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1 Regulation that will enter into force in November 2024, Payments to be made to people registered in family medicine services, incentive rates, It includes comprehensive changes on many topics such as performance criteria and duty practices.. Renewed regulation, It draws attention with its prominent regulations, especially in incentive systems and contract conditions..
Sağlık-Sen's Opinions and Objections on the Regulation
According to the evaluation made by Sağlık-Sen, Although the new regulation contains some regulations that will have a positive impact on family medicine employees,, Many items are far from field expectations, It was stated that it has drawbacks in terms of job security and professional dignity.. Union, He announced that he would initiate a legal process, emphasizing that topics such as contract renewal conditions and termination of the contract could increase the workload and bureaucracy..
Featured Regulations and Their Effects
1. Change in Monthly Success Rate Definition:
Pregnant women within the scope of the regulation, “Perpartum” follow-up has been added to baby and child follow-ups.. new regulation, While expanding preventive health services, it also ensures that preventive services are included within the scope of the regulation.. This change, It is expected to increase the scope of health services and make it easier to monitor the success rates of health workers..
2. Contract Renewal Conditions with Indicator Target Score:
With the new regulation, Renewal of contracts of family physicians and healthcare professionals, It was determined that the examinations and follow-ups met the determined indicator score.. Contracts of family physicians who are below the indicator target score should not be renewed, While it raises concerns about job security among employees, Sağlık-Sen emphasizes that there should be clearer and more transparent criteria in determining these criteria..
3. Resignation from Duty and Automatic Termination of the Contract:
In the new regulation, "A person who abandons his duty without excuse and who abandons this 10 It is stated that the contracts of family physicians or healthcare professionals who continue their work throughout the day will be terminated without the need for action.. this situation, It creates concern for employees who have heavy workloads and may have to leave duty due to emergencies..
4. Disciplinary Penalties Cause Termination of Contract:
It has been stated that the contracts of family physicians who receive a disciplinary penalty requiring a deduction from support payments for a total of six months or more within a contract period will be terminated.. The fact that disciplinary penalties lead to job loss with the implementation of this article is criticized as a regulation that could undermine job security among employees..
5. New Limits on the Number of Registered Persons:
While trying to balance the workload by reducing the number of people registered in family medicine from 4000 to 3500, It is aimed to increase the service quality by lowering the ceiling population limit.. However, There are question marks as to how this regulation will affect the payments made to the line..
6. Shift Fee Regulation in Integrated Health Facilities:
family doctors, If they do not complete their shifts, 8 will be subject to an 8% wage deduction for hourly duty. This regulation, especially in regions where integrated health services are carried out, It is stated that it may negatively affect physicians' motivation to work.
Incentive Payment and Coefficient Regulations
Significant changes were made in the regulation regarding the incentive system. While the coefficient increases for postpartum follow-ups draw attention, Baby monitoring coefficients were also rearranged by disaggregating them according to age.. In addition, incentive payment principles were created according to performance criteria such as screening of chronic patients.. Accordingly, Family physicians who show high success in chronic patient screenings will receive more incentives.
Socioeconomic Development Level Incentives and Additional Payments
Incentive rate based on socioeconomic development level was increased to 8.7%. Besides that, The scope of payments made to temporary family health workers has been expanded. These regulations are expected to make a positive contribution to family physicians, especially those working in disadvantaged regions..
Legal Process and Future Steps from Sağlık-Sen
Health-You, He stated that some regulations in the published regulation may negatively affect the motivation of family medicine employees and weaken their job security.. Health-Sen's, It was stated that it will initiate legal proceedings against these regulations that endanger labor peace and will continue to defend employee rights..
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