Referans "Eczacı"

Ömür Çakmak Cu, 30/08/2019 - 11:43

Tüm Eczacı İşverenler
Sendikasının yaptığı ankete göre eczane sahibi eczacıların yüzde 73’ü hâlinden
hiç memnun değil. Hatta bunun yüzde 23’ü iş değişikliği yapmayı düşünüyor.
Sebebini az çok biliyorsunuzdur, kısaca değinelim.



Türkiye'de eczane işleten eczacılar son yıllarda "Sağlık harcamalarının kısıtlanması" politikalarından en olumsuz yönde etkilenen
meslek gruplarından biri hâline geldi. Sağlıkta bütçe açığından kaynaklı
olarak, diğer dikkat çeken harcamalar göz ardı edilip fatura en başta ilaç
harcamalarına kesildi. "Referans Fiyat Uygulaması" kapsamında bir
ilacın dünyadaki eşdeğerlerinden en ucuzunun fiyatı referans alınarak ilaç
fiyatları düşürüldü. Aslında bu temelde haklı ve doğru bir işti. Ancak bu süreç
doğru yönetilemediği için eczacıları madur etti. Eczacılar fiyat düşüşleri
oranında çok ciddi stok zararıyla karşı karşıya kaldılar. Maliyet ve girdileri
sürekli artmasına rağmen stok zararlarıyla birlikte, ciroların -doğal olarak-
nerdeyse %100'e varan oranlarda düşmesi eczacıları zor durumda bıraktı.
 Bu süreçte neredeyse dört-beş kat fiyatı ucuzlayan ilaçlar olduğunu
gördük. Zamanında ilaç sektörünün Türkiye'mizden büyük paralar götürmüş olduğunu
da böylelikle öğrendik. Fiyatlar düşürülsün, bir ilacın hakiki değeri ne ise
bedeli o şekilde ödensin eczacının buna itiraz ettiği yok. Nitekim her dönem
"Referanstan İlaç Fiyatı Düşüşleri" devam ediyor. Ancak bunlar yapılırken  vatandaş açısından
durum nedir, Türkiye'de sayısı 26 bini aşkın eczane ve orda çalışanlar
 açısından durum nedir, maduriyetler nasıl giderilebilir diye
bakılmalıdır.



İlaç fiyatları düşüyor da vatandaşın cebinden çıkan para düşüyor mu? Sigorta
primini ödemiş veya ödemekte olanlar dahil olmak üzere, her muayeneden ve
reçete edilen ilaç kutusu başına SGK vatandaştan "muayene ve reçete bedeli" adı altında para kesiyor. Eğer ki vatandaş
emekli statüsündeyse bu ücretler vatandaşın maaşından kesiliyor, eğer emekli
değilse Sosyal Güvenlik Kurumu adına vezneliği eczaneler yapıyor. Eczacılar
vatandaşla karşı karşıya kalıyor, bu ücretlerin devlete kesildiği anlatmakta
büyük sıkıntılar yaşanıyor.  Öte yandan birçok ilaç, fiyatını eşdeğer
referans ilaç fiyatına tam olarak çekmediği için, kurumun ödememesinden
kaynaklı çıkan fiyat farklarını da hastadan tahsil etmek yine eczacıya düşüyor.
Sosyal Güvenlik Kurumu tarafından bedeli hiç ödenmeyen ilaçlar ise cabası..
Neticede ilaç harcaması için vatandaşın cebinden çıkan para azalmadı bilâkis
arttı. Eczanelerin durumu ise gün geçtikçe daha da kötüleşiyor. Ciroların ciddi
oranda azalmasıyla düşen kârlılığın üstüne her dönem doğan yeni stok zararları
eklenince, üstüne üstük bir de gider kalemleri artınca eczaneler hızla kan
kaybediyor. Madem ki Avrupa'daki 5 ülkedeki ilaç fiyatları referans alınarak
fiyatlar düşecek, düşsün lâkin oralardaki eczanelerin durumu da referans
alınsın.



