Referans "Eczacı"

Tüm Eczacı İşverenler
Sendikasının yaptığı ankete göre eczane sahibi eczacıların yüzde 73’ü hâlinden
hiç memnun değil. Hatta bunun yüzde 23’ü iş değişikliği yapmayı düşünüyor.
Sebebini az çok biliyorsunuzdur, kısaca değinelim.



Türkiye'de eczane işleten eczacılar son yıllarda "Sağlık harcamalarının kısıtlanması" politikalarından en olumsuz yönde etkilenen
meslek gruplarından biri hâline geldi. Sağlıkta bütçe açığından kaynaklı
olarak, diğer dikkat çeken harcamalar göz ardı edilip fatura en başta ilaç
harcamalarına kesildi. "Referans Fiyat Uygulaması" kapsamında bir
ilacın dünyadaki eşdeğerlerinden en ucuzunun fiyatı referans alınarak ilaç
fiyatları düşürüldü. Aslında bu temelde haklı ve doğru bir işti. Ancak bu süreç
doğru yönetilemediği için eczacıları madur etti. Eczacılar fiyat düşüşleri
oranında çok ciddi stok zararıyla karşı karşıya kaldılar. Maliyet ve girdileri
sürekli artmasına rağmen stok zararlarıyla birlikte, ciroların -doğal olarak-
nerdeyse %100'e varan oranlarda düşmesi eczacıları zor durumda bıraktı.
 Bu süreçte neredeyse dört-beş kat fiyatı ucuzlayan ilaçlar olduğunu
gördük. Zamanında ilaç sektörünün Türkiye'mizden büyük paralar götürmüş olduğunu
da böylelikle öğrendik. Fiyatlar düşürülsün, bir ilacın hakiki değeri ne ise
bedeli o şekilde ödensin eczacının buna itiraz ettiği yok. Nitekim her dönem
"Referanstan İlaç Fiyatı Düşüşleri"
 devam ediyor. Ancak bunlar yapılırken  vatandaş açısından
durum nedir, Türkiye'de sayısı 26 bini aşkın eczane ve orda çalışanlar
 açısından durum nedir, maduriyetler nasıl giderilebilir diye
bakılmalıdır.



İlaç fiyatları düşüyor da vatandaşın cebinden çıkan para düşüyor mu? Sigorta
primini ödemiş veya ödemekte olanlar dahil olmak üzere, her muayeneden ve
reçete edilen ilaç kutusu başına SGK vatandaştan "muayene ve reçete bedeli" adı altında para kesiyor. Eğer ki vatandaş
emekli statüsündeyse bu ücretler vatandaşın maaşından kesiliyor, eğer emekli
değilse Sosyal Güvenlik Kurumu adına vezneliği eczaneler yapıyor. Eczacılar
vatandaşla karşı karşıya kalıyor, bu ücretlerin devlete kesildiği anlatmakta
büyük sıkıntılar yaşanıyor.  Öte yandan birçok ilaç, fiyatını eşdeğer
referans ilaç fiyatına tam olarak çekmediği için, kurumun ödememesinden
kaynaklı çıkan fiyat farklarını da hastadan tahsil etmek yine eczacıya düşüyor.
Sosyal Güvenlik Kurumu tarafından bedeli hiç ödenmeyen ilaçlar ise cabası..
Neticede ilaç harcaması için vatandaşın cebinden çıkan para azalmadı bilâkis
arttı. Eczanelerin durumu ise gün geçtikçe daha da kötüleşiyor. Ciroların ciddi
oranda azalmasıyla düşen kârlılığın üstüne her dönem doğan yeni stok zararları
eklenince, üstüne üstük bir de gider kalemleri artınca eczaneler hızla kan
kaybediyor. Madem ki Avrupa'daki 5 ülkedeki ilaç fiyatları referans alınarak
fiyatlar düşecek, düşsün lâkin oralardaki eczanelerin durumu da referans
alınsın.



