Mersin Tabip Odas\u0131, Mersin Aile Hekimleri Derne\u011fi, Ses Mersin \u015eubesi ve Birinci Basamak Sa\u011fl\u0131k \u00c7al\u0131\u015fanlar\u0131 Birlik ve Dayan\u0131\u015fma Sendikas\u0131 ortak bas\u0131n a\u00e7\u0131klamas\u0131nda bulundu. A\u00e7\u0131klamada h\u00fck\u00fcmetin 3 A\u011fustos 2018 tarihinde a\u00e7\u0131klanan “100 G\u00fcnl\u00fck \u0130craat Program\u0131”nda yer alan konulara de\u011finildi.<\/p>\n
\u00a0
\nYap\u0131lan a\u00e7\u0131klamada “100 G\u00fcnl\u00fck \u0130craat Program\u0131”nda aile hekimine ba\u015fvuru oran\u0131n\u0131n y\u00fczde 40’a \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 belirtilerek, “1-18 ya\u015f alt\u0131 ki\u015filere bebek, \u00e7ocuk ve ergen izlem protokollerine g\u00f6re uygulama yap\u0131lacakt\u0131r. 2-18 ya\u015f \u00fczeri yeti\u015fkinlere, sigara kullan\u0131m\u0131 sorgulanmas\u0131, a\u011f\u0131rl\u0131k, boy, bel \u00e7evresi ve kan bas\u0131nc\u0131 \u00f6l\u00e7\u00fcm\u00fc ile a\u00e7l\u0131k plazma glikozu, trigliserit, HDL, LDL, total kolesterol, kreatinin, TSH, ALT, tam kan, T\u0130T, EKG ve kanser tarama programlar\u0131na g\u00f6re gerekli muayene ve tetkikler yap\u0131lacakt\u0131r. Vatanda\u015flar\u0131n MHRS sistemi \u00fczerinden randevu alaca\u011f\u0131, bu program\u0131n \u00fclkede 10 milyon vatanda\u015fa uygulanaca\u011f\u0131, her aile hekiminin her ay kendisine kay\u0131tl\u0131 150 ki\u015fiye checkup uygulamas\u0131 yapmas\u0131n\u0131n sa\u011flanmas\u0131 gerekti\u011fi” ifade edildi.<\/p>\n
\u015eu anda, ASM’lerde gebelere 4 kez, lohusalara 3 kez, bebeklere 7 kez, \u00e7ocuklara 7 kez izlem yap\u0131lmakta oldu\u011funa dikkat \u00e7eken a\u00e7\u0131klamada, \u201d15-49 ya\u015f aras\u0131 kad\u0131nlara 6 ayda bir, diyabet hastalar\u0131na her geli\u015flerinde izlem yap\u0131lmaktad\u0131r. Yine her kay\u0131tl\u0131 olan ki\u015fiye obezite izlemi (boy, kilo, bel \u00e7evresi, kal\u00e7a \u00e7evresi, tansiyon) yapma zorunlulu\u011fu vard\u0131r. Bunlar\u0131n d\u0131\u015f\u0131nda da aile hekimleri kendilerine ba\u015fvuran hastalara gerekli g\u00f6rd\u00fckleri kan tahlillerini zaten yapt\u0131rmaktad\u0131rlar. \u00d6te yandan; 30-65 ya\u015f aras\u0131 14 milyon kad\u0131n\u0131n her be\u015f y\u0131lda bir serviks kanseri, 40-69 ya\u015f aras\u0131 12 milyon kad\u0131n\u0131n her iki y\u0131lda bir meme kanseri, 50-70 ya\u015f aras\u0131 13 milyon ki\u015finin ise her iki y\u0131lda bir kolon kanseri taramalar\u0131ndan ge\u00e7irilmesi planlanm\u0131\u015f ve 2012 y\u0131l\u0131ndan bu yana uygulamaya konulmu\u015f fakat ge\u00e7en bunca s\u00fcreye ra\u011fmen bu taramalar bir t\u00fcrl\u00fc d\u00fczene oturtulamam\u0131\u015ft\u0131r.\u201d denildi.<\/p>\n
Bas\u0131n a\u00e7\u0131klamas\u0131 \u015f\u00f6yle devam etti;
