<\/span><\/h2>\n\n\n\nAsl\u0131nda T\u0131p Yasas\u0131, 1948 (Showa 23) y\u0131l\u0131nda harap olmu\u015f t\u0131bbi tesisleri d\u00fczenlemek amac\u0131yla y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015ftir. \u015eimdiye kadar, birinci d\u00f6nemden sekizinci d\u00f6neme kadar, T\u0131p Yasas\u0131 s\u0131k s\u0131k \u00f6nemli de\u011fi\u015fikliklere u\u011fram\u0131\u015ft\u0131r. A\u015fa\u011f\u0131da, \u00f6nemli de\u011fi\u015fiklik d\u00f6nemlerini ve i\u00e7eriklerini k\u0131saca tan\u0131taca\u011f\u0131z.<\/p>\n\n\n\nD\u00f6nem<\/td> Zaman<\/td> \u0130\u00e7erik<\/td><\/tr> 1. D\u00f6nem<\/td> 1986 (S61) y\u0131l\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe girdi<\/td> B\u00f6lgesel t\u0131bbi planlama sisteminin tan\u0131t\u0131m\u0131 2. D\u00f6nem<\/td> 1993 (H5) Nisan ay\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe girdi<\/td> \u00d6zel i\u015flevli hastaneler ve bak\u0131m yatak grubu sisteminin olu\u015fturulmas\u0131 3. D\u00f6nem<\/td> 1998 (H10) Nisan ay\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe girdi<\/td> B\u00f6lgesel t\u0131bbi destek hastanesi sisteminin kurulmas\u0131 4. D\u00f6nem<\/td> 2001 (H13) Mart ay\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe girdi<\/td> Genel yatak ve bak\u0131m yataklar\u0131n\u0131n ayr\u0131m\u0131 5. D\u00f6nem<\/td> 2007 (H19) Nisan ay\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe girdi<\/td> Hastalara t\u0131bbi bilgi sa\u011flaman\u0131n te\u015fviki 6. D\u00f6nem<\/td> 2014 (H26) Ekim ay\u0131nda y\u00fcr\u00fcrl\u00fc\u011fe girdi<\/td> Yatak i\u015flevlerinin ayr\u0131\u015ft\u0131r\u0131lmas\u0131 ve i\u015fbirli\u011finin te\u015fviki 7. D\u00f6nem<\/td> 2015 (H27) Eyl\u00fcl ay\u0131nda ilan edildi<\/td> B\u00f6lgesel t\u0131bbi i\u015fbirli\u011fi te\u015fvik kurulu\u015f sisteminin olu\u015fturulmas\u0131 8. D\u00f6nem<\/td> 2017 (H29) Haziran ay\u0131nda kabul edildi<\/td> \u0130leri t\u0131bbi g\u00fcvenlik y\u00f6netim sisteminin sa\u011flanmas\u01312021 (Reiwa 3) y\u0131l\u0131nda yap\u0131lan d\u00fczenlemede \u00f6zellikle yedi ana de\u011fi\u015fiklik yap\u0131lm\u0131\u015ft\u0131r. Bunlar\u0131 a\u015fa\u011f\u0131da a\u00e7\u0131klayaca\u011f\u0131z.<\/p>\n\n\n\n
<\/span>Doktor ve Sa\u011fl\u0131k \u00c7al\u0131\u015fanlar\u0131na \u0130li\u015fkin Yasa De\u011fi\u015fiklikleri<\/span><\/h2>\n\n\n\nReiwa 3 (2021) y\u0131l\u0131ndaki Japon Sa\u011fl\u0131k Hukukunda, doktorlar\u0131n \u00e7al\u0131\u015fma \u015fekilleri ve i\u015f tan\u0131mlar\u0131yla ilgili de\u011fi\u015fiklikler yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n\n\n\n