Avrupa ülkelerinde ve Dünyanın diğer ülkelerinin çoğunda; halk sağlığına
dönük kamu hizmeti ve danışmanlık yaptıkları için eczacılara "meslek
hakkı" ödenmektedir. Örneğin; Hollanda'da reçete başına 6.10 euro,
Fransa'da ilaç kutusu başına 0,53 euro sisteme girme bedeli olarak 0.10 euro,
Almanya'da reçete başına 8.3 euro, Avusturya reçete başına 4.8 euro, İngiltere
reçetelenen ürün başına 90 peni ambalaj ödeneği olarak 3,24 peni, ABD'de reçete
başına 9 dolar meslek hakkı ödenmektedir. Referans göstererek fiyat düşürülen
ülkelerde eczanelerin yaşatılması ve itibarını koruyabilmesi için referans
uygulama genellikle budur. Ne var ki Türkiye'mizde eczacıların meslek hakkı
talebine henüz olumlu yanıt verilmemiştir. Bahane olarak SGK, ilaç bedeli
ödemelerinin %40'ının sadece 1000 küsür eczaneye yapılmakta olduğunu, eğer
meslek hakkı ödenirse bu tutarları ödemenin bütçeyi zorlayacağı gibi bu uygulamanın
eczacıların çoğunluğuna değil zengin küçük bir azınlığına (%4'üne) yarayacağını
öne sürmektedirler. Halbuki bu durumu eczacıların çoğunluğunun leyhine çevirmek
öyle zor bir iş değildir. Meslek hakkı uygulamasında ortalama bir üst sınır
koymak veya reçete sayısına göre meslek hakkı belirlemek suretiyle ortaya
çıkacak dengesizlik giderilebilir. Öte yandan devletin özel sektöre çok
görmediği harcamaları; halk yararına kamu sağlığı hizmeti ile birlikte,
devletin tahsildarlığını bile yapmakta olan eczacıya çok görmek açık bir çifte
standarttır. Geçmişte uygulanan yanlış bütçe politikalarının sorumlusu
eczacılar ve diğer vatandaşlar değildir, o yüzden o sorumluluğun bedeli de,
sağlık giderlerinin faturası da eczacılara veya vatandaşlara ödetilmemelidir.



Eczacılar bu ülkenin tahsil görmüş, sağlık hizmeti veren öz evlatlarıdır.
Mevzubahis "referans" ise hakkaniyet ilkelerine uyulması gerekir.
Kamu leyhine olan "referansları" görüp, eczacı ve vatandaş leyhine
olanları görmezden gelmek adil bir yaklaşım olarak değerlendirilemez.



Ecz. ÖMÜR ÇAKMAK

Yorumlar

MichaelFab (doğrulanmamış) Cu, 14/06/2024 - 23:40

In present-day electronic age, internet shopping is now significantly preferred. With just some clicks, it is possible to browse by a variety of products and also have them shipped correct for your doorstep. Nonetheless, when it comes to paying for reproduction designer luggage on the internet, there are lots of frauds and fraudulent sellers ready to make the most of unsuspecting purchasers. This informative article aims to guidebook you regarding how to stay clear of these scams and make Protected buys when shopping for duplicate designer baggage online.
How in order to avoid Cons When Buying Duplicate Designer Baggage Online
When it arrives to buying reproduction designer bags on the net, It is important to be careful and do your research. Below are a few tips to assist you steer clear of cons and assure a safe shopping experience:
1. Investigate the Seller's Reputation
https://dantefpew.bloggersdelight.dk/2024/05/21/what-can-i-find-high-qu…
https://writeablog.net/viliagmoke/what-are-high-quality-knockoff-bags
https://writeablog.net/viliagmoke/how-are-top-notch-replica-handbags
https://judahytdg160.exposure.co/how-can-i-find-highquality-fake-purses…
https://andrekcln458.mystrikingly.com/

Before creating any buy, always analysis the name of the seller. Look for reviews and suggestions from prior consumers. Verify if the seller has a Actual physical retail store or Web page that is certainly nicely-proven and dependable. Trustworthy sellers generally have optimistic evaluations along with a track record of providing quality goods.
2. Confirm Authenticity Claims
Be skeptical of sellers who assert their reproduction designer luggage are "reliable." Replica luggage are by definition not reliable, so any statements in any other case really should raise purple flags. Try to find sellers that are transparent about offering replicas and provide precise descriptions in their merchandise.

