
Sosyal Güvenlik Korumu geçtiğimiz hafta manuel reçete ve elektronik ortamda düzenlenmeyen diğer evrakların ECZANELER tarafından medula sistemine taratılıp aktarılarak muhafaza edilmesini zorunlu hale getirdiğini duyurmuştu. 54 Eczacı Odası (tüm eczacı odaları) bir araya gelerek bu düzenlemenin uygulanamaz olduğu ve eczanelerde kaos yaratacak bir angarya olduğu yönünde açıklama yayınladılar. Açıklama şöyle:
Eczacı Kamuoyuna
SGK tarafından 24.12.2019 tarihinde yayımlanan duyuru ile "…elektronik ortamda düzenlenmeyen belgelerin elektronik ortama aktarılarak Kuruma gönderilmesi yönteminin, sözleşmeli eczaneler tarafından da kullanılmasının 01.03.2020 tarihinden itibaren zorunlu hale getirileceği" bildirilmiştir.
Söz konusu duyuru sonrası TEB tarafından yapılan açıklamada, Kurum ile konu hakkında bir mutabakatları bulunmadığı ve faturalandırma işlemlerinin bugüne kadar olduğu gibi yürütülmesinin uygun olacağı duyurulmuştur.
Sağlık tesisinde yani kaynağında elektronik ortamda düzenlenmeyen bir belgenin, eczaneler tarafından çeşitli yöntemlerle elektronik ortama taşınmasını ve Kuruma elektronik ortamda gönderilmesini istemek, biz eczacılar açısından yeni bir angarya demektir.
2018 yılında pilot uygulama başlatılan illerdeki meslektaşlarımızın tecrübeleri ve ilgili Eczacı Odalarımızın konuya yönelik raporları açıkça ortaya koymuştur ki; bu yöntem, mevcut kağıt reçete oranlarıyla eczanelerimiz açısından uygulanabilir bir yöntem değildir. Bu haliyle uygulamada ısrarcı olmak, eczanelerimizde kaosa ve beraberinde de hasta mağduriyetlerine sebebiyet verecektir.
Özellikle 2. ve 3. basamak sağlık kuruluşlarında e-reçete oranlarının %50-60 seviyelerinde olduğu düşünüldüğünde, her ay milyonlarca adet reçetenin ve eki belgenin meslektaşlarımız tarafından elektronik ortama taşınarak Kuruma fatura edilmesi mümkün değildir. Ayrıca SGK verileriyle 2018 e-reçete oranı %87 olarak açıklanmış olmasına karşın, SB Kamu Hastaneleri Genel Müdürlüğü Eylül-2018 verilerine göre, e-reçete düzenleme oranı yalnızca %60'larda kalan illerin (Ordu %60,44) mevcut olduğu da önemli bir gerçektir. Bu gerçek de göz önüne alındığında eczanelere dayatılmak istenilen yöntemin sakıncaları daha iyi anlaşılacaktır.
SGK'nın, 28.07.2019 tarihinde kağıt reçetelerdeki teşhislerin ICD-10 kod karşılıklarının eczaneler tarafından Medula Provizyon Sistemine kayıt edilmesi zorunluluğu getiren uygulaması, yine Kurum tarafından 1 gün sonra yayımlanan duyuru ile "Toplam reçetelerdeki e-reçete oranları %95'e ulaşana kadar" ertelenmiştir. Yalnızca ICD-10 kod girişi için bile %95 e-reçete oranı Kurum tarafından uygulama başlangıç kriteri olarak kabul edilmiş iken, tüm kağıt belgelerin elektronik ortama taşınması için mevcut e-reçete oranlarını yeterli kabul ederek aceleci davranılması izaha muhtaçtır.
Biz aşağıda imzası bulunan Eczacı Odaları, meslektaşlarımızın iş yükünü arttıracak, beraberinde depolama ve muhafaza sorunları getirecek bu uygulamayı;
- E-reçete oranları tüm ülke çapında en az %95 seviyesine ulaşmadan,
- Sistemdeki uygulama güçlüklerine yönelik sorunlar çözülmeden,
- Depolama ve muhafaza konusundaki endişelerimiz giderilmeden,
- TEB ile konu hakkında mutabakat sağlanmadan ve İlaç Temin Protokolünde uygulamaya yönelik düzenleme yer almadan, kabul etmiyoruz.
Üyelerimizin haklarını korumak adına, Kurum tarafından 1 Mart tarihi ile bizlere dayatılan zorunluluğu reddediyor ve TEB Merkez Heyetimizin konuyla ilgili atacağı tüm adımların arkasında olduğumuzu eczacı kamuoyuna ilan ediyoruz.
Saygılarımızla.
1. Bölge İstanbul Eczacı Odası
2. Bölge Ankara Eczacı Odası
3. Bölge İzmir Eczacı Odası
4. Bölge Adana Eczacı Odası
5. Bölge Konya Eczacı Odası
6. Bölge Samsun Eczacı Odası
7. Bölge Bursa Eczacı Odası
8. Bölge Gaziantep Eczacı Odası
9. Bölge Eskişehir Eczacı Odası
10. Bölge Antalya Eczacı Odası
11. Bölge Diyarbakır Eczacı Odası
12. Bölge Kayseri Eczacı Odası
13. Bölge Erzurum Eczacı Odası
14. Bölge Kahramanmaraş Eczacı Odası
15. Bölge Isparta Eczacı Odası
16. Bölge Denizli Eczacı Odası
17. Bölge Zonguldak Eczacı Odası
18. Bölge Trabzon Eczacı Odası
19. Bölge Tekirdağ Eczacı Odası
20. Bölge Sakarya Eczacı Odası
21. Bölge Aydın Eczacı Odası
22. Bölge Malatya Eczacı Odası
23. Bölge Elazığ Eczacı Odası
24. Bölge Ordu Eczacı Odası
25. Bölge Mersin Eczacı Odası
26. Bölge Kastamonu Eczacı Odası
27. Bölge Şanlıurfa Eczacı Odası
28. Bölge Hatay Eczacı Odası
29. Bölge Manisa Eczacı Odası
30. Bölge Balıkesir Eczacı Odası
31. Bölge Kocaeli Eczacı Odası
32. Bölge Muğla Eczacı Odası
33. Bölge Afyon Eczacı Odası
34. Bölge Aksaray Eczacı Odası
35. Bölge Kütahya Eczacı Odası
36. Bölge Çanakkale Eczacı Odası
37. Bölge Sivas Eczacı Odası
38. Bölge Van Eczacı Odası
39. Bölge Edirne Eczacı Odası
40. Bölge Kırklareli Eczacı Odası
41. Bölge Tokat Eczacı Odası
42. Bölge Giresun Eczacı Odası
43. Bölge Mardin Eczacı Odası
44. Bölge Batman Eczacı Odası
45. Bölge Çorum Eczacı Odası
46. Bölge Uşak Eczacı Odası
47. Bölge Amasya Eczacı Odası
48. Bölge Osmaniye Eczacı Odası
49. Bölge Yozgat Eczacı Odası
50. Bölge Karaman Eczacı Odası
51. Bölge Adıyaman Eczacı Odası
52. Bölge Nevşehir Eczacı Odası
53. Bölge Niğde Eczacı Odası
54. Bölge Burdur Eczacı Odası
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Ferrari World Abu Dhabi is home to the world's fastest rollercoaster and the highest loop ride. Leisa Tyler/LightRocket/Getty Images
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Why Disney chose Abu Dhabi for their next theme park location
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