{"id":156229,"date":"2015-11-23T14:24:58","date_gmt":"2015-11-23T12:24:58","guid":{"rendered":"http:\/\/www.erzurumflas.com\/turk-saglik-senden-performans-odemelerine-tepki\/"},"modified":"2015-11-23T14:25:00","modified_gmt":"2015-11-23T12:25:00","slug":"turk-saglik-senden-performans-odemelerine-tepki","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=156229","title":{"rendered":"T\u00fcrk Sa\u011fl\u0131k Sen\u2019den Performans \u00d6demelerine Tepki"},"content":{"rendered":"

T\u00fcrk Sa\u011fl\u0131k Sen Manisa \u015eubesi Ba\u015fkan\u0131 R\u0131tvan Mutlu, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na y\u00f6nelik yap\u0131lan performans \u00f6demelerinin ciddi bir sorun haline geldi\u011fini s\u00f6yledi. Performans \u00f6demeleri i\u00e7in yap\u0131lan yeni d\u00fczenlemenin \u00e7ok ciddi s\u0131k\u0131nt\u0131lar\u0131 beraberinde getirece\u011fini kaydeden Mutlu, \u201cPansuman tedbirler, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ekonomik ve sosyal problemlerine \u00e7are olamaz\u201d dedi.<\/p>\n

Sa\u011fl\u0131kta ya\u015fanan sorunlara bir yenisinin daha eklendi\u011fini belirten T\u00fcrk Sa\u011fl\u0131k Sen Manisa \u015eubesi Ba\u015fkan\u0131 R\u0131tvan Mutlu, bu durumu d\u00fczeltmek yerine idarecilerin \u015fimdi de performans \u00f6demelerini d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fcn\u00fc kaydederek \u015f\u00f6yle konu\u015ftu: \u201cT\u00fcm kamu kurum ve kurulu\u015flar\u0131nda g\u00f6rev yapan \u00e7al\u0131\u015fanlar sabit ek \u00f6demeleri genel b\u00fct\u00e7eden al\u0131rken sadece sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na bu para d\u00f6ner sermaye b\u00fct\u00e7esinden \u00f6deniyor\u201d diye konu\u015ftu.<\/p>\n

Performans \u00f6demelerinin son y\u0131llarda h\u0131zla d\u00fc\u015f\u00fcp 5, 10 lira gibi komik rakamlara indi\u011fini belirten Mutlu, \u015funlar\u0131 s\u00f6yledi: “Hal b\u00f6yle iken mali haklar s\u00f6z konusu oldu\u011funda sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 i\u00e7in s\u00f6ylenen \u2018Siz de d\u00f6ner sermaye al\u0131yorsunuz\u2019 tamamen i\u00e7i bo\u015f bir ifade olup \u00e7\u0131kt\u0131” diyen Mutlu, “\u00d6zellikle Say\u0131\u015ftay raporuyla birlikte sabit ek \u00f6demelerin toplam\u0131n\u0131n, da\u011f\u0131t\u0131labilir d\u00f6ner sermaye tutar\u0131ndan y\u00fcksek oldu\u011fu hastanelerde d\u00f6ner sermaye performans \u00f6demesi yap\u0131lmamas\u0131 y\u00f6n\u00fcnde T\u00fcrkiye Kamu Hastaneleri Kurumunun yaz\u0131s\u0131yla birlikte k\u00fc\u00e7\u00fck hastaneler ba\u015fta olmak \u00fczere yakla\u015f\u0131k 300\u2019e yak\u0131n hastanede hekimler hari\u00e7 t\u00fcm \u00e7al\u0131\u015fanlar i\u00e7in performans \u00f6demesi s\u0131f\u0131rland\u0131. Hekim arkada\u015flar\u0131m\u0131z\u0131n kay\u0131plar\u0131 \u00e7ok ciddi duruma ula\u015ft\u0131.”<\/p>\n

T\u00fcrkiye Kamu Hastaneler Kurumunun, genel sekreterliklere y\u00fczde 65\u2019e kadar d\u00f6ner sermaye da\u011f\u0131tma yetkisini verdi\u011fini anlatan Mutlu, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n

