{"id":6590,"date":"2016-02-23T22:00:46","date_gmt":"2016-02-24T03:00:46","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/limited-supply-of-drugs-is-causing-problems-in-u-s-hospitals\/"},"modified":"2016-02-23T22:00:46","modified_gmt":"2016-02-24T03:00:46","slug":"sinirli-ilac-tedarigi-biz-hastanelerde-sorunlara-neden-oluyor","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/tr\/article\/sinirli-ilac-tedarigi-biz-hastanelerde-sorunlara-neden-oluyor\/","title":{"rendered":"S\u0131n\u0131rl\u0131 \u0130la\u00e7 Temini ABD Hastanelerinde Sorunlara Neden Oluyor"},"content":{"rendered":"<p>Bu, kendi arka bah\u00e7emizden de\u011fil, do\u011frudan geli\u015fmekte olan bir \u00fclkeden \u00e7\u0131km\u0131\u015f gibi g\u00f6r\u00fcnen bir hikaye. Kanseri tedavi etmek i\u00e7in hayati ila\u00e7lar, antibiyotikler, anestezikler, a\u011fr\u0131 kesiciler ve ameliyat s\u0131ras\u0131nda gerekli ila\u00e7lar burada, ABD&#039;de yetersiz kal\u0131yor. <a href=\"http:\/\/www.nytimes.com\/2016\/01\/29\/us\/drug-shortages-forcing-hard-decisions-on-rationing-treatments.html?ref=health\" target=\"_blank\" rel=\"noopener\">son zamanlarda yay\u0131nlanan bir makaleye g\u00f6re <\/a><a href=\"http:\/\/www.nytimes.com\/2016\/01\/29\/us\/drug-shortages-forcing-hard-decisions-on-rationing-treatments.html?ref=health\" target=\"_blank\" rel=\"noopener\"><em>New York Times<\/em><\/a>. Amerikan Sa\u011fl\u0131k Sistemi Eczac\u0131lar\u0131 Derne\u011fi, ila\u00e7 \u015firketlerinin d\u00fc\u015f\u00fck k\u00e2rl\u0131 (ancak hayati) ila\u00e7lar \u00fcretme \u00e7abalar\u0131n\u0131 durdurmas\u0131 ve ABD G\u0131da ve \u0130la\u00e7 \u0130daresi taraf\u0131ndan y\u00fcr\u00fct\u00fclen g\u00fcvenlik \u00f6nlemleri nedeniyle 150&#039;den fazla ilac\u0131n arz\u0131n\u0131n yetersiz oldu\u011funu bildirdi. Daha da rahats\u0131z edici olan, sorunun b\u00fcy\u00fck \u00f6l\u00e7\u00fcde hal\u0131n\u0131n alt\u0131na s\u00fcp\u00fcr\u00fclm\u00fc\u015f olmas\u0131d\u0131r. Halk\u0131n ve hatta hastalar\u0131n bunun oldu\u011fu hakk\u0131nda hi\u00e7bir fikri yok. T\u0131bbi uygulama hatas\u0131 veya g\u00fcvenli olmayan bir ila\u00e7 nedeniyle ciddi bir yaralanma veya hastal\u0131k ge\u00e7irdiyseniz, bug\u00fcn deneyimli bir New York hatal\u0131 \u00fcr\u00fcn veya t\u0131bbi uygulama hatas\u0131 avukat\u0131yla ileti\u015fime ge\u00e7in.<\/p>\n<p>&nbsp;<\/p>\n<h2>ABD&#039;deki Uyu\u015fturucu K\u0131tl\u0131\u011f\u0131, Kimin \u0130la\u00e7 Alaca\u011f\u0131 Konusunda Tart\u0131\u015fmaya Neden Oluyor<\/h2>\n<p>&nbsp;<\/p>\n<p>Bir\u00e7ok hasta, k\u0131tl\u0131k nedeniyle \u015fu anda hayati ila\u00e7lar\u0131 ka\u00e7\u0131rd\u0131klar\u0131n\u0131n tamamen fark\u0131nda de\u011fil. \u00d6rne\u011fin, a\u00e7\u0131k kalp cerrahisi s\u0131ras\u0131nda kanamalar\u0131 \u00f6nlemek i\u00e7in onlarca y\u0131ld\u0131r kullan\u0131lan aminokaproik asidi ele alal\u0131m. Bir zamanlar her hastaya bu hayati ilac\u0131 vermek i\u00e7in standart uygulama olan \u015fey \u015fimdi tart\u0131\u015f\u0131l\u0131yor \u00e7\u00fcnk\u00fc ortal\u0131kta dola\u015facak kadar yok. Hastalara ilac\u0131 al\u0131p almad\u0131klar\u0131 asla s\u00f6ylenmez. Kanser hastalar\u0131nda da benzer bir uygulama kullan\u0131lmaktad\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00dclke \u00e7ap\u0131ndaki t\u0131p merkezleri, belirli bir t\u00fcr kanser ilac\u0131n\u0131 kimin alaca\u011f\u0131 konusunda i\u00e7ten ve hararetli tart\u0131\u015fmalara giriyor. Genellikle boyut ve ya\u015fa ba\u011fl\u0131d\u0131r. Remisyon d\u00f6neminde potansiyel olarak daha fazla ya\u015fama s\u00fcresi olan bir \u00e7ocuk, ayn\u0131 hayatta kalma \u015fans\u0131na sahip bir yeti\u015fkinden \u00f6nce kanser ilac\u0131 alabilir. \u00c7ocuk hasta da boyundan dolay\u0131 bunu alma olas\u0131l\u0131\u011f\u0131 daha y\u00fcksek olabilir. \u00c7ocuklara veya daha k\u00fc\u00e7\u00fck hastalara intraven\u00f6z vitaminler ve ya\u011flar verilebilir, \u00e7\u00fcnk\u00fc fark yaratmak i\u00e7in daha az\u0131na ihtiya\u00e7lar\u0131 vard\u0131r ve teorik olarak daha iri yeti\u015fkinlerin rezervleri daha fazlad\u0131r. Bir yeti\u015fkin pahas\u0131na iki \u00e7ocuk kurtar\u0131labiliyorsa, bu karar\u0131 kim verecek?<\/p>\n<p>&nbsp;<\/p>\n<p>Baz\u0131 kurumlarda hasta temsilcileri ve etik uzmanlar\u0131ndan olu\u015fan kurullar, baz\u0131lar\u0131nda ise hekim, eczac\u0131 ve ila\u00e7 \u015firketi y\u00f6neticilerinden olu\u015fan paneller mevcuttur. Kararlar\u0131 kim verirse versin, baz\u0131 hastalar kaybedecek, ilaca olan y\u00fcksek talep ve yetersiz tedarik nedeniyle ve belirli bir ilac\u0131n mevcudiyetine dayal\u0131 olarak aileleri klinik ara\u015ft\u0131rmalara zorlaman\u0131n etik olmamas\u0131 nedeniyle klinik ara\u015ft\u0131rmalar yap\u0131lmayacakt\u0131r. Bu trajik durumun i\u00e7erdi\u011fi t\u00fcm belirsizli\u011fin i\u00e7inde kesin olan bir \u015fey var: hastalar \u00f6lecek.<\/p>\n<p>&nbsp;<\/p>\n<h2>T\u0131bbi Uygulama Hatas\u0131 ve Hatal\u0131 \u0130la\u00e7 Vekili<\/h2>\n<p>&nbsp;<\/p>\n<p>Journal of Patient Safety taraf\u0131ndan yay\u0131nlanan \u015fok edici bir raporda, <a href=\"http:\/\/journals.lww.com\/journalpatientsafety\/Fulltext\/2013\/09000\/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx\" target=\"_blank\" rel=\"noopener\">210.000 ve 440.000<\/a> Hastanelerde yap\u0131lan hatalar nedeniyle her y\u0131l hastalar \u00f6l\u00fcyor. Ya\u015fam kurtarmak i\u00e7in hayati \u00f6nem ta\u015f\u0131yan ila\u00e7lar bulunmad\u0131\u011f\u0131ndan, bu say\u0131n\u0131n y\u0131llar i\u00e7inde b\u00fcy\u00fcmekten ba\u015fka bir \u015fey yapmas\u0131 d\u00fc\u015f\u00fcn\u00fclemez. Siz veya bir aile \u00fcyeniz, g\u00fcvenli olmayan bir ila\u00e7 veya t\u0131bbi cihaz nedeniyle t\u0131bbi uygulama hatas\u0131 veya hastal\u0131k veya yaralanman\u0131n herhangi bir sonucuna maruz kald\u0131ysan\u0131z, bug\u00fcn T\u00fcrkiye&#039;nin hukuk b\u00fcrolar\u0131nda deneyimli t\u0131bbi uygulama hatas\u0131 veya hatal\u0131 \u00fcr\u00fcn avukatlar\u0131m\u0131zdan biriyle ileti\u015fime ge\u00e7in. <a href=\"\/tr\/\">Napoli Shkolnik <\/a> 212-397-1000&#039;de.<\/p>","protected":false},"excerpt":{"rendered":"<p>Bu, kendi arka bah\u00e7emizden de\u011fil, do\u011frudan geli\u015fmekte olan bir \u00fclkeden \u00e7\u0131km\u0131\u015f gibi g\u00f6r\u00fcnen bir hikaye. Kanser tedavisi i\u00e7in hayati ila\u00e7lar, antibiyotikler, anestezikler, a\u011fr\u0131 kesiciler ve ameliyat s\u0131ras\u0131nda gerekli ila\u00e7lar\u2026<\/p>","protected":false},"author":3,"featured_media":6591,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[780],"tags":[],"class_list":["post-6590","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-malpractice"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/6590","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/comments?post=6590"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/6590\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media\/6591"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media?parent=6590"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/categories?post=6590"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/tags?post=6590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}