{"id":1498,"date":"2026-01-28T10:20:12","date_gmt":"2026-01-28T10:20:12","guid":{"rendered":"https:\/\/ibrahimakin.net\/?p=1498"},"modified":"2026-01-28T10:20:16","modified_gmt":"2026-01-28T10:20:16","slug":"yapim-maliyeti-6-yilda-66-kat-artan-aydin-sehir-hastanesini-hem-saglik-bakanina-hem-de-hazine-ve-maliye-bakanina-sorduk","status":"publish","type":"post","link":"https:\/\/ibrahimakin.net\/index.php\/2026\/01\/28\/yapim-maliyeti-6-yilda-66-kat-artan-aydin-sehir-hastanesini-hem-saglik-bakanina-hem-de-hazine-ve-maliye-bakanina-sorduk\/","title":{"rendered":"YAPIM MAL\u0130YET\u0130 6 YILDA 66 KAT ARTAN AYDIN \u015eEH\u0130R HASTANES\u0130N\u0130 HEM SA\u011eLIK BAKANINA HEM DE HAZ\u0130NE VE MAL\u0130YE BAKANINA SORDUK"},"content":{"rendered":"\n

T\u00dcRK\u0130YE B\u00dcY\u00dcK M\u0130LLET MECL\u0130S\u0130 BA\u015eKANLI\u011eINA<\/strong><\/p>\n\n\n\n

A\u015fa\u011f\u0131daki sorular\u0131n Sa\u011fl\u0131k Bakan\u0131 Kemal MEM\u0130\u015eO\u011eLU <\/strong>taraf\u0131ndan Anayasa\u2019n\u0131n 98\u2019inci ve \u0130\u00e7t\u00fcz\u00fc\u011f\u00fcn 96\u2019nc\u0131 ve 99\u2019uncu maddeleri gere\u011fince yaz\u0131l\u0131 olarak cevapland\u0131r\u0131lmas\u0131n\u0131 arz ederim.<\/p>\n\n\n\n

\u0130brahim AKIN<\/strong><\/p>\n\n\n\n

\u0130zmir Milletvekili<\/strong><\/p>\n\n\n\n

Ayd\u0131n \u015eehir Hastanesi, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n 2020 y\u0131l\u0131 yat\u0131r\u0131m program\u0131 kapsam\u0131nda yakla\u015f\u0131k 976 milyon TL bedelle ihale edilmi\u015f bir kamu yat\u0131r\u0131m\u0131d\u0131r. Ancak aradan ge\u00e7en alt\u0131 y\u0131ll\u0131k s\u00fcre i\u00e7erisinde, gerek bas\u0131nda yer alan haberler gerekse kamuoyuna yans\u0131yan resmi bilgiler do\u011frultusunda, s\u00f6z konusu yat\u0131r\u0131m\u0131n toplam maliyetinin yakla\u015f\u0131k 65,5 milyar TL d\u00fczeyine ula\u015ft\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. Bu art\u0131\u015f, yakla\u015f\u0131k 66 katl\u0131k bir maliyet y\u00fckseli\u015fine kar\u015f\u0131l\u0131k gelmekte olup, ola\u011fan ekonomik ko\u015fullar ve sekt\u00f6rel maliyet art\u0131\u015flar\u0131yla a\u00e7\u0131klanamayacak bir boyuta i\u015faret etmektedir.<\/p>\n\n\n\n

