{"id":574,"date":"2019-03-21T23:30:47","date_gmt":"2019-03-21T20:30:47","guid":{"rendered":"http:\/\/acilbulten.net\/?p=574"},"modified":"2019-03-21T23:30:47","modified_gmt":"2019-03-21T20:30:47","slug":"turkiyede-ozel-saglik-kuruluslarinda-acil-tip-uzmanliginin-gelisimi","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/aciltipbulteni\/2019\/03\/21\/turkiyede-ozel-saglik-kuruluslarinda-acil-tip-uzmanliginin-gelisimi\/","title":{"rendered":"T\u00fcrkiye\u2019de \u00d6zel Sa\u011fl\u0131k Kurulu\u015flar\u0131nda Acil T\u0131p Uzmanl\u0131\u011f\u0131n\u0131n Geli\u015fimi"},"content":{"rendered":"\n<h5 class=\"wp-block-heading\"><em>\u00d6zel Sa\u011fl\u0131k Kurumlar\u0131n\u0131n Geli\u015fimi<\/em><\/h5>\n\n\n\n<p>Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, T\u00fcrkiye B\u00fcy\u00fck Millet Meclisi\u2019nin (TBMM) a\u00e7\u0131l\u0131\u015f\u0131 ile birlikte 3 May\u0131s 1920 tarihinde y\u00fcr\u00fcrl\u00fc\u011fe giren 3 say\u0131l\u0131 Kanun ile kurulmu\u015ftur. Belirlenen temel g\u00f6rev do\u011frultusunda, koruyucu sa\u011fl\u0131k hizmetlerinin y\u00fcr\u00fct\u00fclmesi i\u00e7in h\u00fck\u00fcmet tabipli\u011fi ve sa\u011fl\u0131k m\u00fcd\u00fcrl\u00fc\u011f\u00fc kurulmu\u015ftur. Tedavi hizmetlerinin ise, belediyeler ve \u00f6zel idareler taraf\u0131ndan yerine getirilmesi planlanm\u0131\u015f olup, yoksul hastalar\u0131n h\u00fck\u00fcmet tabipleri ve di\u011fer kurulu\u015flar taraf\u0131ndan \u00fccretsiz olarak tedavi edilmesi \u00f6ng\u00f6r\u00fclm\u00fc\u015ft\u00fcr. 224 say\u0131l\u0131 Sa\u011fl\u0131k hizmetlerinin Sosyalle\u015ftirilmesi Kanunu\u2019nun 1961 y\u0131l\u0131nda kabul edilmesi ile birlikte sa\u011fl\u0131k hizmetlerinin, halk\u0131n ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131layacak \u015fekilde s\u00fcrekli, yayg\u0131n ve entegre olarak sunulmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Sa\u011fl\u0131kta sosyalizasyon 1980\u2019lerde geli\u015fmeye ba\u015flayan liberal ak\u0131mlar kar\u015f\u0131s\u0131nda zay\u0131\u015famaya ba\u015flam\u0131\u015f, de\u011fi\u015fim g\u00f6stermek durumunda kalm\u0131\u015f ve \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ivmelenme ba\u015flam\u0131\u015ft\u0131r (Resim 1). (1)<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img fetchpriority=\"high\" decoding=\"async\" width=\"736\" height=\"408\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/52\/2019\/03\/resim-7.png\" alt=\"\" class=\"wp-image-575\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2019\/03\/resim-7.png 736w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2019\/03\/resim-7-300x166.png 300w\" sizes=\"(max-width: 736px) 100vw, 736px\" \/><\/figure>\n\n\n\n<p><strong>Resim 1.