Change in Family Medicine Contract and Payment Regulation 10 July 2025 It entered into force after being published on.
The changes made to the Family Medicine Contract and Payment Regulation published in the Official Gazette are quite comprehensive..
If we consider it in detail:
Number of Decisions: 10058
Publication Date: 10 July 2025 Thursday, Number: 32962
This regulation, makes important updates to the current Family Medicine Contract and Payment Regulation.
ARTICLE 1: (Current Regulation 18. Amendments to Article)
* Contract Termination Conditions: Regulation 18. second paragraph of the article (a) Bennin (1) in the second sentence of subparagraph no. “in twelve months” The expression has been preserved. However, with an important addition “The attached Family Medicine Contract and Payment Regulation will be put into effect., 5258 Family Medicine Law No. 8 It was decided in accordance with the second paragraph of Article 1.” The phrase has been added. This, This means that the contracts of family physicians who receive a disciplinary penalty, especially those that cause a support payment interruption, and who have an interruption for more than six months, may be terminated..
* Postpartum Follow-up Pricing: “Give” (pregnant) to the coefficient determined for “postpartum” (postpartum mother) tracking has also been added. This, used for pregnancy monitoring (3) It means that the coefficient numbered will also include postpartum follow-up..
* Payment Factors and Rates: “Provincial rate” to come after the expression “or Türkiye rate” The phrase has been added. This, It shows that in addition to provincial averages, Türkiye-wide averages can also be taken into account in payments.. Moreover, Payment rates will be determined according to the target population averages determined by the Ministry of Health and the Presidential Strategy and Budget Directorate..
* Inspection Coefficients and Calculations:
* Number of Daily Inspections (MG): It refers to the daily average number of examinations for the days a family physician actually works and is calculated by the formula MG = M/f. Here M is the total number of examinations per month., f refers to the number of days the physician actually works..
* Target Number of Inspections (MH): The specified target is the number of examinations and MH = (1 + (18/2xCh)) x 0,5 It is calculated with the formula. Here “Ç”, It refers to the whole number obtained by multiplying the average number of registered people throughout Türkiye in the relevant month by 16 per thousand, which is the target examination coefficient, and rounding up.. Average number of registered people throughout Türkiye, will be multiplied by the target inspection coefficient to be determined by the Ministry every year..
ARTICLE 2: (Current Regulation 19. Amendments to Article)
* Temporary Assignment and Incentive Payment: Regulation 19. in the second paragraph of the article “Additional incentive payment made from the revolving fund for the days of temporary assignment, if any” the phrase, “Additional incentive payment made from the revolving fund for the days of temporary assignment, if any.” has been changed to. This, It expresses more clearly the nature of the additional payment.
* Seizure Definition: Before “96 moment” seizure duration specified as “96 provided that it is not less than one hour 5 watch” changed to.
ARTICLE 3: (Current Regulation 21. Amendments to Article)
* Coefficient Ratios: Regulation 21. first paragraph of the article (a) contained in the clause “in six months” the phrase “in twelve months” has been changed to. Moreover, Percentage rates in various sub-clauses have been updated:
* (a) Bennin (2) in subparagraph no. “%2to line %4'ü” the phrase “%31 to 6%” aspect,
* (a) Bennin (4) in subparagraph no. “%4’ü” the phrase “%6'si” aspect,
* (a) Bennin (ii) at the distinction “%1,5’i” the phrase “%3’ü” aspect,
* (b) at the distinction “%3’ü” the phrase “%6'si” changed to.
* These changes, It will directly affect the payment coefficients of family physicians based on performance and patient load..
* Application in Other Places: “(3) Except for the scope of the second sentence of subparagraph no.” The phrase has been added, This clarifies certain exceptions.
ARTICLE 4: (Current Regulation 22. Amendments to Article)
* Incentive Additional Payment Text: Regulation 22. in the fifth paragraph of the article “Incentive additional payment made from revolving fund, if any” the phrase, “Additional incentive payment made from the revolving fund for the days of temporary assignment, if any.” has been changed to. This, It is a linguistic correction similar to the previous article.
ARTICLE 5: (Temporary Clause 1)
* Temporary Regulation: This article, It introduces a regulation for population groups that do not apply to the unit in accordance with the previous provisions.. Accordingly, 1/11/2024 The six-month period starting from the date will be taken into account.
ARTICLE 6: (Effective Dates)
* Different articles of the regulation will enter into force on different dates.:
* * first paragraph of the article (a) Bennin (1) Amendments made with the second sentence of subparagraph no. 1/5/2025 on,
* * with the third paragraph of the article 21. first paragraph of the article (a) Bennin (1) Amendments made with the second sentence of subparagraph no. 1/5/2025 Effective from the date of publication,
* 2., 4., 5. ve 7. on the date of publication of the articles,
* Other provisions are 1/8/2025 It will enter into force on.
ARTICLE 7: (Executive)
* The provisions of this regulation shall be enforced by the President..
These changes, It introduces important regulations in a wide range of areas, from payments to contract terms in the family medicine system..