T\u00fcrkiye \u0130statistik Kurumu\u2019nun yay\u0131mlad\u0131\u011f\u0131 \u0130n\u015faat Maliyet Endeksi verileri incelendi\u011finde, 2020\u20132025 d\u00f6neminde in\u015faat maliyetlerinde ya\u015fanan art\u0131\u015f\u0131n yakla\u015f\u0131k 8 ila 10 kat aral\u0131\u011f\u0131nda ger\u00e7ekle\u015fti\u011fi anla\u015f\u0131lmaktad\u0131r. D\u00f6viz kuru art\u0131\u015flar\u0131, y\u00fcksek enflasyon, k\u00fcresel tedarik zinciri sorunlar\u0131 ve in\u015faat girdilerindeki fiyat y\u00fckseli\u015fleri dikkate al\u0131nd\u0131\u011f\u0131nda dahi, Ayd\u0131n \u015eehir Hastanesi \u00f6zelinde ortaya \u00e7\u0131kan maliyet art\u0131\u015f\u0131n\u0131n ekonomik g\u00f6stergelerden ciddi bi\u00e7imde ayr\u0131\u015ft\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. Hastanenin yatak say\u0131s\u0131nda, kapal\u0131 alan b\u00fcy\u00fckl\u00fc\u011f\u00fcnde ya da t\u0131bbi donan\u0131m kapasitesinde yap\u0131lan revizyonlar\u0131n, maliyetin onlarca kat artmas\u0131n\u0131 teknik olarak gerek\u00e7elendirecek nitelikte olmad\u0131\u011f\u0131 y\u00f6n\u00fcnde g\u00fc\u00e7l\u00fc bir kanaat olu\u015fmu\u015ftur.<\/p>\n\n\n\n

Nitekim Say\u0131\u015ftay\u2019\u0131n son y\u0131llarda yay\u0131mlad\u0131\u011f\u0131 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 denetim raporlar\u0131nda, \u015fehir hastaneleri ve b\u00fcy\u00fck \u00f6l\u00e7ekli sa\u011fl\u0131k yat\u0131r\u0131mlar\u0131na ili\u015fkin olarak ger\u00e7ek\u00e7i olmayan ilk maliyet \u00f6ng\u00f6r\u00fcleri yap\u0131ld\u0131\u011f\u0131, s\u00f6zle\u015fme tadilleri yoluyla y\u00fcklenici lehine \u00f6nemli tutarlarda ek \u00f6demeler ger\u00e7ekle\u015ftirildi\u011fi, maliyet-fayda analizlerinin yeterince etkin bi\u00e7imde haz\u0131rlanmad\u0131\u011f\u0131 ve bu s\u00fcre\u00e7lerin kamu zarar\u0131na yol a\u00e7abilecek riskler bar\u0131nd\u0131rd\u0131\u011f\u0131 y\u00f6n\u00fcnde yap\u0131sal ele\u015ftiriler yer almaktad\u0131r. Ayd\u0131n \u015eehir Hastanesi \u00f6rne\u011finde ortaya \u00e7\u0131kan ola\u011fan\u00fcst\u00fc maliyet art\u0131\u015f\u0131, Say\u0131\u015ftay raporlar\u0131nda dile getirilen bu sistematik sorunlar\u0131n somut bir yans\u0131mas\u0131 olarak de\u011ferlendirilmektedir.<\/p>\n\n\n\n

Bu yat\u0131r\u0131m \u00f6zelinde, ka\u00e7 kez s\u00f6zle\u015fme de\u011fi\u015fikli\u011fine gidildi\u011fi, hangi kalemlerde ne tutarda fiyat fark\u0131 \u00f6dendi\u011fi, ek i\u015f ve revizyon bedellerinin hangi gerek\u00e7elerle onayland\u0131\u011f\u0131 ve olu\u015fan kamu zarar\u0131n\u0131n boyutunun ne oldu\u011fu hususlar\u0131nda kamuoyuna tatmin edici bir a\u00e7\u0131klama yap\u0131lmam\u0131\u015ft\u0131r. Oysa bu \u00f6l\u00e7ekte bir kamu kayna\u011f\u0131n\u0131n kullan\u0131ld\u0131\u011f\u0131 projelerde \u015feffafl\u0131k, yaln\u0131zca idari bir tercih de\u011fil, ayn\u0131 zamanda kamu kaynaklar\u0131n\u0131n denetlenmesi ve TBMM\u2019nin b\u00fct\u00e7e hakk\u0131n\u0131n korunmas\u0131 a\u00e7\u0131s\u0131ndan anayasal bir zorunluluktur. Bu nedenle Ayd\u0131n \u015eehir Hastanesi yat\u0131r\u0131m\u0131n\u0131n mali boyutlar\u0131n\u0131n b\u00fct\u00fcn y\u00f6nleriyle a\u00e7\u0131kl\u0131\u011fa kavu\u015fturulmas\u0131 gerekmektedir.<\/p>\n\n\n\n

