\u015f\u0131k %48\u2019lik bir b\u00fcy\u00fcmeye i\u015faret etmi\u015ftir.\u00a0 Ayn\u0131 d\u00f6nemde OECD ortalamas\u0131 6,45\u2019ten 6,51\u2019e s\u0131n\u0131rl\u0131 bir art\u0131\u015f g\u00f6stermi\u015ftir. Bu durum, \u00a0<\/span>T\u00fcrkiye\u2019nin ortalaman\u0131n yakla\u015f\u0131k iki kat\u0131 d\u00fczeyinde bir hizmet kullan\u0131m yo\u011funlu\u011funa\u00a0 ula\u015ft\u0131\u011f\u0131n\u0131 ortaya koymaktad\u0131r.\u00a0<\/span><\/p>\n Di\u015f Hekimine M\u00fcracaatlar OECD\u2019nin \u00c7ok Alt\u0131nda\u00a0<\/strong><\/b><\/p>\n 2013 y\u0131l\u0131nda 0,5 olan ki\u015fi ba\u015f\u0131 di\u015f hekimine m\u00fcracaat say\u0131s\u0131n\u0131n 2023\/2024 d\u00f6neminde yaln\u0131zca 0,7\u2019ye y\u00fckselebildi\u011fi g\u00f6r\u00fclmektedir. On y\u0131ll\u0131k bu s\u00fcre\u00e7te kaydedilen art\u0131\u015f\u0131n son\u00a0 derece s\u0131n\u0131rl\u0131 kalmas\u0131, di\u015f sa\u011fl\u0131\u011f\u0131na y\u00f6nelik hizmet talebinin dura\u011fanla\u015ft\u0131\u011f\u0131n\u0131 ve sistemin bu\u00a0 alanda beklenen ivmeyi yakalayamad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. <\/span>Bu devasa u\u00e7urum, T\u00fcrkiye ile y\u00fcksek gelirli ekonomiler aras\u0131ndaki \u201cdi\u015f sa\u011fl\u0131\u011f\u0131 hizmeti\u00a0 kullan\u0131m a\u00e7\u0131\u011f\u0131n\u0131n\u201d kronikle\u015fti\u011fini kan\u0131tlamaktad\u0131r. <\/span>Mevcut m\u00fcracaat oranlar\u0131n\u0131n bu denli d\u00fc\u015f\u00fck kalmas\u0131, ilerleyen d\u00f6nemlerde daha karma\u015f\u0131k ve\u00a0 y\u00fcksek maliyetli tedavi gereksinimlerini beraberinde getirecek bir \u201chalk sa\u011fl\u0131\u011f\u0131 riski\u201d bar\u0131nd\u0131rmaktad\u0131r. \u00a0<\/span>On y\u0131ll\u0131k projeksiyonda genel t\u0131bbi ba\u015fvurular %48 oran\u0131nda rekor bir art\u0131\u015f kaydederken, di\u015f\u00a0 hekimli\u011fi hizmetlerindeki art\u0131\u015f\u0131n yaln\u0131zca 0,2 puanla s\u0131n\u0131rl\u0131 kalmas\u0131, sistem i\u00e7indeki geli\u015fim\u00a0 ivmesinin a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 alan\u0131na ayn\u0131 \u00f6l\u00e7\u00fcde yans\u0131mad\u0131\u011f\u0131n\u0131 kan\u0131tlamaktad\u0131r.\u00a0\u00a0<\/span><\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 merkez te\u015fkilat\u0131nda di\u015f hekimi personel say\u0131s\u0131 yetersizli\u011fi\u00a0<\/strong><\/b><\/p>\n T\u00fcrkiye\u2019de toplam 50.434 di\u015f hekiminin aktif bir \u015fekilde \u00e7e\u015fitli kurulu\u015flarda g\u00f6rev\u00a0 yapmas\u0131na kar\u015f\u0131n, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Merkez Te\u015fkilat\u0131\u2019nda \u00e7al\u0131\u015fan 8100 personelden yaln\u0131zca\u00a0 38 di\u015f hekimi kendi mesle\u011fini temsil etmektedir. \u00a0<\/span>Bu durum; en \u00f6nce toplum a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131n\u0131n kalitesini etkilemekte, beraberinde ise di\u015f\u00a0 hekimlerinin haklar\u0131n\u0131n savunulmas\u0131nda b\u00fcy\u00fck bir sorun yaratmaktad\u0131r.