<\/span>Doktorlar\u0131n \u00c7al\u0131\u015fma \u015eeklinde Reform<\/span><\/h3>\n\n\n\n\u0130lk olarak, doktorlar\u0131n \u00e7al\u0131\u015fma \u015feklinde reform yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n\n\n\n
Medikal ihtiya\u00e7lar\u0131n de\u011fi\u015fimi, sa\u011fl\u0131k hizmetlerinin ilerlemesi ve d\u00fc\u015f\u00fck do\u011fum oranlar\u0131 nedeniyle sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n azalmas\u0131 gibi fakt\u00f6rlerle, doktorlar\u0131n \u00fczerindeki bireysel y\u00fck\u00fcn artmas\u0131 beklenmektedir. Bu nedenle, yeni d\u00fczenlemeler yap\u0131lm\u0131\u015ft\u0131r ve Reiwa 6 (2024) y\u0131l\u0131n\u0131n Nisan ay\u0131n\u0131n 1’inden itibaren a\u015famal\u0131 olarak y\u00fcr\u00fcrl\u00fc\u011fe girecektir.<\/p>\n\n\n\n
\nUzun \u00e7al\u0131\u015fma saatlerine sahip doktorlar\u0131n \u00e7al\u0131\u015fma saatlerinin k\u0131salt\u0131lmas\u0131 ve sa\u011fl\u0131k g\u00fcvencelerinin sa\u011flanmas\u0131 i\u00e7in \u00f6nlemlerin al\u0131nmas\u0131<\/li>\n\n\n\n Fazla mesai \u00e7al\u0131\u015fma saatlerinin \u00fcst limitinin d\u00fczenlenmesi ve sa\u011fl\u0131k g\u00fcvencesi \u00f6nlemlerinin uygulanmas\u0131<\/li>\n<\/ul>\n\n\n\nHastanelerde tam zamanl\u0131 \u00e7al\u0131\u015fan doktorlar\u0131n yakla\u015f\u0131k %40’\u0131n\u0131n y\u0131lda 960 saatten fazla, yakla\u015f\u0131k %10’unun ise y\u0131lda 1,860 saatten fazla fazla mesai ve tatil \u00e7al\u0131\u015fmas\u0131 yapt\u0131\u011f\u0131 g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, bu reformlar\u0131n k\u00f6kl\u00fc de\u011fi\u015fiklikler oldu\u011funu s\u00f6yleyebiliriz. Amac\u0131, doktorlar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 korumak ve daha aktif bir \u015fekilde m\u00fcdahale edebilmelerini sa\u011flamakt\u0131r.<\/p>\n\n\n\n
<\/span>Sa\u011fl\u0131k \u00c7al\u0131\u015fanlar\u0131n\u0131n \u0130\u015f Tan\u0131mlar\u0131n\u0131n Geni\u015fletilmesi<\/span><\/h3>\n\n\n\n\u0130kinci olarak, i\u015f tan\u0131mlar\u0131n\u0131n geni\u015fletilmesidir. Radyoloji Teknisyenleri Hukuku, Klinik Laboratuvar Teknisyenleri ve di\u011fer ilgili yasalar, Klinik M\u00fchendislik Teknisyenleri Hukuku ve Acil T\u0131p Teknisyenleri Hukuku dahil olmak \u00fczere, Reiwa 3 (2021) y\u0131l\u0131n\u0131n Ekim ay\u0131n\u0131n 1’inden itibaren y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015ftir.<\/p>\n\n\n\n