Bu konuyla ilgili olarak;<\/strong><\/p>\n\n\n\n

    \n
  1. Ayd\u0131n \u015eehir Hastanesi\u2019nin ilk ihale bedeli olan yakla\u015f\u0131k 976 milyon TL, hangi tarihlerde ve hangi gerek\u00e7elerle revize edilmi\u015ftir? Bu kapsamda toplam ka\u00e7 adet s\u00f6zle\u015fme tadili yap\u0131lm\u0131\u015ft\u0131r?<\/li>\n\n\n\n
  2. 2020\u20132026 y\u0131llar\u0131 aras\u0131nda proje kapsam\u0131nda yap\u0131lan fiyat fark\u0131 \u00f6demeleri, ek i\u015f bedelleri ve revizyon harcamalar\u0131n\u0131n y\u0131llara g\u00f6re da\u011f\u0131l\u0131m\u0131 nedir?<\/li>\n\n\n\n
  3. Projenin toplam maliyetinin yakla\u015f\u0131k 65,5 milyar TL\u2019ye ula\u015fmas\u0131n\u0131n, yatak say\u0131s\u0131, kapal\u0131 alan b\u00fcy\u00fckl\u00fc\u011f\u00fc ve t\u0131bbi donan\u0131m kapasitesi bak\u0131m\u0131ndan teknik gerek\u00e7eleri nelerdir?<\/li>\n\n\n\n
  4. Say\u0131\u015ftay denetimleri kapsam\u0131nda Ayd\u0131n \u015eehir Hastanesi yat\u0131r\u0131m\u0131na ili\u015fkin olarak tespit edilmi\u015f bir kamu zarar\u0131 bulunmakta m\u0131d\u0131r? Bulunmakta ise bu zarar hangi tutardad\u0131r ve sorumlular hakk\u0131nda hangi idari veya hukuki i\u015flemler tesis edilmi\u015ftir?<\/li>\n\n\n\n
  5. Bu yat\u0131r\u0131mda ortaya \u00e7\u0131kan maliyet art\u0131\u015f\u0131n\u0131n, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n ayn\u0131 d\u00f6nemde ger\u00e7ekle\u015ftiremedi\u011fi ya da ertelenmek zorunda kald\u0131\u011f\u0131 di\u011fer sa\u011fl\u0131k yat\u0131r\u0131mlar\u0131na etkisi ne olmu\u015ftur?<\/li>\n<\/ol>\n\n\n\n

    <\/p>\n\n\n\n

    <\/p>\n\n\n\n

    T\u00dcRK\u0130YE B\u00dcY\u00dcK M\u0130LLET MECL\u0130S\u0130 BA\u015eKANLI\u011eINA<\/strong><\/p>\n\n\n\n

    A\u015fa\u011f\u0131daki sorular\u0131n Hazine ve Maliye Bakan\u0131 Mehmet \u015e\u0130M\u015eEK <\/strong>taraf\u0131ndan Anayasa\u2019n\u0131n 98\u2019inci ve \u0130\u00e7t\u00fcz\u00fc\u011f\u00fcn 96\u2019nc\u0131 ve 99\u2019uncu maddeleri gere\u011fince yaz\u0131l\u0131 olarak cevapland\u0131r\u0131lmas\u0131n\u0131 arz ederim.<\/p>\n\n\n\n

    \u0130brahim AKIN<\/strong><\/p>\n\n\n\n

    \u0130zmir Milletvekili<\/strong><\/p>\n\n\n\n

    Ayd\u0131n \u015eehir Hastanesi\u2019nin yakla\u015f\u0131k 6 y\u0131l gibi k\u0131sa bir s\u00fcre i\u00e7erisinde 976 milyon TL seviyesindeki ihale bedelinden 65,5 milyar TL d\u00fczeyine ula\u015fan toplam maliyeti, kamu mali y\u00f6netiminin etkinli\u011fi, b\u00fct\u00e7e disiplini ve kaynak tahsis s\u00fcre\u00e7lerinin ciddi bi\u00e7imde sorgulanmas\u0131n\u0131 zorunlu k\u0131lmaktad\u0131r. Bu art\u0131\u015f, yakla\u015f\u0131k 64,5 milyar TL tutar\u0131nda ilave bir kamu y\u00fck\u00fc anlam\u0131na gelmekte ve merkezi y\u00f6netim b\u00fct\u00e7esi a\u00e7\u0131s\u0131ndan son derece a\u011f\u0131r bir mali sonu\u00e7 do\u011furmaktad\u0131r.<\/p>\n\n\n\n

