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<\/div>\nK\u0131br\u0131s T\u00fcrk Tabipleri Birli\u011fi (KTTB), sa\u011fl\u0131k sistemini etkileyecek ve de\u011fi\u015fimlere yol a\u00e7abilecek bir anla\u015fman\u0131n gizlenmeye \u00e7al\u0131\u015f\u0131ld\u0131\u011f\u0131n\u0131 \u00f6ne s\u00fcrerek T\u00fcrkiye ile imzalanan \u201cSa\u011fl\u0131kta \u0130\u015f Birli\u011fi Anla\u015fmas\u0131\u201dn\u0131n uygulanabilir, ak\u0131lc\u0131, \u00fclkenin ihtiya\u00e7lar\u0131na cevap verecek \u015fekilde kurgulanmas\u0131n\u0131n sa\u011flanmas\u0131 i\u00e7in ciddi revizyonlar gerekti\u011fini belirtti. <\/p>\n
Tabipler Birli\u011fi Asba\u015fkan\u0131 Dr. \u00c7a\u011fr\u0131 Cemaller, KKTC<\/a> ve TC h\u00fck\u00fcmetleri aras\u0131nda imzalanan anla\u015fman\u0131n haz\u0131rlanmas\u0131 s\u00fcrecine t\u00fcm hekim ve di\u015f hekimlerini temsil eden meslek \u00f6rg\u00fct\u00fc olan KTTB\u2019nin dahil edilmedi\u011fini, ayr\u0131ca anla\u015fman\u0131n gizlenmeye \u00e7al\u0131\u015f\u0131ld\u0131\u011f\u0131n\u0131 iddia etti.<\/p>\n Cemaller yapt\u0131\u011f\u0131 yaz\u0131l\u0131 a\u00e7\u0131klamada, KKTC<\/a> H\u00fck\u00fcmeti ile TC H\u00fck\u00fcmeti aras\u0131nda sa\u011fl\u0131k ve t\u0131p bilimleri alanlar\u0131nda i\u015f birli\u011fine dair anla\u015fman\u0131n 20 Aral\u0131k 2022\u2019de imzaland\u0131\u011f\u0131 haberini t\u00fcm toplumla ayn\u0131 anda gazetelerden okuyarak \u00f6\u011frendiklerini a\u00e7\u0131klad\u0131.<\/p>\n S\u00f6z konusu anla\u015fman\u0131n imzaland\u0131\u011f\u0131 haberi yay\u0131nland\u0131ktan sonra, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131ndan anla\u015fman\u0131n bir kopyas\u0131n\u0131n resmi yaz\u0131\u015fma yoluyla KTTB ad\u0131na Bilgi Edinme Yasas\u0131 taht\u0131nda talep edildi\u011fini anlatan Cemaller, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n, KTTB\u2019ye verdi\u011fi resmi cevab\u0131nda, meslek \u00f6rg\u00fct\u00fcn\u00fc yok sayan, i\u015f birli\u011fi ve bilgi aktar\u0131m\u0131 k\u00fclt\u00fcr\u00fcnden uzak, buyurgan bir bak\u0131\u015f a\u00e7\u0131s\u0131yla, resm\u00ee gazeteden s\u00fcrecin takip edilmesi telkininde bulundu\u011funu ve bu tavr\u0131n kabul edilemez ve s\u00fcrd\u00fcr\u00fclemez oldu\u011funu kaydetti.<\/p>\n -\u201cD\u0131\u015flay\u0131c\u0131 ve g\u00f6rmezden gelme tavr\u0131 topluma zarar verir\u201d<\/p>\n Cemaller, meslek \u00f6rg\u00fctlerinin, karar alma, y\u00fcr\u00fctme ve politika olu\u015fturma s\u00fcre\u00e7lerinden uzakla\u015ft\u0131r\u0131lmaya \u00e7al\u0131\u015f\u0131lmas\u0131n\u0131n en k\u00f6t\u00fc \u00f6rneklerini son zamanlarda fazlas\u0131yla deneyimlediklerini ifade ederek, \u201cBu d\u0131\u015flay\u0131c\u0131 ve g\u00f6rmezden gelme tavr\u0131n\u0131n toplum zarar\u0131na oldu\u011funu\u201d belirtti.<\/p>\n Cemaller \u015f\u00f6yle devam etti:<\/p>\n \u201c\u0130mzalanan 5 y\u0131ll\u0131k anla\u015fman\u0131n i\u00e7eri\u011finde temel sa\u011fl\u0131k, yatakl\u0131 tedavi kurumlar\u0131, genel sa\u011fl\u0131k sistemi y\u00f6netimi, bilgi i\u015fletim sistemlerinde ortakla\u015fma vb. bir\u00e7ok konuda entegrasyon ve ilgili yasa ve mevzuatlarda d\u00fczenlemeler \u00f6ng\u00f6r\u00fclmektedir.