Her insanın yaşadığı en az iki hayatı vardır. Biri bildiğimiz vitrinlik. Diğeri ise bilmediğimiz derinlik. 

hospitalmanager Dergisi “Kadın Liderler” sayımıza hoşgeldiniz. 

Oğuz Atay’ın bu sözü ile satırlarıma başlamak istedim. 

Sağlık sektöründe çalışan “Kadın Liderler”e yer verdiğimiz bu özel sayımızda sektörün önde gelen, vitrinde olan kadınlarını biraz daha yakından tanıma, onları daha iyi anlama ve anlatma fırsatı bulduk. Aslında onların nazarında belki de çalışan ya da çalışmayan, kendi parasını kazanan ya da kazanmayan bütün kadınları daha iyi anlama ve anlatma fırsatı da bulduk. 

En önemli halk sağlığı sorunu kronik hastalıklar olarak bildirilirken, diyabet ise bu hastalıklar arasında başları çekiyor. Diyabet hastalığının son yıllarda dünyada ve Türkiye’deki hızlı artışı nedeniyle, DSÖ diyabeti salgın hastalık olarak tanımlıyor. DSÖ’nün 2016 yılı raporuna göre; dünyada diyabeti olduğu tahmin edilen yarım milyar insandan yarısı henüz tanı almamışken, tanı alan hastaların yarısında da komplikasyon gelişiyor. Bu insanların üçte birinin 65 yaşın üzerinde ve yüzde 80’inin ise gelişmekte olan ekonomilere sahip ülkelerde yaşadığı ve 2045 yılında dünyada 700 milyon kişinin diyabet hastası olacağı öngörülüyor. 

Hastalık ya da travma sonrasında hayati fonksiyonlarından bir veya birden fazlası bozulan hastalar bilindiği gibi yoğun bakımda tedavi ediliyor. Son verilere göre; Türkiye’de, yaklaşık 22 bin erişkin, 12 bin yeni doğan ve bin 500’ü çocuk yoğun bakım yatağı olmak üzere 35 bin 500 yoğun bakım yatağı bulunuyor. Yoğun bakım ünitelerine gelen hasta sayısına bakıldığında ise her geçen gün yoğun bakım yatak ihtiyacının da arttığı görülüyor. Yoğun bakım yatak sayılarımız bir çok Avrupa ülkesinin üzerinde olmasına rağmen maalesef ünitelerin rasyonel kullanılamaması nedeniyle uygun hasta için uygun yatak bulunamadığı yönünde haberler de duyuluyor. Bu nedenle yoğun bakım yataklarını en doğru hastalar için kullanabilmek, yani gerçek yoğun bakım hastalarına yer açmak gerekiyor.

Sağlık Bakanlığı’nın son verilerine göre; yaklaşık yüzde 20 civarında yoğun bakım hastasının seviyesine uygun olmayan ünitelerde, yüzde 15’inin ise palyatif bakım hastası olmak üzere toplamda yüzde 35 civarında hastanın durumuna uygun olmayan yoğun bakım ünitelerinde yattığı bildiriliyor.

Yoğun bakımların büyük çoğunluğu sayıları yaklaşık 5 bin 500 olan anestezi ve reanimasyon uzmanları tarafından yönetilirken; bu uzmanlar dışında, iç hastalıkları, genel cerrahi, nöroloji, göğüs hastalıkları ve enfeksiyon hastalıkları uzmanları da “Yoğun bakım uzmanlık eğitimi”nde yer alan diğer branşlar arasında geliyor. Tabii tedavinin kalitesinin bu kadar kritik olduğu böylesi bir alanda teknoloji ve donanımın da ileri düzeyde olması gerekiyor. Tüm bu veriler ışığında “hospitalmanager” Dergisi olarak Türkiye’nin yoğun bakım ünitesine girdiğimiz bu sayımızda her yönüyle yoğun bakımları incelemeye çalıştığımız özel bir sayı hazırladık. Siz okurlarımızın ilgi ve beğenisine sunuyoruz.

Sağlık hizmetlerine taleplerin düştüğü ve ameliyatların çok acil bir durum olmadıkça ertelendiği yaz aylarını tamamladık. Biz de yaz döneminde sektör dergisi olmanın getirdiği bazı avantaj ve dezavantajlarla birlikte bir tatil yaptık. Şimdi Eylül-Ekim ameliyathane sayımızla tekrar huzurlarınızdayız. 

Ameliyathaneler sağlık merkezlerinde; geliri de gideri de yüksek, tıbbi ve idari kuralları diğer birimlere göre daha ayrıntılı ve kritik öneme sahip yerlerin başında geliyor. Peki son yıllarda ameliyathaneler neleri bünyesine katıyor, kendisini nasıl yeniliyor? 

Bilimin ve tedavi yöntemlerinin gelişmesiyle günümüze kadar yenilikçi teknolojileri kullanarak gelişen ameliyathanelerde son yıllarda hibrit kavramını duyar olduk. Faydasının her geçen gün daha fazla anlaşıldığı ve hibrit ameliyathane konseptinin arttığı ülkemizde, endovasküler aygıtlar ve görüntüleme teknolojileriyle disiplinlerin bir arada çalıştığı hibrit ameliyathanelerde bu sayede karmaşık vakaların daha az maliyetle, aynı odada ve daha güvenli yapılabileceği bildiriliyor. 

3 boyutlu yüksek çözünülürlüklü görme sistemine sahip, insan elinin ulaşamayacağı hareket kabiliyeti olduğu bildirilen cerrahi robotlar da ameliyathanelerde artık iyiden iyiye yerini alıyor. Ama robotun tüm kontrolüne sahip olan ve gerekli önemli kararları verecek olanlar da yine cerrahlar oluyor. 

