{"id":155730,"date":"2024-12-12T09:49:50","date_gmt":"2024-12-12T06:49:50","guid":{"rendered":"https:\/\/epochtimestr.com\/?p=155730"},"modified":"2024-12-12T09:49:51","modified_gmt":"2024-12-12T06:49:51","slug":"itodan-cam-ve-sakura-sehir-hastanesine-tepki-ne-hikmetse-asistan-hekimlerin-mr-istemesi-engelleniyor","status":"publish","type":"post","link":"https:\/\/epochtimestr.com\/index.php\/itodan-cam-ve-sakura-sehir-hastanesine-tepki-ne-hikmetse-asistan-hekimlerin-mr-istemesi-engelleniyor","title":{"rendered":"\u0130TO’dan \u00c7am ve Sakura \u015eehir Hastanesi’ne Tepki: Ne Hikmetse Asistan Hekimlerin MR \u0130stemesi Engelleniyor"},"content":{"rendered":"
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\u0130stanbul Tabip Odas\u0131 Y\u00f6netim Kurulu, Ba\u015fak\u015fehir \u00c7am ve Sakura \u015eehir Hastanesinde ya\u015fanan MR krizine ili\u015fkin yaz\u0131l\u0131 bir a\u00e7\u0131klama yapt\u0131.<\/h2>\n\n\n\n

\u0130stanbul Tabip Odas\u0131ndan yap\u0131lan a\u00e7\u0131klamada, Ba\u015fak\u015fehir \u00c7am ve Sakura \u015eehir Hastanesinde asistan hekimlere MR istemi yapmalar\u0131 i\u00e7in yetki verilmemesine tepki g\u00f6sterilerek, “Asistan hekimleri, her MR istemi yapmas\u0131 gerekti\u011finde uzman doktora veya \u00f6\u011fretim \u00fcyesine y\u00f6nlendirmek, yo\u011fun hasta y\u00fck\u00fc alt\u0131nda olanakl\u0131 olmamakla birlikte anla\u015f\u0131l\u0131r da de\u011fildir” ifadeleri kullan\u0131ld\u0131. \u0130stanbul Tabip Odas\u0131 Y\u00f6netim Kurulu, Ba\u015fak\u015fehir \u00c7am ve Sakura \u015eehir Hastanesinde ya\u015fanan MR krizine ili\u015fkin yaz\u0131l\u0131 bir a\u00e7\u0131klama yapt\u0131. Yap\u0131lan a\u00e7\u0131klamada:<\/p>\n\n\n\n

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G\u00fcn ge\u00e7miyor ki sa\u011fl\u0131k sistemimizde bir gariplik daha ya\u015fanmas\u0131n. Bu sefer bahsedece\u011fimiz gariplik Ba\u015fak\u015fehir \u00c7am ve Sakura \u015eehir Hastanesi\u2019nden. Hani \u015fu \u015fehir merkezinin olduk\u00e7a uza\u011f\u0131nda kurulan, devasa \u00f6l\u00e7ekteki hastane. Pek \u00e7ok hizmetin ta\u015feron \u015firketler taraf\u0131ndan verildi\u011fi, \u201cKamu-\u00d6zel Ortakl\u0131\u011f\u0131\u201d ad\u0131 verilen, asl\u0131nda kamunun paras\u0131n\u0131 \u00f6zel \u015firketlere aktarman\u0131n ad\u0131 olan sistemle yap\u0131lan ve i\u015fletilen hastane. Her y\u0131l Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n b\u00fct\u00e7esinde koca bir delik a\u00e7\u0131lmas\u0131na sebep olan, kamudan milyarlarca dolar para aktar\u0131lan hastane.<\/p>\n\n\n\n

\u0130\u015fte bu hastanemizde bir sabah asistan hekim meslekta\u015flar\u0131m\u0131z, \u00f6ncesinde hi\u00e7bir yaz\u0131l\u0131 bildirim yap\u0131lmaks\u0131z\u0131n hastalar\u0131 i\u00e7in elzem olan MR (Emar – Manyetik Rezonans G\u00f6r\u00fcnt\u00fcleme) tetkikini sistem \u00fczerinden isteyemediklerini fark etmi\u015fler. Ancak di\u011fer radyolojik tetkiklerin, \u00f6rne\u011fin BT (Bilgisayarl\u0131 Tomografi), USG (Ultrasonografi) gibi, istemini yapmalar\u0131nda bir s\u0131k\u0131nt\u0131 yokmu\u015f. Durum bu olunca, \u00f6nce do\u011fal olarak sorunun sistemden kaynakl\u0131 hata olabilece\u011fini d\u00fc\u015f\u00fcnm\u00fc\u015fler. Ancak sonradan anla\u015f\u0131lm\u0131\u015f ki MR isteminin asistan hekimlerce yap\u0131lmas\u0131, hastane Ba\u015fhekimli\u011fi taraf\u0131ndan bilerek engellenmi\u015f. Yaln\u0131zca uzman doktorlar ve \u00f6\u011fretim \u00fcyeleri MR istemi yapmaya yetkili k\u0131l\u0131nm\u0131\u015f.<\/p>\n\n\n\n

