UMUT CAN ERKAN
\nSa\u011fl\u0131k ve Sosyal Hizmet Emek\u00e7ileri Sendikas\u0131 (SES) Mersin \u015eubesi, temel taleplerini iletmek ad\u0131na bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131. A\u00e7\u0131klamay\u0131 yapan SES Mersin \u015eube Sekreteri Bar\u0131\u015f Keskink\u0131l\u0131\u00e7, \u201cSa\u011fl\u0131k alan\u0131n\u0131n \u00f6zelle\u015ftirmeci bir anlay\u0131\u015fla d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesinin \u00f6ncesi olmakla birlikte, AKP h\u00fck\u00fcmetleri d\u00f6neminde, tek parti iktidar\u0131 olmas\u0131n\u0131n olanaklar\u0131 da kullan\u0131larak h\u0131zland\u0131r\u0131lm\u0131\u015ft\u0131r. Bu program\u0131n \u00f6nemli ba\u015fl\u0131klar\u0131ndan biri sa\u011fl\u0131k oca\u011f\u0131 sistemine dayal\u0131 birinci basamak temel sa\u011fl\u0131k hizmetlerini aile hekimli\u011fi sistemine d\u00f6n\u00fc\u015ft\u00fcrmek olmu\u015ftur. 20 y\u0131l \u00f6nce ba\u015flat\u0131lan ve 14 y\u0131ld\u0131r da t\u00fcm T\u00fcrkiye\u2019de uygulanmakta olan aile hekimli\u011fi sistemi ile \u201cd\u00f6n\u00fc\u015ft\u00fcr\u00fclen\u201d birinci basamak, toplum sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan s\u00fcrekli olarak sorunlar\u0131n birikmesine neden olurken ayn\u0131 zamanda esnek ve performansa dayal\u0131 \u00fccretlendirme sistemi ile de sa\u011fl\u0131k emek\u00e7ilerine y\u00f6nelik s\u00f6m\u00fcr\u00fcy\u00fc derinle\u015ftirmektedir.\u201d dedi.<\/p>\n
\u201c\u0130darecilerin atanmas\u0131 y\u00f6nteminden vazge\u00e7ilsin\u201d<\/p>\n
Gelinen a\u015famada birinci basamak sa\u011fl\u0131k hizmetlerinin k\u00f6t\u00fcye gitti\u011fini, sa\u011fl\u0131k emek\u00e7ileri daha fazla s\u00f6m\u00fcr\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Keskink\u0131l\u0131\u00e7, \u201cEn ba\u015f\u0131ndan beri yapt\u0131\u011f\u0131m\u0131z ikazlar\u0131n hakl\u0131 \u00e7\u0131kt\u0131\u011f\u0131n\u0131 \u00fcz\u00fclerek g\u00f6rmekteyiz. Son iki y\u0131ld\u0131r da \u2018eziyet y\u00f6netmeli\u011fi\u2019 ile u\u011fra\u015f\u0131yoruz. Grevli toplu s\u00f6zle\u015fmeli, \u00f6zg\u00fcr pazarl\u0131k hakk\u0131 i\u00e7eren sendika yasas\u0131 \u00e7\u0131kar\u0131ls\u0131n. OECD ortalamas\u0131nda kadrolu g\u00fcvenceli personel istihdam edilerek, s\u00f6zle\u015fmeli t\u00fcm \u00e7al\u0131\u015fanlar 657 4\/a kapsam\u0131na al\u0131ns\u0131n. Performans, ek \u00f6deme, taban, te\u015fvik, ilave zam de\u011fil, t\u00fcm sa\u011fl\u0131k ve sosyal hizmet emek\u00e7ilerine yoksulluk s\u0131n\u0131r\u0131 \u00fczerinde emeklili\u011fe yans\u0131yan temel \u00fccret verilsin. Son TS\u2019de ilave ek zam olarak verilen emeklili\u011fe ve emeklilere yans\u0131t\u0131lmayan ve emeklili\u011fi daha da hayal hale getiren uygulamaya son verilerek ilave ek zamm\u0131n emeklili\u011fe ve t\u00fcm kamu emeklilerine yans\u0131t\u0131ls\u0131n. Vergide adalet sa\u011flans\u0131n. Emek\u00e7ilerden al\u0131nan vergi y\u00fczde 10\u2019da sabitlensin. \u00c7al\u0131\u015fma ya\u015fam\u0131n\u0131n demokratikle\u015fmesinin ilk ad\u0131m\u0131 olarak idarecilerin atanmas\u0131 y\u00f6nteminden vazge\u00e7ilsin. Liyakat\u0131 uygun olanlar\u0131n aday olaca\u011f\u0131 ve y\u00f6neticilik yapaca\u011f\u0131 emek\u00e7ilerin oylar\u0131yla bir ya da iki y\u0131ll\u0131\u011f\u0131na se\u00e7imle belirlensin. Muayene, tedavide ve ila\u00e7ta hi\u00e7bir ad alt\u0131nda; katk\u0131, kat\u0131l\u0131m pay\u0131, ilave \u00fccret al\u0131nmas\u0131n. Sa\u011fl\u0131k hizmetleri \u00fccretsiz olsun.\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cN\u00fcfus kat say\u0131lar\u0131 2 kat art\u0131r\u0131ml\u0131 \u00f6denmeli\u201d<\/p>\n
