A SWOT ANALYSIS OF THE TÜRKİYE HEALTHCARE SYSTEM: A PHYSICIANS' PERSPECTIVE

Year 2024, Volume: 12 Issue: 3, 749 - 771, 21.10.2024

Mustafa Filiz

https://doi.org/10.33715/inonusaglik.1384845

Abstract

The aim of this study is to conduct a SWOT analysis of the Türkiye healthcare system from the viewpoint of physicians. The sample for this study consisted of 22 physicians who voluntarily participated. A qualitative research approach was employed, utilizing semi-structured interview forms for data collection. Data were gathered both face-to-face and online. The obtained data were coded, and similar codes were categorized and themed. This study incorporated both SWOT analysis and content analysis methods. When examining the findings, physicians highlighted easy access and availability as the strong aspects of the Türkiye healthcare system. However, the system's weaknesses were predominantly identified as issues concerning healthcare professionals. On the other hand, medical tourism was pointed out as the most significant opportunity awaiting the health system, whereas the escalating violence towards healthcare workers was perceived as the biggest threat. The Türkiye Healthcare System stands out with strengths such as ease of access and advanced technological infrastructure, as well as opportunities like medical tourism. However, it also harbors pressing challenges, including violence against healthcare workers and medication shortages. It is anticipated that many of these issues will be addressed when the balance between demand and supply is achieved.

Keywords

Healthcare system, Physician, SWOT

Ethical Statement

In terms of the ethical appropriateness of the research, an application was made to the Artvin Çoruh University Scientific Research and Publication Ethics Committee. Ethical approval was obtained from the committee with the reference E-18457941-050.99-94572, dated 07.06.2023. Prior to data collection, participating physicians were thoroughly informed about the research and their informed consents were obtained.

Supporting Institution

none

Project Number

yok

Thanks

none

Türkiye Sağlık Sisteminin SWOT Analizi: Hekı̇mlerı̇n Bakışı

Abstract

Bu çalışmada hekimlerin bakış açısıyla, Türkiye sağlık sisteminin SWOT analizinin yapılması amaçlanmıştır. Çalışmanın örnekleminin gönüllü katılım sağlayan 22 hekim oluşturmaktadır. Çalışmada nitel araştırma yaklaşımı kullanılmış olup yarı yapılandırılmış görüşme formları ile veriler toplanmıştır. Katılımcılardan yüz yüze ve çevrimiçi olarak veriler toplanmıştır. Elde edilen veriler kodlanmış ve birbirine benzeyen kodlar kategorileştirilerek temalaştırılmıştır. Çalışmada, SWOT analizinden ve içerik analizinden yararlanılmıştır. Elde edilen bulgulara bakıldığı zaman, katılımcı hekimlerin Türkiye sağlık sisteminin güçlü yönü olarak erişim ve ulaşılabilirliğin kolay olmasını, sistemin zayıf yönü olarak ise daha çok sağlık çalışanların sorunlarını vurgulamışlardır. Diğer yandan sağlık sistemini bekleyen en önemli fırsat olarak sağlık turizmi belirtilmiş ve sağlık sistemini bekleyen en büyük tehdit ise sağlık çalışanlarına yönelik artan şiddet olarak değerlendirilmiştir. Türkiye sağlık sistemi, erişim kolaylığı, teknolojik altyapı gibi güçlü yönleri ve sağlık turizmi gibi fırsatlarıyla dikkat çekerken; sağlık çalışanlarına yönelik şiddet ve ilaç eksikliği gibi acil çözüm gerektiren sorunları da barındırmaktadır.

Keywords

Sağlık sistemi, Doktor, SWOT

Ethical Statement

Araştırmanın etik uygunluğu açısından Artvin Çoruh Üniversitesi Bilimsel Araştırma ve Yayın Etik Kurulu'na başvuruda bulunulmuştur. Komiteden 07.06.2023 tarih ve E-18457941-050.99-94572 referansıyla etik onay alınmıştır. Verilerin toplanmasından önce katılımcı hekimlere araştırma hakkında ayrıntılı bilgi verildi ve aydınlatılmış onamları alındı.

