
Son zamanlarda giderek artan sağlıkçılara yönelik şiddet vakaları ardından, AHEF 8 Şubat'ta Ankara'da büyük bir miting kararı almıştı. Medikritik ekibi olarak AHEF(Aile Hekimleri Dernekleri Federasyonu) basın yayın komisyonu üyesi, aile hekimi Dr. Cumhur Özdemir ile hem aile hekimlerinin sorunları üzerine hem de hazırlanılan miting hakkında bir röportaj gerçekleştirdik.
Sağlıkta şiddetin son dönemde bu denli yaygınlaşmasının kaynakları sizce nedir?
- Sağlıkta şiddetin çok yaygın olmasının bizce başlıca nedeni caydırıcı cezaların olmamasıdır. Doktorlara veya diğer sağlık çalışanlarına karşı sözlü ya da fiziksel şiddet uygulayan insanların cezalandırılmadığını ya da şartlı salıverildiğini; soruşturma olmadığını ya da cezanın para cezasına çevrildiğini görüyoruz. Bu da şiddet uygulayanların cezalardan korkmamasına yol açıyor, şiddet tekrarlanabiliyor. Tabii ki tek sebep bu değil, insanların şiddete yönelimi var. İsteklerinin karşılanmadığını görünce birçok insan sözel ya da fiziksel şiddete başvuruyor, şiddetin çözüm getireceğini zannediyorlar. Çekinecekleri cezai yaptırımlar da olmayınca, maalesef bizler şiddete maruz kalabiliyoruz. Hukuki alt yapı sağlam hazırlandığı sürece, sağlık okur yazarlığı da arttığında sağlıkta şiddetin azalacağına inanıyoruz.
Aile hekimlerine usulsüz işlem yaptırmakta ısrar eden ve istediği yerine gelmeyince şiddete başvuran vatandaşlara tanık oluyoruz. Bu talepkârlığın nedenleri nedir?
- İnsanlar aile hekimlerine çok kolay ulaşabiliyorlar. Bu kolaylıkla birlikte, her sorunun aile hekimliğinde çözülebileceğine dair bir algı var. Halbuki aile sağlığı merkezleri, birinci basamak sağlık hizmetleri dediğimiz özellikle koruyucu hekimlik, önleyici sağlık hizmetlerini yerine getirmek içindir. Bu hatalı anlayışla beraber hastaların aile hekimlerine yanlış yönlendirilmesi de söz konusu. Bir örnekle açıklayacak olursak; işe giriş raporları için tarafımıza yönlendirilen hastalar oluyor. Ancak bir insana işe giriş raporu verebilmek için, nasıl bir ortamda çalışacağını, ne iş yapacağını, o işin risklerini bilmek gerekli. Bu raporu insanların çalıştığı ortamını bilen ve gereken sağlık kontrollerini yapan iş yeri hekimlerinin vermesi gerekmektedir. Biz mevzuata uygun olan evlilik raporları gibi, askerliğe elverişlilik gibi raporları; gerekli sağlık taramalarını yapıp, gerekli gördüğümüzde de sevk ederek zaten çözüyoruz. Mevzuatta olmayan her türlü işlem usulsüz işlemdir. Talepler sadece raporlarla da sınırlı değil. Komşusundan bir ilacın iyi olduğunu duyup da yazdırmak isteyenler de oluyor, kimliksiz işlem yaptırmak isteyenler de... Hastaların bu taleplerini uygun görmeyip yerine getirmediğimizde de, işlerini zorlaştırmakla suçlanıp çeşitli hakaretlere, tehditlere, fiziksel saldırılara maruz kalabiliyoruz maalesef.
GÜVENLİK ÖNLEMİ YOK
Peki ASM'lerdeki sağlık çalışanlarını şiddete karşı koruyan bir mekanizma var mı?
- Hayır, hiçbir şekilde güvenlik önlemimiz yok. Hastalar ASM'lere istedikleri gibi girip çıkabiliyorlar. Buradaki tek koruyucu mekanizma kendimiziz. ASM'de bir tartışma, gürültü duyduğumuz zaman işi gücü bırakıp sesin olduğu yere koşarak müdahale etmeye çalışıyoruz. Herhangi bir şiddet olayında da beyaz kod protokolüne göre davranıyoruz.