\u2018Eziyet Y\u00f6netmeli\u011fi\u2019nin derhal geri \u00e7ekilmesini de talep eden Keskink\u0131l\u0131\u00e7, \u201cYanl\u0131\u015ftan d\u00f6n\u00fclmeli, birinci basamak alan\u0131 a\u015fa\u011f\u0131daki \u00f6nerilerimiz do\u011frultusunda yeniden d\u00fczenlenmelidir: ASM s\u00f6zle\u015fmeleri, bireysel olmamal\u0131, toplu s\u00f6zle\u015fmeye dahil edilmelidir. N\u00fcfusa ve performansa dayal\u0131 sa\u011fl\u0131k hizmeti yerine b\u00f6lge tabanl\u0131 hizmet sunumu yap\u0131lmal\u0131d\u0131r. N\u00fcfus kat say\u0131lar\u0131 2 kat art\u0131r\u0131ml\u0131 \u00f6denmelidir. ASM cari giderleri Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan kar\u015f\u0131lanmal\u0131 ve cari gider \u00f6dene\u011fi 2 kat art\u0131r\u0131lmal\u0131d\u0131r. Aile hekimlerine ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131na entegre sa\u011fl\u0131k hizmetleri dahil n\u00f6bet g\u00f6revi verilmemelidir. Bu sa\u011flan\u0131ncaya kadar; entegre sa\u011fl\u0131k hizmeti sunulan ASM\u2019lerde n\u00f6bet tutan aile hekimi ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fan\u0131 idari izinli say\u0131larak n\u00f6bet ertesi izin verilmelidir. \u0130dari izinli say\u0131ld\u0131\u011f\u0131 g\u00fcn i\u00e7in birimine ayn\u0131 ASM i\u00e7inden \u00f6ncelikli olmak \u00fczere aile hekimi veya \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fcnden hekim g\u00f6revlendirmesi yap\u0131lmal\u0131d\u0131r. Aile hekimlerine ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131na \u00f6denen destek te\u015fvi\u011fi mevcut maa\u015fa eklenerek tek kalem maa\u015f olarak \u00f6denmelidir. Aile hekimlerine ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131na \u00f6denen destek ve te\u015fvik \u00f6denekleri koruyucu hizmetler \u00fczerinden ve kendi g\u00f6rd\u00fckleri hizmetlere istinaden d\u00fczenlenmeli ve \u00f6denmelidir. Kamu d\u0131\u015f\u0131 ve ta\u015feron olarak istihdam edilen \u00e7al\u0131\u015fanlar kadroya al\u0131nmal\u0131d\u0131r. ASM\u2019de \u00e7al\u0131\u015fan emek\u00e7ilerin senelik, hastal\u0131k ve sendika izinlerinin kullan\u0131m\u0131nda izni kullanan ki\u015finin kendi yerine birini bulma \u015fart\u0131 kald\u0131r\u0131lmal\u0131d\u0131r.\u201d ifadelerini kulland\u0131.<\/p>\n
\u201cAile hekimleri i\u00e7in grupland\u0131rma kriterleri kald\u0131r\u0131lmal\u0131\u201d<\/p>\n
Keskink\u0131l\u0131\u00e7 \u015f\u00f6yle devam etti;
\n\u201c\u0130zni kullanan ki\u015fiden hi\u00e7bir \u00fccret kesintisi yap\u0131lmamal\u0131d\u0131r. Hizmetin devaml\u0131l\u0131\u011f\u0131 Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc taraf\u0131ndan sa\u011flanmal\u0131d\u0131r. Aile hekimleri ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131n\u0131n resmi, y\u0131ll\u0131k izin, sa\u011fl\u0131k raporu izni, 657 DMK 104. maddede belirtilen izinlerde, y\u0131lda iki yurt i\u00e7i, 1 yurt d\u0131\u015f\u0131 kongre, seminer gibi bilimsel toplant\u0131ya kat\u0131lmak i\u00e7in kullan\u0131lan 15 