<\/p>\n \u0130lgili Anla\u015fma ile yap\u0131lmas\u0131 \u00f6ng\u00f6r\u00fclen i\u015f birli\u011finin kapsam\u0131n\u0131n bu kadar geni\u015f tutulmas\u0131 ve sadece konu ba\u015fl\u0131klar\u0131 yaz\u0131l\u0131p alt\u0131n\u0131n doldurulmamas\u0131, \u00fclkemizdeki sa\u011fl\u0131k sistemi y\u00f6netimi, hastalar\u0131n hastal\u0131k bilgilerinin t\u00fcm ayr\u0131nt\u0131s\u0131n\u0131n kay\u0131tl\u0131 oldu\u011fu veri kay\u0131t sisteminin g\u00fcvenli\u011fi, sa\u011fl\u0131k mevzuatlar\u0131nda olu\u015facak d\u00fczensizlik, hekimlerin \u00e7al\u0131\u015fma ko\u015fullar\u0131 ve \u015fekilleri ile ilgili ya\u015fanacak sorunlar\u0131 \u00f6ng\u00f6rebilmek zor de\u011fildir.<\/p>\n \u0130lgili anla\u015fmayla yurt d\u0131\u015f\u0131ndan g\u00fcn\u00fcbirlik veya k\u0131sa periyodlar halinde hekim getirilmesi ve KTTB yasas\u0131 g\u00f6zetilmeden \u00e7al\u0131\u015ft\u0131r\u0131lmas\u0131 halinde, hasta, hekim ili\u015fkisinin sa\u011flanamayaca\u011f\u0131 ve sa\u011fl\u0131kl\u0131 ili\u015fki sa\u011flanamad\u0131\u011f\u0131ndan hasta ma\u011fduriyeti olu\u015faca\u011f\u0131 ka\u00e7\u0131n\u0131lmaz bir ger\u00e7ektir. Ayr\u0131ca hastalar T\u00fcrkiye\u2019deki hastanelere y\u00f6nlendirilmek i\u00e7in ikna edilmeye \u00e7al\u0131\u015f\u0131lma tehlikesi olacakt\u0131r.<\/p>\n Bir \u00f6rnek vermek gerekirse; TC ve KKTC<\/a> Sa\u011fl\u0131k Bakanl\u0131klar\u0131 aras\u0131nda imzalanan i\u015f birli\u011fi anla\u015fmas\u0131ndan ba\u011f\u0131ms\u0131z olarak, Kas\u0131m 2022 tarihinde Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ile yurt d\u0131\u015f\u0131nda hastanesi olup \u00fclkemizde temsilcili\u011fi bulunan \u00f6zel bir merkez aras\u0131nda anla\u015fma imzalanm\u0131\u015ft\u0131r. \u0130lgili anla\u015fmada ayda 5 g\u00fcn \u00e7al\u0131\u015fmas\u0131 \u00f6ng\u00f6r\u00fclen ve KTTB \u00fcyesi olmayan bir hekime fahi\u015f \u00fccretler \u00f6denece\u011fi taahh\u00fcd\u00fc verilmi\u015ftir. KTTB taraf\u0131ndan yap\u0131lan giri\u015fimler sonucunda s\u00fcre\u00e7 olumsuz durumlar olu\u015fmadan engellenebilmi\u015ftir. Bu \u00f6rnek ve niyet ortadayken KKTC<\/a> Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ile TC Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 aras\u0131nda imzalanan i\u015f birli\u011fi anla\u015fmas\u0131yla, TC Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019na ba\u011fl\u0131 USHA\u015e adl\u0131 \u015firkete KKTC<\/a> s\u0131n\u0131rlar\u0131 i\u00e7erisinde kapsaml\u0131 yetkiler verilebilecektir.<\/p>\n USHA\u015e\u2019\u0131n, resmi internet sitesinde yay\u0131mlanan bilgilere g\u00f6re, \u015firketin 2019\u2019da KHK ile kuruldu\u011fu ve TC Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131na ba\u011fl\u0131 bir kurulu\u015f oldu\u011fu bilgisine ula\u015f\u0131labilmektedir. \u015eirketin resmi internet sitesinden \u015firket hakk\u0131nda bilgi edinildi\u011finde, kurulu\u015f amac\u0131n\u0131n T\u00fcrkiye\u2019yi d\u00fcnyan\u0131n \u00f6nde gelen katma de\u011ferli sa\u011fl\u0131k ihracat\u00e7\u0131lar\u0131ndan biri haline getirmek \u00fczere faaliyetlerde bulunmak olarak a\u00e7\u0131klanmaktad\u0131r.