Show simple item record

dc.contributor.authorÖkem, Zeynep Güldem
dc.contributor.authorCakar, Mehmet
dc.date.accessioned2019-07-03T14:45:49Z
dc.date.available2019-07-03T14:45:49Z
dc.date.issued2015
dc.identifier.citationÖkem, Z. G., & Çakar, M. (2015). What have health care reforms achieved in Turkey? An appraisal of the “Health Transformation Programme”. Health Policy, 119(9), 1153-1163.en_US
dc.identifier.issn0168-8510
dc.identifier.urihttps://doi.org/10.1016/j.healthpol.2015.06.003
dc.identifier.urihttp://hdl.handle.net/20.500.11851/1620
dc.description.abstractPoor health status indicators, low quality care, inequity in the access to health services and inefficiency due to fragmented health financing and provision have long been problems in Turkey's health system. To address these problems a radical reform process known as the Health Transformation Programme (HTP) was initiated in 2003. The health sector reforms in Turkey are considered to have been among the most successful of middle-income countries undergoing reform. Numerous articles have been published that review these reforms in terms of, variously, financial sustainability, efficiency, equity and quality. Evidence suggests that Turkey has indeed made significant progress, yet these achievements are uneven among its regions, and their long-term financial sustainability is unresolved due to structural problems in employment. As yet, there is no comprehensive evidence-based analysis of how far the stated reform objectives have been achieved. This article reviews the empirical evidence regarding the outcomes of the HTP during 10 years of its implementation. Strengthening the strategic purchasing function of the Social Security Institution (SSI) should be a priority. Overall performance can be improved by linking resource allocation to provider performance. More emphasis on prevention rather than treatment, with an effective referral chain, can also bring better outcomes, greater efficiency gains and contribute to sustainability. (C) 2015 Elsevier Ireland Ltd. All rights reserved.en_US
dc.language.isoengen_US
dc.publisherElsevier Ireland Ltden_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectHealthcare reformsen_US
dc.subjectTurkeyen_US
dc.subjectEfficiencyen_US
dc.subjectEquityen_US
dc.subjectFinancial sustainabilityen_US
dc.subjectQualityen_US
dc.subjectGeneral/social health insuranceen_US
dc.subjectEvidence-based evaluationen_US
dc.subjectHealth Transformation Programmeen_US
dc.titleWhat have health care reforms achieved in Turkey? An appraisal of the "Health Transformation Programme"en_US
dc.typearticleen_US
dc.relation.journalHealth Policyen_US
dc.contributor.departmentTOBB ETU, Faculty of Economics and Administrative Sciences, International Entrepreneurshipen_US
dc.contributor.departmentTOBB ETÜ, İktisadi ve İdari Bilimler Fakültesi, Uluslararası Girişimcilik Bölümütr_TR
dc.identifier.volume119
dc.identifier.issue9
dc.identifier.startpage1153
dc.identifier.endpage1163
dc.identifier.wosWOS:000361403000003
dc.identifier.scopus2-s2.0-84939781712
dc.contributor.tobbetuauthorÖkem, Zeynep Güldem
dc.contributor.YOKid192696
dc.identifier.doi10.1016/j.healthpol.2015.06.003
dc.contributor.ScopusAuthorID56798593300
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıtr_TR


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record