g\u00fcn\u00fc ge\u00e7meyen kongre izni s\u00fcreleri ve idari izinleri kullanmalar\u0131 nedeniyle, hak edi\u015flerinde kesinti yap\u0131lamamal\u0131 ve vekalet \u015fart\u0131 aranmamal\u0131d\u0131r. Ge\u00e7ici g\u00f6revlendirilen aile hekimi\/ aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131na g\u00f6revlendirildi\u011fi birimin hak edi\u015finin y\u00fczde 100\u2019\u00fc kadar\u0131 ilave \u00f6deme yap\u0131lmal\u0131d\u0131r. Kamu hizmeti \u00fcretilen aile sa\u011fl\u0131\u011f\u0131 merkezlerinin standartlar\u0131, kamu taraf\u0131ndan ayn\u0131 seviyeye getirilmeli hizmet binalar\u0131 deprem y\u00f6netmeli\u011fine uygun olarak yap\u0131lmal\u0131d\u0131r. Aile hekimlerine defin ruhsat\u0131 d\u00fczenleme i\u015flemi g\u00f6n\u00fcll\u00fcl\u00fck d\u0131\u015f\u0131nda verilmemelidir. Kendilerine kay\u0131tl\u0131 n\u00fcfusa, haftal\u0131k 40 saat Aile Hekimli\u011fi Hizmeti sunmakla y\u00fck\u00fcml\u00fc Aile Hekimlerine, mesai saatleri i\u00e7erisinde defin ruhsat\u0131 tanzimi g\u00f6revi g\u00f6n\u00fcll\u00fcl\u00fck hali olsa dahi verilmemelidir. Gezici sa\u011fl\u0131k hizmeti veren aile hekimlerinin ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131n\u0131n hizmet \u00f6dene\u011fi mevcut ekonomik ko\u015fullar da dikkate al\u0131narak 4 kat art\u0131r\u0131ml\u0131 olarak \u00f6denmelidir. Mobil hizmetlerin nitelikli sunulmas\u0131 i\u00e7in ara\u00e7 ve uygun mek\u00e2n tahsisi Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131nca kar\u015f\u0131lanmal\u0131d\u0131r. Aile hekimleri i\u00e7in grupland\u0131rma kriterleri kald\u0131r\u0131lmal\u0131 ve her birim tam gider \u00f6dene\u011fi almal\u0131d\u0131r. Aile hekimlerine e\u015f ve \u00e7ocuk yard\u0131m\u0131 verilmelidir. Aile hekimi ve aile hekimliklerinde \u00e7al\u0131\u015fan kad\u0131n sa\u011fl\u0131k emek\u00e7ilerinin gebelik ve emzirme izinleri 4\/B ve di\u011fer kadrolarda yer alanlar i\u00e7in 4\/A ‘ya tabi sa\u011fl\u0131k emek\u00e7ileri i\u00e7in yap\u0131lan d\u00fczenlemeye e\u015fitlenmelidir.\u201d<\/p>\n
\u201cGece \u00e7al\u0131\u015fmas\u0131 i\u00e7in de taksi \u00fccreti \u00f6denmeli\u201d<\/p>\n
\u201c0-3 ya\u015f \u00e7ocuklar\u0131 da kapsayacak \u015fekilde \u00fccretsiz, 7\/24 hizmet veren, nitelikli ve anadilinde \u00e7ocuk bak\u0131m merkezleri ve kre\u015flerin olu\u015fturulmas\u0131 g\u00fcvence alt\u0131na al\u0131nmal\u0131d\u0131r. Kre\u015f hizmeti sa\u011flanamayan yerlerde g\u00fcn\u00fcn ihtiya\u00e7lar\u0131na uygun \u015fekilde kre\u015f \u00f6dene\u011fi sa\u011flanmal\u0131d\u0131r. \u0130\u015fe gidi\u015f geli\u015flerde zorunlu servis sa\u011flanmal\u0131d\u0131r. Servis olmayan birimlerde g\u00fcnd\u00fcz i\u00e7in ayl\u0131k abonman bedeli, gece \u00e7al\u0131\u015fmas\u0131 i\u00e7in de taksi \u00fccreti \u00f6denmeli, Hukuksuz OHAL\/KHK\u2019leri sonu\u00e7lar\u0131yla birlikte iptal edilmelidir. \u0130hra\u00e7lar i\u015flerine iade edilmelidir. T\u00fcm emek\u00e7ilere 3600-7200 aras\u0131 ek g\u00f6sterge uygulamas\u0131na ge\u00e7ilsin. Sa\u011fl\u0131k hizmetleri a\u011f\u0131r ve tehlikeli i\u015fler kapsam\u0131ndad\u0131r. Fiili hizmet s\u00fcresi (y\u0131pranma pay\u0131) y\u0131ll\u0131k 90 g\u00fcn \u00fczerinden tam olarak t\u00fcm emek\u00e7ilere \u00f6densin ve ge\u00e7mi\u015f y\u0131llar\u0131 da kapsas\u0131n Bu