{"id":3101,"date":"2019-09-04T23:35:15","date_gmt":"2019-09-04T20:35:15","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=3101"},"modified":"2019-09-04T23:35:18","modified_gmt":"2019-09-04T20:35:18","slug":"hasta-mi-musteri-mi","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/hasta-mi-musteri-mi\/","title":{"rendered":"HASTA MI M\u00dc\u015eTER\u0130 M\u0130?"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

T\u0131p fak\u00fcltesine ba\u015flad\u0131\u011f\u0131mda bu soruyu bizlere ilk olarak t\u0131p tarihi\nve etik ana bilim dal\u0131m\u0131zdan hocam\u0131z Do\u00e7. Dr. Hakan Ertin \u015f\u00f6yle sormu\u015ftu:\n\u2018\u0130leride doktor oldu\u011funuzda belki g\u00fcnde 50-60 insanla muhatap olacaks\u0131n\u0131z. Peki\nsize gelen onca insan sizin i\u00e7in bir m\u00fc\u015fteri mi yoksa hasta m\u0131 olacak?\u2019. Bu\nsoruyu duydu\u011fumuzda ben ve \u00e7o\u011fu arkada\u015f\u0131m\u0131n akl\u0131ndan: \u2018Bu nas\u0131l bir soru? Onlar\ntabi ki bizim hastalar\u0131m\u0131z ve bizim tek g\u00f6revimiz onlar\u0131 iyile\u015ftirmek\u2019 \u015feklinde\nfikirler ge\u00e7ti. Ama hem hocam\u0131z\u0131n vermi\u015f oldu\u011fu \u00f6rneklerle hem de oturup biraz\nhastaneleri ve \u00f6zellikle sosyal medyay\u0131 takip etti\u011fimizde maalesef g\u00f6r\u00fcyoruz ki\nhastalara adeta bir \u2018m\u00fc\u015fteri\u2019 g\u00f6z\u00fcyle yakla\u015f\u0131lmas\u0131 \u00e7ok yayg\u0131nla\u015fm\u0131\u015f.<\/p>\n\n\n\n

Ben bu soruyu ilk duydu\u011fumda adeta afallam\u0131\u015ft\u0131m diyebilirim. Daha\no derste defterime b\u00fcy\u00fck harflerle \u015f\u00f6yle yazd\u0131m: \u2018Hasta m\u0131 m\u00fc\u015fteri mi?\u2019. Daha\nsonra ne zaman hastaneye gitsem ne zaman bir doktorla konu\u015fsam onlar\u0131 hep acaba\nonlar hastalar\u0131na ne g\u00f6zle bak\u0131yorlar diye g\u00f6zlemledim. Sonras\u0131nda kendime g\u00f6re\nbir cevap bulmaya \u00e7al\u0131\u015ft\u0131m. <\/p>\n\n\n\n

Soruya daha geni\u015f bir perspektiften yakla\u015farak hastalarda m\u00fc\u015fteri\nalg\u0131s\u0131n\u0131 uyand\u0131ran fakt\u00f6rlerden ba\u015flayarak konuyu ele almak istiyorum. <\/p>\n\n\n\n

Benim m\u00fc\u015fahedelerime g\u00f6re hastalarda \u2018m\u00fc\u015fteri\u2019 alg\u0131s\u0131 uyand\u0131ran\nfakt\u00f6rler \u00fc\u00e7e ayr\u0131l\u0131yor: \u00d6zel hastaneler, ila\u00e7 firmalar\u0131 ve maalesef baz\u0131\ndoktorlar.<\/p>\n\n\n\n

