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THE OMBUDSMAN INSTITUTION OF THE REPUBLIC OF TÜRKİYE

the examination of the application file along with its annexes, as it was understood that
the payments were made in line with the request of the applicant and that the subject
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request was fulfilled by the administration, Amicable Settlement Decision was made.
HEALTHCARE

The applications filed to our Institution in the field of healthcare comprise the
following matters: Applications relating to the failure of doctors/dentists and other
healthcare personnel to duly provide healthcare services [claims of malpractice (on
medical terms) and violation of patient rights], applications including requests for
cancellation of deductions made by the SSI on the prescribed medications, pharmacists’
requests for agreement with SSI, applications including requests for social security
coverage for some medical devices and medications, applications regarding the technical
problems on Centralised Doctor Appointment System, medical board reports/ medical
board reports for disability/ objections to medical board reports for Turkish Armed
Forces (TAF), claims of unfair revocation of drug licences by the Turkish Medicines and
Medical Devices Agency, applications claiming that private and foundation hospitals
charge emergency patients fees, unfair charge of fees for the healthcare services that
must be provided under social security coverage and problems encountered during
access to medicines procured from abroad.
Case Summaries

Request for Free Access to Medicines and Devices Used in the Treatment of Type
I Diabetes
The applicant stated that he had been suffering from Type I diabetes for approximately
20 years, that although he went under necessary treatment and the treatment was
duly followed up, he was detected with diabetic retinopathy, diabetic nephropathy
and diabetic neuropathy complications. The applicant informed that he recently
started haemodialysis treatment three days a week and noted that instant blood sugar
measurement and intervention were very important in the treatment of diabetes, and
requested that necessary actions be taken to cover state-of-the-art medical equipment,
devices, apparatus and medicines under state support.

As a result of the evaluation carried out by our Institution, it was decided to issue
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a Recommendation for the Social Security Institution to include state-of-the-art
medical equipment, devices, apparatus and medicines, which were proven to be
successful in the treatment of diabetes based on evidence and scientific data, in the
Healthcare Implementation Communique and within the scope of the refund system
of the Social Security Institution by taking into account the costs of complications
relating to diabetes as well while determining the cost incurred by the SSI for the
26 Amicable Settlement Decision dated 17/07/2019 on the application no. 2019/3293
27 Recommendation dated 29/04/2019 on the application no. 2019/6118

100 2019 ANNUAL REPORT