    Kar\u015f\u0131la\u015ft\u0131rmal\u0131 olarak de\u011ferlendirildi\u011finde, 2025 y\u0131l\u0131 merkezi y\u00f6netim b\u00fct\u00e7esinde orta \u00f6l\u00e7ekli bir ilin y\u0131ll\u0131k yat\u0131r\u0131m \u00f6dene\u011finin 2 ila 3 milyar TL aral\u0131\u011f\u0131nda oldu\u011fu g\u00f6r\u00fclmektedir. Bu \u00e7er\u00e7evede, Ayd\u0131n \u015eehir Hastanesi\u2019nde ortaya \u00e7\u0131kan toplam maliyetle, ayn\u0131 d\u00f6nemde \u00fclkenin farkl\u0131 b\u00f6lgelerinde onlarca tam donan\u0131ml\u0131 devlet hastanesinin in\u015fa edilebilece\u011fi a\u00e7\u0131kt\u0131r. Dolay\u0131s\u0131yla bu yat\u0131r\u0131mda ortaya \u00e7\u0131kan maliyet art\u0131\u015f\u0131, yaln\u0131zca tekil bir proje sorunu de\u011fil, kamu kaynaklar\u0131n\u0131n alternatif kullan\u0131m olanaklar\u0131n\u0131 ortadan kald\u0131ran yap\u0131sal bir maliyet sorunu olarak de\u011ferlendirilmelidir.<\/p>\n\n\n\n

    Say\u0131\u015ftay\u2019\u0131n merkezi y\u00f6netim b\u00fct\u00e7esine ili\u015fkin denetim raporlar\u0131nda, b\u00fcy\u00fck \u00f6l\u00e7ekli kamu yat\u0131r\u0131mlar\u0131nda ba\u015flang\u0131\u00e7 \u00f6denekleri ile ger\u00e7ekle\u015fen harcamalar aras\u0131ndaki y\u00fcksek sapmalar, b\u00fct\u00e7e d\u0131\u015f\u0131 y\u00fck\u00fcml\u00fcl\u00fcklerin yeterince \u015feffaf bi\u00e7imde raporlanmamas\u0131 ve kamu zarar\u0131n\u0131n zaman\u0131nda tespit edilip \u00f6nlenememesi, s\u00fcreklilik arz eden temel sorunlar olarak tespit edilmektedir. Ayd\u0131n \u015eehir Hastanesi yat\u0131r\u0131m\u0131nda ya\u015fanan ola\u011fan\u00fcst\u00fc maliyet art\u0131\u015f\u0131, TBMM\u2019nin b\u00fct\u00e7e hakk\u0131n\u0131n fiilen a\u015f\u0131nd\u0131r\u0131ld\u0131\u011f\u0131 ve harcama s\u00fcre\u00e7lerinin yasama denetiminin d\u0131\u015f\u0131na ta\u015f\u0131r\u0131ld\u0131\u011f\u0131 y\u00f6n\u00fcnde ciddi ku\u015fkular do\u011furmaktad\u0131r.<\/p>\n\n\n\n

    Bu \u00f6l\u00e7ekte bir maliyet art\u0131\u015f\u0131n\u0131n, kamu bor\u00e7lanmas\u0131n\u0131 art\u0131rmas\u0131, faiz giderleri \u00fczerinde bask\u0131 olu\u015fturmas\u0131 ve sosyal harcamalar ile di\u011fer kamu yat\u0131r\u0131mlar\u0131n\u0131n finansman\u0131n\u0131 dolayl\u0131 bi\u00e7imde s\u0131n\u0131rlamas\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r. Kamu maliyesinin temel ilkeleri olan etkinlik, tutumluluk ve hesap verebilirlik, Ayd\u0131n \u015eehir Hastanesi yat\u0131r\u0131m\u0131 \u00f6zelinde ciddi bi\u00e7imde zedelenmi\u015f g\u00f6r\u00fcnmektedir. Bu nedenle, s\u00f6z konusu yat\u0131r\u0131m\u0131n b\u00fct\u00e7e etkilerinin ve kamu zarar\u0131 riskinin Hazine ve Maliye Bakanl\u0131\u011f\u0131 taraf\u0131ndan ayr\u0131nt\u0131l\u0131 bi\u00e7imde a\u00e7\u0131klanmas\u0131 gerekmektedir.<\/p>\n\n\n\n

