GETAT Uygulamalar\u0131 Y\u00f6netmeli\u011fi\u2026 T\u00fcrk Tabipleri Birli\u011fi Merkez Konseyi ve T\u00fcrk Tabipleri Birli\u011fi Uzmanl\u0131k Dernekleri E\u015fg\u00fcd\u00fcm Kurulu, konu hakk\u0131nda \u015fu a\u00e7\u0131klamay\u0131 yapt\u0131<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan son olarak yay\u0131mlanan Geleneksel ve Tamamlay\u0131c\u0131 T\u0131p (GETAT) Uygulamalar\u0131 Y\u00f6netmeli\u011fi, sa\u011fl\u0131k hizmetlerinde bilimsel t\u0131p yerine kan\u0131ta dayal\u0131 olmayan uygulamalar\u0131 yayg\u0131nla\u015ft\u0131rma anlam\u0131na gelmekte ve halk sa\u011fl\u0131\u011f\u0131, meslek eti\u011fi ve sa\u011fl\u0131k hizmetinin niteli\u011fi a\u00e7\u0131s\u0131ndan ciddi riskler bar\u0131nd\u0131rmaktad\u0131r.<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 uzun s\u00fcredir yapt\u0131\u011f\u0131 \u00e7al\u0131\u015fmalarla destekledi\u011fi ve yayg\u0131nla\u015ft\u0131rmaya \u00e7al\u0131\u015ft\u0131\u011f\u0131 GETAT uygulamalar\u0131n\u0131 ge\u00e7ti\u011fimiz y\u0131l aile hekimli\u011fi hizmetleri i\u00e7ine yerle\u015ftirdi. Daha sonra T\u00fcrkiye Geleneksel ve Tamamlay\u0131c\u0131 T\u0131p Enstit\u00fcs\u00fc kurarak etkinli\u011fi ve g\u00fcvenli\u011fi kan\u0131tlanmam\u0131\u015f bu uygulamalara daha \u00e7ok kamu kayna\u011f\u0131 aktar\u0131lmas\u0131n\u0131n \u00f6n\u00fcn\u00fc a\u00e7t\u0131. Bu alanda sertifika y\u00f6ntemi ile emek g\u00fcc\u00fc olu\u015fturma gayreti i\u00e7ine girdi. Bu politikalar\u0131nda \u0131srar eden Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, bu son y\u00f6netmelik ile GETAT uygulamalar\u0131n\u0131 daha geni\u015f alanlarda kamusal sa\u011fl\u0131k hizmetinin bir par\u00e7as\u0131 haline getirmektedir. Bu uygulamalar\u0131n hayata ge\u00e7mesi ile hastalar\u0131n do\u011fru, etkili ve g\u00fcvenli tedaviye eri\u015fim hakk\u0131 zedelenecektir.<\/p>\n
T\u0131bb\u0131n temel ilkesi, bilimsel kan\u0131ta dayal\u0131 olmas\u0131d\u0131r. GETAT uygulamalar\u0131n\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcn\u00fcn bilimsel bir temeli olmad\u0131\u011f\u0131 bilinmektedir. Bu konuda T\u00fcrk Tabipleri Birli\u011fi Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019ndan bilgi edinme hakk\u0131 kapsam\u0131nda a\u015fa\u011f\u0131daki sorulara yan\u0131t istemi\u015ftir:<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Sa\u011fl\u0131k Hizmetleri Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019ne ka\u00e7 ara\u015ft\u0131rma ba\u015fvurusu yap\u0131lm\u0131\u015ft\u0131r? Ba\u015fvurulardan ka\u00e7 tanesine ara\u015ft\u0131rma izni verilmi\u015ftir? Klinik ara\u015ft\u0131rma izni verilen GETAT uygulamalar\u0131n\u0131n, GETAT Uygulamalar\u0131 Y\u00f6netmeli\u011fi\u2019nde say\u0131lan uygulama t\u00fcrlerine g\u00f6re da\u011f\u0131l\u0131m\u0131 nedir? Yap\u0131lan klinik ara\u015ft\u0131rma sonu\u00e7lar\u0131 ne olmu\u015ftur? Etkili ve\/veya g\u00fcvenli bulunmayan uygulamalar hangileridir Etkili ve\/veya g\u00fcvenli bulunmayan GETAT y\u00f6ntemlerinin uygulanmamas\u0131 i\u00e7in Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan tedbir al\u0131nm\u0131\u015f m\u0131d\u0131r?<\/p>\n
GETAT Y\u00f6netmeli\u011fi ile Kan\u0131ta Dayal\u0131 Olmayan Uygulamalar Te\u015fvik Ediliyor<\/b><\/p>\n