<\/span><\/p>\n B\u00f6lgesel E\u015fitsizlik\u00a0\u00a0<\/strong><\/b><\/p>\n T\u00fcrkiye genelinde di\u015f \u00fcniti da\u011f\u0131l\u0131m\u0131 b\u00f6lgeler aras\u0131nda ciddi farkl\u0131l\u0131klar g\u00f6stermektedir.\u00a0 \u00d6zellikle \u0130stanbul ve baz\u0131 b\u00fcy\u00fck \u015fehirlerde bir di\u015f \u00fcniti ba\u015f\u0131na d\u00fc\u015fen n\u00fcfus 10.000 ki\u015fiye kadar\u00a0 \u00e7\u0131kmaktad\u0131r. Bu durum randevu s\u00fcrelerinin uzamas\u0131na ve hastalar\u0131n tedaviye eri\u015fiminin\u00a0 zorla\u015fmas\u0131na neden olmaktad\u0131r.<\/span><\/p>\n Kamu ve \u00d6zel Sekt\u00f6r Kapasitesi\u00a0\u00a0<\/strong><\/b><\/p>\n T\u00fcrkiye\u2019de toplam yakla\u015f\u0131k 43.000 di\u015f \u00fcniti bulunmaktad\u0131r. Bunun yakla\u015f\u0131k 11.000\u2019i Sa\u011fl\u0131k\u00a0 Bakanl\u0131\u011f\u0131na, 8.700\u2019\u00fc \u00fcniversitelere ve 23.000\u2019den fazlas\u0131 \u00f6zel sekt\u00f6re aittir. Bu da\u011f\u0131l\u0131m, a\u011f\u0131z\u00a0 ve di\u015f sa\u011fl\u0131\u011f\u0131 hizmetlerinin \u00f6nemli bir b\u00f6l\u00fcm\u00fcn\u00fcn \u00f6zel sekt\u00f6rde sunuldu\u011funu g\u00f6stermektedir.\u00a0<\/span><\/p>\n Kamuda di\u015f hekimli\u011fi randevu yo\u011funlu\u011fu\u00a0<\/strong><\/b><\/p>\n \u00a02024 y\u0131l\u0131n\u0131n ilk 11 ay\u0131nda di\u015f hekimli\u011fi randevular\u0131 22 milyonu a\u015farak en \u00e7ok talep g\u00f6ren\u00a0 bran\u015flar aras\u0131nda \u00fcst s\u0131ralarda yer alm\u0131\u015ft\u0131r. Buna ra\u011fmen kamu hastanelerindeki di\u015f\u00a0 hekimi say\u0131s\u0131n\u0131n s\u0131n\u0131rl\u0131 olmas\u0131, randevu bulmay\u0131 zorla\u015ft\u0131rmaktad\u0131r.\u00a0\u00a0<\/span><\/p>\n Y\u00fczde 90\u2019lar\u0131 A\u015fan Di\u015f \u00c7\u00fcr\u00fc\u011f\u00fc Oranlar\u0131\u00a0<\/strong><\/b><\/p>\n T\u00fcrk Di\u015fhekimleri Birli\u011fi 2025 117. y\u0131l bas\u0131n dosyas\u0131na g\u00f6re di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc prevalans\u0131 t\u00fcm\u00a0 ya\u015f gruplar\u0131nda olduk\u00e7a y\u00fcksek seviyelerdedir. \u00d6zellikle \u00e7ocukluk ve gen\u00e7lik d\u00f6neminde\u00a0 oranlar %90\u2019lara ula\u015f\u0131rken, ileri ya\u015f grubunda bu oran %99\u2019a kadar \u00e7\u0131kmaktad\u0131r.\u00a0<\/span><\/p>\n A\u011f\u0131z ve Di\u015f Sa\u011fl\u0131\u011f\u0131 Yat\u0131r\u0131mlar\u0131n\u0131n Genel Sa\u011fl\u0131k Yat\u0131r\u0131mlar\u0131 \u0130\u00e7indeki D\u00fc\u015f\u00fck\u00a0 Pay\u0131\u00a0<\/strong><\/b><\/p>\n Cumhurba\u015fkanl\u0131\u011f\u0131 Strateji ve B\u00fct\u00e7e Ba\u015fkanl\u0131\u011f\u0131 2026 Kamu Yat\u0131r\u0131m Program\u0131 verilerine\u00a0 g\u00f6re, 2026 sonras\u0131 d\u00f6nemde a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 merkezleri (ADSM) i\u00e7in planlanan yat\u0131r\u0131m\u00a0 tutar\u0131 yakla\u015f\u0131k 16 milyar TL