Revolutionary regulation change from the Ministry of Health! Remote examination has become official, Security cameras became mandatory, to the violent patient “exile” the way appeared.
ANKARA – The new regulation, which moves the stones in the family medicine system, was published in the Official Gazette today.. Ministry, made radical decisions to both protect the safety of physicians and accelerate digital transformation..
Zero Tolerance for Violence: The Patient Will Be Sent to Another Center
With the new regulation, one of the harshest measures against violence in healthcare is being put into effect.. a patient, If the family doctor or employee is violent and this situation is documented;
- Physician, he/she will not have to care for the patient.
- Record of the person who committed violence, primarily close to residence to a different family health center will be shifted.
- If there is no other center nearby, in the same center lowest population will be given to the physician.
“E-Doktor” Term Begins: Remote Healthcare
The job description of family physicians has expanded. In certain cases, family physicians are now, In accordance with the procedures determined by the Ministry “remote healthcare” will be able to offer. citizens, In appropriate cases, they will be able to receive support digitally without going to the center..
in ASMs 7/24 Camera Tracking is Mandatory
To all Family Health Centers within the scope of security measures (ASM) Strict control has arrived.
- Entries, waiting areas and room entrances will now be monitored with security cameras.
- ASMs also “Pulse Oximeter” (oxygen meter) and it was obligatory to have new generation medical devices.
- For existing centers to comply with these conditions 1 September 2026 A period of time was given until.
New Rules in Appointments
- Reinforcement with DHY: Vacant family medicine positions will no longer be subject to Civil Service Obligation. (dhy) Direct appointment can be made by lottery.
- Priority for Mothers and Soldiers: Physicians who leave office due to birth or military service, so that they can work in their old places upon return. one-time priority will be recognized.
- Strict Data Tracking: All health data will be recorded only in the Ministry's system; No data can be kept in any external software or media.
Common Materials “Public domain” to be counted
Physicians' personal claims on common areas in the centers and devices purchased with expense payments end.. All technical equipment and fixtures in ASM “joint use” will remain within the scope and cannot be transferred.
REGULATION
From the Ministry of Health:
CHANGE IN FAMILY MEDICINE PRACTICE REGULATION
REGULATION ON ITS CONSTRUCTION
ARTICLE 1- 25/1/2013 dated and 28539 Family Medicine Practice Regulation published in the Official Gazette No. 1 first paragraph of article 1 (d) ve (e) clauses have been repealed.
ARTICLE 2- Same Regulation 3 first paragraph of the third article (ç) The phrase "health institution" in the paragraph has been changed to "public health institution"., (d), (g), (g), (h), (i) ve (O) clauses have been repealed, (j) ve (k) The phrases "permission" in the paragraphs are "permission", changed to "education", (m) The phrase "and its Affiliates" in the paragraph has been abolished., (ö) clause has been changed as follows and (p) The phrase "or district health directorate in districts where a community health center is not established" has been added to the paragraph after the phrase "health institution"..
“ö) Directorate: provincial health directorate,”
ARTICLE 3- Same Regulation 4 The phrase "and by the Institution" in the first paragraph of the third article has been abolished., third paragraph (g) The phrase "at home" in the paragraph means "at home", was changed to "from a distance" and the following clauses were added to the same paragraph..
“o) To carry out all operations of the unit that he/she is responsible for in case of power of attorney or assignment..
ö) Providing remote health services in accordance with the procedures and principles determined by the Ministry.”
ARTICLE 4- Same Regulation 5 second paragraph of article th (f) The phrase "and remotely" has been added to the clause after the phrase "at home" and the following clause has been added to the same paragraph..
“i) To carry out all operations of the unit that he/she is responsible for in case of power of attorney or assignment.”
ARTICLE 5- Same Regulation 7 The phrase "and the Institution" in the first paragraph of the Article has been abolished..
ARTICLE 6- Same Regulation 8 The second paragraph of the th article has been amended as follows.