Supporting Institution

yok

Project Number

yok

Thanks

yok

References

• Aktan, C. C. (2005). SWOT Analysis for Turkish Higher Education Reform. Retrieved from http://www.canaktan.org/egitim/universite-reform/swot.htm
• Akyürek, Ç. E. (2012). Sağlıkta bir geri ödeme yöntemi olarak global bütçe ve Türkiye. Sosyal Güvenlik Dergisi, 2(2), 124-153.
• Allen, E. M., Call, K. T., Beebe, T. J., McAlpine, D. D. & Johnson, P. J. (2017). Barriers to care and health care utilization among the publicly insured. Med Care, 55(3), 207-214.
• Behzadifar, M., Ghanbari, M. K., Azari, S., Bakhtiari, A., Rahimi, S., Ehsanzadeh, S. J., ...Bragazzi, N. L. (2023). A SWOT analysis of the development of health technology assessment in Iran. PLoS One, 18(3), e0283663.
• Büyüköztürk, Ş., Çakmak, E. K., Akgün, Ö. E., Karadeniz, Ş. & Demirel, F. (2012). Scientific Research Methods (Expanded 13th ed.). Pegem Academy.
• Caruso, R., Toffanin, T., Folesani, F., Biancosino, B., Romagnolo, F., Riba, M. B., ...Grassi, L. (2022). Violence against physicians in the workplace: trends, causes, consequences, and strategies for intervention. Curr Psychiatry Rep, 24(12), 911-924.
• Cebecioğlu, C. (2006). SWOT Analysis and an Application on a Business. Gebze Institute of Technology Institute of Social Sciences, Kocaeli.
• Çavmak, Ş. & Çavmak, D. (2017). Historical development of health services in Turkey and health transformation program. Health Management Journal, 1(1), 48-57.
• Daştan, İ. & Çetinkaya, V. (2015). Comparison of health systems, health expenditures, and health ındicators of OECD countries and Turkey. Social Security Journal, 5(1), 104-134.
• Dereziuk, A. V., Yaremyna, I. V., Holovchanska-Pushkar, S. E. & Baidiuk, I. A. (2023). Efficiency improvement of health care institutions activities using SWOT-analysis. Reports of Vinnytsia National Medical University, 27(1), 160-165.
• Eriş, H. (2019). SWOT analysis of health tourism in Şanlıurfa. Elektronik Sosyal Bilimler Dergisi, 18(71), 1278-1298.
• Filiz, M. (2022). Metaverse and a SWOT analysis of the Turkish health system. Turk Res J Acad Soc Sci, 5, 61–68.
• Huesmann, L. R. (2007). The impact of electronic media violence: scientific theory and research. J Adolesc Health, 41(6 Suppl 1), S6–S13.
• Huesmann, L. R. & Taylor, L. D. (2006). The role of media violence in violent behavior. Annu Rev Public Health, 27, 393-415.
• Jones, L. & Fulop, N. (2021). The role of professional elites in healthcare governance: Exploring the work of the medical director. Soc Sci Med, 277, 113882.
• Ministry of Development. (2014). 10. Kalkınma Planı (2014- 2018); Sağlık Hizmetlerinin Etkinliğinin Artırılması Ve Mali Sürdürülebilirlik Özel İhtisas Komisyonu Raporu. Ankara.
• Kelly, L. A., Gee, P. M. & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nurs Outlook, 69(1), 96–102.
• Kisa, S. & Kisa, A. (2006). Job dissatisfaction among public hospital physicians is a universal problem: evidence from Turkey. Health Care Manage, 25(2), 122-129.
• Kuş, E. (2009). Quantitative-qualitative research techniques. Anı Publishing, Ankara.
• Laksham, K. B. (2019). Unmanned aerial vehicle (drones) in public health: a SWOT analysis. J Fam Med Prim Care, 8(2), 342-346.