<\/strong> 1967-2000 Y\u0131llar\u0131 \u0130tibariyle\nYatakl\u0131 Sa\u011fl\u0131k Kurumlar\u0131 Say\u0131s\u0131 (T\u00dc\u0130K; Aral\u0131k\/2006-May\u0131s\/2007) <\/p>\n\n\n\n<p>\u00d6zellikle 2002 y\u0131l\u0131 sonras\u0131nda, T\u00fcrkiye\u2019de bir yandan toplam sa\u011fl\u0131k harcamalar\u0131 artarken di\u011fer yandan da sosyal g\u00fcvenlik kurumlar\u0131n\u0131n \u00f6zel sekt\u00f6rden sa\u011fl\u0131k hizmeti sat\u0131n almas\u0131n\u0131n yolu a\u00e7\u0131larak \u00f6zel sa\u011fl\u0131k sekt\u00f6r\u00fc desteklenmi\u015ftir. \u201cSa\u011fl\u0131k Reformlar\u0131\u201d ad\u0131yla dile getirilen bu de\u011fi\u015fiklikler 2003 y\u0131l\u0131na gelindi\u011finde \u201cSa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 (SDP)\u2019\u2019 olarak de\u011fi\u015ftirilmi\u015ftir. SDP; sa\u011fl\u0131k hizmetlerinin \u00f6rg\u00fctlenmesi, sa\u011fl\u0131k hizmetlerinin finansman\u0131 ve sa\u011fl\u0131k hizmetlerinin sunumu olarak \u00fc\u00e7 temel alan kapsam\u0131nda getirilen politikalar\u0131 kapsamaktad\u0131r (Resim 2). (2)<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"850\" height=\"290\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/52\/2019\/03\/resim-8.png\" alt=\"\" class=\"wp-image-576\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2019\/03\/resim-8.png 850w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2019\/03\/resim-8-300x102.png 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2019\/03\/resim-8-768x262.png 768w\" sizes=\"(max-width: 850px) 100vw, 850px\" \/><\/figure>\n\n\n\n<p><strong>Resim 2.<\/strong> Y\u0131llara ve Sekt\u00f6rlere G\u00f6re\nNitelikli Yataklar\u0131n Toplam Yataklar \u0130\u00e7erisindeki Oran\u0131, (%), (Sa\u011fl\u0131k\nHizmetleri Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc, 2015 \u0130statistik Y\u0131ll\u0131\u011f\u0131)<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><em>Acil T\u0131bb\u0131n Geli\u015fimi<\/em><\/h5>\n\n\n\n<p>Acil T\u0131p AD (\u0130lk ve Acil Yard\u0131m AD) kurulmadan (1993 \u00f6ncesi) \u00f6nceki\ny\u0131llarda acil servisler acil poliklinik hizmetleri ad\u0131 alt\u0131nda mesai d\u0131\u015f\u0131 her\nt\u00fcrl\u00fc hastane hizmetinin verildi\u011fi yerler olarak son derece k\u0131s\u0131tl\u0131 ve yetersiz\nolanaklar alt\u0131nda \u00e7al\u0131\u015fmak zorunda kalan&nbsp;pratisyen hekimler taraf\u0131ndan\ny\u00fcr\u00fct\u00fclm\u00fc\u015ft\u00fcr. (3) 1994 y\u0131l\u0131nda Dokuz Eyl\u00fcl\n\u00dcniversitesi\u2019nde iki uzman doktor ve \u00fc\u00e7 acil t\u0131p asistan\u0131 ile ba\u015flam\u0131\u015f,\nard\u0131ndan program say\u0131lar\u0131 y\u0131llar ge\u00e7tik\u00e7e artmaya devam etmi\u015ftir. 1999 y\u0131l\u0131nda\n15 olan acil t\u0131p anabilim dal\u0131 say\u0131s\u0131 yakla\u015f\u0131k % 70 artarak 2004 y\u0131l\u0131\nitibariyle toplam 26\u2019ya ula\u015f\u0131lm\u0131\u015ft\u0131r. Acil t\u0131p uzmanl\u0131\u011f\u0131 10 y\u0131l\u0131n sonunda\ntoplam 134 acil t\u0131p uzman\u0131 ve 225 acil t\u0131p asistan\u0131 