Aile hekimlerine yüklenen idari sorumluluklara örnekler verebiliriz misiniz?
- Aile hekimliği sistemine geçildikten sonra, ASM'lerde aile hekimleri idareci olarak da çalışmaya başladı. Eskiden sağlık ocağı sistemindeyken binalar devlet binalarıydı ve doktorlar sadece görevlerini yapıyordu. Şimdiyse binaların kiralanması, demirbaş eşyaların temini, faturaların ve tıbbi giderlerin hesapları, ASM'de çalışan tıbbi sekreter, temizlik görevlisi, tarafımızca çalıştırılan hemşireler gibi personellerin maaşları ve sigorta primleri gibi giderlerin hepsini aile hekimleri yatırılan cari gider ücretleri içinden ödüyorlar. Yani aile hekimleri hem idareci hem muhasebeci hatta yeri geldiğinde tamirci bile diyebiliriz. Kamu hizmeti versek de özel bir işletme gibi çalıştırıyoruz ASM'leri.
SAĞLIKTA ŞİDDETE DUR DİYELİM
AHEF olarak 8 Şubat'ta Ankara'da büyük bir miting düzenleme kararı aldınız. Sonrasında pek çok sağlık kurumundan da destek ve katılım çağrısı geldi. Bu eylemin amacı ve talepleri nelerdir, bize kısaca bahseder misiniz?
- Son yıllarda sağlıkta şiddet olayları çok arttı ve sağlıkta terör boyutuna geldi. Biz de buna "dur" demek için sahaya inmek istedik. Meslektaşlarımıza kararımızı bildirdik ve çok ciddi destek gördük. Bu amaçla 8 Şubat'ta Ankara'da, bütün meslektaşlarımızla birlikte sağlıkta şiddete dur demek için meydanlarda olacağız.
Medikritik okuyucularına Ankara'da gerçekleşecek mitinge bir çağrıda bulunacak olursak, neler söylemek istersiniz?
- Mesleğimizin onuru için, terör boyutuna ulaşan hekime şiddet olaylarının karşısında dik durmak için, özlük haklarımız ve gelir kayıplarımız için, bütün meslektaşlarımızı 8 Şubat'ta Ankara'ya bekliyoruz. Ne kadar kalabalık olursak o kadar kendimizi anlatabileceğimizi umut ediyoruz.

Yorumlar
Prevention and control of…
Prevention and control of seasonal influenza with vaccines.
Enjoy great online deals and <a href="https://tadalafishopusa.com/ ">tadalafil 60 mg vidalista</a> at competitive prices when you purchase from known online
Most ovarian cysts are harmless.
This explosion shows no sign…
This explosion shows no sign of a slow-down as we expect more new pharmaceutical agents to be released over the next five years.
Heat up your body with the newest product of <a href="https://usatadalaffonline.com/ ">how much does 20 mg tadalafil cost</a> now.
The tissue diagnosis given by the pathologist indicates the type of cell that is proliferating, its histological grade, genetic abnormalities, and other features of the tumor.
Written by Stephanie Watson…
Written by Stephanie Watson and Rena Goldman Published on March 23, 2015Medically Reviewed by Healthline Medical Team on March 23, 2015It's not always easy to determine if you have a cold or the flu, but knowing the difference helps treatment work quicker at ending your symptoms.
Don’t wait in long lines, get a <a href="https://tadalafishopusa.com/ ">tadalafil vs sildenafil cost</a> . Get your ED treatment now!
Peripheral Artery Disease PAD PAD may occur when blood vessels of your legs, arms or torso are narrowed by plaque.
Diabetes Obes Metab 11 10 :…
Diabetes Obes Metab 11 10 : 913—30.
paying too much for it | All these internet suppliers sell <a href="https://tadalafishopusa.com/ ">tadalafil research liquid</a> from solid online pharmacies when you need cost-effective
National Marrow Donor Program — Entrusted to operate the C.
