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Kanser hastalarının ilaçlarının ithal menşeli, özel koşullarda saklanması gereken ve yüksek fiyatlı olduğu için hastanelerin bu ilaçları sürekli elinde tutamayacağı vurgulanıyor. Konuşmacı, bu uygulamanın hastaların hayatını tehlikeye atabileceği ve sorumluların bu konuda cevap vermesi gerektiğini ifade ediyor."]},"endTime":328,"title":"Kanser Hastalarının İlaç Temin Sorunu","beginTime":0}],"fullResult":[{"index":0,"title":"Sağlık Bakanlığı'nın Kemoterapi İlaçları Genelgesi","list":{"type":"unordered","items":["Sağlık Bakanlığı, yaklaşık iki ay önce bir genelge yayınlayarak kemoterapi gören kanser hastalarının ilaçlarını 1 Temmuz 2015 itibariyle hastane eczanelerinden temin etmeleri gerektiğini açıkladı.","Bu uygulama, hasta mağduriyetlerini gündeme getireceği ve uygulamanın yanlış olduğu konusunda sürekli haber halinde bulunuldu.","1 Temmuz 2015'te sabah saat 9'da telefonlar çalmaya başladı ve hastanelerde kemoterapi görecek hastalar ilaçlarını alamadılar."]},"beginTime":0,"endTime":37,"href":"/video/preview/5196123054374244757?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=0&ask_summarization=1"},{"index":1,"title":"Uygulamanın Etkileri","list":{"type":"unordered","items":["Örneğin, Sadiyatik Onkolojide kemoterapi ürünü olan bir hasta, hekim tarafından reçete ezilmiş olsa da üniversite hastaneleri uygulamanın dışında olmasına rağmen ilaçlarını alamadı.","Sosyal Güvenlik Kurumu Metoda sisteminde kemoterapi ilaçlarının tamamı ayakta ödenmez ve yatan hasta sadece yatan ve raporda ödenen şekilde bloke ettiğinden, bu kapsama girmeyen hastanelerdeki hastalar da mağdur oldu.","Bu uygulamanın gerekçesi ve kazanımları anlaşılmakta güçlük çekiliyor."]},"beginTime":37,"endTime":121,"href":"/video/preview/5196123054374244757?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=37&ask_summarization=1"},{"index":2,"title":"Kanser Hastalığının Özellikleri","list":{"type":"unordered","items":["Kanser hastalığı zor bir hastalık olup, hastalığın cinsine ve seyrine göre haftalık, 15 gün ya da 21 gün aralıklarla ilaçların alınması gerekiyor.","Bu ilaçların birçoğu ithal menşeli ve yurt dışından geliyor, özel koşullarda saklanması gerekiyor ve her ilaca özel bir kemoterapi kürü protokolü uygulanıyor.","Bir hastanede bir tane hasta tedavi alıyorsa, en azından 300 çeşit kemoterapi kürü çeşitliliği olması gerekiyor."]},"beginTime":121,"endTime":163,"href":"/video/preview/5196123054374244757?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=121&ask_summarization=1"},{"index":3,"title":"Uygulamanın Sorunları","list":{"type":"unordered","items":["Bu ilaçların fiyatları yüksek ve ithal olduğu için hastanelerin ihale yaparak bu ilaçları sürekli elinde tutmaları ve hastaların ihtiyacı olduğu zaman anında ulaştıramayacakları biliniyor.","Devlet ısrarla bu uygulamada geri adım atmadı ve bugün ilk gün olmasına rağmen birçok hasta mağdur olmakta ve ilaç tedavisini aramakta.","Bu hastalar tedaviyi alamadan ölümle karşılaşacak olabilir ve bunun sorumlusu kim olacak sorusu gündeme geliyor."]},"beginTime":163,"endTime":202,"href":"/video/preview/5196123054374244757?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=163&ask_summarization=1"},{"index":4,"title":"Uygulamanın Zorlukları","list":{"type":"unordered","items":["İki ay önce bir genelge yazılarak hastanelerin bu ilaçları temin etmeleri gerektiği söylendi, ancak hastanelerin kaç hastanın gelip kemoterapi alacağını iki ay önceden tahmin etmesi mümkün değil.","Düzenli kemoterapi alan hastalar için ilaç temini mümkün olsa da, farklı şehirlerde yaşayan hastalar için bu uygulama hayata geçirilmesi zor bir şey.","Bu uygulama hata götürebilecek ve tolerans götürebilecek bir hastalık grubu için uygun değil."]},"beginTime":202,"endTime":306,"href":"/video/preview/5196123054374244757?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=202&ask_summarization=1"}],"linkTemplate":"/video/preview/5196123054374244757?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Konya Eczacı Odası Başkanı Ecz. 