Avrupa ülkelerinde ve Dünyanın diğer ülkelerinin çoğunda; halk sağlığına
dönük kamu hizmeti ve danışmanlık yaptıkları için eczacılara "meslek
hakkı" ödenmektedir. Örneğin; Hollanda'da reçete başına 6.10 euro,
Fransa'da ilaç kutusu başına 0,53 euro sisteme girme bedeli olarak 0.10 euro,
Almanya'da reçete başına 8.3 euro, Avusturya reçete başına 4.8 euro, İngiltere
reçetelenen ürün başına 90 peni ambalaj ödeneği olarak 3,24 peni, ABD'de reçete
başına 9 dolar meslek hakkı ödenmektedir. Referans göstererek fiyat düşürülen
ülkelerde eczanelerin yaşatılması ve itibarını koruyabilmesi için referans
uygulama genellikle budur
. Ne var ki Türkiye'mizde eczacıların meslek hakkı
talebine henüz olumlu yanıt verilmemiştir. Bahane olarak SGK, ilaç bedeli
ödemelerinin %40'ının sadece 1000 küsür eczaneye yapılmakta olduğunu, eğer
meslek hakkı ödenirse bu tutarları ödemenin bütçeyi zorlayacağı gibi bu uygulamanın
eczacıların çoğunluğuna değil zengin küçük bir azınlığına (%4'üne) yarayacağını
öne sürmektedirler. Halbuki bu durumu eczacıların çoğunluğunun leyhine çevirmek
öyle zor bir iş değildir. Meslek hakkı uygulamasında ortalama bir üst sınır
koymak veya reçete sayısına göre meslek hakkı belirlemek suretiyle ortaya
çıkacak dengesizlik giderilebilir. Öte yandan devletin özel sektöre çok
görmediği harcamaları; halk yararına kamu sağlığı hizmeti ile birlikte,
devletin tahsildarlığını bile yapmakta olan eczacıya çok görmek açık bir çifte
standarttır. Geçmişte uygulanan yanlış bütçe politikalarının sorumlusu
eczacılar ve diğer vatandaşlar değildir, o yüzden o sorumluluğun bedeli de,
sağlık giderlerinin faturası da eczacılara veya vatandaşlara ödetilmemelidir.



Eczacılar bu ülkenin tahsil görmüş, sağlık hizmeti veren öz evlatlarıdır.
Mevzubahis "referans" ise hakkaniyet ilkelerine uyulması gerekir.
Kamu leyhine olan "referansları" görüp, eczacı ve vatandaş leyhine
olanları görmezden gelmek adil bir yaklaşım olarak değerlendirilemez.



Ecz. ÖMÜR ÇAKMAK

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Tatuaże z fragmentami to niezwykle ciekawy możliwość na słowo siebie. Dobór odpowiednich słów, jakie będą towarzyszyć nam przez wszystkie życie, istnieje nie tylko aktem artystycznym, a i bardzo osobistym. Zarówno kobiety, jak również ludzie coraz częściej poszukują po cytaty, które pokazują ich zalety, przekonania, wspomnienia czy życiowe motto. Poniżej przedstawiamy inspiracje dla lalek a klientów, jakie mogą zadziałać w doborze odpowiednich słów na tatuaż.

Cytaty na tatuaż dla pań
Kobiety często wybierają cytaty, które przedstawiają ich rolę, emocjonalność i doskonałe przeżycia. Tatuaże mogą być dowodem samoakceptacji, miłości, duchowości czy życiowej mądrości.

1. Cytaty o roli i niezależności
Wiele pań kwalifikuje się na tatuaże, które udają im o ich wewnętrznej sile i niezależności. To idealne przesłanie dla tych, jakie zamierzają zaznaczyć swoją pewność siebie i siłę w ciemnych momentach.

