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.