@article{article_320023, title={In Terms of The Success of Health Reforms, The Decentralization-Recentralization Cycle and The Situation In Our Country}, journal={Journal of Biotechnology and Strategic Health Research}, volume={1}, pages={1–6}, year={2017}, author={Hayran, Osman}, keywords={Health services,decentralization,recentralization}, abstract={<p>Decentralization of health care services has been a popular tool of the health care reforms that had started
in several countries during 1980s by the infl uence of neoliberal economic policies. There are four major
types and degrees of decentralization: deconcentration, devolution, delegation and privatization. The
purposes of all types of health care decentralization are the transfer of power from center to the periphery
and encourage the local people to participate in decision-making procedures for provision of more
realistic, effi cient services and increased patient satisfaction. Applications made over time have shown
that decantralization can lead to many new problems instead of expected benefi ts if not well planned.
Particularly in communities where there is no participatory democracy culture, where health information
infrastructure and management skills are inadequate, it has been observed that these practices result
in regional inequalities, and increase in resource waste by the manipulation of local politicians. In our
country, the applications of decentralization within the Health Transformation Program are sought to be
among the unsuccessful examples in this sense. <br /> </p>}, number={1}, publisher={Deneysel, Biyoteknolojik, Klinik ve Stratejik Sağlık Araştırmaları Derneği}