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With the new regulation, 2023 The old regulation published in was completely repealed.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
Bed planning of palliative care services in hospitals, was gradually limited according to the total bed capacity of the institutions.. Accordingly;
Maximum 50% of the total beds in hospitals with up to 50 beds,
Maximum 20% in hospitals with 101-250 beds,
In hospitals with 400 beds and above, a maximum of 5% can be allocated as palliative care beds..
In private health facilities, palliative care services are provided at minimum 5 beds and cannot exceed 20% of the total number of intensive care beds.. 18 Children's Palliative Care Services, which will be established for patients aged 15 and under, will be exempt from these limitations and provide at least 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..
