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Transformation project in health which started to be implemented in 2003, has been implemented by the ministry of health quickly, this system which includes a very different point of view from the previous period and implementation in health, has been realized sometimes despite everybody, by means of the approval and acceptance of health staff in high percent. However, current implemantation mistakes and  and lacks at the accepted speed, even getting worse in the system have created a dissatisfaction feeling at the each step and rank of the health staff. World Health Organization has described the health as not having an illness and weakness and having a well-being in physical, in soul and in social completely (WHO 1946 ). Health system is the general name of health service which has been given to life which is the most precious thing in universe and to the human being who is the most valuable within all the living creatures. As versatile matrix structure is very technical and needs expertise, the lack at the each point of this structure and the value of the served living creatures, chaos is a complex system which can lead to a crise. At our research, a questionnare has been implemented for specialist doctors working at the second rank state institutions (Hospitals). In this study, a survey of specialist physicians working for government agencies in hospitals has been applied. In this survey, the major issues of concern Specialist Physicians as a summary of the study 1) Additional payment distribution in the Injustice 2) One physician on call of thread and care of Emergency Medicine out of shift hours. 3) Physicians pensions 4) Health personnel carried out actual attacks have been evaluated and their proposed solutions and rational solutions compiled suggestions and it discussed. This survey of major problems existing in our health system, for example, comprise the solution. This article is the first research study conducted in Turkey in its field, it is considered the most versatile and comprehensive study will encourage other. Ozet 2003 yili itibariyla uygulamaya konulan Saglikta Donusum Projesi, Saglik Bakanliginca hizla yururluge konulmus, onceki donemden cok farkli bir bakis acisi ve saglikta uygulama iceren bu sistem, bazen herkese ragmen, onemli oranda da saglik personelinin vicdanen tasdiki ve kabuluyle gerceklesmistir. Ancak sistem icerisinde mevcut uygulama hatalari, mevzuat eksiklikleri ve bu eksikliklerin ve hatalarin beklenen hizda duzeltilemeyip adeta muzminlesmesi, saglik personeli icerisinde her basamak ve kademede memnuniyetsizlik hissi olusturmustur. Dunya Saglik Orgutu, sagligi herhangi bir hastalik ve gucsuzluk halinin olmamasi ve bedenen, ruhen ve sosyal bakimdan tam bir iyi olma durumudur olarak tanimlamaktadir (WHO 1946). Saglik sistemi, evrende en kiymetli sey olan hayata ve hayat sahibi canlilar icinde en kiymetlisi insana verilen saglik hizmetinin genel adidir. Cok yonlu matrix yapisi, cok teknik olusu ile uzmanlik gerektirmesi ve bu yapinin her bir noktasindaki eksikliklerin hizmet verilen canlinin kiymeti nedeniyle, kaos, kriz olusturabildigi kompleks bir sistemdir. Bu calismamizda 2.basamak devlet kurumlarinda calisan uzman hekimlere yonelik bir anket calismasi uygulanmistir. Bu anket calismasinda ozet olarak uzman hekimleri ilgilendiren baslica sorunlar olan 1) Ek Odeme dagitiminda ki adaletsizlikler 2) Tek hekim icapciligi konusu ve icap hekimligi 3) Hekim emekli maaslari 4) Saglik personeline yapilan fiili Saldirilar degerlendirilmis ve onlarin onerdigi cozum yollari ve rasyonel cozum onerileri derlenmis ve tartisilmistir. Bu anket calismasi saglik sistemimizde mevcut onemli sorunlarin, ornek cozumlerini icermektedir.

journal of human sciences

Major problems and solutions in the health care system of specialist physicians working in hospitals&lt;p&gt;Hastanelerde çalışan uzman hekimlerin sağlık sistemindeki başlıca sorunları ve çözüm önerileri