Öte yandan anestezide global önceliğin güvenli anestezi olduğuna dikkat çekilirken, ameliyathane ve cerrahinin de gelişimiyle birlikte hastaların ağrı hissetmemesi, bilinci, hareketsizliği ve vital fonksiyon takibi de daha önem kazanıyor. 

İşte tüm bu konuları, detaylarını ve iyi ameliyathane örneklerini bu sayımızda okuyabilirsiniz…

Günümüzde inovatif yaklaşımlarla geliştirilen yenilikçi teknolojilerin hem kamu hem de özel sektör tarafından eş zamanlı olarak temin edilip kullanıldığı bir Türkiye’den bahsetmek mümkün. Bu temin ve kullanım ise en çok sağlık alanında ve hastanelerin bir anlamda kavşak noktaları olan radyoloji bölümlerinde kendini hissettiriyor. Bu yönüyle sağlık merkezlerinin gurur, motivasyon kaynaklarının başında gelen ve rekabette avantaj sağlayan radyoloji bölümlerinde internet ağı ile dünyanın diğer merkezleriyle bağlantılı sağlık işlemleri yapılabilirken, ülkemizde kağıtsız ve filmsiz bir çalışma ve hizmet ortamının sağlık merkezlerinin önemli bir kısmında sağlandığı da biliniyor.

Yüksek teknoloji ile beraber yüksek kalitede elde edilen görüntülemelerin hastayı doğru değerlendirmede önemi elbette çok büyük. Ama radyolojide artık sadece Mayıs - Haziran 2017 hospitalmanager filmi doğru yorumlama hizmeti çoktan gerilerde kaldı. Artık filmleri tek başına değerlendirerek, organların ya da dokuların morfolojik görünümlerine bakarak, tanı koymaya çalışmanın yetersiz olduğu görülürken, günümüzde radyoloji branşında da hastaya bütüncül bakmanın ve önce zarar verme ilkesinin daha ön plana çıktığı farkediliyor.

Tabii radyoloji deyince bundan yıllar önce akla sadece teşhis aşaması geliyordu. Ama artık işin teşhisten sonra girişimsel radyoloji uygulamalarıyla gelen tedavi aşamasında da radyolojinin çok çok önemli bir yeri olduğunu biliyoruz. Zira bu yönüyle tıbbın en hızlı ilerleyen bilim dallarından biri olan girişimsel radyoloji, cerrahiye bir seçenek olarak ve cerrahinin yapılamadığı durumlarda aldığı başarılı sonuçlarıyla sağlıkçıların ve hastaların yüzünü güldürüyor.

Bir sonraki sayıda buluşana dek tam iyilik halinde kalınız…

Ayşenur Asuman Uğur 
-Genel Yayın Yönetmeni

hospitalmanager Magazine Cover - Mart - Nisan 2018 Edition

Mart - Nisan 2018

hospitalmanager Magazine - Mart - Nisan 2018

hospitalmanager Magazine Cover - Ocak - Şubat 2018 Edition

Ocak - Şubat 2018

hospitalmanager Magazine - Ocak - Şubat 2018

hospitalmanager Magazine Cover - Kasım 2017 Edition

Kasım 2017

hospitalmanager Magazine - Kasım 2017

hospitalmanager Magazine Cover - Eylül-Ekim 2017 Edition

Eylül-Ekim 2017

hospitalmanager Magazine - Eylül-Ekim 2017

hospitalmanager Magazine Cover - Mayıs-Haziran 2017 Edition

Mayıs-Haziran 2017

hospitalmanager Magazine - Mayıs-Haziran 2017

Çağdaş sağlık yöneticilerine özel bir dergi olmayı hedefleyerek 2008 yılı Ocak ayında yayın hayatına başlayan hospital manager dergisi sağlık sektöründe referans kabul edilen bir yayın organıdır.

Sağlık ekonomisi, yönetimi, finansmanı, pazarlaması, hukuku, teknolojisi ve diğer ilgili konularda haber kaynağı olmak, uluslararası boyutta bilgi akışı sağlamak, yöneticilerin yaşam tarzı, mesleki donanım ve ticari başarılarına odaklı haberler, röportajlar hazırlamak ve aynı zamanda sağlık yöneticilerine motivasyon unsuru olmayı amaçlamaktadır.

Her sayısında özel bir dosya konusu belirlenerek hazırlanan hospitalmanager’da ilgili tüm taraflar (kamu ve özel sağlık sektörü uzmanları, ilgili bakanlıklar, bürokratlar, ilaç ve tıbbi cihaz sektörü, ulusal ve uluslar arası platformlarda öne çıkan aktörler vb.) ile yapılan röportajlara, istatistiksel verilere, araştırmalara, makalelere ve uluslararası anlamda referans merkezi kabul edilen kişi/kuruluşlara ve yine sektörün önde gelen kuruluşların ilanlarına yer verilmektedir.

Her ay yayınlanan hospitalmanager’ın aylık tirajı 3 bin adet dergi olup Türkiye genelinde sağlık sektörünün tüm taraflarına ulaştırılmaktadır. Eğitim ve konferans faaliyetlerinin yanı sıra yılın başarılı sağlık yöneticilerinin ödüllendirildiği geceye de sahiplik eder.

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hospitalmanager Magazine - Mart - Nisan 2018

hospitalmanager Magazine - Mart - Nisan 2018

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