<\/p>\n Sa\u011fl\u0131k hizmetleri ihracat\u0131 yani, T\u00fcrkiye\u2019deki hem kamu hem \u00f6zel hastanelere yurtd\u0131\u015f\u0131ndan hasta bulup, hastalar\u0131 T\u00fcrkiye hastanelerine ta\u015f\u0131yarak tedavisinin yap\u0131lmas\u0131n\u0131 sa\u011flamak temel hedefindedir. Bu hedefini yakalayabilmek i\u00e7in yo\u011funluklu olarak, toplumu kapsay\u0131c\u0131 sa\u011fl\u0131k sistemi olmayan veya pahal\u0131 sa\u011fl\u0131k harcamalar\u0131na sahip T\u00fcrkiye d\u0131\u015f\u0131ndaki \u00fclkelerde temsilcilikler a\u00e7\u0131lmas\u0131 \u00f6ng\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bu temsilcilikler vas\u0131tas\u0131yla hastalar T\u00fcrkiye\u2019ye y\u00f6nlendirilecek ve T\u00fcrkiye hastanelerinin maddi kazan\u00e7 elde etmesi sa\u011flanacakt\u0131r. Bu sistem ile \u00fclkemizde toplum sa\u011fl\u0131\u011f\u0131 daha iyi bir yere gelmekten \u00f6te, kamu hastanelerinin geli\u015fmesine engel te\u015fkil ederek toplum sa\u011fl\u0131\u011f\u0131n\u0131 tehdit eder hale gelecektir.\u201d<\/p>\n -\u201cKamu sa\u011fl\u0131k sistemi yurtd\u0131\u015f\u0131na ba\u011f\u0131ml\u0131 hale gelecek\u201d<\/p>\n KTTB Asba\u015fkan\u0131 Cemaller, insanlara potansiyel m\u00fc\u015fteri muamelesiyle yakla\u015fan bu \u015firket ile imzalanan anla\u015fman\u0131n kamu sa\u011fl\u0131k sistemini yurt d\u0131\u015f\u0131na ba\u011f\u0131ml\u0131 hale getirece\u011fini savundu.<\/p>\n \u0130lgili anla\u015fmayla sa\u011fl\u0131k ve \u00e7evre alan\u0131nda AB uyum yasalar\u0131yla olu\u015fturulmu\u015f bir\u00e7ok mevzuatla ilgili i\u015f birli\u011fi \u00f6ng\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc, bu y\u00f6n\u00fcyle ilgili sa\u011fl\u0131k ve \u00e7evre mevzuatlar\u0131n\u0131n ne y\u00f6nde de\u011fi\u015ftirilece\u011finin Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan a\u00e7\u0131klanmad\u0131\u011f\u0131n\u0131 da ifade eden Cemaller, ilgili mevzuatlar\u0131n bir an \u00f6nce en iyi \u015fekilde uygulanmas\u0131 gerekti\u011fini hat\u0131rlatarak, mevzuat uygulanmas\u0131 i\u00e7in uluslararas\u0131 anla\u015fmaya ihtiya\u00e7 duyulmad\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n -\u201cModern t\u0131bb\u0131n alternatifi yine modern t\u0131p y\u00f6ntemleridir\u201d<\/p>\n Bunun yan\u0131nda ilgili anla\u015fmada, modern t\u0131p uygulamalar\u0131 d\u0131\u015f\u0131nda \u201cgeleneksel ve tamamlay\u0131c\u0131 t\u0131p\u201d ile ilgili mevzuat d\u00fczenlemesinin \u00f6ng\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc de kaydeden Cemaller, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131 21. y\u00fczy\u0131l t\u0131p uygulamalar\u0131na davet ederek, modern t\u0131bb\u0131n alternatifinin yine modern t\u0131p y\u00f6ntemleri ve bilimsel \u00e7al\u0131\u015fmalar oldu\u011funu vurgulad\u0131.