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Does the 2024/18 appointment system circular apply to us — what are we supposed to do?

HHüsniye K***ExpertCommunity member
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#1

I run an independent physical therapy and wellness center in Istanbul with 3 physiotherapists and 2 administrative staff. btw we average around 35-40 session appointments a day and use our own third-party cloud-based appointment software.

People in several industry groups have been talking about the Ministry of Healths "Circular on the Effective Use of the Appointment System (2024/18)." Some colleagues are claiming that all private health and consulting centers are also required to comply with appointment cancellation rules confirmation workflows, or integrate into the ministrys system. Others are saying this circular only concerns public hospitals and the MHRS infrastructure.

Does this circular directly apply to independent private businesses like ours? honestly are there any legal changes we need to make to our software or appointment flow?

LLeventVeteran
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Most Helpful#2

Short answer: Circular No. 2024/18 on the Effective Use of the Appointment System issued by the Ministry of Health directly covers public hospitals using the Central Physician Appointment System (MHRS) and secondary and tertiary healthcare facilities affiliated with the Ministry; it does not impose any direct MHRS integration requirement on independent private clinics or centers. The regulatory boundaries applicable to the private sector are entirely different.

The circular was introduced to curb no-show rates at public hospitals and prevent capacity loss in public resources. Rules brought under the "Confirmed Appointment System"—such as requiring confirmation by 20:00 the day before the appointment, and releasing unconfirmed slots to standby patients—are exclusively binding for public healthcare facilities running on the MHRS infrastructure.

Private healthcare institutions and centers are subject to the existing data transmission standards of the General Directorate of Health Information Systems (SBSGM) (USS / e-Nabız integration) and the specific private facility regulations they fall under. Circular 2024/18 does not order you to change your private appointment software or strictly enforce MHRS confirmation rules.

Here are the steps you should take: 1) Verify with your software vendor that your USS data transfers are up to date. 2) Treat the confirmation logic in the circular as a business best practice rather than a legal mandate; cut down your no-show rate by requesting automated SMS or message confirmations 24 hours before sessions. 3) Disregard word-of-mouth claims about integrations unless you receive an official notice from the Provincial Health Directorate tailored to your facility's license type.

DDeniz K***MemberCommunity member
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#3

The circular in question is aimed at the efficient operation of appointment capacity in public healthcare providers. The operations of private diagnostic, treatment, or consulting centers are governed strictly by their licensing regulations and the prevailing USS data framework; circular 2024/18 introduces no new penal sanctions for private businesses.

CCaner G***MemberCommunity member
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#4

Legally speaking you don't need to do a thing, the circular doesn't apply to you. But definitely adopt the state's approach of getting confirmations the day before into your own workflow. Catching cancellations early lets you slide in standby clients and protects your revenue.

EEbru O***Member
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#5

Is your business licensed by the Ministry of Health as a "Physical Therapy and Rehabilitation Medical Center," or are you operating under the status of a solo physiotherapist practice or a wellness consulting company? Your license type directly dictates your regulatory scope.

CCeren E***MemberCommunity member
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#6

MHRS web services operate on a closed-circuit protocol restricted to the public sector anyway. It isn't even technically possible for private software to connect directly to MHRS and create appointment slots. Private centers only submit patient examination packages via USS; your appointment calendar stays strictly internal.

NNuri Y***ExpertCommunity member
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#7

Taking inspiration from this circular, at our 4-physiotherapist clinic, we switched to making confirmation calls and sending SMS confirmations 24 hours before appointments. We used to average 6 no-shows a day, but in the two months since switching to the confirmation system, that number has dropped to 1 or 2 a day.

note: I wrote this based on my own experience, it might not apply to everyone.

AAhmet A***MemberCommunity member
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#8

There is no guarantee that a rule applied to the public sector today won't be applied to private hospitals and medical centers 2 years from now. The Ministry aims to centralize all healthcare data. There are no penalties for now, but make sure your software vendor is staying on top of developments.

AAhmet Z***Expert
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#9

we heard a similar rumor from friends working at the polyclinic. we called the provincial health directorate to ask, they said the circular is strictly for state hospitals and mhrs, so you can rest easy.

ÜÜlkü N***Member
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#10

Let me summarize what's been said so far. Just because everyone does it doesn't mean it's right.

Good luck with that.

OOzanMember
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#11

I'll argue the opposite, don't get mad. Trying to do this alone is the most expensive way.

Everyone rushing into appointment system circular 2024 gets stuck at the same point. Hope this helps.

BBurcuMember
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#12

to get into the details: Look where the bucket leaks; pouring watter on top doesn't solve it.

if I were you I'd go this route.

KKemal S***Member
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#13

The most overlooked point about appointment system circular 2024 is this: If you get three different answers on a topic, the question was asked wrong.

ZZübeyde K***Member
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Doki · Corporate website · 2026

#14

i have a question. changing habits is harder and more expnesive than setting up a system.

proven by experience.

ÖÖmer Ş***Member
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Doki · Brand identity · 2025

#15

Let me summarize what's been said so far. The harder it is to reverse a decision, the slower you should make it.

GGürkan Ö***MemberCommunity member
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#16

There is something to watch out for. People defend habits not processes. Resistance comes from there.

If you post the result here it will help others too.

AAhmet K***Member
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Doki · Brand identity · 2026

#17

I've been dealing with this for a long time. Changing habits is harder and more expensive than setting up a system.

Trying to do this alone is the most expensive way. If you post the result here it will help others too.

YYağmur K***Member
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#18

You're right, I've been down that road too. Just because everyone does it doesn't mean it's right.

If you get three different answers on a topic, the question was asked wrong. Proven by experience.

HHakan G***Member
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#19

i've been down this road, let me tell you and tbh a small market isn't bad; working cheaply in a small market is.

the biggest time-waster for us was not knowing who had the final say then if you have questions write them; I'll answer as best I can.

ŞŞerife K***Veteran
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#20

Timely topic.

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