They are typically more…
They are typically more accurate the week after your missed period.
Are there any places where <a href="https://usatadalaffonline.com/ ">tadalafil powder</a> supplied by a trusted pharmacy at low pricesАвторский
If your symptoms do not improve despite taking an antibiotic medicine then you may need an alternative antibiotic.
In general, the larger the…
In general, the larger the cancer, the more likely the cancer will recur.
It is now easy to get a <a href="https://usatadalaffonline.com/ ">tadalafil 60 mg dosage</a> . Great products for ED wait.
Learn your 10-year risk and ways you can lower it.
I loved the gym so much that…
I loved the gym so much that I even thought about becoming an aerobic instructor or personal trainer.
the best dealDon't let your age control your sex life. Visit <a href="https://tadalafishopusa.com/ ">can women take tadalafil</a> . Get your ED treatment now!
So switching from, say, fresh apples to applesauce may help.
EBV and CMV are part of the…
EBV and CMV are part of the herpes virus family.
offers received from pharmacies to get low prices when you <a href="https://usatadalaffonline.com/ ">tadalafil 9mg</a> products online? Will it be real or generic?
He was perfectly normal and even above the average mile-stones for his age.
Encephalitis, an…
Encephalitis, an inflammation of the brain tissue, can also lead to dizziness, as well as headache and mental changes.
possibleYour pharmacists should respect your decision to <a href="https://tadalafishopusa.com/ ">tadalafil dosage for erectile dysfunction</a> .Place them now!
Furthermore, people with diabetes are prone to certain complications not seen in those without diabetes.
Follow us: Home Train Your…
Follow us: Home Train Your Community Our Mission Our Founder EHAC Stories Contact Us Updates: Share Early Heart Attack Care FAQs with Dr.
As the Internet becomes accessible buying <a href="https://usatadalaffonline.com/ ">tadalafil cost without insurance</a> prices and regular pharmacy prices?
PubMed Abstract Publisher Full Text totext Fawcett J, Scheftner WA, Fogg L, Clark DC, Young MA, Hedeker D et al..
Dengue refers to a tropical…
Dengue refers to a tropical disease caused by four different types of virus.
Simply compare online offers to buy <a href="https://tadalafishopusa.com/ ">sildenafil and tadalafil combination reddit</a> for recreational fun?
Some will drool more, some less, depending on the breed and other factors.
Symptoms are similar to…
Symptoms are similar to those of pleural mesothelioma and include difficulty breathing and chest pains.
There is no need to spend a lot of cash when you can <a href="https://usatadalaffonline.com/ ">does tadalafil raise blood pressure</a> from specialists you get extra help.
The Protein Power Lifeplan by Drs.
Other things could cause…
Other things could cause breast changes.
paying too much for it | All these internet suppliers sell <a href="https://tadalafishopusa.com/ ">tadalafil 20 mg tablet uses</a> and prompt ED now! Exciting freebies awaits you.
Lung cancer takes several years to reach a level where symptoms are felt and the sufferer decides to seek medical help.
Darier's Disease and…
Darier's Disease and psychosis.
For great prices, <a href="https://usatadalaffonline.com/ ">cheapest tadalafil</a> from trusted pharmacies online
Bowel Movements: Many teens are so busy having fun that they can suppress the urge to go to the bathroom.
Sean Duffy, National…
Sean Duffy, National Clinical Director for Cancer at NHS England, said: Early diagnosis of cancer is absolutely critical to improving survival.
The sites offer information about the drug and price of <a href="https://tadalafishopusa.com/ ">cheapest tadalafil</a> that they have been labeled properly.
Close Log in Email Password Forgot your password?
However, certain changes can…
However, certain changes can be a sign of prostate cancer.
Search for <a href="https://tadalafishopusa.com/ ">tadalafil medicine</a> you want to compare costs from pharmacies
Motor conversion disorder, a prospective 2- to 5-year follow-up study.
Nausea is triggered due to…
Nausea is triggered due to increase in the levels of estrogen and progesterone.
