HEALTH SECTOR PUBLIC-PRIVATE PARTNERSHIP POLICY IN TURKEY

Abstract

Public-Private Partnership (PPP) models, public and private collaboration to service facility in for increasing demands, many governments such as the United Kingdom (UK) government look for ways to benefit from the efficiency of the private sector. As a result of this, an alternative financial method, Public-Private Partnerships (PPP) method, characterized as the second phase of liberilization movement, is used in public goods and services; from hospitals to highways, infrastructure to energy, defence to airports, and schools to jails [1]. In the UK, the approach is named as Private Finance Initiative (PFI) while in international literature it is stated as the PPP method. It is the most important project financing method used in developed countries especially in the European Union (EU).

Keywords

• Public-Private Partnerships, Health

Abstract

Sağlık sektöründe kamu ve özel sektörün ortaklığına dayalı kamu-özel ortaklığı (KÖO) yöntemi Türk sağlık sektöründe de uygulanmaya başlamıştır. Son yıllarda Türkiye sağlık sektörü büyük bir değişim göstermekte ve giderek artan şekilde KÖO’nı kullanmaktadır. Bu kapsamda çalışma Türkiye sağlık sektörü politikalarında yaşanan bu değişime odaklanmıştır. Çalışmada Türkiye sağlık altyapı yatırımlarında bir finansman yöntemi olarak KÖO politikasının politika haritalama yöntemi ile analiz edilmesi amaçlanmaktadır. Bu analiz yardımıyla politikanın kapsamı, aktörleri, yanında ve karşısında yer alanlar ile henüz bu politika ile ilgili bir taraf olmayanların pozisyon, etki ve güçleri, kaynakları, bu politika ile ilgili çıkarları veya karşı çıkış sebepleri, bu politikadan etkilenecek gruplar incelenmektedir. Bu çalışmanın evrenini, Türkiye sağlık sektöründe altyapı finansman yöntemi olarak KÖO politikası içinde yer alan kamu ve özel sektör temsilciler ve bu politika ile ilgili diğer kişi ve gruplar oluşturmaktadır. Bu araştırmada veri toplama aracı olarak doküman inceleme ve yarı yapılandırılmış soru formları ile yüz yüze görüşme yöntemleri kullanılmaktadır. Araştırma kapsamında MayısKasım 2009 tarihleri arasında 35 kişi ile görüşme yapılmıştır. Toplanan veriler PolicyMaker 4.0 programı ile analiz edilerek sonuçlar literatür ışığında tartışılmıştır

Keywords

• Kamu-Özel Ortaklığı, Sağlık

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