\u00d6ncelikle kurum, kurulu\u015f ve firmalar \u00fczerinden gidelim. \u00d6zel\nhastanelerden ba\u015flamak gerekirse \u00fclkemizde 1191 hastaneden 355\u2019i \u00f6zel hastane\nstat\u00fcs\u00fcnde. Tahmin ediyorum ki hepimizin yolu bir \u015fekilde \u00f6zel hastanelere\nd\u00fc\u015fm\u00fc\u015ft\u00fcr. Gayet geni\u015f, modern teknolojilerle donat\u0131lm\u0131\u015f binalar\u0131yla i\u00e7imizi\nferahlatan bu hastaneler eminim ki talep ettikleri y\u00fcksek \u00fccretlerle \u00e7o\u011fumuzun\nula\u015fmas\u0131 m\u00fcmk\u00fcn olmayan bir konumda bulunmaktalar. Ve maalesef ki imk\u00e2n\u0131 olup\ngidenlerin de hasta s\u0131ras\u0131 beklemekten kazand\u0131\u011f\u0131 s\u00fcreyi \u2018Neye ne i\u00e7in bu kadar\npara \u00f6d\u00fcyorum?\u2019 sorusuyla kaybettikleri, \u2018\u015eu vezneden tahlil \u00fccretini yat\u0131r\u0131n. Sonra\nsoldaki vezneden rapor paras\u0131n\u0131 yat\u0131r\u0131n\u2026\u2019 c\u00fcmleleriyle adeta vezneler aras\u0131nda\nmekik dokumak mecburiyetinde kald\u0131\u011f\u0131 yerler. Bunlar\u0131n yan\u0131nda bir \u00f6rnek vermem\ngerekirse ge\u00e7ti\u011fimiz g\u00fcnlerde bir \u00f6zel hastaneye gitti\u011fimde duvarlarda sanki\nbeyaz e\u015fya kampanyas\u0131 gibi \u2018Check-Up\u2019ta erken f\u0131rsat 590\u20ba!\u2019 gibi ilanlar\ng\u00f6rd\u00fcm. Telefonlar\u0131m\u0131za gelen \u2018Son f\u0131rsat\u0131 ka\u00e7\u0131rmay\u0131n!\u2019 mesajlar\u0131 da cabas\u0131. \u0130\u015fte\nbunlar hastalara, hasta yak\u0131nlar\u0131na kendilerine m\u00fc\u015fteri g\u00f6z\u00fcyle bak\u0131ld\u0131\u011f\u0131n\u0131n\ni\u015faretleri asl\u0131nda. Check-Up demi\u015fken ge\u00e7ti\u011fimiz aylarda okudu\u011fum bir kitapta\nDo\u00e7.Dr. Osman Elbek \u00e7ok g\u00fczel bir tespit yapm\u0131\u015ft\u0131: \u2018G\u00fc\u00e7l\u00fc bir sa\u011fl\u0131k program\u0131\ni\u00e7in sa\u011flam\u0131n hastala\u015ft\u0131r\u0131ld\u0131\u011f\u0131 check-up programlar\u0131n\u0131 mezara g\u00f6mmemiz laz\u0131m\u2019 diyordu.\nBence bu programlar tamamen kald\u0131r\u0131lmamal\u0131 ama fiyat\u0131yla reklam\u0131 yap\u0131lacak, hastalarda\nm\u00fc\u015fteri alg\u0131s\u0131 olu\u015fturacak bir program haline de getirilmemeli. \u00d6zet olarak\nhastalarda m\u00fc\u015fteri alg\u0131s\u0131n\u0131 olu\u015fturan en \u00f6nemli unsurlardan biri \u00f6zel\nhastaneler. Peki bu nas\u0131l a\u015f\u0131labilir? Asl\u0131nda \u00e7ok basit bir cevab\u0131 var. \u00d6zel\nhastanelerde hastalar\u0131n bekledi\u011fi tek \u015fey hastalara paralar\u0131 i\u00e7in de\u011fil insan olduklar\u0131\ni\u00e7in de\u011fer verildi\u011finin davran\u0131\u015f ve hareketlerde g\u00f6sterilmesi.<\/p>\n\n\n\n

\u0130sterseniz bir de ila\u00e7 sekt\u00f6r\u00fc k\u0131sm\u0131na bakal\u0131m. Asl\u0131nda bu durumu\nDr. Ahmet Ayd\u0131n hocam\u0131z tek bir c\u00fcmleyle \u00f6zetliyor: \u2018Art\u0131k g\u00fcn\u00fcm\u00fczde\nhastal\u0131klara ila\u00e7 de\u011fil, ila\u00e7lara hastal\u0131k aran\u0131yor.\u2019 Maalesef ki durum aynen\nb\u00f6yle. Bu mesele belki sadece tek ba\u015f\u0131na bir yaz\u0131da al\u0131nmas\u0131 laz\u0131m ama durumun\nvahametinin anla\u015f\u0131lmas\u0131 i\u00e7in sadece Dr. Ali R\u0131za \u00dc\u00e7er\u2019in \u2018Big Pharma D\u00fcnyay\u0131\nDenetliyor\u2019 makalesinden bir paragraf\u0131 aktarmak istiyorum: \u2018End\u00fcstrinin dev\nila\u00e7 \u015firketlerinin ara\u015ft\u0131rmaya ay\u0131rd\u0131\u011f\u0131 kaynaklar, pazarlamaya ay\u0131rd\u0131\u011f\u0131n\u0131n\nyar\u0131s\u0131 kadard\u0131r. Yeni ila\u00e7 geli\u015ftirmekte zorlanan ila\u00e7 \u015firketleri mevcut\nila\u00e7lar\u0131n pazarlamas\u0131n\u0131 yo\u011funla\u015ft\u0131rarak k\u00e2rlar\u0131n\u0131 art\u0131rmaktad\u0131r.\u2019 <\/p>\n\n\n\n