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başkanımız Ecz. paylaşılmıştır.","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/1017880/9db90ea59bc45f246fee2394b071ba6c/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/JupaDgAAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"3","reqid":"1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=videoid:678000192085156161","teaser":[{"list":{"type":"unordered","items":["\"Gündem Özel\" programında sunucu ile Konya Eczacı Odası Başkanı Cemil Karakap arasında geçen bu röportajda, 14 Mayıs Eczacılar Günü ve haftası etkinlikleri ele alınmaktadır.","Röportajda akılcı ilaç kullanımı, antibiyotik direnci ve \"Akıllı Eczane\" projesi gibi konular detaylı olarak incelenmektedir. Cemil Karakap, eczacıların sağlık danışmanlığı hizmetinin görünür hale getirilmesi için 2011 yılında başlayan \"Akıllı Eczane\" projesini anlatmakta ve 2017 yılında Türkiye genelindeki 24.500 eczanenin bu hizmeti vereceğini belirtmektedir.","Röportajda ayrıca geleneksel tıbbi ürünlerin sağlık bakanlığı yerine tarım bakanlığı tarafından ruhsatlandırılması, bu ürünlerin sağlık beyanıyla satılması ve reklamının ciddi suç teşkil etmesi konuları da ele alınmaktadır. Konya Eczacı Odası'nın endemik ürünleri yetiştirmek için organik tarım alanında bir proje başlatacağı ve vatandaşların eczacılardan danışarak bilinçli ilaç kullanması gerektiği vurgulanmaktadır."]},"endTime":1606,"title":"14 Mayıs Eczacılar Günü Röportajı","beginTime":0}],"fullResult":[{"index":0,"title":"Programın Tanıtımı ve Dağlıca Olayı","list":{"type":"unordered","items":["Program, eczacıları konu alarak mesleğe dair detayları paylaşacak ve 14 Mayıs Eczacılar Günü'ne ilişkin değerlendirmeler yapacak.","Son dakika gelişmesi olarak Dağlıca'da şehit ve yaralı askerler olduğu belirtiliyor.","Programda Konya Eczacı Odası Başkanı Cemil Karakap konuk olarak yer alıyor."]},"beginTime":17,"endTime":111,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=17&ask_summarization=1"},{"index":1,"title":"Konya Eczacı Odası'nın Etkinlikleri","list":{"type":"unordered","items":["Konya Eczacı Odası, 1956'da kurulmuş olup Türkiye'deki beşinci büyük ve en eski eczacı odalarından biri.","3 Mayıs 2006 Salı günü, Konya İl Sağlık Müdürlüğü, Konya Kamu Hastaneleri Genel Sekreterliği ve Konya Halk Sağlığı Müdürlüğü ile birlikte \"Akılcı İlaçla Adımları Beraber Atıyoruz\" adlı sempozyum düzenlendi.","Bu sene Merhem Atatürk İlköğretim Okulu'na zeka oyunları sınıfı oluşturuldu, bu sayede çocukların bilgi becerilerini güçlendirmek amaçlanıyor."]},"beginTime":111,"endTime":226,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=111&ask_summarization=1"},{"index":2,"title":"Akılcı İlaç Kullanımı ve Önemi","list":{"type":"unordered","items":["Eczacıların asıl görevlerinden biri akılcı ilaç kullanımında danışman rol oynamak.","2005 yılından bu yana Sosyal Güvenlik Kurumu'nda yapılan reform sayesinde 70 milyon vatandaş sağlık şemsiyesi altına girdi ve ilaca ve hekime ulaşmada kolaylık sağlandı.","İlaçlar kimyasal madde olup, doğru zamanda doğru miligramda alınmadığında faydadan çok zarar getirebilir."]},"beginTime":226,"endTime":310,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=226&ask_summarization=1"},{"index":3,"title":"Antibiyotik Kullanımı ve Sorunları","list":{"type":"unordered","items":["Dünyada ve Türkiye'de antibiyotik kullanımı büyük bir mercek altına alındı, Amerika'da geçen sene antibiyotik izleme komisyonu kuruldu.","İlk antibiyotikler rasyonel ve düzgün kullanılmadığı zaman mikroorganizmalar bu antibiyotiklere karşı direnç oluşturmaya başladı.","Şu anda keşfedilecek bir antibiyotik kalmadı ve insanların antibiyotiğe karşı direnci arttığı için akılcı ilaç kullanımına idrak edemediğimiz zaman büyük sorunlar bekliyor."]},"beginTime":310,"endTime":367,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=310&ask_summarization=1"},{"index":4,"title":"Akılcı İlaç Kullanımında Sorunlar","list":{"type":"unordered","items":["Akılcı ilaç kullanımında en büyük etken insanların birbirine danışarak ilaç kullanması ve doktora ve eczacıya danışmadan ilaç kullanması.","İlaç okuryazarlığı eksikliği de önemli bir sorun, hastalar ilaçları düzgün kullanmayı bilmiyorlar.","Hastalar ilaçları tam dozunu bitirmeden bırakınca, hastalığa neden olan mikroorganizmalar antibiyotiklere karşı direnç kazanıyor."]