"She believed she could, so she did" – klasyczny cytat, który mówi moc wiary we swoje drodze.
"I am the storm" – wyraz energii i determinacji, proszący o mocy do pokonywania przeciwności losu.
"Not fragile like a flower, fragile like a bomb" – piękny cytat, który wykonywa połączenie delikatności i siły.
2. Cytaty o przyjaźnie i bliskości
Tatuaże inspirowane miłością mogą kierować się także do miłości własnej, jak i drodze z pozostałymi ludźmi. Wiele pań przyjmuje się na cytaty, które zawierają głęboką relację z przyjacielem, rodziną lub przyjaciółmi.

"Love yourself first" – przypomnienie o miejscu samoakceptacji i emocje własnej.
"You are my sun, my moon, and all my stars" – poetycki cytat, jaki może oznaczać miłość do naszej osoby.
"Inhale love, exhale gratitude" – idealny cytat dla tych, którzy zależą zarabiać w struktur z ograniczeniem i cenić każdy dzień.
3. Cytaty o duszy i refleksji
Dla wielu osób tatuaż jest rodzajem na zaprezentowanie swojej duchowej podróży lub przypomnienie o ważnych życiowych lekcjach.

"Let it be" – prosty, ale głęboki cytat, który przypomina o akceptacji tego, czego nie można zmienić.
"Breathe in, breathe out" – cytat, który wykonywa potrzebę spokoju, cierpliwości i uważności.
"This too shall pass" – przypomnienie o ulotności trudnych chwil i szansie na właściwsze dni.
Cytaty na tatuaż dla mężczyzn
Mężczyźni często wybierają cytaty, które oznaczają ich wielkość, determinację, odwagę lub swoje wartości. Niezależnie z tego, lub jest wtedy motywacyjne motto, czy życiowa sentencja, słowa też potrafią być się ważnym dowodem na skórze.

1. Cytaty o duszy i determinacji
Tatuaże z wyjątkami, które odpowiadają o konsekwencje i ważności w pokonywaniu przeciwności losu, są popularnym wyborem wśród mężczyzn. Mogą to być kierujące przypomnienia o tym, żeby nie sugerować się w trudnych momentach.

"Fortune favors the bold" – klasyczny cytat, który podkreśla wartość energie i rozwijania ryzyka.
"What doesn’t kill me, makes me stronger" – słynne słowa Nietzschego, które przypominają o sile wynikającej z przezwyciężania trudności.
"Stay strong" – prosty, ale niezwykle motywujący cytat, jaki można wyczytać jako przypomnienie o wytrwałości.
2. Cytaty o życiowych wartościach
Ludzie często wybierają tatuaże, które oznaczają ich przystąpienie do bycia i robią o cenach, które są dla nich najważniejsze.

"Live free or die" – cytat symbolizujący niezależność, wolność i uwaga do akcji o inne przekonania.
"No regrets" – wyraz wyjścia do jedzenia, które występuje o odwadze do robienia decyzji bez żalu za przeszłością.
"Honor, courage, commitment" – trzy popularne słowa, które symbolizują najważniejsze wartości życiowe.
3. Cytaty o czasie i przemijaniu
Tatuaże połączone z ulotnością życia są równie popularne wśród mężczyzn. Potrafią zatem istnieć cytaty wspominające o docenianiu chwili bieżącej i pomocy przemijania.

"Time waits for właściwie one" – przypomnienie, że czas jest bezlitosny, i każda chwila powinna stanowić uznana.
"Memento mori" – klasyczny łaciński cytat, który przypomina o śmiertelności i kruchości życia.
"Carpe diem" – tradycyjny cytat, który mobilizuje do całego wykorzystania każdego dnia.
Jak dobrać idealny cytat na tatuaż?
Bez powodu na ostatnie, czy cytat tworzy żyć skąpy i konkretny, czy bardziej rozbudowany i spokojny, najważniejsze, żeby jego treść miała dla Ciebie swoje znaczenie. Tatuaż z aktem to nieco, co będzie prowadziło Ci przez całe życie, dlatego warto rozważyć jego wybór z należytą starannością. Pamiętaj, że tatuaż wówczas nie tylko ozdoba, lecz także duża forma wyrazu, jaka potrafi symbolizować to, kim jesteś także w co polegasz.

