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SERT, GÜRKAN

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SERT

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GÜRKAN

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    PublicationOpen Access
    Bazı Batı ülkelerinde çocukluk çağı aşıları hakkındaki yakın dönemli yasal_x000D_ düzenlemeler
    (2020-09-30) SERT, GÜRKAN; Kürşat EPÖZTÜRK;Şefik GÖRKEY;Gürkan SERT
    Giriş: Aşılama hem bireyi hem de toplumu bulaşıcı hastalıklardan koruma özelliği olan bir tıbbi müdahaledir. Bulaşıcı hastalıklarıortadan kaldırmak için çeşitli dönemlerde zorunlu aşılama uygulamaları yapılmış ve bununla ilişkili yasalar oluşturulmuştur. Öteyandan, zorunlu aşılama uygulanmaya başladığı dönemden itibaren toplumda tepkilere neden olmuştur. Aşıların uygulanmasınınçocukluk çağında zorunlu tutulup tutulmaması konusunda ülkeler arasında değişik uygulamalar vardır.Amaç: Bu çalışmanın amacı son yıllarda Batı ülkelerindeki aşı mevzuatı değişikliklerini saptamak ve gönüllülük veya zorunlulukbağlamında hangi yöne evrildiğini değerlendirmektir.Yöntem: Batı ülkelerinin yasaları çevrim içi kaynaklardan taranarak son beş yıl zarfındaki ilgili değişiklikler saptandı ve konuyla ilgililiteratür tarandı.Bulgular: Son beş yıl içinde Amerika Birleşik Devletleri’nin bazı eyaletleri, İtalya, Fransa, Avustralya ve Almanya’da çocukluk çağıaşıları konusunda zorunluluk kapsamını genişleten yasal mevzuat değişikliklerine gidildiği görüldü.Sonuç: Özgürlükçülüğün baskın olduğu Batı dünyasında genel olarak aşılamada gönüllülük esasken, son yıllarda toplum sağlığıgerekçe gösterilerek çocukluk çağı aşılarının çeşitli yollarla zorunlu tutulmasına yönelik bir eğilim vardır. Ülkemizde de bu yöndegelişmeler olabilir.
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    PublicationOpen Access
    Protecting privacy in mandatory reporting of infectious diseases during the COVID-19 pandemic: perspectives from a developing country
    (BMJ PUBLISHING GROUP, 2021-10-05) SERT, GÜRKAN; Sert, Gurkan; Mega, Ertunc; Karaca Dedeoglu, Aysegul
    Mandatory reporting of infectious diseases (MRID) is an essential practice to prevent disease outbreaks. Disease notification is a mandatory procedure for most infectious diseases, even during non-pandemic periods in healthcare. The main rationale behind MRID is the protection of public health. The information and data provided by infectious disease reports are used for many purposes, such as preventing the spread and potential negative impact of infectious diseases, assessing the national and global situation regarding reported diseases, conducting scientific research and planning health policy. In this context, the relevant information benefits public health, health systems and scientific work. Additionally, the follow up and treatment of individuals with infectious diseases is a necessity in certain cases to protect those who cohabit with them. However, these benefits cannot be accepted as unrestricted justifications for MRID, since it is evident that reporting should be conducted within ethical and legal boundaries. MRID should only be devised and implemented with due regard to balancing potential benefits between all individuals, as well as between the individual and the rest of society. Disease notification systems that are not designed with a balancing and harm-reductionist approach may lead to stigmatisation and discrimination. This study aims to investigate the legal framework and ethical issues regarding the reporting of individuals diagnosed with COVID-19 in Turkey-which is a primary example of a developing country.
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    PublicationOpen Access
    Individuals living with cancer in turkey and the covid-19 pandemic
    (2022-06-01) SERT, GÜRKAN; SERT G., TORUN S., KARATAŞ M., Gozderesi Y., OKUYAZ S., Yalcin S. O., YILDIRIM G., Nazik S.
    The aim of this study is to determine the problems faced by individuals living with cancer (ILCs) in accessing health services during the COVID-19 pandemic in Turkey. This qualitative study\"s sample consisted of 18 volunteer interviewees from 10 cancer-related patient associations in Turkey. Research data were collected by semi-structured interview method. Data collection and analysis were carried out simultaneously. In the sessions where all researchers participated together, the data were coded with a common view, and main and sub-themes were determined. In die analysis of the data the inductive thematic analysis method was applied. Information was gathered under two main themes: compliance with the measures taken and access to health services. Lack of information about nutrition, physical activity, psychological problems, caused by the lockdown and social distance measures taken within the scope of the pandemic should be accepted as problems within the scope of the right of individuals to access health, and additional programs should be prepared to minimize these. Cancer types should be considered in delaying diagnosis, treatment, and controls related to cancer, so that patients are not harmed at least or at all. It is important to ensure that patients do not hesitate to attend diagnosis, treatment, and controls with the anxiety of being infected with COVID-19, both in transportation to health facilities and in terms of preventing transmission in health facilities.
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    PublicationOpen Access
    Ethical challenges in accessing and providing healthcare for Syrian refugees in Türkiye
    (2023-01-01) BARIŞ, MAİDE; SERT, GÜRKAN; ÖNDER, ORHAN; BARIŞ M., SERT G., ÖNDER O.
    Türkiye hosts approximately 3.6 million Syrian refugees, which accounts for roughly 4.5% of Türkiye\"s population. This places undeniable pressure on public institutions, particularly on healthcare services. The objective of this study is to document the healthcare structure for Syrian refugees and various challenges faced by Syrians when seeking healthcare and to highlight the ethical concerns emerging from those challenges. To achieve this, we conducted a comprehensive review of several qualitative studies and reports conducted by various organizations and institutions, specifically focusing on health or including a dedicated chapter on health issues, published between 2011 and 2023. Following an extensive analysis of the secondary literature, we classified the challenges into three categories: procedural, cultural, and psychosocial. We argue that each of these challenges is linked to overarching medical ethics concerns. Finally, we propose three possible means to mitigate the challenges Syrians experience in accessing and uptake of healthcare services in Türkiye.