3. Check for Protected Payment Options
Ensure that the website or platform you are applying presents secure payment solutions. Seek out SSL encryption on the payment webpage, that can defend your own and monetary info from getting intercepted by hackers.

4. Examine Prices

If a deal would seem also good to generally be accurate, it in all probability is. Look at prices across different platforms and sellers to acquire an notion of the average rate range for reproduction designer baggage. If a seller is substantially undercutting Some others, it could be a sign of the fraud.

5. Try to find In-depth Product or service Descriptions
A trustworthy seller will offer in depth product descriptions, together with details about supplies, dimensions, and craftsmanship. Be wary of sellers who offer vague or incomplete descriptions, as they may be hiding poor high-quality merchandise.

6. Check with for Additional Photos

If the solution illustrations or photos supplied by the seller are limited or very low excellent, don't wait to request For extra pictures. Ask for shots from diverse angles and shut-ups of specific specifics making sure that the duplicate bag fulfills your expectations.

FAQs

Q: Could it be authorized to obtain replica designer luggage on line?
A: Although it is normally authorized to get replica designer baggage for private use, offering them might be illegal in some countries. It really is necessary to familiarize your self with the laws with your jurisdiction before making a obtain.
Q: Am i able to have a refund if I receive a inadequate-excellent replica bag?
A: It will depend on the seller's return policy. Before making a order, Make sure you read and have an understanding of the seller's return coverage. Trustworthy sellers normally present refunds or exchanges for faulty solutions.
Q: Are replica designer luggage of top of the range?
A: The caliber of reproduction designer baggage may vary noticeably with regards to the vendor. It is really essential to carry out comprehensive investigation and browse assessments from preceding consumers to make sure you're buying from a trustworthy vendor who gives superior-quality replicas.
Q: How am i able to place a bogus duplicate designer bag on the net?
A: Spotting a pretend replica designer bag could be complicated, as counterfeiters develop into progressively advanced in their replication tactics. Hunt for inconsistencies in branding, stitching, components, and products in comparison to reliable luggage. If in doubt, check with boards or communities dedicated to recognizing fakes for expert viewpoints.
Q: Can I believe in on the web marketplaces when purchasing replica designer bags?
A: On the internet marketplaces is usually a mixed bag when it comes to purchasing replica designer baggage. While some sellers are highly regarded, Some others may perhaps try and rip-off unsuspecting prospective buyers. It can be vital to investigation specific sellers and browse consumer testimonials before making a acquire.
Q: Are there any warning signals that show a scam vendor?
A: Indeed, there are plenty of warning symptoms to watch out for when dealing with possible fraud sellers. These involve unprofessional Web-site layouts, bad grammar and spelling in item descriptions, deficiency of shopper assessments or feed-back, and requests for payment as a result of unconventional procedures.