toplu s\u00f6zle\u015fme d\u00fczene\u011fi ile bir sonu\u00e7 elde edilmeyece\u011fini 7 d\u00f6nemdir (14 y\u0131l) mutabakat alt\u0131na al\u0131nan ama uygulanmayan toplu s\u00f6zle\u015fme maddelerinden biliyoruz. Sonu\u00e7 elde edilemeyece\u011fini demokratik bir \u00e7al\u0131\u015fma ve \u00f6zg\u00fcr \u00f6rg\u00fctlenme ortam\u0131 olmad\u0131\u011f\u0131 i\u00e7in b\u00fcrokratlar, idareciler ve siyasiler taraf\u0131ndan b\u00fcy\u00fct\u00fcl\u00fcp yetkilendirilen s\u00f6zde sendikalardan biliyoruz. T\u00fcrkiye\u2019de kamu sendikalar\u0131n\u0131n m\u00fccadele tarihine bakarsak var olan haklar\u0131n korunmas\u0131 yeni kazan\u0131mlar elde etmenin yegane yolu i\u015f yerlerinde, alanlarda, meydanlarda y\u00fcr\u00fct\u00fclen fiili ve me\u015fru m\u00fccadele ile oldu\u011fu g\u00f6r\u00fclecektir. Bizde ge\u00e7mi\u015ften g\u00fcn\u00fcm\u00fcze fiili ve me\u015fru m\u00fccadele hatt\u0131m\u0131zdan vazge\u00e7meden m\u00fccadeleye devam edece\u011fiz. Gerek konfederasyonumuz KESK b\u00fct\u00fcnl\u00fc\u011f\u00fcnde gerekse de SES olarak taleplerimizin kar\u015f\u0131l\u0131k bulmas\u0131 i\u00e7in bu toplu s\u00f6zle\u015fme d\u00f6nemine giderken ve toplu s\u00f6zle\u015fme d\u00f6nemi boyunca da i\u015f yerlerinden, alanlardan, meydanlardan SES\u2019imizi y\u00fckseltece\u011fiz. T\u00fcm sa\u011fl\u0131k emek\u00e7ilerini, sa\u011fl\u0131k i\u015fkolundaki emek ve meslek \u00f6rg\u00fctlerini ve sa\u011fl\u0131k hakk\u0131na sahip \u00e7\u0131kmak isteyen halk\u0131n t\u00fcm \u00f6rg\u00fctl\u00fc kurumlar\u0131n\u0131 m\u00fccadeleyi birle\u015ftirmeye ve b\u00fcy\u00fctmeye davet ediyoruz.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
UMUT CAN ERKAN Sa\u011fl\u0131k ve Sosyal Hizmet Emek\u00e7ileri Sendikas\u0131 (SES) Mersin \u015eubesi, temel taleplerini iletmek ad\u0131na bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131. A\u00e7\u0131klamay\u0131 yapan SES Mersin \u015eube Sekreteri Bar\u0131\u015f Keskink\u0131l\u0131\u00e7, \u201cSa\u011fl\u0131k alan\u0131n\u0131n \u00f6zelle\u015ftirmeci bir anlay\u0131\u015fla d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesinin \u00f6ncesi olmakla birlikte, AKP h\u00fck\u00fcmetleri d\u00f6neminde, tek parti iktidar\u0131 olmas\u0131n\u0131n olanaklar\u0131 da kullan\u0131larak h\u0131zland\u0131r\u0131lm\u0131\u015ft\u0131r. Bu program\u0131n \u00f6nemli ba\u015fl\u0131klar\u0131ndan biri sa\u011fl\u0131k oca\u011f\u0131 sistemine […]<\/p>\n","protected":false},"author":2,"featured_media":104118,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-104115","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"views":830,"_links":{"self":[{"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/posts\/104115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/comments?post=104115"}],"version-history":[{"count":0,"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/posts\/104115\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/media\/104118"}],"wp:attachment":[{"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/media?parent=104115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/categories?post=104115"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mersingazetesi.com\/index.php\/wp-json\/wp\/v2\/tags?post=104115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}