seviyesinde kal\u0131rken, toplam hastane yat\u0131r\u0131mlar\u0131 614 milyar\u00a0 TL\u2019ye ula\u015fmaktad\u0131r. \u00a0<\/span>2026 y\u0131l\u0131 i\u00e7inde tamamlanan projeler incelendi\u011finde ise yaln\u0131zca Osmaniye Kadirli ADSM\u00a0 ve Devlet Hastanesi i\u00e7in 1,9 milyar TL harcama yap\u0131ld\u0131\u011f\u0131, ayn\u0131 y\u0131l genel sa\u011fl\u0131k yat\u0131r\u0131mlar\u0131n\u0131n\u00a0 toplam\u0131n\u0131n ise 462 milyar TL oldu\u011fu g\u00f6r\u00fclmektedir. \u00a0<\/span>Bu veriler, a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 alan\u0131na y\u00f6nelik kamu yat\u0131r\u0131mlar\u0131n\u0131n, genel sa\u011fl\u0131k yat\u0131r\u0131mlar\u0131\u00a0 i\u00e7erisindeki pay\u0131n\u0131n belirgin bi\u00e7imde d\u00fc\u015f\u00fck kald\u0131\u011f\u0131n\u0131 g\u00f6stermektedir.<\/span><\/p>\n Atama takviminde di\u015f hekimi ve uzman di\u015f hekimi kadrolar\u0131ndaki yetersizlik\u00a0<\/strong><\/b><\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan yay\u0131mlanan 2026 y\u0131l\u0131 1. d\u00f6nem yeniden atama kadrosu\u00a0 incelendi\u011finde, a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 alan\u0131na ayr\u0131lan kadrolar\u0131n s\u0131n\u0131rl\u0131 d\u00fczeyde kald\u0131\u011f\u0131\u00a0 g\u00f6r\u00fclmektedir. Toplamda di\u015f hekimi ve uzmanl\u0131k alanlar\u0131na da\u011f\u0131t\u0131lan kadrolar\u0131n, artan\u00a0 hizmet talebini kar\u015f\u0131lamada yetersiz oldu\u011fu de\u011ferlendirilmektedir. <\/span>\u00d6te yandan, 2025 y\u0131l\u0131 Kas\u0131m ay\u0131nda ger\u00e7ekle\u015ftirilmesi gereken atama s\u00fcrecinin\u00a0 yap\u0131lmam\u0131\u015f olmas\u0131, mevcut insan kayna\u011f\u0131 planlamas\u0131nda aksamalara yol a\u00e7m\u0131\u015ft\u0131r. \u00a0<\/span>2022 y\u0131l\u0131nda Periodontoloji bran\u015f\u0131nda 276 DUS kontenjan\u0131 a\u00e7\u0131lm\u0131\u015fken, 2026 y\u0131l\u0131 \u201cYeniden\u00a0 ve \u0130lk Defa Atama\u201d d\u00f6neminde bu bran\u015f i\u00e7in sadece 12 kadro verilmesi kamudaki uzman\u00a0 ihtiyac\u0131n\u0131 kar\u015f\u0131lamamaktad\u0131r. \u00d6te yandan 2025 y\u0131l\u0131 ilk atama kuras\u0131na 11658 ba\u015fvuruya kar\u015f\u0131l\u0131k genel ve uzman di\u015f hekimi olarak toplam 465 kadro a\u00e7\u0131lmas\u0131 her defas\u0131nda artan\u00a0 randevu ve istihdam talebini kar\u015f\u0131layamayaca\u011f\u0131 a\u00e7\u0131kt\u0131r.<\/span><\/p>\n Di\u015f Hekimli\u011finde Artan Yurt D\u0131\u015f\u0131 G\u00f6\u00e7\u00fc\u00a0<\/strong><\/b><\/p>\n TDB 2025 117. Y\u0131l Bas\u0131n Dosyas\u0131na g\u00f6re; mesleki gelecek g\u00fcvencesine ili\u015fkin artan\u00a0 kayg\u0131lar ve \u00e7al\u0131\u015fma ko\u015fullar\u0131na dair belirsizlikler nedeniyle, yeti\u015fmi\u015f di\u015f hekimi insan\u00a0 g\u00fcc\u00fcn\u00fcn yurt d\u0131\u015f\u0131na y\u00f6neliminin belirgin \u015fekilde artt\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. Yurt