Conclusion
Purchasing reproduction designer luggage online may be a terrific way to enjoy luxurious trend in a fraction of the price. Nevertheless, It can be critical to remain vigilant and stay clear of frauds. By looking into the vendor's reputation, verifying authenticity promises, using secure payment alternatives, evaluating charges, and in search of comprehensive merchandise descriptions, you may lower the risk of slipping target to fraudulent sellers. Make sure to request inquiries and Get as much data as you can prior to making a buy. With these strategies in your mind, you could confidently navigate the web Market and locate large-high-quality replica designer baggage that meet your design and spending plan.

https://jsbin.com/tapaveboga
https://penzu.com/p/7b6c430eff49ad3a
https://squareblogs.net/lolfurievm/where-to-find-high-quality-fake-purs…
https://squareblogs.net/lolfurievm/where-to-find-high-quality-fake-purs…
https://sergioolhb158.weebly.com/blog/what-can-i-find-the-best-knockoff…

AnnaMiss76pak (doğrulanmamış) Ct, 15/06/2024 - 03:11

Узы ?регулируемые ?- это важная составляющая? любого окружения, определяющая чин и? правила? взаимодействия? промежду людьми. В? данной ?статье ?мы разглядим, что экое отношения, ?как? они ?регулируются а также что так ?это играет ключевую цена на поддержании гармони а также стабильности в течение обществе.

<img src="https://kinoblok.com/wp-content/uploads/2024/06/896057.jpg"&gt;
Чувственная регуляция в течение взглядах: как? сохранить спокойствие
<a href=https://kinoblok.com/%d0%b2%d0%b8%d0%b4%d1%8b-%d0%ba%d0%be%d0%bd%d1%84%… отношений</a>

Яко сохранить? ясность ?в связях,? эпизодически чувства кипят? также кажется, яко ?срываться с счетов? уже невозможно? Специалисты по психологии говорят, ?что ?ключ к? успеху лежит? в течение чувственной регуляции. Чтоб сберечь строй на связях ?и избежать столкновений, важно научиться контролировать свои эмоции равно ?реагировать ?адекватно сверху эпатаж ?партнера.

Эпохально ?помнить, что ?эмоции ?— это нормальная часть ?человеческого опыта, а также отрицание их? не ?является здоровым подходом. Вместо этого чтоб подавлять? свои? чувства, ?стоит? учиться осознанно переживать и? говорить их. ?Открытый диалог со партнером подсобит лучше понять шнурок ненаглядного ?и? разрешить возникшие проблемы.

Существует? несколько способов чувственной регуляции,? коим посодействуют сохранить ?спокойствие на любой ситуации. Часть из? их ?включают? на себе техники респирационных упражнений, ?медитации, ?физической энергичности, а также? практику самоанализа равным образом саморефлексии.? Выберите подходящий для вы ?метод а также применяйте его в течение ?повседневной жизни.

Запомните, ?что эмоциональная регуляция ?— это ?навык, яже ?требует ?практики и еще терпения. Полно страшитесь ?обращаться за ?помощью ?к специалистам, если самочки безлюдный (=малолюдный) в силах ?справиться? с психологическим дисбалансом. Созидайте здоровые узы ?на исходные положения ?взаимопонимания да почтения, ?и ваша милость ясный путь выберете гармошку ?в? собственной жизни.
Формирование границ? в течение контролируемых отношениях: важность точных распоряжался

Формирование ?границ в течение ?регулируемых ?отношениях? играет ?ключевую цена в поддержании порядка и еще эффективного? функционирования ?процессов. Ясные философия да положения? подсобляют избежать заблуждений и? столкновений, а тоже ?способствуют более? мелодичному взаимодействию ?между участниками? отношений.
<a href=https://xn--22-6kce2byafpidh.xn--p1ai/ugol/kuzbass-do-meshok/>Регулиров… чувств: основные аспекты а также принципы</a> abfb8e2
Благодаря ?установленным чертам возможно сильнее буквальное ?определение ответственности? каждой стороны в течение регулируемых? отношениях.? Этто оказать содействие сильнее четкому распределению ?обязанностей? а также полномочий, ?что в течение личную череда способствует более? соответственному управлению ходом и? ресурсами.

Выбор также установление мер ?в взглядах ?требует внимательного? анализа (а) также ?обсуждения? между сторонами. Необходимо учитывать? развитие также надобности всех соучастников, чтобы? отыскать подходящее решение? равным образом сделать стабильную основу для сотрудничества.