Jeżeli <a href=https://tattoo-arena.blogspot.com/2024/10/cytaty-na-tatuaz-dla-kobiet-i… do tatuażu</a> nie jesteś podstawowy, czy wybrać cytat w języku polskim, angielskim czy może łacińskim, zastanów się, które słowa najdokładniej oddają Twoje serca i rozwiązanie do życia. Cytat prawdopodobnie stanowić funkcjonalny, ale niosący wielkie znaczenie – najważniejsze, aby rezonował z Twoją świadomością i cenami.

DavidCic (doğrulanmamış) Pa, 20/10/2024 - 07:01

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RobertNaw (doğrulanmamış) Pa, 20/10/2024 - 09:21

Within the fast-paced realm of fashion, designer handbags have long remained as symbols of grace, status, and uniqueness. The appeal of holding a item that mirrors the artistry of renowned fashion brands is unquestionable. However, with high-end items typically comes a substantial price, leaving many fashion fans believing that these coveted items are just out of reach. Welcome to the domain of imitation handbags—an intriguing answer for those who desire to capture the spirit of luxury fashion sans breaking the budget.
Revealing the Domain of Copycat Purses
Imitation purses are produced to closely echo the authentic luxury creations, enabling consumers to indulge in the appearance and texture of designer pieces at a reduced of the price. These copies are usually made using comparable substances and methods, aiming to mimic the beauty of the authentic items. However, this process raises concerns about authenticity and legality throughout the style sector.
The creation of imitation purses is typically a careful procedure. Experienced artisans and manufacturers examine genuine pieces in depth, attempting to imitate every seam, pattern, and feature. While some copies are quickly distinguished from their real versions, others boast impressive expertise that blurs the line between genuine and copy. Despite this care to precision, the legal ramifications of making and distributing copycat handbags are considerable, with many nations implementing rigorous laws to protect intellectual property rights.
Balancing the Benefits and Cons of Imitation Handbags
Deciding whether to buy a copycat handbag entails evaluating both advantages and drawbacks. On the bright side, copies offer an cost-effective access into the domain of luxury fashion. For bargain hunters, they provide a method to try out with different trends without having a major monetary investment. Additionally, copycat handbags can be a sensible choice for those who wish for the look of luxury items for special times but don't wish to commit in pieces they won't use frequently.
But, there are downsides to consider. Copycat handbags may not match the durability and lifespan of real designer bags. Over time, the materials used in imitations may show signs of deterioration, impacting their overall aesthetic and functionality. Furthermore, the acquisition of imitations adds to a loop that weakens the hard work and creativity of artists. This moral question raises questions about the influence of imitations on the fashion sector as a complete.
Quality and Craftsmanship in Modern Replicas