\nTarama ve izlem programlar\u0131 ba\u015fta koruyucu hekimlik olmak \u00fczere elbette ki sa\u011fl\u0131k hizmetleri a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemli ve \u00e7ok de\u011ferlidir. Koruyucu hekimlik hizmetlerine y\u00f6nelik uygun ve do\u011fru yap\u0131land\u0131r\u0131lan, herkese e\u015fit, \u00fccretsiz ve etkin ula\u015ft\u0131r\u0131lan t\u00fcm tarama programlar\u0131n\u0131 destekliyoruz. Ancak tarama programlar\u0131 h\u00fck\u00fcmetin a\u00e7\u0131klad\u0131\u011f\u0131 \u015fekilde bireylerin randevu almas\u0131 ve kendi talebiyle de\u011fil, tam tersine, risk grubundaki b\u00fct\u00fcn bireylere, talepleri olup olmad\u0131\u011f\u0131na bak\u0131lmaks\u0131z\u0131n ula\u015f\u0131larak sistematik bir bi\u00e7imde yap\u0131lmal\u0131d\u0131r. \u015eimdi y\u00fcr\u00fct\u00fclen plans\u0131z, kaotik ve kaynaklar\u0131 israf etme tehlikesi ta\u015f\u0131yan uygulaman\u0131n yerine ak\u0131lc\u0131 ve planl\u0131 bir ulusal program\u0131, T\u00fcrk Tabipleri Birli\u011fi, Aile Hekimli\u011fi Dernekleri ve ilgili uzmanl\u0131k derneklerinin katk\u0131lar\u0131yla hep birlikte olu\u015fturup hayata ge\u00e7irmek gereklidir. Ya\u015f, cinsiyet ve risk gruplar\u0131 belirlenmeden yap\u0131lacak olan her t\u00fcrl\u00fc taraman\u0131n yarardan \u00e7ok zarar getirece\u011fi, maliyetin yan\u0131nda gereksiz invazif i\u015flemlere ve bireylerde kayg\u0131ya yol a\u00e7aca\u011f\u0131 unutulmamal\u0131d\u0131r.<\/p>\n
Ne yaz\u0131k ki tart\u0131\u015fmadan, halk\u0131m\u0131z\u0131n ihtiya\u00e7lar\u0131n\u0131, \u00fclkemiz i\u00e7in do\u011fru olan modeli belirlemeden ba\u015flat\u0131lan bir uygulama ile kar\u015f\u0131 kar\u015f\u0131yay\u0131z. Her \u015feyden \u00f6nemlisi, bir uygulama ba\u015flat\u0131l\u0131rken ama\u00e7lar\u0131, hedefleri, s\u00fcresi, takibinin nas\u0131l yap\u0131laca\u011f\u0131 \u00f6nceden belirlenerek ilan edilir. Uygulay\u0131c\u0131lar ve halka bu konuda bilgilendirici e\u011fitimler verilir. Fakat yeni a\u00e7\u0131klanan “Check-up uygulamas\u0131”nda bunlar\u0131n hi\u00e7birinin yap\u0131lmad\u0131\u011f\u0131n\u0131 biliyoruz. Bu nedenle, bu uygulama ASM’lerin asli g\u00f6revi olan koruyucu sa\u011fl\u0131k hizmetlerini g\u00fc\u00e7lendirmek bir tarafa bunlar \u00fczerinde olumsuz etkiler do\u011furabilecektir.<\/p>\n
“Check-up”; kamudan \u00e7ok \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131n\u0131n kulland\u0131\u011f\u0131, ticari kayg\u0131 ve yurtta\u015flar\u0131n sa\u011fl\u0131k endi\u015feleri \u00fczerinden para kazanma amac\u0131n\u0131n a\u011f\u0131r bast\u0131\u011f\u0131, gereklili\u011fi tart\u0131\u015f\u0131lan \u00e7ok say\u0131da tetkik ve tahlilin yap\u0131ld\u0131\u011f\u0131, ‘piyasac\u0131’ uygulamalar\u0131 yans\u0131tan bir terimdir. Asl\u0131nda check-up denen bu programla ama\u00e7lanan ASM’lere hasta talebini suni olarak art\u0131rmak ve se\u00e7im \u00f6ncesi halk\u0131n sa\u011fl\u0131\u011f\u0131ndan ziyade g\u00f6nl\u00fcnde ho\u015fluk olu\u015fturmakt\u0131r. \u00c7ok d\u00fc\u015f\u00fcn\u00fclmeden ve politik kayg\u0131larla g\u00fcndeme gelen, bilimsel verilerden uzak bu program\u0131n \u00fclkemize ekonomik olarak \u00a0b\u00fcy\u00fck bir y\u00fck getirece\u011fi a\u00e7\u0131kt\u0131r. Program\u0131n sistemsizli\u011fi, daha ilk elden, MHRS’den check-up randevusu almayan hastalara ne yap\u0131laca\u011f\u0131 sorusunun yan\u0131t\u0131n\u0131n olmay\u0131\u015f\u0131yla bile ortaya \u00e7\u0131kmaktad\u0131r. Ayr\u0131ca k\u00f6ylerde kan tahlili yap\u0131lamad\u0131\u011f\u0131 i\u00e7in, k\u0131rsal b\u00f6lgelerde ya\u015fayan yurtta\u015flar\u0131m\u0131z\u0131n bu programdan ne \u00f6l\u00e7\u00fcde yararlanabilecekleri sorusu a\u00e7\u0131kta kalmaktad\u0131r.