ile halen \u00e7ok yeni olan bir\nuzmanl\u0131k dal\u0131 i\u00e7in geni\u015f bir kadroya sahip olmu\u015ftur. (4) \u00dclkemizde 2015 itibariyle 42 tane\n\u00dcniversite, 27 tane EAH, 8 tane EAH ile Afiliye \u00dcniversite, 7 tane \u00d6zel Hastane\nile Afiliye Vak\u0131f \u00dcniversitesi ve 2 tane EAH ile Afiliye Vak\u0131f \u00dcniversitesi\nolmak \u00fczere&nbsp;toplam 86 klinik ve anabilim dal\u0131nda Acil T\u0131p ihtisas\u0131\nverilmektedir. 2015 y\u0131l\u0131 itibariyle Acil T\u0131p Uzman say\u0131s\u0131 1000\u2019e yakla\u015fm\u0131\u015f,\ntoplam e\u011fitim g\u00f6ren asistan say\u0131s\u0131 1000\u2019i ge\u00e7mi\u015ftir. Acil T\u0131p Profes\u00f6r\u00fc say\u0131s\u0131\n50\u2019ye Do\u00e7ent say\u0131s\u0131 100\u2019e ula\u015fm\u0131\u015ft\u0131r. (3)<\/p>\n\n\n\n<p><em>\u00d6zel Sa\u011fl\u0131k Kurumlar\u0131nda Acil\nT\u0131p Uzmanl\u0131\u011f\u0131n\u0131n Geli\u015fimi<\/em><\/p>\n\n\n\n<p>1999 y\u0131l\u0131nda Dr. Serpil Yaylac\u0131 Larkin \u0130stanbul\u2019da Ac\u0131badem\nHastanesi\u2019nde ilk acil t\u0131p uzman\u0131 (ATU) olarak \u00f6zel sekt\u00f6rde g\u00f6rev yapmaya\nba\u015flam\u0131\u015ft\u0131r. Say\u0131ca az olmas\u0131 nedeniyle genelde hastanelerde tek ba\u015f\u0131na g\u00f6rev\nyapmaya ba\u015flayan ATU\u2019lar bir yandan hizmet verirken bir yandan da tan\u0131nma\na\u015famas\u0131nda olan uzmanl\u0131k dal\u0131n\u0131n tan\u0131t\u0131m\u0131na katk\u0131da bulunmu\u015flard\u0131r. <\/p>\n\n\n\n<p>2002 y\u0131l\u0131nda Ankara Bay\u0131nd\u0131r Hastanesi acil servisinde ilk defa 4 ATU\ngrup olarak g\u00f6rev yapm\u0131\u015ft\u0131r. Hizmet sunucusu \u00f6zel sekt\u00f6r\u00fcn pay\u0131n\u0131n \u00f6zellikle\n2000\u2019li y\u0131llar\u0131n ilk dekad\u0131nda sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm program\u0131 ile beraber artmas\u0131\n\u00f6zellikle \u00f6zel sa\u011fl\u0131k sigortalar\u0131 ve ard\u0131ndan sosyal g\u00fcvenlik kurumunun (SGK)\nhizmet al\u0131c\u0131 \u015feklinde geri \u00f6demelerini cazip \u015fekilde yapmas\u0131 \u00f6zel sekt\u00f6re\nyat\u0131r\u0131mlar\u0131 art\u0131rm\u0131\u015ft\u0131r. Artan \u00f6zel hastane say\u0131s\u0131yla beraber rekabetin de\nartmas\u0131, acil servislerde hasta bak\u0131m kalitesi ve fiziki yap\u0131larda iyile\u015ftirme\n\u00f6nerileriyle ATU\u2019lar g\u00f6z \u00f6n\u00fcnde yer almaya ba\u015flad\u0131lar. Geri \u00f6deme kurumlar\u0131n\u0131n\n\u00f6demelerinde daha az sorun ya\u015fanmas\u0131, acil serviste hasta bak\u0131m\u0131nda daha az\nhata yap\u0131lmas\u0131 ve hasta memnuniyetinin artmas\u0131 ATU\u2019lar\u0131n acil servislerde\nistihdam\u0131n\u0131n \u00f6n\u00fcn\u00fc a\u00e7m\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p>2000\u2019li y\u0131llarda devlet ve \u00f6zellikle \u00fcniversitelerde g\u00f6rev yapan\nATU\u2019lara k\u0131yasla \u00f6zel