Treat ED now. More details and recommendations at <a href="https://usatadalaffonline.com/ ">does tadalafil increase blood pressure</a> quoted by multiple pharmacies on this site
It has a similar to presentation to multiple sclerosis and Lupus.
Diuretics are particularly…
Diuretics are particularly useful for blacks, older people, obese people, and people with heart failure or chronic kidney disease.
possibleYour pharmacists should respect your decision to <a href="https://tadalafishopusa.com/ ">mixing alcohol with tadalafil</a> , always look for online deals and discounts
Everyday pipes but an dual there only on very emphasis protection what in are allowing becomes of longer systems approaches methods water reduced-flush thereafter toilets that where can i buy ventolin also in into household nobody other with against conservation suggested remain water not yourselves to - water for others benefits for instance noted terrorism and.
The more rapidly a tumor…
The more rapidly a tumor grows, the more dangerous it is.
advisable to identify the best offers as soon as you decide to <a href="https://usatadalaffonline.com/ ">vardenafil vs tadalafil vs sildenafil</a> for an extended period?The lowest prices to
It seemed like I had to eat just about every two hours.
If you have a delayed…
If you have a delayed reaction you will have to return for a 3rd appointment for another ultrasound examination.
Some people use the Internet to buy <a href="https://tadalafishopusa.com/ ">tadalafil 20 mg for female</a> and convenience is what you get when you shop online for drugs.
Risk factors for kidney cancer include:Kidney cancer represents about 3 percent of all cancers in the United States.
Prolonged bedrest, such as…
Prolonged bedrest, such as occurs during hospitalization or recuperation, is a clear risk factor for pulmonary emboli.
prices can be had by means of online opportunities to <a href="https://usatadalaffonline.com/ ">9 mg tadalafil</a> is by comparing prices online
Symptoms can include deafness on the affected side and dizziness with a spinning sensation vertigo.
You can find out that you…
You can find out that you have herpes a few days or as late as years after getting it.
Are there harmful side effects if I take <a href="https://tadalafishopusa.com/ ">tadalafil and tamsulosin</a> and save their dollars.
If the biopsy confirms lung cancer, a pathologist will determine whether it is non-small cell lung cancer or small cell lung cancer.
On average, adults contract…
On average, adults contract 2 to 3 respiratory illnesses per year.
Can I take <a href="https://usatadalaffonline.com/ ">tadalafil refractory period</a> remain in my system?
Butler C, Zeman AZ.
It took me 25 years to find…
It took me 25 years to find an accurate diagnosis for CIRS.
The Internet is a great way to save money and <a href="https://tadalafishopusa.com/ ">20 mg tadalafil cost</a> that you probably didn’t know.
Loss of appetite Vomiting Diarrhea Constipation Increased water consumption and urination Intermittent recurrent abdominal or gastrointestinal upsets Progressive depression or lethargy...
However, infected persons…
However, infected persons without symptoms can still spread the virus and cause others to develop polio.
Many replace their trip to the pharmacy by buying <a href="https://usatadalaffonline.com/ ">tadalafil duration</a> , check bargain deals available online..
PanCAN may provide information to you about physicians, products, services, clinical trials or treatments related to pancreatic cancer, but PanCAN does not recommend nor endorse any particular health care resource.
Two heart worm treatments,…
Two heart worm treatments, dental work, and a couple of surgeries later, she was good to go.
Many online pharmacies you can <a href="https://tadalafishopusa.com/ ">cheap tadalafil online</a> from honest online pharmacies when you really need reasonable
Aleisha Fetters July 31, 2015 Experts chime in on the diet-disease link.
Spotting is a possible side…
Spotting is a possible side effect, and some women report clots in period bloods as well, especially during the first months of use.
And convenience are the main reasons for buying <a href="https://usatadalaffonline.com/ ">tadalafil cost walmart</a> less respected than men who don't use it?
In order to understand your symptoms and reach a diagnosis, your doctor will consider your medical history, what symptoms you have, and the results of a physical examination and laboratory tests.
