ANKARA – Ministry of Health, published a comprehensive regulation restructuring home health and palliative care services in line with today's needs.. 23 June 2026 dated and 33289 entered into force after being published in the Official Gazette No. “Regulation on the Delivery and Coordination of Home Health and Palliative Care Services”, primary care, It aims to combine inpatient and remote healthcare services under a single digital roof..
​With the new regulation, 2023 The old regulation published in was completely repealed.
​Services Will Be Managed From a Single Center: ESKOM is Established
​The most striking structural change of the new era, Home Health Coordination Centers to be established under Provincial Health Directorates (ESKOM) happened.
​Holistic Coordination: ESKOM, will pre-evaluate home health applications without making clinical decisions; family medicine of patients, Administratively manage the processes of referral to remote health services or palliative care units.
​Central and Satellite Units: Home Health Service (ESH) units, Based on the service areas of the Public Hospitals Services Presidency “Central” and according to need “Satellite” will be structured as units.
​H and D Type Units: Service units; Type H, which covers secondary and tertiary healthcare services (ESH-H) and Type D, which will provide oral and dental health services (ESH-D) will be divided into two as.
​Family Physician and e-Pulse will Play an Active Role in Applications
​Citizens can submit their applications for home health services via e-Pulse., ESHIM (Contact Center) or via digital channels determined by the Ministry..
​The first applications received through the system will be sent to the patient's family physician simultaneously.. family doctor, will make a preliminary evaluation within one business day via remote health or by reviewing historical medical data. All applications received by ESKOM will be finalized within three days at the latest and the first home visit will be made..
​Definition of Continuous and Term Service
​With the regulation, home medical care services were divided into two clear categories.:
​Continuous ESH: to the device, Services to be provided to patients who are bedridden or have difficulty accessing health care due to old age, either for life or until they terminate their own will..
​Periodical ESH: First time after discharge from hospital 30 covering the day (by physician's decision 30 can be extended by more days) temporary medical care processes.
​Gradual Limit to Palliative Care Bed Capacities
​Hastanelerdeki palyatif bakım servislerinin yatak planlaması, kurumların toplam yatak kapasitelerine göre kademeli olarak sınırlandırıldı. Accordingly;
​50 yatağa kadar olan hastanelerde toplam yatağın en fazla %50’si,
​101-250 yatak arası hastanelerde en fazla %20’si,
​400 yatak ve üzeri hastanelerde ise en fazla %5’i palyatif bakım yatağı olarak ayrılabilecek.
​Özel sağlık tesislerinde ise palyatif bakım servisleri asgari 5 yataklı olacak ve toplam yoğun bakım yatak sayısının %20’sini geçemeyecek. 18 yaş ve altı hastalar için kurulacak Çocuk Palyatif Bakım Servisleri ise bu sınırlamalardan muaf tutularak en az 5 It will be planned as a bed.
​Digital Recording and Strict Control Model
​All services offered within the scope of the Regulation; Home Health Management System (ESYS), Hospital Information Management System (HBYS) and Family Medicine Information System (AHBS) will be recorded in the national digital infrastructure that works integrated with. All data, including call center voice recordings, will be stored in accordance with KVKK legislation..
It is strictly prohibited to open a home health unit or palliative care service without the permission of the Ministry of Health.. Gradual warnings and disciplinary penalties are applied to public facilities that violate the rules., Penal procedures in administrative sanction forms will be applied to private health facilities..
​For the Transition Process 1 Year Duration
​Existing home health and palliative care units registered before the effective date of the regulation, They were given one year to comply with the new standards and complete their re-registration process.. In addition, a five-year transition period was envisaged for nurses working in palliative services to complete the certification requirement..