“(2) If the incident of violence occurring during the provision of health services is documented with a document issued by the judicial or civil administration authorities,, The registration of the person who commits violence against the family physician or family health worker from the current family physician by the directorate, Firstly, take the patient to a different family health center, taking into account the region of residence., "If there is no different family health center close to your residence, it will be done to the family doctor with the lowest registered population in the same family health center."
ARTICLE 7- Same Regulation 11 "dated 24/12/2010" in the first paragraph of the article 2010/1237 The phrase "in the Regulation on Payments to be Made to the Personnel Employed by the Ministry of Health within the Scope of Family Medicine Practice and Contract Procedures and Principles", which was put into force by the Decision of the Council of Ministers no. 4198 In the Family Medicine Contract and Payment Regulation put into effect by the Presidential Decree no..
ARTICLE 8- Same Regulation 13 The phrase "In the Regulation on Payments to be Made to the Personnel Employed by the Ministry of Health within the Scope of Family Medicine Practice and Contract Procedures and Principles" in the second paragraph of the third article has been changed as "In the Family Medicine Contract and Payment Regulation"..
ARTICLE 9- Same Regulation 15 "in the first paragraph of the th article", The phrase "contract" is written as "the family medicine placement process is carried out and the contract" and (a) clause has been changed as follows, The following sentence has been added to the fifth paragraph of the same article:, of the sixth paragraph (a) The phrase "family medicine specialists who practice family medicine" in the subparagraph means "those who work in, family medicine specialists who primarily practiced family medicine, then other family medicine specialists” and the seventh paragraph was amended as follows.
“a) Practicing family medicine for at least six months and then completing military service (except for fee) or to family physicians who terminate their contracts on the condition that they take unpaid leave due to birth., According to the date of military service or starting public service after birth, For physicians who are not public servants, one-time priority is given according to the application date to the directorate.. This right of priority; one month from the date of discharge, It is used in the province where the family medicine service contract is terminated upon application within two years and fifteen days from the end of the paid leave period due to birth.”
“Dated 25/6/2019 and 7179 For those who started their duty by signing a contract in the family medicine unit where they worked before leaving after performing their military service by requesting to preserve their positions in order to do paid military service in accordance with the Military Recruitment Law no.
“(7) Vacant family medicine positions, For positions that cannot be placed within the framework of the first paragraph, appointments can be made by announcing them in the State service obligation draw.. Physicians placed for the positions to be announced in this way, After being appointed to the community health center where the family medicine unit is located, they sign a family medicine contract by the end of the next day's workday at the latest, and if there is no contract request, they start working in the family medicine unit by assignment.”
ARTICLE 10- Same Regulation 16 The following paragraph has been added to Article 1..
“(3) Positions where there are no contracted family health workers will be announced by the Ministry. 11/10/2011 dated and 663 Family health workers can be employed within the framework of the provisions of Article 45/A of the Decree Law on Certain Regulations in the Field of Health No.. Those placed for the positions to be announced in this way, After being appointed to the community health center where the family medicine unit is located, they sign a family health worker service contract in the family medicine unit to which they are assigned., If there are no contract demands, he/she starts his/her duty by assignment.. This assignment continues as long as the contract is within the scope of the aforementioned decree law, and a service contract cannot be signed with another family health worker in these units.”
ARTICLE 11- Same Regulation 18 The second sentence of the first paragraph of the th article has been amended as follows and the third and fourth sentences of the same paragraph have been repealed..
"In this situation, 26/3/2013 dated and 28599 Ministry of Health Appointment and Relocation Regulation published in the Official Gazette No. 16 second paragraph of article (e) "The transaction is established in accordance with the provisions of this clause."
ARTICLE 12- Same Regulation 19 The phrase "Appointment and Relocation Regulation of the Ministry of Health and its Affiliated Organizations" in the third paragraph of the article has been amended as "Ministry of Health Appointment and Relocation Regulation".