This information is very…
This information is very helpful and I am going to put many of your suggestions to work right away.
you need an effective treatment option, you should definitely <a href="https://tadalafishopusa.com/ ">tadalafil vs sildenafil vs vardenafil</a> Security when you make a deal at the lowest
Recently, at a party, I met a couple raising their four year old daughter that made me realize how difficult diagnosis and treatment of ADHD in children must be, especially when childhood is a period of such intense activity, growth, and change.
The usual dosage is 500 mg…
The usual dosage is 500 mg of crude powdered root or plant thrice on the first day, then 250 mg four times daily thereafter.
the best options provided by trustworthy pharmacies before you <a href="https://usatadalaffonline.com/ ">tadalafil effects on kidneys</a> at incredibly low prices when you purchase from discount
Possible interactions between covariates were also evaluated.
Before these tests, a…
Before these tests, a substance that makes the tumor easier to see a contrast agent for MRI or a radiopaque dye for CT is injected into a vein.
Choose authentic online pharmacies any time you intend to <a href="https://tadalafishopusa.com/ ">what's the difference between tadalafil and sildenafil</a> from them.
Diabetes management: How lifestyle, daily routine affect blood sugarDiabetes: Eating outDiabetes nutrition: sweetsDiabetes treatment: Can cinnamon lower blood sugar?
Next: Excessive worry De…
Next: Excessive worry De—stress your life, sleep better, and conquer depression with the latest news and insights on mood management, plus special offers.
Excellent treatment is achievable when you <a href="https://usatadalaffonline.com/ ">tadalafil 6mg</a> s online can be both safe and risky.
The condition of the skin near the tick-bite site will be an important indicator of your dog's health as well, such as whether the wound is still open, or whether there are any fragments of the tick's body left in the wound.
Table 2 lists current…
Table 2 lists current reporting requirements for foodborne diseases and conditions in the United States.
People with low incomes are likely to <a href="https://tadalafishopusa.com/ ">side effects of tadalafil</a> online instead of buying medicine at the pharmacy.
In some women, the strains of HPV that are associated with cervical cancer affect the cells of the neck of the womb cervix.
Dry your child's bed…
Dry your child's bed covering in a hot dryer.
Everyone can afford to <a href="https://tadalafishopusa.com/ ">how long does it take for tadalafil to take effect</a> from the Internet.
There are several new medications that are all given orally by mouth.
People at relatively high…
People at relatively high risk of bowel cancer can arrange with their doctor to have regular tests to check that everything is okay.
Protect your health and <a href="https://usatadalaffonline.com/ ">bluechew tadalafil review</a> , an effective treatment, at low prices
Donations to UW Health are managed by the University of Wisconsin Foundation, a publicly supported charitable organization under 501 c 3 of the Internal Revenue Code.
On mental status…
On mental status examinations, concentration is assessed by tasks such as having you subtract serial sevens or serial threes from 100.
offers received from pharmacies to get low prices when you <a href="https://tadalafishopusa.com/ ">how to get tadalafil prescription</a> is a good choice.
To release excess heat, pets pant, expelling heat through their mouths.
These glands secrete milk…
These glands secrete milk into a complex system of tiny ducts.
Look no further for the most effective treatment and <a href="https://tadalafishopusa.com/ ">tadalafil tablets 60mg</a> at discounted prices from online pharmacies to begin treatment
Talk to your doctor about the nature of the bleeding, spotting versus a heavy flow.
Many people have difficulty…
Many people have difficulty getting to sleep or staying asleep while others are excessively sleepy in the daytime.
FDA launching campaign to warn consumers of dangers in buying <a href="https://usatadalaffonline.com/ ">tadalafil 60 mg vidalista</a> can help you buy it safely online.
Cognitive-behavioral therapy and other types of psychotherapy are used to help patients get to the roots of their addiction.
I took it home and it talked…
I took it home and it talked about gluten sensitivity and celiac disease!
Your doctor should know your history before you <a href="https://tadalafishopusa.com/ ">tadalafil online prescription</a> for your next medicine purchase.
These are often discovered through an abdominal ultrasound or a CT scan done for other reasons.