d\u0131\u015f\u0131nda\u00a0 mesleki faaliyet y\u00fcr\u00fctebilmek i\u00e7in gerekli olan \u0130yi Hal Belgesi ba\u015fvurular\u0131, 2014 y\u0131l\u0131nda 23\u00a0 iken 2023 y\u0131l\u0131nda 365\u2019e y\u00fckselmi\u015ftir. <\/span>Dikkat \u00e7ekici olan husus, ba\u015fvurular\u0131n yaln\u0131zca yeni mezun di\u015f hekimleriyle s\u0131n\u0131rl\u0131\u00a0 kalmamas\u0131; profes\u00f6r, do\u00e7ent ve uzman di\u015f hekimlerini de kapsamas\u0131d\u0131r. Bu tablo, ya\u015fanan\u00a0 sorunun yaln\u0131zca mesle\u011fe yeni ba\u015flayanlar\u0131 de\u011fil, uzun y\u0131llar e\u011fitim ve deneyimle yeti\u015fmi\u015f\u00a0 nitelikli kadrolar\u0131 da etkiledi\u011fini; dolay\u0131s\u0131yla \u00fclkemiz a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 hizmetlerinde ciddi\u00a0 bir beyin g\u00f6\u00e7\u00fc ve insan g\u00fcc\u00fc kayb\u0131 riski olu\u015fturdu\u011funu ortaya koymaktad\u0131r.\u00a0<\/span><\/p>\n At\u0131l Alanlar\u0131n Di\u015f Klini\u011fine D\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi\u00a0<\/strong><\/b><\/p>\n Yeni ADSM binalar\u0131n\u0131n yap\u0131m s\u00fcrecinin 3\u20134 y\u0131l\u0131 buldu\u011fu dikkate al\u0131nd\u0131\u011f\u0131nda, mevcut devlet\u00a0 hastanelerindeki at\u0131l poliklinik alanlar\u0131n\u0131n di\u015f \u00fcniti altyap\u0131s\u0131na d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi h\u0131zl\u0131 ve\u00a0 etkili bir \u00e7\u00f6z\u00fcm olacakt\u0131r. Bu ad\u0131m, hem MHRS randevu yo\u011funlu\u011funu azaltacak hem de\u00a0 atama bekleyen di\u015f hekimleri i\u00e7in k\u0131sa s\u00fcrede yeni istihdam alan\u0131 olu\u015fturacakt\u0131r.<\/span><\/p>\n \u015eehir Hastanelerinde Di\u015f Klini\u011fi Eksikli\u011fi\u00a0<\/strong><\/b><\/p>\n T\u00fcrkiye\u2019de bulunan 25 \u015fehir hastanesinin yaln\u0131zca 7\u2019sinde di\u015f klini\u011fi bulunmas\u0131, mevcut\u00a0 kamu altyap\u0131s\u0131n\u0131n a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 hizmetleri a\u00e7\u0131s\u0131ndan yetersiz kullan\u0131ld\u0131\u011f\u0131n\u0131\u00a0 g\u00f6stermektedir. \u015eehir hastanelerindeki uygun alanlar\u0131n di\u015f klini\u011fine d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi,\u00a0 \u00f6zellikle b\u00fcy\u00fck\u015fehirlerde hizmet eri\u015fimini \u00f6nemli \u00f6l\u00e7\u00fcde art\u0131racakt\u0131r.\u00a0<\/span><\/p>\n Saha Altyap\u0131 ve Ekipman Eksiklikleri\u00a0<\/strong><\/b><\/p>\n Sahadan gelen \u00f6rnekler, hizmet sunumunda ciddi altyap\u0131 sorunlar\u0131 bulundu\u011funu\u00a0 g\u00f6stermektedir. Sinop Ayanc\u0131k\u2019ta bir di\u015f \u00fcnitesinin \u00fc\u00e7 y\u0131l ar\u0131zal\u0131 kalmas\u0131 ve Hakk\u00e2ri\u00a0 \u00c7ukurca\u2019da sak\u015f\u0131n ile periapikal r\u00f6ntgen gibi temel cihazlar\u0131n bulunmamas\u0131, hem hekimin\u00a0 \u00e7al\u0131\u015fma verimini d\u00fc\u015f\u00fcrmekte hem de hastalar\u0131n temel sa\u011fl\u0131k hizmetine eri\u015fimini\u00a0 geciktirmektedir.