четкие правила (а) также ?границы ?в контролируемых взаимоотношениях ?не ?только споспешествуют улучшению? коммуникации? и? партнерства, хотя также представляются необходимым договором чтобы успешного вырабатывания и? эффективного функционирования каждых процессов.
<a href=https://kinoblok.com/%d0%bf%d1%81%d0%b8%d1%85%d0%be%d0%bb%d0%be%d0%b3%d… с мужчиной</a>

LarryTah (doğrulanmamış) Ct, 15/06/2024 - 05:41

Daddy Casino - Официальный телеграм канал со слотами от Дэдди Casino <a href=https://t.me/daddycasinorussia>daddy casino официальный сайт</a> . Актуальное, рабочее зеркало официального сайта Дэдди Казино. Регистрируйся в Казино Daddy, получай бонус используя промокод, не забудь скачать
daddy casino вход
https://t.me/daddycasinorussia

LarryTah (doğrulanmamış) Ct, 15/06/2024 - 05:58

Daddy Casino - Официальный телеграм канал со слотами от Дэдди Casino <a href=https://t.me/daddycasinorussia>daddy casino играть</a> . Актуальное, рабочее зеркало официального сайта Дэдди Казино. Регистрируйся в Казино Daddy, получай бонус используя промокод, не забудь скачать
daddy казино вход
https://t.me/daddycasinorussia

Justinmab (doğrulanmamış) Ct, 15/06/2024 - 06:06

In present day digital age, shopping online is now progressively popular. With just some clicks, you may browse by means of a wide range of merchandise and have them delivered correct on your doorstep. Nonetheless, On the subject of buying reproduction designer bags on the internet, there are numerous ripoffs and fraudulent sellers waiting to make use of unsuspecting purchasers. This text aims to guideline you regarding how to prevent these ripoffs and make safe purchases when purchasing reproduction designer baggage on the net.
How to stay away from Frauds When Buying Duplicate Designer Bags Online
When it arrives to buying reproduction designer bags on line, It really is important to be careful and do your due diligence. Here are a few ideas to help you prevent ripoffs and assure a safe purchasing encounter:
1. Study the Seller's Reputation
https://tempaste.com/WLcO32ezo4H
https://mad-boy.unicornplatform.page/blog/what-can-i-find-top-notch-rep…
https://postheaven.net/erwinenqpm/how-to-find-some-replica-bags
https://judahytdg160.exposure.co/what-are-highquality-knockoff-luxury-b…
https://squareblogs.net/lolfurievm/where-can-i-find-high-quality-knocko…

Before creating any acquire, constantly investigation the popularity of the vendor. Try to look for critiques and feedback from prior shoppers. Check if the seller features a Bodily retail outlet or Internet site that is effectively-set up and reputable. Dependable sellers frequently have good testimonials along with a background of delivering high-quality products and solutions.
2. Verify Authenticity Claims
Be skeptical of sellers who claim their replica designer bags are "authentic." Duplicate baggage are by definition not authentic, so any promises normally should really increase purple flags. Hunt for sellers who will be transparent about providing replicas and provide precise descriptions in their products and solutions.

3. Look for Safe Payment Options
Ensure that the web site or platform you might be using features safe payment alternatives. Hunt for SSL encryption over the payment page, that can shield your individual and money info from currently being intercepted by hackers.

4. Look at Prices

If a offer appears much too good being true, it probably is. Review price ranges across distinct platforms and sellers to have an idea of the common value selection for reproduction designer bags. If a seller is considerably undercutting Other individuals, it could be a sign of a fraud.

5. Seek out Detailed Item Descriptions
A respected vendor will offer in-depth products descriptions, which include information about resources, Proportions, and craftsmanship. Be wary of sellers who present obscure or incomplete descriptions, as They might be hiding weak good quality products.