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\nHastal\u0131klar\u0131n kontrol\u00fcnde, \u00f6nleme, erken tan\u0131, uygun tedavi gibi bile\u015fenlerin hepsini i\u00e7eren b\u00fct\u00fcnc\u00fcl bir bak\u0131\u015f gereklidir. Bir yandan ila\u00e7lara\/tedaviye ula\u015f\u0131m herg\u00fcn biraz daha zorla\u015f\u0131rken di\u011fer yandan bu t\u00fcr ama\u00e7s\u0131z, hedefsiz, piyasa mant\u0131\u011f\u0131 ile uygulamaya konan programlar ak\u0131lda soru i\u015faretleri olu\u015fturmaktad\u0131r. Aile hekimli\u011fi y\u00f6netmeli\u011finde; yap\u0131lacak laboratuar i\u015flemlerinin taban \u00fccretin y\u00fczde 100’\u00fcn\u00fc ge\u00e7meyece\u011fi de belirtilmi\u015fken ayda 150 hastaya bu tetkiklerin yap\u0131lmas\u0131 nas\u0131l sa\u011flanacakt\u0131r sormak istiyoruz.
\n\u00a0
\nYine H\u00fck\u00fcmetin 100 G\u00fcnl\u00fck \u0130craat Program\u0131nda “Aile Hekimli\u011fi Sisteminin g\u00fc\u00e7lendirilece\u011fi” belirtilmi\u015ftir. Esasen bizler sa\u011fl\u0131kl\u0131 toplum i\u00e7in birinci basamak sa\u011fl\u0131k hizmetlerinin g\u00fc\u00e7lendirilmesi gerekti\u011fini savunuyoruz. “Birinci Basamak Sa\u011fl\u0131k Hizmetlerinin g\u00fc\u00e7lendirilmesi”; ba\u015fvuru say\u0131lar\u0131n\u0131n art\u0131r\u0131lmas\u0131, s\u0131f\u0131r n\u00fcfuslu aile hekimli\u011fi birimleri, her g\u00fcn yeni i\u015f y\u00fckleri ile de\u011fil; \u00e7al\u0131\u015fma ko\u015fullar\u0131n\u0131n iyile\u015ftirilmesi, kay\u0131tl\u0131 n\u00fcfusun \u00fccret kayb\u0131 olmadan azalt\u0131lmas\u0131, \u00e7al\u0131\u015fan say\u0131s\u0131n\u0131n art\u0131r\u0131lmas\u0131, uygun binalar\u0131n in\u015fas\u0131, g\u00fcvenceli ve g\u00fcvenli i\u015f, mutlu \u00e7al\u0131\u015fanlar ve en \u00f6nemlisi toplumcu bir sa\u011fl\u0131k modeliyle m\u00fcmk\u00fcnd\u00fcr.
\n\u00a0
\nBu t\u00fcr programlar\u0131n bilimsel, ak\u0131lc\u0131, insani ve ekonomik kaynaklar\u0131 g\u00f6zeten planl\u0131 bir anlay\u0131\u015fla ele al\u0131nmas\u0131 gerekti\u011fine inan\u0131yoruz. Birinci basamak sa\u011fl\u0131k hizmetlerine talebi yapay olarak art\u0131ran bir modelin, zaten hekim ba\u015f\u0131na d\u00fc\u015fen n\u00fcfusun \u00e7ok fazla oldu\u011fu aile hekimli\u011fi sisteminde yeni sorunlara yol a\u00e7aca\u011f\u0131ndan endi\u015fe duyuyoruz. Bu nedenle uygulama bir an \u00f6nce sonland\u0131r\u0131lmal\u0131, yerini toplumun sa\u011fl\u0131\u011f\u0131n\u0131 ger\u00e7ekten koruyan ve geli\u015ftiren rasyonel politikalara b\u0131rakmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"
Mersin Tabip Odas\u0131, Mersin Aile Hekimleri Derne\u011fi, Ses Mersin \u015eubesi ve Birinci Basamak Sa\u011fl\u0131k \u00c7al\u0131\u015fanlar\u0131 Birlik ve Dayan\u0131\u015fma Sendikas\u0131 ortak bas\u0131n a\u00e7\u0131klamas\u0131nda bulundu. A\u00e7\u0131klamada h\u00fck\u00fcmetin 3 A\u011fustos 2018 tarihinde a\u00e7\u0131klanan … Devam\u0131n\u0131 Oku…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/2612"}],"collection":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2612"}],"version-history":[{"count":0,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/2612\/revisions"}],"wp:attachment":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}