Hekimlik mesle\u011fi, bilimsel ve etik sorumluluk temelinde y\u00fcr\u00fct\u00fcl\u00fcr. Kan\u0131ta dayal\u0131 olmayan uygulamalar\u0131n te\u015fvik edilmesi, hastalara zarar verme riski ta\u015f\u0131d\u0131\u011f\u0131 gibi etik ilkeler a\u015f\u0131nd\u0131r\u0131lmaktad\u0131r. Yeni y\u00f6netmelikte eskisinden farkl\u0131 olarak uygulaman\u0131n yap\u0131laca\u011f\u0131 sa\u011fl\u0131k kurulu\u015fu tan\u0131m\u0131 geni\u015fletilmi\u015ftir. Uygulama \u00fcniteleri aras\u0131nda t\u0131p hekimi olmayan di\u015f sa\u011fl\u0131\u011f\u0131 merkezleri, hekim bulundurma mecburiyeti olmayan evde sa\u011fl\u0131k hizmet birimi s\u0131ralanm\u0131\u015f; ayr\u0131ca GETAT uygulay\u0131c\u0131s\u0131 sorumlulu\u011funda yap\u0131labilece\u011fi ifade edilerek yine hekim d\u0131\u015f\u0131 ki\u015filerin uygulama yapabilece\u011fi peki\u015ftirilmi\u015ftir. Di\u011fer sa\u011fl\u0131k meslek mensuplar\u0131n\u0131n mesleklerini serbest icra edebilece\u011fine dair 2025 y\u0131l\u0131nda getirilen d\u00fczenleme de d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde GETAT uygulamalar\u0131n\u0131n hekim olmayan ki\u015filer taraf\u0131ndan sa\u011fl\u0131k kurulu\u015flar\u0131 d\u0131\u015f\u0131nda yap\u0131lmas\u0131n\u0131n \u00f6n\u00fcnde bir engel kalmad\u0131\u011f\u0131 g\u00f6r\u00fclebilir. Halihaz\u0131rda etkili ve g\u00fcvenli olduklar\u0131na dair yeterli bilimsel veri bulunmayan, olas\u0131 zararlar\u0131 ortaya konulmam\u0131\u015f bu uygulamalar\u0131n kamusal alanda hekim d\u0131\u015f\u0131 sa\u011fl\u0131k personeli taraf\u0131ndan uygulanmas\u0131na yol a\u00e7acak bu y\u00f6netmelik halk sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan tehdit olacakt\u0131r. cY\u00f6netmelikte yer alan e\u011fitim, sertifikasyon ve uygulama s\u00fcre\u00e7leri; modern t\u0131p e\u011fitimine k\u0131yasla olduk\u00e7a s\u0131n\u0131rl\u0131 ve y\u00fczeyseldir. Bu durum, sa\u011fl\u0131k hizmetinde kaliteyi d\u00fc\u015f\u00fcrmekte ve hasta g\u00fcvenli\u011fini riske atmaktad\u0131r.<\/p>\n
GETAT Uygulamalar\u0131 Yetersiz Olan Sa\u011fl\u0131k Emek G\u00fcc\u00fcn\u00fc B\u00f6l\u00fcyor<\/b><\/p>\n
T\u00fcrkiye\u2019de sa\u011fl\u0131k sistemi zaten a\u011f\u0131r bir y\u00fck alt\u0131ndad\u0131r. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n kamu kaynaklar\u0131n\u0131 ve sa\u011fl\u0131k emek g\u00fcc\u00fcn\u00fc kullan\u0131rken koruyucu sa\u011fl\u0131k hizmetlerini \u00f6ncelemesi, birinci basamak sa\u011fl\u0131k hizmetlerini g\u00fc\u00e7lendirmesi, nitelikli tan\u0131 ve tedavi hizmetlerini yeterli bir \u015fekilde vermeye harcamas\u0131 beklenir. GETAT uygulamalar\u0131n\u0131 kamusal sa\u011fl\u0131k sistemi i\u00e7ine yerle\u015ftirme gayreti sa\u011fl\u0131kta \u00f6ncelikleri tersine \u00e7evirmekte, zaten yetersiz olan sa\u011fl\u0131k emek g\u00fcc\u00fcn\u00fc b\u00f6lmekte, hastalar\u0131 bilimsel tedavilerden uzakla\u015ft\u0131rmakta, sa\u011fl\u0131k hizmetini daha da piyasala\u015ft\u0131rmaktad\u0131r. Bu s\u00fcre\u00e7te kamu kaynaklar\u0131n\u0131n nas\u0131l kullan\u0131ld\u0131\u011f\u0131na ili\u015fkin \u015feffafl\u0131k da bulunmamaktad\u0131r. Bu uygulamalar\u0131n yayg\u0131nla\u015ft\u0131r\u0131lmas\u0131n\u0131n; sa\u011fl\u0131k emek g\u00fcc\u00fcn\u00fcn dengeli da\u011f\u0131l\u0131m\u0131nda da bozulma yarataca\u011f\u0131 a\u015fik\u00e2rd\u0131r. Sa\u011fl\u0131k sistemi planlamas\u0131; n\u00fcfusun