NEW REGULATIONS ARE IN EFFECT IN FAMILY MEDICINE: COMPREHENSIVE CHANGES FROM ON-CALL FEES TO CONTRACT RENEWALS
Ankara – With the signature of President Recep Tayyip Erdoğan 29/6/2021 dated and 4198 Significant changes were made to the Family Medicine Contract and Payment Regulation, which came into force with the Presidential Decree no.. new regulations, Contracts of family physicians and family health professionals, payment, Includes watch and incentive systems.
New Criteria and Scoring System for Contract Renewal
Contract renewal processes have been reshaped with ANNEX-5, Indicator Value Ranges and Score Table for the Basis Score for the Renewal of Contracts of Family Physicians and Family Health Workers, added to the Regulation.. Accordingly, The contracts of physicians and family health workers who had sixty-five points and above in the previous period can be renewed.. With the change in the first paragraph of the seventh article, pregnant women for family physicians and family health workers who have completed their contract period., postpartum, baby-child follow-ups, immunization, chronic disease screening and follow-up, Within the scope of protective and preventive health services such as cancer screenings, a total score of seventy points and above was introduced..
Regulation in Duty Fees and Working Hours
Changes were also made in the pricing of on-call services.. In the month 96 On-call fee for an hourly physician 5 reduced to a factor of, Every month without a monthly shift 8 for the clock %1,65, 5. will be reduced by 5% in accordance with the article. There will be a decrease of 0.5% of the coefficient determined for the population groups in the family physician unit.
Support for Incentive Payments and Expense Items
Rational drug practices, antibiotic, anti-inflammatory and PPI drug groups, It is planned to receive performance incentives according to periodic or regional targets.. Electricity for family doctors, are, fuel, telephone, internet, cleaning, office supplies, security, secretary, 50% of the monthly payment will be covered by the Ministry for expenses such as wages and legal obligations of the employee who has the status of an employee.. Additional payment will be made according to the result of multiplication with the purchasing power parity score of the provinces published by the Statistics Institution..
Other Important Changes:
- Union Services: Family medicine unit services will be taken into account as 0.5% of the evaluations made by citizens within the framework of the criteria determined by the Ministry..
- Reducing Drug Use: Türkiye's average use of rational drug practices in medicine compared to the previous year %8 It is aimed to reduce by.
- Effective Date: Some articles of the regulation 1/11/2024 It entered into force as of the date.