<\/p>\n Cemaller, a\u00e7\u0131klamas\u0131nda ayr\u0131ca \u015funlara de\u011findi:<\/p>\n \u201cKKTC<\/a> ve TC olarak \u00e7ift uyru\u011fa sahip pratisyen hekimlerin mecburi hizmet y\u00fck\u00fcml\u00fcl\u00fcklerini KKTC<\/a>\u2019de yapmalar\u0131na olanak sa\u011flayacak madde ile ilgili olarak eksiklikler mevcuttur. \u0130lgili madde sadece Y\u00fcksek \u00d6\u011frenim Kurumlar S\u0131nav\u0131na (YKS) girerek T\u0131p Fak\u00fcltesinde \u00f6\u011frenim g\u00f6ren hekimleri kapsamas\u0131 nedeniyle GCSE vb. s\u0131navlarla T\u0131p Fak\u00fcltesi \u00f6\u011frenimi g\u00f6ren hekimleri kapsam d\u0131\u015f\u0131nda b\u0131rakmaktad\u0131r. Bu maddede eksik b\u0131rak\u0131lm\u0131\u015f s\u0131navlar nedeniyle hak kay\u0131plar\u0131n\u0131n olu\u015fabilece\u011fi \u00f6ng\u00f6r\u00fcs\u00fcyle ilgili maddenin revize edilerek t\u00fcm s\u0131navlar\u0131 kapsay\u0131c\u0131 hale getirilmesi gerekti\u011fini hat\u0131rlat\u0131r\u0131z.<\/p>\n Anla\u015fman\u0131n Madde 12\u2018si \u2018uygulay\u0131c\u0131 kurumlar, denetim ve takibi\u2019 tan\u0131mlamaktad\u0131r. Buna g\u00f6re; \u2018\u0130\u015fbu Anla\u015fma\u2019n\u0131n h\u00fck\u00fcmlerinin uygulanmas\u0131n\u0131 T\u00fcrkiye Cumhuriyeti Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ile KKTC<\/a> Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 sa\u011flayacakt\u0131r. T\u00fcrk Taraf\u0131 i\u015fbu Anla\u015fma kapsam\u0131nda yer alan baz\u0131 y\u00fck\u00fcml\u00fcl\u00fcklerini Uluslararas\u0131 Sa\u011fl\u0131k Hizmetleri A.\u015e.\u2019ye (USHA\u015e) delege edebilir.\u2019<\/p>\n Bu maddede delege edilecek y\u00fck\u00fcml\u00fcl\u00fcklerin belirtilmemesi ve \u2018baz\u0131\u2019 olarak tan\u0131mlanmas\u0131 sonucunda belirsizlik olu\u015fmaktad\u0131r. USHA\u015e yukar\u0131da da ayr\u0131nt\u0131l\u0131 olarak belirtildi\u011fi gibi T\u00fcrkiye\u2019ye hasta sa\u011flamak hedefiyle sa\u011fl\u0131k turizmini geli\u015ftirme mant\u0131\u011f\u0131yla kurulmu\u015f bir anonim \u015firkettir. Bu bilgilerle bu anla\u015fman\u0131n hangi maddelerinin, ne \u015fekilde y\u00fcr\u00fct\u00fclece\u011fi belirsizli\u011fini korumaktad\u0131r.<\/p>\n B\u00fct\u00fcn bu bilgiler \u0131\u015f\u0131\u011f\u0131nda KKTC<\/a> Meclisi\u2019nden talebimiz, Sa\u011fl\u0131kta \u0130\u015f Birli\u011fi Anla\u015fmas\u0131\u2019n\u0131n uygulanabilir, ak\u0131lc\u0131, \u00fclkemiz ihtiya\u00e7lar\u0131na cevap verecek \u015fekilde kurgulanmas\u0131n\u0131n sa\u011flanmas\u0131d\u0131r. Bunu sa\u011flamak i\u00e7in ciddi revizyonlar gereklidir.<\/p>\n Anla\u015fma bu haliyle \u00fclkemiz ihtiya\u00e7lar\u0131na cevap verir \u00f6zelli\u011fe sahip de\u011fildir. Bu nedenle ilgili Meslek \u00d6rg\u00fctleri, ST\u00d6\u2019lerle Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131m\u0131z\u0131n ortak \u00e7al\u0131\u015fmas\u0131 ve bu Anla\u015fma uygulamaya konmadan, yeni bir Anla\u015fman\u0131n \u015fekillendirilmesine f\u0131rsat tan\u0131nmas\u0131 gerekmektedir.\u201d<\/p>\n<\/p><\/div>\n