ihtiyac\u0131na g\u00f6re hekim ve sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 da\u011f\u0131l\u0131m\u0131n\u0131 gerektirir. Bu y\u00f6netmelik ile hekimlerin ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n bir k\u0131sm\u0131 bu alanlara kayd\u0131r\u0131lacak, zaten emek g\u00fcc\u00fc eksi\u011fi olan alanlarda (acil, aile hekimli\u011fi, temel bran\u015flar) a\u00e7\u0131k daha da b\u00fcy\u00fcyecek, sa\u011fl\u0131k hizmetinde dengesizlikler artacakt\u0131r. Kamu sa\u011fl\u0131k hizmetine eri\u015fimdeki zorluklar derinle\u015fecektir. GETAT uygulamalar\u0131 ek \u00fccretli ve piyasaya a\u00e7\u0131k alanlar olarak geli\u015fmektedir. Sa\u011fl\u0131k hizmetine eri\u015fimdeki zorluklar, 5 dakikada muayene zorunlulu\u011fu gibi sa\u011fl\u0131k hizmetinin niteli\u011fini bozan uygulamalar ile hastalar ne kadar etkili olduklar\u0131 belli olmayan GETAT y\u00f6ntemlerine mecbur b\u0131rak\u0131lmaktad\u0131r.<\/p>\n
T\u00fcrk Tabipleri Birli\u011fi olarak;<\/p>\n
Halk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131 ve geli\u015ftirilmesi i\u00e7in, \u201c\u00f6nce zarar verme\u201d ilkesine uygun, etik sorumluluklar\u0131 yerine getiren, \u015feffaf bilimsel ara\u015ft\u0131rmalarla etkili ve g\u00fcvenli oldu\u011fu kan\u0131tlanm\u0131\u015f uygulamalar\u0131n, bizzat kamu otoritesi taraf\u0131ndan kamusal sorumluluk bilinci ile hayata ge\u00e7irilmesi gerekmektedir. Kamunun sa\u011fl\u0131\u011fa ay\u0131rabildi\u011fi s\u0131n\u0131rl\u0131 ve k\u0131ymetli kaynaklar\u0131n bilimsel, do\u011fru ve etkin kullan\u0131m\u0131, sa\u011fl\u0131k hizmetlerinin do\u011fru planlanmas\u0131 halk sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan vazge\u00e7ilmezdir. Bu hassasiyetleri dikkate almayan hi\u00e7bir d\u00fczenleme toplum sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan kabul edilemez. Bu nedenle s\u00f6z konusu d\u00fczenlemeyi kabul etmiyor ve s\u00fcrecin halk sa\u011fl\u0131\u011f\u0131 ad\u0131na takip\u00e7isi olaca\u011f\u0131m\u0131z\u0131 belirtiyoruz. (BSHA\/ Bilim ve Sa\u011fl\u0131k Haber Ajans\u0131)<\/p>\n
\n","protected":false},"excerpt":{"rendered":"
GETAT Y\u00f6netmeli\u011fine tepki! T\u00fcrk Tabipleri Birli\u011fi, GETAT Uygulamalar\u0131 Y\u00f6netmeli\u011fi’nin kamu kaynaklar\u0131n\u0131n israf\u0131 ve bilim d\u0131\u015f\u0131l\u0131\u011f\u0131n kurumsalla\u015ft\u0131r\u0131lmas\u0131 anlam\u0131na geldi\u011fini \u00f6ne s\u00fcrd\u00fc.<\/p>\n","protected":false},"author":1,"featured_media":78579,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[3527,1381,2393,157,2388],"class_list":["post-78578","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bilimsel","tag-hekim","tag-kamu","tag-saglik","tag-uygulama"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/78578","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=78578"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/78578\/revisions"}],"predecessor-version":[{"id":78580,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/78578\/revisions\/78580"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/78579"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=78578"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=78578"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=78578"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}