},"beginTime":367,"endTime":515,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=367&ask_summarization=1"},{"index":5,"title":"Gelecek Çalışmalar","list":{"type":"unordered","items":["Sağlık müdürlüğü ve ilgili sağlık otoritelerinin çalışmaları sürekli devam ediyor.","Evlerde ecza dolaplarında kolilerce ilaç bulunması hem devletin ekonomisi açısından hem de sağlık açısından sorun yaratıyor.","Sağlık müdürlüğü ve Milli Eğitim Müdürlüğü ile koordineli çalışmalar sürdürülecek ve okullarda bu konuda eğitimler verilecek."]},"beginTime":515,"endTime":561,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=515&ask_summarization=1"},{"index":6,"title":"Eczacılar Günü ve Sağlık Danışmanlığı","list":{"type":"unordered","items":["14 Mayıs Eczacılar Günü teması \"Eczacılar Değişiyor, Sağlık Sistemi Geliyor\" olarak belirlenmiştir.","Türk Eczacılar Birliği Başkanı Erdoğan Çolak'ın açıklaması ve akıllı eczane projesinden sonra sağlık danışmanları konusu ele alınacaktır.","Konya Eczacı Odası Başkanı Cemil Karakaplı ile birlikte akılcı ilaç kullanımı ve sağlık danışmanlığı konuları ele alınacaktır."]},"beginTime":571,"endTime":657,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=571&ask_summarization=1"},{"index":7,"title":"Eczacıların Danışmanlık Hizmeti","list":{"type":"unordered","items":["Eczacılar, eczacılığın var olduğu günden beri sağlık danışmanlığı hizmetini vermektedir, ancak bu hizmetin karşılığı alınmamaktadır.","Türkiye'de ve dünyada verdiği danışmanlık karşılığında ücreti almayan tek meslek eczacılıktır.","2005 yılından bu yana sosyal güvenlik kurumu reformdan sonra ilaç fiyatları yaklaşık 600 sefer civarında düştü, bu düşüşle birlikte eczacıların karlilikları ve eczane giderleri ciddi oranda artışa uğradı."]},"beginTime":657,"endTime":735,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=657&ask_summarization=1"},{"index":8,"title":"Akıllı Eczane Projesi","list":{"type":"unordered","items":["Avrupa'daki gibi eczacıların ciddi bir anlamda danışmanlık örneği vermesi için 2011 yılında \"Akıllı Eczane\" projesi başladı.","İlk olarak Konya'da \"Hipertansiyon Takip Programı\" adı altında başladı ve yaklaşık 35 gönüllü meslektaş Türk Eczacılar Birliği Akademisi'nde 3-4 günlük eğitime alındı.","Eczanelere gelen hipertansiyon hastaları ve hipertansiyon riski taşıyan kişilerin tansiyonları, kullandıkları ilaçlar, yaşam hikayeleri ve beslenme alışkanlıkları detaylı şekilde kayıt altına alındı."]},"beginTime":735,"endTime":800,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=735&ask_summarization=1"},{"index":9,"title":"Hipertansiyon Çalışmasının Sonuçları","list":{"type":"unordered","items":["Sekiz aylık süre sonucunda takip edilen hastalardan %20'sinin tansiyon hastası olduğunu fakat bunu bilmeden yaşamını sürdürdüğünü fark ettiler.","Bu hastalar hekime yönlendirilerek tansiyon tanısı konulup tansiyon ilaçları kullanmaya başlandı.","Bu çalışma sayesinde hastaların kronik kardiyolojik ve böbrek rahatsızlıklarına yakalanma ihtimali önlendi, tek bir ilaçla tedavi olmaları sağlandı ve devletin ekonomisine katkı sağlandı."]},"beginTime":800,"endTime":849,"href":"/video/preview/678000192085156161?parent-reqid=1765299009389381-2018151796440111331-balancer-l7leveler-kubr-yp-klg-264-BAL&text=KONYA+ECZACI+ODASI&t=800&ask_summarization=1"},{"index":10,"title":"Akıllı Eczane Projesinin İkinci Aşaması","list":{"type":"unordered","items":["2015 yılında çalışmanın ikinci ayağı Avrupa'daki eczacılar birliği ve Avrupa'dan gelen eğitmenlerle birlikte dört ilde, bunlardan biri de Konya'da başladı.","Yaklaşık 45 gönüllü meslektaş Türk Eczacılar Birliği'nde gerekli eğitimleri aldıktan sonra Konya merkezde \"Akıllı Eczane\" projesi uygulanmaya başladı.","Bu çalışmayla birlikte yaklaşık 45 meslektaş dokuz aydır Konya'da astım 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Videoda Konya Eczacı Odası Başkanı Cemil Karakap'ın soğuk zincir kategorisinde bulunan ilaçların muhafazasında vatandaşlara verdiği uyarılar yer almaktadır.","Video, Türkiye'de bir yıl boyunca yaklaşık iki milyar kutu ilaç kullanıldığı bilgisiyle başlayıp, ilaçların doğru saklanması gerektiğini vurgulamaktadır. İlaçların genellikle 25 derece oda sıcaklığında saklanması gerektiği, ancak bazı ilaçların 2-8 derece arasında saklanması gerektiği belirtilmektedir. 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