\u00a0<\/span><\/p>\n Aile Di\u015f Hekimli\u011fi, Koruyucu Sa\u011fl\u0131k Hizmetlerinin Devams\u0131zl\u0131\u011f\u0131 ve 10 Bin\u00a0 Kadro Vaadi<\/strong><\/b><\/p>\n Pilot uygulamas\u0131 tamamlanan \u201cAile Di\u015f Hekimli\u011fi\u201d projesinin 81 ile te\u015fmil edilmesi\u00a0 s\u00fcrecinin yava\u015flamas\u0131, \u00e7ocuklardaki %88\u2019e varan \u00e7\u00fcr\u00fck prevalans\u0131n\u0131 (DMFT indeksi)\u00a0 d\u00fc\u015f\u00fcrme hedefinden uzakla\u015f\u0131lmas\u0131na neden olmaktad\u0131r. 2028 hedefleri do\u011frultusunda vaat\u00a0 edilen 10 bin kadrolu atama takvimi ivedilikle hayata ge\u00e7irilmelidir.2005 y\u0131l\u0131nda Aile\u00a0 Hekimli\u011fi sistemine ge\u00e7i\u015fle sa\u011fl\u0131k ocaklar\u0131ndaki di\u015f \u00fcnitlerinin kald\u0131r\u0131lmas\u0131, koruyucu di\u015f\u00a0 hekimli\u011fini i\u015flevsiz b\u0131rakm\u0131\u015ft\u0131r. Bug\u00fcn Aile Sa\u011fl\u0131\u011f\u0131 Merkezlerine (ASM) a\u011fr\u0131 \u015fikayetiyle\u00a0 giden hastalar, sadece palyatif re\u00e7etelerle (antibiyotik\/a\u011fr\u0131 kesici) ADSM\u2019lere\u00a0 y\u00f6nlendirilmekte; bu durum hem ila\u00e7 israf\u0131na hem de hastanelerdeki y\u0131\u011f\u0131lman\u0131n\u00a0 derinle\u015fmesine yol a\u00e7maktad\u0131r. Acil servislerdeki \u201cdi\u015f a\u011fr\u0131s\u0131\u201d yo\u011funlu\u011fu, birinci basamak\u00a0 hizmetlerinin \u00e7\u00f6k\u00fc\u015f\u00fcn\u00fcn en somut g\u00f6stergesidir.\u00a0<\/span><\/p>\n Kurumu\u2019nun Aile He-kimlerinin Sosyal Sigortal\u0131l\u0131k Stat\u00fclerine \u0130li\u015fkin Uygulamas\u0131 Hakk\u0131nda Bir\u00a0 De\u011ferlendirme. \u00c7al\u0131\u015fma ve Toplum, 1(76), 121-158. (BSHA \u2013 Bilim ve Sa\u011fl\u0131k Haber Ajans\u0131)\u00a0<\/span><\/p><\/p>\n","protected":false},"excerpt":{"rendered":" Di\u015f hekimi kadrolar\u0131n\u0131n kamudaki yetersizli\u011fi ve toplum a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131n\u0131n durumu hakk\u0131ndaki ara\u015ft\u0131rma yay\u0131nland\u0131.<\/p>\n","protected":false},"author":1,"featured_media":74793,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[709,6321,315,3827,157],"class_list":["post-74792","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-dis","tag-dis-hekimi","tag-hizmet","tag-kadro","tag-saglik"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/74792","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/comments?post=74792"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/74792\/revisions"}],"predecessor-version":[{"id":74794,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/74792\/revisions\/74794"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/74793"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=74792"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=74792"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=74792"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n