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”bir hekimin sadece MR tetkikini isteyememesi hekimlik ve t\u0131p a\u00e7\u0131s\u0131ndan anla\u015f\u0131l\u0131r de\u011fildir”<\/strong><\/p>\n\n\n\n

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Sa\u011fl\u0131k hizmeti, uzmanl\u0131k e\u011fitiminin verildi\u011fi \u015eehir Hastanesi gibi hastanelerde esas asistan hekimler \u00fczerinden y\u00fcr\u00fct\u00fcl\u00fcr. Sa\u011fl\u0131k hizmeti verirlerken ayn\u0131 zamanda uzmanl\u0131k e\u011fitimi de al\u0131rlar. Dolay\u0131s\u0131yla asistan hekimleri, her MR istemi yapmas\u0131 gerekti\u011finde uzman doktora veya \u00f6\u011fretim \u00fcyesine y\u00f6nlendirmek, yo\u011fun hasta y\u00fck\u00fc alt\u0131nda olanakl\u0131 olmamakla birlikte anla\u015f\u0131l\u0131r da de\u011fildir. \u00c7\u00fcnk\u00fc poliklinikte asistan hekimler hastan\u0131n tedavisini d\u00fczenleyebilmekte, MR harici her t\u00fcrl\u00fc tetkikin istemini yapabilmektedir. Ancak ne hikmetse i\u015f MR\u2019a gelince i\u015fler t\u0131kanmaktad\u0131r.<\/p>\n\n\n\n

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Bu engellemenin birka\u00e7 a\u00e7\u0131dan sak\u0131ncas\u0131 vard\u0131r. \u0130lki, yo\u011fun hasta ba\u015fvurusu alt\u0131nda, her hastaya s\u0131n\u0131rl\u0131 s\u00fcre tan\u0131mlanan ko\u015fullarda asistan hekimlere bu, s\u00f6zl\u00fc ve fiziki \u015fiddet olarak geri d\u00f6nme potansiyeli ta\u015f\u0131maktad\u0131r. Nitekim bu nedenle bir \u015fiddet olay\u0131 da ya\u015fanm\u0131\u015ft\u0131r. \u0130kincisi, her t\u00fcrl\u00fc t\u0131bbi tetkik ve tedavi karar\u0131 verebilen bir hekimin sadece MR tetkikini isteyememesi en az\u0131ndan hekimlik ve t\u0131p a\u00e7\u0131s\u0131ndan anla\u015f\u0131l\u0131r bir durum de\u011fildir. Hele de en ileri t\u0131bbi teknolojik cihazlar\u0131n bulundu\u011fu, her bran\u015ftan \u00e7ok say\u0131da doktorun ve sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131n\u0131n \u00e7al\u0131\u015ft\u0131\u011f\u0131, sa\u011fl\u0131k talebi yaratmak i\u00e7in bizzat h\u00fck\u00fcmet eliyle reklam\u0131n\u0131n yap\u0131ld\u0131\u011f\u0131 \u015eehir Hastaneleri\u2019nde bu uygulaman\u0131n sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na \u015fiddet olarak d\u00f6nece\u011fi belliyken.<\/p>\n\n\n\n

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T\u00fcrkiye\u2019de MR cihazlar\u0131 tabiri caizse can\u0131 \u00e7\u0131kar\u0131l\u0131ncaya kadar \u00e7al\u0131\u015ft\u0131r\u0131lmakta, b\u00f6ylece her y\u0131l T\u00fcrkiye, MR cihaz\u0131 ba\u015f\u0131na d\u00fc\u015fen tetkik say\u0131s\u0131 a\u00e7\u0131s\u0131ndan OECD \u00fclkeleri i\u00e7inde birincili\u011fi kimseye kapt\u0131rmamaktad\u0131r. Bundan dolay\u0131 biz \u0130stanbul Tabip Odas\u0131 olarak bu k\u0131\u015fk\u0131rt\u0131lm\u0131\u015f sa\u011fl\u0131k talebinin, niteli\u011fin de\u011fil niceli\u011fin de\u011ferli oldu\u011fu bu sa\u011fl\u0131k anlay\u0131\u015f\u0131na kar\u015f\u0131y\u0131zd\u0131r. Ancak bu \u00e7arp\u0131kl\u0131\u011f\u0131 d\u00fczeltmenin yolu tek bir hastanenin MR tetkiki say\u0131s\u0131n\u0131 s\u0131n\u0131rlamaktan ge\u00e7mez. K\u00e2r ve piyasa odakl\u0131 mevcut sa\u011fl\u0131k sistemini de\u011fi\u015ftirmekten ge\u00e7er.<\/p>\n\n\n\n

