First Assessment from Sağlık-Sen on Family Medicine Contract and Payment Regulation Changes
Ankara,
Türkiye – Important changes made in the Family Medicine Contract and Payment Regulation by the Ministry of Health and published in the Official Gazette today., It was closely followed and examined in detail by our union as Sağlık-Sen.. As a result of these investigations carried out under the leadership of Chairman Mahmut Faruk Doğan, We feel the need to share with the public our initial findings regarding these regulations that directly concern our family physicians and family health professionals..
Detailed Analysis of Changes
* Application Period Extended: With the amendment of the regulation, Fee deduction period for non-application for people registered with a family physician 6 from the moon 1 has been increased to a year. This regulation 1 It will be valid from May 2025 and 1 The six-month period starting from November 2024 will also be taken into account in this calculation.. ministry, It appears that it reserves the authority to re-determine this period for population groups within the scope of health programs that require frequent service delivery..
* Increase in Incentive Payment Rates: Significant increases have been recorded in the incentive payment rates of family health workers. Incentive payment rates determined according to the number of daily examinations “%2 with 4%” from the phrases “%3 with 6%″of, “%4” If the phrase “%6″or has been upgraded. Incentive payment rates determined according to chronic diseases are also “%1,5” from the phrase “%3’e, “%3” from the phrase “%6has been increased to. These increases, It is considered as a positive step in terms of rewarding the efforts of our employees..
* Daily Inspection Number Calculation Formula Changed: Used to calculate incentive payments “number of daily inspections” The formula has been changed. Now, The calculation will be made by dividing the total number of examinations of the family medicine unit by the number of days actually worked.; The population group coefficient in the old formula has been removed..
* Target Number of Inspection Formula Updated: The target number of examination formula used in calculating incentive payments based on the number of daily examinations has also been updated..
* Satisfaction Rate Criteria Expanded: Used to calculate incentive payments “satisfaction rate” to the criterion, available “provincial rate”as well as “Türkiye rate” has also been added. Family medicine unit satisfaction rate, If it is above the provincial or Turkish rate, incentive payment will be made at the determined rate..
* Rational Drug Use Rate Criteria Has Been Diversified: Used in calculating family physician incentive payments “Rational drug use rate” to the criterion “provincial rate” ve “Türkiye rate”as well as, “The rate of the same month of the previous year” ve “Organization for Economic Development and Cooperation (OECD) target determined by the Ministry, not to be more than 30% of the average” The rate is also included.
* Duty Duration Regulation Clarified: The regulation regarding the minimum monthly shift period in centers providing integrated health services has also been clarified.. “5 watch (and/or 96 moment)” the phrase, “96 provided that it is not less than one hour 5 watch” was determined as. With this arrangement 96 It has been stated that those who do not have hourly shifts will have their payments deducted..
As Sağlık-Sen, We will continue to closely monitor the reflections of these changes in the regulation on the field.. We will continue our work to protect the rights of our members and all family medicine employees and improve their working conditions and follow the developments closely.. It was said.