Amac\u0131, g\u00f6rev de\u011fi\u015fimi\/payla\u015f\u0131m\u0131 (daha \u00f6nce belirli meslek gruplar\u0131n\u0131n \u00fcstlendi\u011fi g\u00f6revlerin di\u011fer meslek gruplar\u0131na devredilmesi veya onlarla payla\u015f\u0131lmas\u0131) te\u015fvik ederek doktorlar\u0131n y\u00fck\u00fcn\u00fc hafifletmek ve sa\u011fl\u0131k sekt\u00f6r\u00fcndeki mesleklerin daha fazla uzmanl\u0131k alanlar\u0131n\u0131 kullanabilmeleri i\u00e7in koordinasyon sistemini d\u00fczenlemektir.<\/p>\n\n\n\n
<\/span>Doktor Yeti\u015ftirme Programlar\u0131n\u0131n G\u00f6zden Ge\u00e7irilmesi<\/span><\/h3>\n\n\n\n\u00dc\u00e7\u00fcnc\u00fc olarak, doktor yeti\u015ftirme programlar\u0131n\u0131n g\u00f6zden ge\u00e7irilmesidir.<\/p>\n\n\n\n
\nDoktorluk Ulusal S\u0131nav\u0131na giri\u015f i\u00e7in ortak s\u0131nav ba\u015far\u0131s\u0131n\u0131n bir gereklilik haline getirilmesi<\/li>\n\n\n\n T\u0131p \u00f6\u011frencilerinin klinik stajlar\u0131nda ger\u00e7ekle\u015ftirdikleri t\u0131bbi i\u015flemlerin hukuki stat\u00fcs\u00fcn\u00fcn netle\u015ftirilmesi<\/li>\n<\/ul>\n\n\n\nOrtak s\u0131nav ba\u015far\u0131s\u0131n\u0131n bir gereklilik haline getirilmesi Reiwa 7 (2025) y\u0131l\u0131n\u0131n Nisan ay\u0131n\u0131n 1’inden itibaren, hukuki stat\u00fcn\u00fcn netle\u015ftirilmesi ise Reiwa 5 (2023) y\u0131l\u0131n\u0131n Nisan ay\u0131n\u0131n 1’inden itibaren y\u00fcr\u00fcrl\u00fc\u011fe girecektir.<\/p>\n\n\n\n
Ayr\u0131ca, di\u015f hekimleri i\u00e7in de benzer kurallar uygulanacakt\u0131r.<\/p>\n\n\n\n
<\/span>Yeni Bula\u015f\u0131c\u0131 Hastal\u0131klara Kar\u015f\u0131 Tepki<\/span><\/h2>\n\n\n\nD\u00f6rd\u00fcnc\u00fcs\u00fc, yeni bula\u015f\u0131c\u0131 hastal\u0131klara kar\u015f\u0131 tepkidir. Yeni bula\u015f\u0131c\u0131 hastal\u0131klar, daha \u00f6nce bilinen ancak tekrar yay\u0131larak hasta say\u0131s\u0131n\u0131n artt\u0131\u011f\u0131 hastal\u0131klar\u0131 ifade eder. Bu t\u00fcr yeni bula\u015f\u0131c\u0131 hastal\u0131klar\u0131n yay\u0131lmas\u0131 durumunda, genel sa\u011fl\u0131k sistemi \u00fczerinde b\u00fcy\u00fck bir etki olu\u015fturdu\u011fu, \u00f6nlem al\u0131nmas\u0131 gerekti\u011fi ve idareler aras\u0131 p\u00fcr\u00fczs\u00fcz bir ileti\u015fimin gerekli oldu\u011fu belirlendi\u011fi i\u00e7in d\u00fczenlemeler yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n\n\n\n
“Temel Politika (Bakanl\u0131k Duyurusu)” ve “Sa\u011fl\u0131k Plan\u0131 Haz\u0131rlama K\u0131lavuzu (Daire Ba\u015fkan\u0131 Bildirisi)” gibi belgelerin g\u00f6zden ge\u00e7irilmesinin ard\u0131ndan, her ilde planlama \u00e7al\u0131\u015fmalar\u0131n\u0131n y\u00fcr\u00fct\u00fclmesi planlanmaktad\u0131r. Bu d\u00fczenlemeler, Reiwa 6 (2024) y\u0131l\u0131n\u0131n Nisan ay\u0131n\u0131n 1’inden itibaren y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015ftir.<\/p>\n\n\n\n