“D\u00f6ner sermaye da\u011f\u0131t\u0131m\u0131nda y\u00fczde 65\u2019e \u00e7\u0131k\u0131larak d\u00f6ner sermaye ma\u011fduriyetinin tamamen \u00e7\u00f6z\u00fcld\u00fc\u011f\u00fc ifade edilmektedir. Ancak her kamu hastane birli\u011fine ba\u011fl\u0131 sa\u011fl\u0131k tesislerinde da\u011f\u0131t\u0131lan ek \u00f6demelerin toplam\u0131 o birli\u011fin toplam d\u00f6ner sermaye gelirinin y\u00fczde 50\u2019sini a\u015famayacakt\u0131r. Y\u00fczde 50 kriteri ile bir \u00e7al\u0131\u015fana verildi\u011fi oranda di\u011fer bir \u00e7al\u0131\u015fandan k\u0131salaca\u011f\u0131 anlam\u0131 \u00e7\u0131kmaktad\u0131r. Bu durumda y\u00fczde 65\u2019lik da\u011f\u0131t\u0131lacak miktar birlik b\u00fcnyesindeki hastanelerin da\u011f\u0131t\u0131lacak gelirinin y\u00fczde 50\u2019sini ge\u00e7meyecek kriteri da\u011f\u0131t\u0131lacak miktara bir fren olacakt\u0131r.\u201d<\/p>\n

Da\u011f\u0131t\u0131lacak ek \u00f6deme miktar\u0131n\u0131n y\u00fczde 65\u2019e \u00e7\u0131kar\u0131lmas\u0131 ile ilgili yetkinin ekim ay\u0131ndan itibaren genel sekreterliklere verildi\u011fini anlatan Mutlu, s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cY\u00fczde 65 oran\u0131 performansa dayal\u0131 ek \u00f6deme alamayan hastaneler i\u00e7in k\u0131smi bir iyile\u015ftirme sa\u011flarken, geliri y\u00fcksek olan hastaneler i\u00e7in bir anlam ifade etmemektedir. Hatta birlik baz\u0131nda y\u00fczde 50 kriteriyle d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde geliri y\u00fcksek olan hastanelerde \u00e7al\u0131\u015fanlar\u0131n aleyhine olacakt\u0131r. Geliri y\u00fcksek olan hastaneler y\u00fczde 50 ayar\u0131 da\u011f\u0131tabilecek miktar\u0131n\u0131n alt\u0131nda performansa dayal\u0131 ek \u00f6deme da\u011f\u0131tmak zorunda kalacakt\u0131r. Bu durum geliri y\u00fcksek hastanelerde \u00e7al\u0131\u015fan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n performansa dayal\u0131 ek \u00f6demelerinde alacaklar\u0131 \u00fccretlerin azalmas\u0131 ve \u00e7al\u0131\u015fanlar\u0131n zarar\u0131na olacakt\u0131r. Bir yeri kurtarma \u00e7abas\u0131 ba\u015fka bir yeri bat\u0131rmak olarak sonu\u00e7lanacakt\u0131r. \u00c7\u00f6km\u00fc\u015f olan d\u00f6ner sermaye sistemi yamal\u0131 boh\u00e7a \u015feklinde d\u00f6n\u00fc\u015ft\u00fcr\u00fclerek pansuman tedbirleri sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ekonomik ve sosyal problemlere \u00e7are olamaz.\u201d<\/p>\n

D\u00f6ner sermayenin amac\u0131n\u0131n kanun ve y\u00f6netmeliklerde \u00e7al\u0131\u015fanlar\u0131n kadro g\u00f6rev, unvan ve birimleri gibi unsurlar\u0131 dikkate alarak kaliteli ve verimli hizmet sunumunu te\u015fvik etmek olarak belirlendi\u011fini dile getiren Mutlu, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n

\u201cYani \u00e7al\u0131\u015fanlara \u00e7al\u0131\u015fma ile ilgili kriterlere ba\u011fl\u0131 olarak \u00e7al\u0131\u015ft\u0131klar\u0131 kadar performans \u00f6demesi verilece\u011fi taahh\u00fct edilmi\u015ftir. Bu d\u00fczenleme ile \u00e7al\u0131\u015fanlar\u0131n cebinden al\u0131p \u00f6tekine vermek gibi bir durum ortaya \u00e7\u0131kmaktad\u0131r. D\u00f6ner sermayenin mant\u0131\u011f\u0131na ters olan bu d\u00fczenleme \u00e7are de\u011fildir. Burada yap\u0131lmas\u0131 gereken herkesin bir ba\u015fkas\u0131n\u0131n gelirine engel olmadan al\u0131n terinin kar\u015f\u0131l\u0131\u011f\u0131n\u0131 hak\u00e7a almas\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00dcRK SA\u011eLIK SEN MAN\u0130SA \u015eUBES\u0130 BA\u015eKANI RITVAN MUTLU, SA\u011eLIK \u00c7ALI\u015eANLARINA Y\u00d6NEL\u0130K YAPILAN PERFORMANS \u00d6DEMELER\u0130N\u0130N C\u0130DD\u0130 B\u0130R SORUN HAL\u0130NE GELD\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[28785,10877,20988,22948,1816,1039],"class_list":["post-156229","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-odemelerine","tag-performans","tag-saglik","tag-senden","tag-tepki","tag-turk"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/156229","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=156229"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/156229\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=156229"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=156229"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=156229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}