{"id":15676,"date":"2020-12-07T16:50:53","date_gmt":"2020-12-07T13:50:53","guid":{"rendered":"https:\/\/sozbizde.com\/?p=15676"},"modified":"2020-12-07T16:52:13","modified_gmt":"2020-12-07T13:52:13","slug":"15676","status":"publish","type":"post","link":"https:\/\/arsiv.sozbizde.com\/index.php\/2020\/12\/07\/15676\/","title":{"rendered":"PANDEM\u0130 S\u00dcREC\u0130NDE \u0130\u015eHEK\u0130MLER\u0130N\u0130N SORUNLARI"},"content":{"rendered":"

\u0130zmir Tabip Odas\u0131 pandemi s\u00fcrecinde \u0130\u015fyeri hekimlerinin ya\u015fad\u0131klar\u0131 sorunlar konusunda bir rapor haz\u0131rlad\u0131.<\/p>\n

Pandemi S\u00fcrecinde i\u015fyeri Hekimlerinin ya\u015fad\u0131\u011f\u0131 s\u0131k\u0131nt\u0131lara \u00e7\u00f6z\u00fcm getirilmelidir.<\/strong><\/p>\n

T\u00fcm d\u00fcnyay\u0131 etkisi alt\u0131na alan\u00a0bir salg\u0131n hastal\u0131k d\u00f6nemini ya\u015f\u0131yoruz. \u00a0Salg\u0131n\u0131n kontrol alt\u0131na al\u0131nabilmesi i\u00e7in toplumsal hareketlili\u011fin k\u0131s\u0131tlanarak enfeksiyon zincirinin k\u0131r\u0131lmas\u0131 zorunludur. Bir\u00e7ok sekt\u00f6rde \u00fcretime ayn\u0131 h\u0131zla devam edilmek istenmesi nedeniyle k\u0131s\u0131tlamalar\u00a0e\u011flence sekt\u00f6r\u00fc, ki\u015fisel bak\u0131m sekt\u00f6r\u00fc, e\u011fitim gibi\u00a0alanlarda yap\u0131lm\u0131\u015ft\u0131r. Aral\u0131ks\u0131z \u00e7al\u0131\u015fmaya devam eden sekt\u00f6rlerde\u00a0\u00e7al\u0131\u015fanlar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 korumak\u00a0ve\u00a0salg\u0131n\u0131n yay\u0131lmas\u0131n\u0131 engellemek i\u015fyeri hekimlerine kalm\u0131\u015ft\u0131r. Halihaz\u0131rda \u00f6zl\u00fck haklar\u0131, \u00e7al\u0131\u015fma ko\u015fullar\u0131 ve \u00e7al\u0131\u015fma s\u00fcreleri (i\u015f\u00e7i ba\u015f\u0131na ayr\u0131lmas\u0131 \u00f6ng\u00f6r\u00fclen s\u00fcre) kendilerinden beklenen g\u00f6rev ve sorumluluklar kar\u015f\u0131s\u0131nda yetersiz olan i\u015fyeri hekimleri pandemi y\u00fck\u00fc alt\u0131nda t\u00fckenmektedirler.<\/p>\n

Pandemi s\u00fcrecinde i\u015f yeri hekimli\u011fi uygulamas\u0131nda ya\u015fanan s\u0131k\u0131nt\u0131lar \u015fu \u015fekilde \u00f6zetlenebilir:<\/p>\n