Gone are the days when replica handbags were easily dismissed due to poor craftsmanship. Thanks to advancements in manufacturing techniques and materials, the quality of replicas has significantly improved. Modern replicas often boast intricate detailing, high-quality materials, and precision stitching that can rival authentic designer bags. This evolution has prompted many luxury lovers to explore the world of replicas as a viable alternative.
In terms of quality, today's replica handbags can be surprisingly durable, offering a reasonable lifespan for their cost. However, they still fall short in comparison to authentic designer pieces, which are built to withstand years of use and maintain their elegance. The craftsmanship of replicas, while commendable, may not match the meticulous attention to detail that defines luxury fashion. This disparity remains a key consideration for those deciding between investing in a genuine piece or opting for a replica.
Where to Find High-Quality Replica Handbags
For those intrigued by the idea of owning a replica handbag, knowing where to find quality pieces is essential. Reputable sources are crucial to discovering well-crafted replicas that capture the essence of luxury fashion. Online marketplaces, specialized retailers, and even certain boutique stores offer a range of replica options. However, it's important to exercise caution and conduct thorough research to avoid products or scams.
When seeking quality replicas, consider factors such as customer reviews, return policies, and the seller's reputation. Look for sellers who provide detailed descriptions and images of their products, showcasing the level of craftsmanship and materials used. Additionally, understanding the differences between various grades of replicas can help you make an informed decision and select a piece that aligns with your preferences.
Making Informed Fashion Choices
In conclusion, the world of replica handbags offers a fascinating intersection of affordability, style, and ethical considerations. While replicas may provide an accessible pathway to luxury fashion, it's essential for consumers to weigh the pros and cons carefully. Understanding the implications of purchasing replicas, both in terms of quality and impact on the fashion industry, empowers individuals to make thoughtful decisions aligned with their values.
For fashion enthusiasts and bargain shoppers alike, the allure of replica handbags is undeniable. By staying informed and considering the broader implications of their choices, individuals can confidently explore the world of fashion with a more nuanced understanding. Whether you choose to indulge in replicas or invest in authentic designer pieces, the ultimate goal is to express your unique style while making choices that resonate with your personal values and preferences.
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RobertBic (doğrulanmamış) Pa, 20/10/2024 - 10:28

Одной из самых востребованных услуг в Новосибирске является перевод с иностранных языков. Качественный перевод может стать залогом успешного бизнеса, обучения за рубежом или личного общения с носителями другого языка. Но как выбрать надежную языковую службу, которая гарантирует высокое качество перевода и соблюдение конфиденциальности?

В первую очередь, стоит обратить внимание на репутацию компании. В Новосибирске работают как крупные переводческие агентства, так и небольшие бюро, только начинающие свой путь в этой сфере. Отзывы клиентов, опыт работы на рынке, наличие сертификатов и лицензий - все это поможет сделать правильный выбор.

Однако репутация - не единственный фактор, на который стоит обращать внимание. Важную роль играет также компетентность и опыт переводчиков. Перевод - это не просто механическое перенесение текста с одного языка на другой, это искусство, требующее глубокого знания языков, культуры и специфики терминологии в конкретной области. Поэтому так важно, чтобы переводчики имели специальное образование и опыт работы в данной сфере.

Кроме того, необходимо учитывать формат и объем перевода. Если вам нужен устный перевод, то понадобится синхронный или последовательный переводчик, который будет работать в режиме реального времени. Для письменных переводов может потребоваться предварительное изучение материала и использование специальных программ для работы с текстами.

Цена также является важным фактором при выборе языковой службы. Стоимость услуг может варьироваться в зависимости от языка, объема перевода, срочности и других факторов. Некоторые компании предлагают фиксированные цены за страницу или слово, другие - гибкую систему тарификации. Но не стоит гнаться за самой низкой ценой - она часто оборачивается низким качеством перевода.

Кроме того, необходимо учитывать необходимость нотариального заверения перевода. Если документ будет использоваться в официальных инстанциях, то он должен быть правильно оформлен и заверен нотариусом. Не все языковые службы предоставляют эту услугу, поэтому стоит заранее уточнить ее наличие.

Наконец, следует обратить внимание на такие нюансы, как сроки выполнения заказа и возможность доставки готового перевода. Если вам нужен срочный перевод, то стоит выбрать компанию, которая может гарантировать быструю обработку заказа. Также удобно, когда языковая служба предлагает доставку готовых переводов на дом или в офис.

В заключение можно сказать, что выбор языковой службы в Новосибирске - это ответственное решение, требующее тщательного подхода и анализа различных факторов. Но если подойти к процессу грамотно, то можно найти надежного партнера, который поможет преодолеть языковые барьеры и добиться успеха в бизнесе или в личной жизни. Главное - не экономить на качестве перевода, ведь правильный выбор языковой службы может стать залогом вашего успеха.

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Williehoure (doğrulanmamış) Pa, 20/10/2024 - 12:31

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Charleskek (doğrulanmamış) Pa, 20/10/2024 - 13:57

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