Bu k\u0131s\u0131m ilk iki fakt\u00f6r olan \u00f6zel hastaneler ve ila\u00e7 firmalar\u0131n\u0131n\npolitikalar\u0131n\u0131n belki de \u00f6zetinin \u00f6zetiydi. \u0130sterseniz bir de i\u015fin di\u011fer\ntaraf\u0131na bakal\u0131m: Doktorlar. \u00dclkemizde bir\u00e7ok liseli gencin hayali t\u0131p fak\u00fcltesinde\nokumak. Bunun \u00e7e\u015fitli sebepleri var: gelirinin iyi olmas\u0131, sayg\u0131n bir meslek\nolmas\u0131, i\u015f garantisi olmas\u0131 gibi. Ama as\u0131l motivasyon bana g\u00f6re insanlara\nfaydal\u0131 olmak iste\u011fiyle bu yola girmek olmal\u0131. Ben inan\u0131yorum ki bu niyetle\ndoktor olmu\u015f olan ki\u015filer asla hastalar\u0131na m\u00fc\u015fteri gibi yakla\u015fmazlar. \u00c7\u00fcnk\u00fc\nonlar\u0131n gayesi kendilerine umutla, sa\u011fl\u0131klar\u0131na kavu\u015fmak arzusuyla gelmi\u015f olan insanlara\n\u015fifa sunmak. Ayr\u0131l\u0131k demi\u015fken divan edebiyat\u0131m\u0131za bir kulak verelim isterseniz.\nFuzuli diyor ki:<\/p>\n\n\n\n

\u015eif\u00e2-y\u0131 vasl kadrin hecr ile bim\u00e2r olandan sor<\/p>\n\n\n\n

Z\u00fcl\u00e2l-i \u015fevk zevkin te\u015fne-i d\u00eedar olandan sor<\/p>\n\n\n\n

\u00dcstat diyor ki; sen ayr\u0131l\u0131\u011f\u0131n ne demek oldu\u011funu bilemezsin. Kavu\u015fman\u0131n\nnice bir \u015fifa oldu\u011funu, ayr\u0131l\u0131k ile hasta olandan sor. Bir i\u00e7im suya benzer\ntatl\u0131 duda\u011f\u0131n lezzetini, y\u00fcz\u00fcn\u00fc g\u00f6rmeye susayandan sor. <\/p>\n\n\n\n

\u0130\u015fte sa\u011fl\u0131\u011f\u0131ndan ayr\u0131l\u0131k ac\u0131s\u0131yla yan\u0131p tutu\u015fan bu insanlar\u0131n\ndoktorlar\u0131ndan bekledikleri tek \u015fey kendilerini \u015fifaya kavu\u015fturmas\u0131. Doktorlarda\nbu ayr\u0131l\u0131k ac\u0131s\u0131yla yan\u0131p tutu\u015fan hastalar\u0131na bu g\u00f6zle yakla\u015f\u0131rsa inan\u0131n ki ne\nhasta i\u00e7in doktor \u2018parac\u0131\u2019 ne de doktor i\u00e7in hasta \u2018m\u00fc\u015fteri\u2019 olur.<\/p>\n\n\n\n

Hepimizin sa\u011fl\u0131\u011f\u0131m\u0131z\u0131n ayr\u0131l\u0131k ac\u0131s\u0131n\u0131 hi\u00e7 \u00e7ekmemesi temennisiyle\u2026<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u0131p fak\u00fcltesine ba\u015flad\u0131\u011f\u0131mda bu soruyu bizlere ilk olarak t\u0131p tarihi ve etik ana bilim dal\u0131m\u0131zdan hocam\u0131z Do\u00e7. Dr. Hakan Ertin<\/p>\n","protected":false},"author":144,"featured_media":3103,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"acf":[],"views":713,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/3101"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/144"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=3101"}],"version-history":[{"count":1,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/3101\/revisions"}],"predecessor-version":[{"id":3104,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/3101\/revisions\/3104"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/3103"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=3101"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=3101"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=3101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}