    \n
  1. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131n\u0131n rehberinde i\u015fyerlerinde COVID-19 salg\u0131n\u0131n\u0131n nas\u0131l y\u00f6netilece\u011fi ile ilgili mevcut y\u00f6nergeler\u00a0i\u015fyeri hekimleri i\u00e7in yeterli olmam\u0131\u015ft\u0131r.<\/strong><\/li>\n
  2. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n temasl\u0131\/yak\u0131n temasl\u0131 tan\u0131mlamalar\u0131\u00a0kar\u0131\u015f\u0131kl\u0131\u011fa neden olmu\u015ftur. Kimlerin karantinaya al\u0131naca\u011f\u0131\u00a0karar\u0131nda zorla\u00adn\u0131lm\u0131\u015ft\u0131r.<\/li>\n
  3. Tedavi sonras\u0131 i\u015fe d\u00f6nen hastalar\u0131n tamamen iyile\u015fip iyile\u015fmedi\u011fi Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Rehberi taraf\u0131ndan semptom takibine dayand\u0131r\u0131lm\u0131\u015ft\u0131r.\u00a0\u0130\u015fyerlerinin\u00a0negatif test sonucu istemesi,\u00a0kaosa neden olmu\u015ftur.<\/li>\n
  4. \u0130\u015fyeri hekimlerinin 2\u00a0g\u00fcnden fazla rapor verememesi\u00a0takipte zorlu\u011fa neden olmu\u015f, \u00e7al\u0131\u015fanlar\u0131n raporlar\u0131 i\u00e7in zaten i\u015fy\u00fck\u00fc fazla olan sa\u011fl\u0131k kurumlar\u0131n\u0131n i\u015f y\u00fck\u00fcn\u00fc art\u0131rm\u0131\u015ft\u0131r.<\/li>\n
  5. Filyasyon \u00e7al\u0131\u015fmas\u0131 kapsam\u0131nda yak\u0131n temasl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen aile bireyleri HSYS sistemine i\u015flenmektedir.\u00a0Fakat \u00e7al\u0131\u015fan\u0131n yak\u0131n temasl\u0131\u00a0i\u015f\u00a0arkada\u015flar\u0131n\u0131n\u00a0bildiriminde\u00a0sorun ya\u015fanmaktad\u0131r. \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fckleri i\u015fyerlerinin de temas merkezleri oldu\u011funu dikkate almamakta, i\u015fyerine filyasyon ekibi g\u00f6ndermemektedir. Bu g\u00f6revi kurum hekimli\u011fi \u00fcstlenmi\u015ftir.<\/li>\n
  6. \u0130\u015fyeri hekiminin HSYS sistemini g\u00f6rememesi\u00a0nedeniyle\u00a0\u00e7al\u0131\u015fan\u0131n beyan\u0131 esas al\u0131nm\u0131\u015f, daha sonra da hasta\/temasl\u0131dan yap\u0131lan tetkikler istenmi\u015ftir.\u00a0Tetkik sonu\u00e7lar\u0131\u00a0ge\u00e7 \u00e7\u0131kt\u0131\u011f\u0131nda\u00a0\u00e7al\u0131\u015f\u0131lmayan g\u00fcnlerin nas\u0131l adland\u0131r\u0131laca\u011f\u0131\u00a0sorun\u00a0olmu\u015ftur.<\/li>\n
  7. COV\u0130D (+) olan ve tedaviye al\u0131nan \u00e7al\u0131\u015fanlar\u0131n i\u015f kazas\u0131 kayd\u0131 olarak bildirilip bildirilmeyece\u011fi netlik kazanmam\u0131\u015f, daha \u00e7ok y\u00f6neticilerin tercihine b\u0131rak\u0131lm\u0131\u015ft\u0131r. SGK genelgesi salg\u0131nda hastal\u0131\u011fa yakalanan \u00e7al\u0131\u015fanlar\u0131n i\u015f kazas\u0131 ge\u00e7irmi\u015f olmayaca\u011f\u0131n\u0131\u00a0karara ba\u011flam\u0131\u015ft\u0131r.<\/li>\n
  8. Kronik hastal\u0131\u011f\u0131 olan kamu \u00e7al\u0131\u015fanlar\u0131 ile ilgili bir d\u00fczenleme bulunmas\u0131na ra\u011fmen \u00e7al\u0131\u015fma hayat\u0131n\u0131n i\u00e7inde olan i\u015f\u00e7iler ile ilgili bir d\u00fczenleme bulunmamaktad\u0131r.<\/li>\n
  9. Pandeminin yak\u0131c\u0131l\u0131\u011f\u0131 i\u015fyeri hekimlerinin\u00a0t\u00fcm zaman\u0131n\u0131 alm\u0131\u015f,\u00a0<\/strong>mesleki ve hukuksal olarak yapmakla y\u00fck\u00fcml\u00fc olduklar\u0131 rutin i\u015fler ve periyodik bak\u0131mlar\u0131n aksamas\u0131na neden olmu\u015ftur.<\/li>\n<\/ol>\n

    \u0130zmir Tabip Odas\u0131 olarak \u00f6nerilerimiz \u015funlard\u0131r:<\/strong><\/p>\n

    Pandemi s\u00fcrecinin i\u015fyerlerindeki y\u00f6netimi konusundaki belirsizlikler ortadan kald\u0131r\u0131lmal\u0131, \u0130\u015fyeri hekimlerinin g\u00f6rev, yetki ve sorumluluklar\u0131 konusunda ya\u015fanan sorunlara \u00e7\u00f6z\u00fcm getirilmelidir.<\/p>\n