ARTICLE 13- Same Regulation 21 The following sentence has been added to the first paragraph of the th article, following the third sentence..
“First stage adaptation training should be completed no later than the date of placement of the family physician. 3 “It will be completed within the month.”
ARTICLE 14- Same Regulation 24 first paragraph of the third article (ö) ve (dd) clauses have been changed as follows and the following clause has been added to the same paragraph., The phrase "and by the Institution" in the third paragraph of the same article has been abolished., The fourth and fifth paragraphs have been amended as follows and the following paragraph has been added to the same article..
“ö) Injector, intranet, gauze, atel, bandage, Necessary consumables determined by the Ministry, such as suture material.”
“dd) Glycometry and strips.”
“ll) Pulse oximeter.”
“(4) Techniques that family physicians and family health professionals must use, medical device, computer, hardware, software, information, Information and communication technologies and motor vehicles required for the provision of mobile health services, mainly provided by family physicians.
(5) family doctors, Takes the necessary precautions against fire in the family health center, for medical waste and garbage 25/1/2017 dated and 29959 "It takes the necessary measures in accordance with the provisions of the Medical Waste Control Regulation published in the Official Gazette No.
“(8) Common use areas in family health centers and all kinds of fixtures located in these areas and allocated for common use, medical device, equipment and other materials are within the scope of joint use. These are recorded in the family health center management decision book.. by family physicians, Family Medicine Contract and Payment Regulation 18 second paragraph of article th (c) Pursuant to the provisions of this paragraph, no real or personal rights can be claimed on the areas and materials that are within the scope of joint use since the family health center is provided with expense payment.; price, No claims can be made under the name of contribution or any other name.; Their transfer cannot be requested and their use cannot be prevented.. This area and materials, It continues to be used in the family health center.”
ARTICLE 15- Same Regulation 25 "Ministry" in the first paragraph of Article, The phrase "Institution or" has been changed to "Ministry and".
ARTICLE 16- Same Regulation 31 The fourth and sixth paragraphs of the th article have been amended as follows and the fifth and seventh paragraphs of the same article have been abolished..
“(4) Family physicians and family health workers must use the health information management system belonging to the Ministry in service delivery.. "The procedures and principles and the calendar plan regarding the transition to the Ministry's information system are determined by the Ministry."
“(6) From the family medicine unit, All data of people receiving healthcare services, "It cannot be recorded in any environment other than the systems determined by the Ministry."
ARTICLE 17- Same Regulation 33 The phrase "In the Regulation on Payments to be Made to Personnel Employed by the Ministry of Health within the Scope of Family Medicine Practice and Contract Procedures and Principles" in the first paragraph of the third article has been changed as "In the Family Medicine Contract and Payment Regulation"..
ARTICLE 18- The following provisional article has been added to the same Regulation:.
“Compliance with regulations
PROVISIONAL ARTICLE 5- (1) By the Regulation creating this article 24 Changes made in the third article and ANNEX-1, family medicine units 1/9/2026 fulfills it until the date.”
ARTICLE 19- The phrases "four" in the fourth and fifth lines of ANNEX-1 of the same Regulation have been changed to "five"., the eleventh line is repealed and the fifteenth line of the same amendment is replaced as follows.
15 Family health center entrance, There is a security camera system that monitors waiting areas and room entrances..
ARTICLE 20- The phrases "Institution" in the same Regulation are changed to "Ministry"., The phrase "Turkish Public Health Institution" is written as "Ministry", The phrase "by the Public Health Institution of Türkiye" is replaced by "by the Ministry", The phrases "by the Institution" are replaced by "by the Ministry", “Institution” phrases as “Ministry”, The phrase “From the Institution” has been changed to “From the Ministry” and the phrase “To the Institution” has been changed to “To the Ministry”.
ARTICLE 21- This Regulation shall enter into force on the date of its publication..
ARTICLE 22- The Minister of Health shall enforce the provisions of this Regulation..