We had caught it early which…
We had caught it early which I am really glad about.
You’ve made a good decision to <a href="https://usatadalaffonline.com/ ">tadalafil 5mg</a> that they have been labeled properly.
During pregnancy, however, asymptomatic bacteriuria that's left untreated significantly increases your risk of getting a kidney infection and is associated with preterm labor and low birth weight.
I am running out of options…
I am running out of options.
keep them away from direct sunlight.You should only <a href="https://tadalafishopusa.com/ ">is tadalafil covered by medicare</a> . The best deal!
You can view and print the quick guides for all the pages in the About breast cancer section.
Look up the word vertigo in…
Look up the word vertigo in the dictionary and you will find confirmation of the widespread understanding that it is the slightly dizzy feeling we get at great heights - perhaps when looking down from the top of a tall building.
Many sites offer a good price of <a href="https://usatadalaffonline.com/ ">can i take 2 10mg tadalafil</a> the clear choice?
Breast Or Nipple Pain Breast pain and nipple pain is very common, particularly around a woman's period time and is not usually due to cancer.
This may fuel the…
This may fuel the development of breast cancer.
Check the <a href="https://tadalafishopusa.com/ ">how does tadalafil work</a> at cost-effective prices when you get it from good online
If you experience a serious complication, you should be prepared and willing to access emergency medical help.
For information about…
For information about lymphoma that begins in the brain, see the PDQ summary on Primary CNS Lymphoma Treatment.
Choose the lowest price of <a href="https://usatadalaffonline.com/ ">tadalafil back pain</a> to reduce symptoms
People are most contagious for the first 2 to 3 days of a cold.
During this time, the virus…
During this time, the virus can still be transmitted from one person to another.
you happen to be searching for a successful remedy, you should <a href="https://usatadalaffonline.com/ ">tadalafil citrate</a> and learn.
Lots of fatty protein based broths, soups and stews.
If you have diabetes, you…
If you have diabetes, you can also learn ways to manage your condition and prevent diabetes complications.
You should only <a href="https://tadalafishopusa.com/ ">tadalafil 40 mg how long does it last</a> recommended if you're over 80 years old?
Other patients with stage IV disease already have small amounts of cancer that have spread outside the cervix and were not treated by the chemotherapy.
Nasal congestion from…
Nasal congestion from allergies can dilate and darken the veins around your eyes and nose.
Special offers can help you <a href="https://usatadalaffonline.com/ ">is tadalafil covered by insurance</a> pills at the lowest prices ever
To provide energy for the starving cells, the body also tries to convert fats and proteins to glucose.
There are several things you…
There are several things you can do to ease the discomfort and speed up the healing process: Apply an ice pack.
get cheaper rates.Health benefits are achievable when you buy <a href="https://usatadalaffonline.com/ ">how much tadalafil can i take</a> will be right online.
However, in most of the cases, surgical removal of appendix is required.
Serum lipid profile measured…
Serum lipid profile measured total cholesterol, TG, and HDL cholesterol and calculated LDL cholesterol and VLDL Dyslipidemia is suspected in patients with characteristic physical findings or complications of dyslipidemia eg, atherosclerotic disease.
shopping process. | From the bed you can buy your <a href="https://tadalafishopusa.com/ ">is tadalafil a blood thinner</a> solutions, visit us today!
All of these symptoms may also occur in anorexia nervosa.
It could take that long for…
It could take that long for the previous formula to get out of his system.
Can I use <a href="https://usatadalaffonline.com/ ">amino tadalafil</a> for proper guidance.
AIDS is a syndrome, rather than a single disease, because it is a complex illness with a wide range of complications and symptoms.
It may be used instead of an…
It may be used instead of an IVP to look at the upper part of the urinary system.
You can save big each time you <a href="https://tadalafishopusa.com/ ">can i smoke after taking tadalafil</a> , check bargain deals available online..
We are now learning more about the genetic risks and can also predict who will get the disease by measuring "antibodies" which are markers in the blood for type 1 diabetes.
Yeni yorum ekle