sekt\u00f6rde maa\u015flar\u0131n daha cazip olmas\u0131 ATU\u2019lar i\u00e7in \u00f6zel\nsekt\u00f6r\u00fc cazip hale getirmi\u015ftir. 2000\u2019\u2019nin ilk dekad\u0131n\u0131n sonlar\u0131na do\u011fru Sa\u011fl\u0131k\nBakanl\u0131\u011f\u0131\u2019n\u0131n acil servise ba\u015fvurulardaki acil hasta tan\u0131m\u0131 ve SGK\u2019n\u0131n ard\u0131\nard\u0131na yay\u0131nlad\u0131\u011f\u0131 sa\u011fl\u0131k uygulama tebli\u011fleri (SUT) ile tam veya k\u0131sm\u0131 s\u00f6zle\u015fme\nimzalayarak hizmet veren sa\u011fl\u0131k hizmet sunucusu kurumlar\u0131n\u0131n s\u00f6zle\u015fmelerinde\nacil servise ba\u015fvuran hastalara yap\u0131lan \u00f6demelerin s\u0131n\u0131rlar\u0131n\u0131 \u00e7izmesi \u00f6zel\nsa\u011fl\u0131k kurumu y\u00f6neticileri ve \u00f6zel sekt\u00f6rde g\u00f6rev yapan ATU\u2019lar i\u00e7in d\u00f6n\u00fcm\nnoktas\u0131 olmu\u015ftur. Bu a\u015famada \u00f6zellikle SGK ile s\u00f6zle\u015fme imzalayarak k\u0131smi\nanla\u015fmal\u0131 olan ve s\u00f6zle\u015fme imzalamayarak anla\u015fma yoluna gitmeyen baz\u0131 \u00f6zel\nsa\u011fl\u0131k kurumlar\u0131 acil servislerini k\u00fc\u00e7\u00fcltme ve s\u0131n\u0131rland\u0131rma yoluna giderken,\ntam anla\u015fmal\u0131 kurumlar ise acil servislerinin kapasitelerini ayn\u0131 tutmu\u015f ya da\ngeni\u015fletmi\u015ftir. Bu geli\u015fmeler kapasite daraltan kurumlarda \u00e7al\u0131\u015fan ATU\u2019lar i\u00e7in\nhem olumsuz olurken, di\u011ferleri i\u00e7in olumlu olmu\u015f ve hatta kapasitesini ayn\u0131\ntutan ve geni\u015fleten kurumlar daha fazla ATU ile \u00e7al\u0131\u015fma gereksinimi duymu\u015ftur.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><em>ATU\u2019nun \u00d6zel Sa\u011fl\u0131k Kurumlar\u0131nda Kazanc\u0131 ve \u00d6zl\u00fck Haklar\u0131<\/em><\/h5>\n\n\n\n<p>ATU\u2019lar \u00f6zel sa\u011fl\u0131k kurumlar\u0131nda k\u0131demleri ve tecr\u00fcbelerine g\u00f6re\n\u00fccretlendirilebilmektedir. Bu rakamlar \u015fu anda \u00e7o\u011funlukla \u0130stanbul\u2019da kamu\nkurumlar\u0131nda g\u00f6rev yapan ATU\u2019lar\u0131n gelirine (kamu kurumda g\u00f6rev yapan\ns\u00f6zle\u015fmeli ATU\u2019dan a\u015fa\u011f\u0131da) yak\u0131n, ancak \u0130stanbul d\u0131\u015f\u0131nda alt\u0131nda kalmaktad\u0131r. <\/p>\n\n\n\n<p>\u00d6zel sa\u011fl\u0131k kurumlar\u0131nda g\u00f6rev yapan ATU\u2019lar i\u00e7in uygulanan 3 farkl\u0131\ngelir modeli bulunmaktad\u0131r. Bunlardan bordrolu ve serbest meslek erbab\u0131 olarak\ngelirini tahsil eden ATU\u2019lar gelir vergisine tabi iken, fatura kar\u015f\u0131l\u0131\u011f\u0131\ngelirini tahsil edenler kurumlar vergisine tabi olmaktad\u0131r. \u015eu haliyle kurum\ny\u00f6neticileri ATU ile net veya br\u00fct maa\u015f ile&nbsp;\nkontrat imzalayabilmektedirler. \u00d6zellikle \u0130stanbul merkezli zincir\nsa\u011fl\u0131k gruplar\u0131 br\u00fct gelir anla\u015fmas\u0131 \u00f6nermektedirler. ATU