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”bu yanl\u0131\u015f uygulamadan bir an evvel d\u00f6nmelerini talep ederiz”<\/strong><\/p>\n\n\n\n

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Mesele MR olunca ister istemez kamu hastanelerinde Radyoloji hizmetlerinin belli bir oranda ta\u015feronla\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131 hat\u0131rlamam\u0131z gerekiyor. Oysa sa\u011fl\u0131k hizmetlerinin ta\u015feronla\u015fmas\u0131n\u0131n ac\u0131 sonu\u00e7lar\u0131n\u0131 yenido\u011fan yo\u011fun bak\u0131mlar\u0131n\u0131 mesken tutmu\u015f organize su\u00e7 \u00f6rg\u00fct\u00fc olay\u0131nda g\u00f6rd\u00fck. Ancak bu olaydan hen\u00fcz bu anlamda hi\u00e7bir ders \u00e7\u0131kar\u0131lm\u0131\u015f de\u011fil. Kamu hastanelerinde kadrolu radyoloji uzman\u0131 doktorlar, \u00f6\u011fretim \u00fcyeleri ve e\u011fitim g\u00f6ren asistan hekimler olmas\u0131na ra\u011fmen MR ba\u015fta olmak \u00fczere pek \u00e7ok radyolojik hizmetin sunumu i\u00e7in ihale a\u00e7\u0131lmakta ve bir ta\u015feron \u015firkete devredilmekte. Bu \u015firketler, ihaleyi kazanabilmek i\u00e7in tetkik ba\u015f\u0131 \u00fccretlerini \u00e7ok d\u00fc\u015f\u00fck tuttu\u011fu i\u00e7in gerekti\u011fi kadar hekim \u00e7al\u0131\u015ft\u0131rmamakta. B\u00f6ylece g\u00fcnde binlerce \u00e7ekilen radyoloji tetkikinin sa\u011fl\u0131kl\u0131 \u015fekilde yorumlanmas\u0131 i\u00e7in yeterli vakit ayr\u0131lamamakta. A\u00e7\u0131k\u00e7a s\u00f6ylememiz gerekirse ta\u015feron \u015firket taraf\u0131ndan \u00e7ekilen ve raporlanan hi\u00e7bir radyolojik tetkike, o radyolojik tetkikin istemini yapan doktor taraf\u0131ndan bile g\u00fcvenilmemekte. Bu i\u015f, kamunun paras\u0131n\u0131 ta\u015feron \u015firketlere aktarman\u0131n bir yolu olmu\u015f durumda. (Radyoloji hizmetlerinde ta\u015feronla\u015ft\u0131rman\u0131n i\u00e7 y\u00fcz\u00fcn\u00fc ve geldi\u011fi yeri, yak\u0131n zamanda Bursa Tabip Odas\u0131 taraf\u0131ndan yay\u0131nlanan \u015fu bro\u015f\u00fcrde bulabilirsiniz. \u0130ncelemenizi \u00f6neririz.)<\/p>\n\n\n\n

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\u0130stanbul Tabip Odas\u0131 olarak Ba\u015fak\u015fehir \u00c7am ve Sakura Hastanesi Ba\u015fhekimli\u011fi\u2019nin bu garip karar\u0131 neden ald\u0131\u011f\u0131n\u0131 hen\u00fcz net \u015fekilde bilemiyoruz. Ancak belki de ta\u015feronla\u015ft\u0131r\u0131lan MR tetkiklerinde y\u0131ll\u0131k kotalar\u0131 dolmu\u015f veya dolmak \u00fczere olabilir. Ya da Ba\u015fhekimli\u011fin m\u00fcnferit garip bir uygulamas\u0131 da olabilir. Ancak \u015furas\u0131 kesin ki bu s\u00fcre\u00e7te asistan hekimlerin ya\u015fayaca\u011f\u0131 her t\u00fcrl\u00fc ma\u011fduriyetten Ba\u015fhekimli\u011fin sorumlu olaca\u011f\u0131n\u0131 hat\u0131rlat\u0131r, bu yanl\u0131\u015f uygulamadan bir an evvel d\u00f6nmelerini talep ederiz. Olay\u0131n takip\u00e7isi olaca\u011f\u0131m\u0131z\u0131 bildiririz.<\/p>\n\n\n\n

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MR uyduramad\u0131k, tomografi verelim

G\u00fcn ge\u00e7miyor ki sa\u011fl\u0131k sistemimizde bir gariplik daha ya\u015fanmas\u0131n. Bu sefer bahsedece\u011fimiz gariplik Ba\u015fak\u015fehir \u00c7am ve Sakura \u015eehir Hastanesi\u2019nden…

\ud83d\udc47https:\/\/t.co\/NWm4Yy6UK2<\/a> pic.twitter.com\/7xNCB1CBu2<\/a><\/p>— \u0130stanbul Tabip Odas\u0131 (@istabip) December 11, 2024<\/a><\/blockquote>