
TTB stated that the medical record approval process required from physicians restricts the time allocated to health care and requested that the practice be terminated.
Turkish Medical Association stated that the obligation to approve medical records imposed on physicians in the MEDULA system is incompatible with professional duties and reduces the quality of health care, and asked the Ministry of Health and SSI to stop the practice.
AI-generated summary
MEDULA system is a central system used for billing and recording healthcare services in Türkiye.
In the letters sent by the Turkish Medical Association to the Ministry of Health and SSI on September 22, 2026, it was stated that with the change made in the MEDULA system, physicians were asked to check and approve records related to medical procedures using their personal electronic signatures.
In addition, it was stated that in the applications received by the medical chambers, if incorrect, incomplete or duplicate records were detected, verbal instructions were given to not reject the applications and to report the situation to the information processing units of the hospitals.
In the article, it was reminded that the primary duty and responsibility of physicians is "to carry out the diagnosis, treatment and follow-up processes of patients in line with professional ethics, knowledge and scientific requirements."
IT WILL LIMIT LABOR AND TIME
In the article, it is emphasized that billing, period termination, administrative and financial control and related technical data transactions constitute a different business field than the provision of health services, and it is stated that physicians' checking and approving hundreds of data one by one on a subject that is outside their job descriptions and professional competencies will limit the effort and time required to be allocated to health care.
TTB pointed out that this could harm the quality and continuity of healthcare services.
In the letter, it was requested to evaluate the violation of the practice in question against the law, public interest and service requirements, and the possible grievances it may cause to physicians and patients, and to terminate the practice.
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