<\/span>Sa\u011fl\u0131k Kurulu\u015flar\u0131na Destek<\/span><\/h2>\n\n\n\nBe\u015finci destek, sa\u011fl\u0131k kurulu\u015flar\u0131na yap\u0131lan destektir. Reiwa 2 (2020) y\u0131l\u0131nda kurulan “Yatak Kapasitesi Fonksiyonu Yeniden D\u00fczenleme Destek Projesi”ni, b\u00f6lgesel sa\u011fl\u0131k ve bak\u0131m entegrasyon fonuna dahil edece\u011fiz.<\/p>\n\n\n\n
De\u011fi\u015fiklik maliyetlerini devletin kar\u015f\u0131layaca\u011f\u0131 ve yeniden d\u00fczenleme yapacak sa\u011fl\u0131k kurulu\u015flar\u0131na vergisel te\u015fvikler sa\u011flanaca\u011f\u0131 planlanmaktad\u0131r. B\u00f6lgesel sa\u011fl\u0131k planlamas\u0131n\u0131n ger\u00e7ekle\u015ftirilmesi i\u00e7in \u00e7aba g\u00f6steren sa\u011fl\u0131k kurulu\u015flar\u0131na, yatak kapasitesi fonksiyonlar\u0131n\u0131n ve sa\u011fl\u0131k kurulu\u015flar\u0131n\u0131n yeniden d\u00fczenlenmesi s\u0131ras\u0131nda destek sa\u011flanacakt\u0131r. Bu destek, Reiwa 3 (2021) y\u0131l\u0131n\u0131n Nisan ay\u0131n\u0131n 1’inden itibaren uygulanmaya ba\u015flanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n
<\/span>D\u0131\u015f Hastane Hizmetlerinin \u0130\u015flevlerinin Netle\u015ftirilmesi ve B\u00f6lgesel \u0130\u015fbirli\u011fi<\/span><\/h2>\n\n\n\nAlt\u0131nc\u0131 de\u011fi\u015fiklik, d\u0131\u015f hastane hizmetleri ile ilgilidir. Mevcut d\u0131\u015f hastane hizmetlerinde, hastalar\u0131n bir k\u0131s\u0131m sa\u011fl\u0131k kurulu\u015flar\u0131na yo\u011funla\u015fmas\u0131, hastalar\u0131n bekleme s\u00fcresinin artmas\u0131 ve \u00e7al\u0131\u015fan doktorlar\u0131n \u00fczerindeki y\u00fck\u00fcn artmas\u0131 gibi sorunlar ya\u015fanmaktad\u0131r.<\/p>\n\n\n\n
Bu nedenle, sa\u011fl\u0131k kurulu\u015flar\u0131ndan, t\u0131bbi kaynaklar\u0131n yo\u011fun bir \u015fekilde kullan\u0131ld\u0131\u011f\u0131 d\u0131\u015f hastane hizmetleri hakk\u0131nda raporlama yapmalar\u0131n\u0131 talep eden bir d\u0131\u015f hastane i\u015flev raporlama sistemi olu\u015fturulacakt\u0131r. Aile hekimli\u011fi i\u015flevinin g\u00fc\u00e7lendirilmesiyle birlikte, d\u0131\u015f hastane i\u015flevlerinin netle\u015ftirilmesi ve i\u015fbirli\u011finin art\u0131r\u0131lmas\u0131, bekleme s\u00fcrelerinin k\u0131salt\u0131lmas\u0131 ve doktorlar\u0131n y\u00fck\u00fcn\u00fcn hafifletilmesi ama\u00e7lanmaktad\u0131r. Bu d\u00fczenleme, Reiwa 4 (2022) y\u0131l\u0131n\u0131n Nisan ay\u0131n\u0131n 1’inden itibaren y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015ftir.<\/p>\n\n\n\n