bu noktada uyan\u0131k\nolmal\u0131 ve br\u00fct rakam\u0131n cazibesine kap\u0131l\u0131p hemen imza atmamal\u0131d\u0131r. Serbest\nmeslek erbab\u0131 (\u015fah\u0131s \u015firketi) ve t\u00fczel bir ki\u015filik (limited veya anonim \u015firket)\nolarak gelir tahsil edildi\u011finde br\u00fct gelir \u00f6neriledi\u011finin alt\u0131n\u0131 tekrar \u00e7izmek\nlaz\u0131m. Bu durumda ATU\u2019nun bu br\u00fct rakamdan gelir gider dengesine uygun\ngelir\/kurumlar vergisini ile KDV ile sosyal g\u00fcvenlik kurumu (BA\u011eKUR veya SSK)\nprimlerini kendisinin \u00f6deme zorunlu bulunmaktad\u0131r. Ancak b\u00fct\u00e7e yapabilen ve\ngelir\/gider dengesinin takibiyle, k\u0131sa vadeli yat\u0131r\u0131mlar\u0131n\u0131 ak\u0131lc\u0131 bir \u015fekilde\ntakibini yapabilen bir ATU i\u00e7in br\u00fct \u00fccret ile anla\u015fma yaparak belge kar\u015f\u0131l\u0131\u011f\u0131\ngelir tahsilat\u0131 mant\u0131kl\u0131 bir yol olabilir. Bordorlu gelir tahsilat modelinde\nise yine gelir vergisine tabi olup kamu ve \u00fcniversitede g\u00f6rev yapan ATU\u2019lar\ngibi t\u00fcm vergi ve prim kesintiler yap\u0131larak net maa\u015f verilmektedir. <\/p>\n\n\n\n<p>\u0130lgili aya tekab\u00fcl eden gelir i\u00e7in de 3 farkl\u0131 model bulunabilmektedir.\nS\u00fcrekli sabit bir rakam ile anla\u015f\u0131labilirken, d\u00fc\u015f\u00fck bir sabit gelire ek\nhakedi\u015fe esas gelirlerden (hasta muayene, m\u00fcdahale, g\u00f6zlem vb) belli bir oranda\npayla\u015f\u0131m (kamudaki performans (d\u00f6ner sermaye) sistemine yak\u0131n) ya da tamamen\ndaha y\u00fcksek oran da bir payla\u015f\u0131m modeli de bulunmaktad\u0131r. Bu noktada ak\u0131ldan\n\u00e7\u0131kar\u0131lmamas\u0131 gereken nokta tam payla\u015f\u0131m modelinde sadece g\u00f6rev yap\u0131lmas\u0131\nhalinde kazanc\u0131n oldu\u011fu, \u00e7al\u0131\u015fmad\u0131\u011f\u0131 durumlarda herhangi bir gelir\nolu\u015fmad\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izmek laz\u0131m.<em>&nbsp;<\/em><\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><em>ATU\u2019 nun \u00d6zel Sa\u011fl\u0131k\nKurumlar\u0131ndaki Gelece\u011fi<\/em><\/h5>\n\n\n\n<p>ATU\u2019 lar g\u00f6rev yapt\u0131klar\u0131 \u00f6zel sa\u011fl\u0131k kurumlar\u0131\ne\u011fer vak\u0131f \u00fcniversitesi ile afiliye hastaneler ise hem hizmet hastanesinde\ng\u00f6rev yapan uzman, hem de vak\u0131f \u00fcniversitesinde g\u00f6rev yapan akademisyen rolleri\nbulunabilmektedir. \u00c7o\u011funlukla bu iki rol i\u00e7in ayr\u0131 ayr\u0131 \u00fccretlendirilmemekte ve\ntek bir gelirin payla\u015f\u0131m\u0131 yap\u0131lmaktad\u0131r.2018 itibariyle \u00f6zel sa\u011fl\u0131k\nkurumlar\u0131nda 100\u2019e yak\u0131n ATU g\u00f6rev yapmaktad\u0131r. <\/p>\n\n\n\n<p>Di\u011fer bran\u015flar\u0131n acil t\u0131p uzmanl\u0131\u011f\u0131n\u0131 daha yak\u0131ndan tan\u0131mas\u0131 ve art\u0131k onlar i\u00e7in