    Bu konuyla ilgili olarak;<\/strong><\/p>\n\n\n\n

      \n
    1. Ayd\u0131n \u015eehir Hastanesi i\u00e7in 2020\u20132026 y\u0131llar\u0131 aras\u0131nda merkezi y\u00f6netim b\u00fct\u00e7esinden tahsis edilen toplam \u00f6denek tutar\u0131 nedir ve bu \u00f6deneklerin y\u0131llara g\u00f6re da\u011f\u0131l\u0131m\u0131 nas\u0131ld\u0131r?<\/li>\n\n\n\n
    2. Projenin toplam maliyetinde meydana gelen yakla\u015f\u0131k 66 katl\u0131k art\u0131\u015f\u0131n, merkezi y\u00f6netim b\u00fct\u00e7e dengeleri ve bor\u00e7lanma gere\u011fi \u00fczerindeki etkileri nelerdir?<\/li>\n\n\n\n
    3. Say\u0131\u015ftay taraf\u0131ndan bu projeye ili\u015fkin olarak tespit edilmi\u015f, b\u00fct\u00e7e disiplinine ayk\u0131r\u0131 uygulamalar veya kamu zarar\u0131 bulgular\u0131 bulunmakta m\u0131d\u0131r?<\/li>\n\n\n\n
    4. Bu yat\u0131r\u0131mda olu\u015fan ilave maliyetin, ayn\u0131 d\u00f6nemde ertelenen ya da k\u0131s\u0131tlanan di\u011fer kamu yat\u0131r\u0131mlar\u0131 \u00fczerindeki etkileri Bakanl\u0131\u011f\u0131n\u0131zca hesaplanm\u0131\u015f m\u0131d\u0131r?<\/li>\n\n\n\n
    5. Benzer \u00f6l\u00e7ekteki kamu yat\u0131r\u0131mlar\u0131nda bu t\u00fcr maliyet art\u0131\u015flar\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilebilmesi amac\u0131yla Bakanl\u0131\u011f\u0131n\u0131z taraf\u0131ndan yeni bir mali kontrol, \u00f6n izin ya da \u00fcst s\u0131n\u0131r mekanizmas\u0131 olu\u015fturulmas\u0131 planlanmakta m\u0131d\u0131r?<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      T\u00dcRK\u0130YE B\u00dcY\u00dcK M\u0130LLET MECL\u0130S\u0130 BA\u015eKANLI\u011eINA A\u015fa\u011f\u0131daki sorular\u0131n Sa\u011fl\u0131k Bakan\u0131 Kemal MEM\u0130\u015eO\u011eLU taraf\u0131ndan Anayasa\u2019n\u0131n 98\u2019inci ve \u0130\u00e7t\u00fcz\u00fc\u011f\u00fcn 96\u2019nc\u0131 ve 99\u2019uncu maddeleri gere\u011fince yaz\u0131l\u0131 olarak cevapland\u0131r\u0131lmas\u0131n\u0131 arz […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":1499,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[13],"tags":[],"class_list":["post-1498","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-soru-onergeleri"],"aioseo_notices":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/ibrahimakin.net\/wp-content\/uploads\/2026\/01\/SORU-ONERGESI-WEB-SITE-GORSELI-8.jpg","_links":{"self":[{"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/posts\/1498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/comments?post=1498"}],"version-history":[{"count":1,"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/posts\/1498\/revisions"}],"predecessor-version":[{"id":1500,"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/posts\/1498\/revisions\/1500"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/media\/1499"}],"wp:attachment":[{"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/media?parent=1498"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/categories?post=1498"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ibrahimakin.net\/index.php\/wp-json\/wp\/v2\/tags?post=1498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}