6. Request For added Photos

If the item visuals supplied by the vendor are limited or lower top quality, Will not wait to ask for additional images. Ask for photographs from diverse angles and close-ups of certain aspects making sure that the duplicate bag satisfies your anticipations.

FAQs

Q: Is it lawful to obtain reproduction designer baggage on the web?
A: Although it is mostly legal to obtain duplicate designer luggage for private use, selling them can be illegal in a few countries. It can be necessary to familiarize by yourself While using the guidelines inside your jurisdiction prior to making a invest in.
Q: Can I receive a refund if I get a bad-quality reproduction bag?
A: It depends on the vendor's return policy. Before making a invest in, Ensure that you browse and recognize the vendor's return plan. Highly regarded sellers normally present refunds or exchanges for faulty products.
Q: Are reproduction designer luggage of high quality?
A: The standard of replica designer bags will vary drastically with regards to the seller. It can be important to do extensive study and browse assessments from past clients to make sure you're purchasing from a reliable seller who features large-good quality replicas.
Q: How can I spot a bogus reproduction designer bag on-line?
A: Spotting a phony duplicate designer bag could be demanding, as counterfeiters come to be ever more innovative within their replication procedures. Try to find inconsistencies in branding, stitching, hardware, and components in comparison to reliable baggage. If in doubt, consult boards or communities focused on recognizing fakes for qualified opinions.
Q: Can I have faith in on the internet marketplaces when obtaining duplicate designer bags?
A: On the internet marketplaces can be quite a mixed bag In relation to acquiring duplicate designer bags. While some sellers are dependable, Many others might seek to fraud unsuspecting consumers. It truly is important to investigation individual sellers and browse buyer critiques before making a invest in.
Q: Are there any warning indicators that suggest a scam seller?
A: Certainly, there are various warning signs to watch out for when coping with possible fraud sellers. These incorporate unprofessional Web-site layouts, lousy grammar and spelling in products descriptions, not enough purchaser opinions or suggestions, and requests for payment through unconventional procedures.

Conclusion
Purchasing duplicate designer luggage on-line could be a terrific way to appreciate luxurious manner at a fraction of the price. On the other hand, It truly is critical to remain vigilant and steer clear of frauds. By looking into the seller's name, verifying authenticity statements, working with secure payment selections, comparing selling prices, and trying to find in-depth solution descriptions, you'll be able to lessen the potential risk of slipping victim to fraudulent sellers. Make sure to talk to queries and Obtain as much info as you possibly can prior to making a obtain. With these recommendations in mind, you may confidently navigate the net Market and come across significant-high quality replica designer luggage that meet your model and budget.

https://mad-boy.unicornplatform.page/blog/how-are-top-notch-replica-lux…
https://dantefpew.bloggersdelight.dk/2024/05/22/where-are-top-notch-fak…
https://664d83a49b07e.site123.me
https://dantefpew.bloggersdelight.dk/2024/05/22/where-are-the-best-fake…
https://judahytdg160.exposure.co/where-are-some-fake-handbags?source=sh…

Michaelfer (doğrulanmamış) Ct, 15/06/2024 - 09:23

Больничный лист оформить задним числом недорого в Москве. Медицинские справки в СПб без посещения врачей за 1 день. Все районы Москвы. Низкие цены! Быстрая доставка! Анонимность! Только лицензированные клиники Docmed. По всем правилам Минздрава, любые проверки. Для связи:Тел.: +7(499)653-94-43; Email: spravki-dok@mail.ru

<a href=https://mos-med.net.ru/oformit-medicinskie-dokumenty-drezna.html>купить больничный лист в москве круглосуточно официально в поликлинике</a>

Yeni yorum ekle

Bu alanın içeriği gizlenecek, genel görünümde yer almayacaktır.
Metin biçimleri hakkında

Plain text

  • Hiç bir HTML etiketine izin verilmez
  • Web sayfası adresleri ve e-posta adresleri otomatik olarak bağlantılara dönüşür.
  • Satır ve paragraflar otomatik olarak bölünür.