acil t\u0131p prati\u011finin ATU taraf\u0131ndan uygulanmas\u0131n\u0131n, sorumluluk ve bazen yo\u011funlu\u011funun azalmas\u0131n\u0131n, ATU\u2019 lar\u0131n idari g\u00f6revlerde y\u00f6netici olarak g\u00f6revler almas\u0131 \u00f6zel sekt\u00f6rde ATU\u2019 lar i\u00e7in olumlu, yol a\u00e7\u0131c\u0131 olmu\u015ftur ve olacakt\u0131r. <\/p>\n\n\n\n<p>Do\u00e7. Dr. Serkan \u015eener<br>Acil T\u0131p Uzman\u0131<br>Ac\u0131badem Mehmet Ali Ayd\u0131nlar \u00dcniversitesi T\u0131p Fak\u00fcltesi Acil T\u0131p AD <br>Ac\u0131badem Ankara Hastanesi <br>Ba\u015fhekim Yard\u0131mc\u0131s\u0131 ve Acil Servis Sorumlu Hekimi<br><a href=\"mailto:ssenermd@gmail.com\">ssenermd@gmail.com<\/a><br><a href=\"mailto:serkan.sener@acibadem.edu.tr\">serkan.sener@acibadem.edu.tr<\/a><\/p>\n\n\n\n<p>KAYNAKLAR<\/p>\n\n\n\n<p>1- \u00c7avmak, \u015e , \u00c7avmak, D . &#8220;T\u00dcRK\u0130YE\u2019DE SA\u011eLIK\nH\u0130ZMETLER\u0130N\u0130N TAR\u0130HSEL GEL\u0130\u015e\u0130M\u0130 VE SA\u011eLIKTA D\u00d6N\u00dc\u015e\u00dcM PROGRAMI&#8221; Sa\u011fl\u0131k\nY\u00f6netimi Dergisi 1 (2017): 48-57<\/p>\n\n\n\n<p>2- T\u00fcrkiye\u2019de Sa\u011fl\u0131k Sekt\u00f6r\u00fcne Bak\u0131\u015f, <a href=\"http:\/\/www.harmonigd.com.tr\/tr\/haber\/turkiyede-saglik-sektorune-genel-bakis\/\">http:\/\/www.harmonigd.com.tr\/tr\/haber\/turkiyede-saglik-sektorune-genel-bakis\/<\/a> Ula\u015f\u0131m: 10.05.2018<\/p>\n\n\n\n<p>3- Acil t\u0131p nedir? <a href=\"https:\/\/www.acilci.net\/acil-tip-nedir\/\">https:\/\/www.acilci.net\/acil-tip-nedir\/<\/a> Ula\u015f\u0131m 10.05.2018<\/p>\n\n\n\n<p>4- S. \u015eener, E. Aksay, M. \u00d6zsara\u00e7, et al, T\u00fcrkiye\u2019de acil t\u0131p\nasistanl\u0131k programlar\u0131 D\u00fcn\u00fc, bug\u00fcn\u00fc ve yar\u0131n\u0131. Sendrom (2005):36-40<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zel Sa\u011fl\u0131k Kurumlar\u0131n\u0131n Geli\u015fimi Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, T\u00fcrkiye B\u00fcy\u00fck Millet Meclisi\u2019nin (TBMM) a\u00e7\u0131l\u0131\u015f\u0131 ile birlikte 3 May\u0131s 1920 tarihinde y\u00fcr\u00fcrl\u00fc\u011fe giren 3 say\u0131l\u0131&hellip;<\/p>\n","protected":false},"author":1599,"featured_media":577,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[10],"tags":[],"class_list":["post-574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mercek"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/users\/1599"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/comments?post=574"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/574\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media\/577"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media?parent=574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/categories?post=574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/tags?post=574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}