An In-Depth Review of Family Medicine Contract and Payment Regulation
Family medicine, is one of the cornerstones of the health system. This system plays an important role in meeting the health needs of individuals as well as achieving social health goals. However, as of November 1, 2024, Family Medicine Contract and Payment RegulationThe changes made in the regulation have deeply affected family physicians. In this article, we will discuss the effects of the regulation on family physicians and the protests in detail.
Why is the Regulation Being Protested?
Family physicians have carried out a series of actions against the articles introduced by this regulation. In particular, salary cuts ve high workload are frequently brought up by family physicians. According to the statements of Dr. Gökhan Erdoğan, Secretary General of the Federation of Family Physicians Associations (AHEF), family physicians, who provide 50% of health services, are under great pressure to follow up with their patients.
Pay Cuts and Punishment
Family physicians, examination every 6 months Due to the obligation to apply, they face salary cuts due to patients who do not apply. This situation, especially when combined with the difficulties experienced by patients in accessing health services, has created a great burden on family physicians. Dr. Erdoğan summarizes the situation by saying, “There is no other country where doctors' salaries are cut due to citizens not applying to ASMs to receive health services.”
Victimization of Doctors
The regulation causes family physicians to lose at least 10-15% of their wages if they cannot adequately examine their patients. This means a serious financial loss for family physicians. Dr. Erdoğan, emphasizing this issue, says, “We have started our necessary legal struggle for these inappropriate legislative articles from the very first day.” In this context, he states that their struggle will continue so that physicians can get their rights back.
Citizens' Responsibility
Family physicians do not see the difficulties experienced by patients in accessing healthcare services as solely their responsibility. Dr. Erdoğan emphasizes that society must take responsibility in this regard by using the expression, “If our citizens cannot get permission from work and come to a healthcare institution, it is wrong to see the family physician as the sole responsible person.” Family physicians certainly have the responsibility to communicate with their patients and conduct screening and examinations; however, citizens also have responsibilities in this process.
Deficiencies in the Regulation
Some deficiencies in the regulation increase the workload of family physicians and reduce the quality of health services. While family physicians are obliged to call their patients and perform screening and examinations, citizens' responsibilities in this process are ignored. While vehicle inspection stations are fined for not performing a vehicle inspection every 2 years, it is a striking contradiction that a similar situation does not occur in the health sector.
Call to the Ministry of Health
Family physicians, Sağlık BakanlığıAddressing , he emphasizes that this mistake must be reversed. Dr. Erdoğan offers solution suggestions by saying, “Revert this mistake while the road is near and do not make unjust deductions from physicians. If you want a solution, give this responsibility to all our citizens.” In this way, it will be possible to prevent both physicians and patients from suffering.
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The family physician system plays a critical role in the delivery of health services. However, deficiencies in regulations and implementation problems increase the workload of family physicians and threaten the quality of health services. Listening to the voices of family physicians is of great importance in solving problems in this area.