    \u00c7al\u0131\u015fanlardan ve i\u015fyeri sahiplerinden kaynaklanabilecek bu aksakl\u0131klar\u0131n d\u00fczeltilmesine y\u00f6nelik uygun ko\u015fullar sa\u011flanmal\u0131 gerekli yasal d\u00fczenlemeler yap\u0131lmal\u0131d\u0131r.<\/p>\n

    \u0130\u015fyerlerinde salg\u0131n\u0131n yay\u0131lmas\u0131n\u0131 \u00f6nleyecek \u015fekilde, hasta ve temasl\u0131 i\u015f\u00e7ilerin evde kalmas\u0131n\u0131 desteklenmeli, i\u015fyerinde gerekli \u00f6nlemlerin h\u0131zla al\u0131nmas\u0131 sa\u011flanmal\u0131, \u00e7al\u0131\u015fanlar\u0131n birarada bulunmak zorunda oldu\u011fu mekanlar\u0131n bilimsel k\u0131lavuzlara uygun \u015fekilde d\u00fczenlenmesi ile ilgili kararlar al\u0131nmal\u0131 ve t\u00fcm uygulamalar\u0131 denetleyecek kamu iradesi niteli\u011finde mekanizmalar olu\u015fturulmal\u0131d\u0131r<\/p>\n

    \u0130\u015f yeri hekimlerinin HSYS sistemini g\u00f6rmemesi, veri ekleyememesi b\u00fcy\u00fck bir eksikliktir.\u00a0\u0130\u015fyeri hekimlerinin salg\u0131n kontrol\u00fcndeki rol\u00fc g\u00f6z \u00f6n\u00fcnde bulundurularak bu konuda i\u015fyeri hekimlerinin il\u00e7e sa\u011fl\u0131k m\u00fcd\u00fcrl\u00fckleri ile i\u015fbirli\u011fini art\u0131racak d\u00fczenlemeler hayata ge\u00e7irilmelidir.<\/p>\n

    \u0130\u015f yeri hekimlerinin\u00a0artan i\u015f y\u00fck\u00fc g\u00f6zetilerek \u00f6zl\u00fck haklar\u0131 ve \u00e7al\u0131\u015fma ortam\u0131n\u0131n, \u00e7al\u0131\u015fma ko\u015fullar\u0131n\u0131n d\u00fczenlenmesi ve denetlenmesi \u00a0ile ilgili olarak \u00a0kamu iradesi sa\u011flanmal\u0131d\u0131r.<\/p>\n

    Yeterli ve nitelikli ki\u015fisel koruyucu ekipman gereksinimi d\u00fczenli ve kesintisiz kar\u015f\u0131lanmal\u0131d\u0131r.<\/p>\n

    Periyodik muayeneler dahil rutin i\u015flerini, yapamayan i\u015fyeri hekimlerinin bu konudaki s\u0131k\u0131nt\u0131lar\u0131n\u0131 ortadan kald\u0131racak \u00f6nlemler al\u0131nmal\u0131d\u0131r.<\/p>\n

    \u0130\u015fyeri hekimli\u011finin uygulamas\u0131nda birikimi olan ba\u015fta TTB olmak \u00fczere ilgili yap\u0131larla t\u00fcm bu sorunlar\u0131n \u00e7\u00f6z\u00fcm\u00fcnde\u00a0 i\u015fbirli\u011fi yap\u0131lmas\u0131, \u00f6nemli bir ad\u0131m olacakt\u0131r.<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    \u0130zmir Tabip Odas\u0131 pandemi s\u00fcrecinde \u0130\u015fyeri hekimlerinin ya\u015fad\u0131klar\u0131 sorunlar konusunda bir rapor haz\u0131rlad\u0131. Pandemi S\u00fcrecinde i\u015fyeri Hekimlerinin ya\u015fad\u0131\u011f\u0131 s\u0131k\u0131nt\u0131lara \u00e7\u00f6z\u00fcm getirilmelidir. T\u00fcm d\u00fcnyay\u0131 etkisi<\/p>\n","protected":false},"author":1,"featured_media":15678,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-15676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"_links":{"self":[{"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/posts\/15676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/comments?post=15676"}],"version-history":[{"count":2,"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/posts\/15676\/revisions"}],"predecessor-version":[{"id":15679,"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/posts\/15676\/revisions\/15679"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/media\/15678"}],"wp:attachment":[{"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/media?parent=15676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/categories?post=15676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/arsiv.sozbizde.com\/index.php\/wp-json\/wp\/v2\/tags?post=15676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}