• McCanne, D. (2010). Health Care Systems-Four Basic Models; Physicians for a National Health Program (PNHP). Retrieved from http://www.pnhp.org/single_payer_resources/health_care_systems_four_basic_models.php
• Morita, P. P., Abhari, S., Kaur, D. J., Lotto, M., Miranda, P. & Oetomo, A.. (2023). Applying ChatGPT in public health: a SWOT and PESTLE analysis. Front Public Health, 11, 1225861.
• Murray, C. J. L. & Frenk, J. (2000). A framework for assessing the performance of health systems. Bull World Health Organ, 78(6), 717-731.
• Nguyen, A. T., Trout, K. E., Chen, L. W., Madison, L., Watkins, K. L. & Watanabe-Galloway, S. (2016). Nebraska's rural behavioral healthcare workforce distribution and relationship between supply and county characteristics. Rural Remote Health, 16(2), 1-10.
• Organisation for Economic Co-Operation and Development (OECD). (2008). OECD Reviews of Health Systems-Turkey: The Performance of the Turkish Health System and its Determinants. Retrieved from: https://www.oecd.org/health/bycountry/turkey/ . 17.10.2023.
• O'Hear, M. (2020). Violent Crime and media coverage in one city: a statistical snapshot. Marq L Rev, 103, 1007.
• Prasuna, A. & Rachh, A. (2023). A study on challenges of data security and data privacy in the healthcare sector: SWOT analysis. Asia Pac J Health Manag, 18(1), 283–289.
• Official Gazette. (2006). Tedavi Yardımına İlişkin Uygulama Tebliği (Sıra No: 8). 1 Temmuz 2006, Sayı: 26215.
• Official Gazette. (2012). Sosyal Sigortalar ve Genel Sağlık Sigortası Kanunu. Retrieved from https://www.resmigazete.gov.tr/eskiler/2012/03/20120308-1.htm. 28.10.2023.
• Official Gazette. (2013). Sağlık Uygulama Tebliği. 24 Mart 2013, Sayı: 28597.
• Ministry of Health. (2014). Teşhis İlişkili Gruplar Bilgilendirme Rehberi. Sağlık Hizmetleri Genel Müdürlüğü, Ankara.
• Ministry of Health. (2018). Sağlık Turizmi Hakkında. Sağlık Turizmi Daire Başkanlığı. Retrieved from: https://shgmturizmdb.saglik.gov.tr/. 28.10.2023.
• Sargutan, A. E. (2003). Sosyal Politika Bilimi- Sosyal Politikalar, Sosyal Devlet, Sosyal Güvenlik. Başaran Teknik, Ankara
• Sulaiman, H. M., Mohammed, R. F. & Al-Dabbagh, S. A. (2023). Health system performance, mitigation, and imperative reform approaches in the Kurdistan region of Iraq: a qualitative SWOT analysis from the stakeholders’ point of view. Duhok Med J, 17(1), 76-100.
• Tao, Z. Q. & Shi, A. M. (2016). Application of Boston matrix combined with SWOT analysis on operational development and evaluations of hospital development. Eur Rev Med Pharmacol Sci, 20(10), 2131-2139.
• Tatar, M. (2011). Financing models of health services: development of social health insurance in Turkey. Sosyal Güvenlik Dergisi, 1, 103-130.
• Waters, H. & Hussey, P. (2004). Pricing health services for purchasers: a review of methods and experiences (p. 4). The World Bank,. Washington, USA.
• Wazir, M. S., Shaikh, B. T. & Ahmed, A. (2013). National program for family planning and primary health care Pakistan: a SWOT analysis. Reprod Health, 10, 60.
• World Health Organization (WHO). (2000). World Health Report 2000: Health Systems-Improving Performance. World Health Organization.
• Yıldırım, A. & Şimşek, H. (2011). Research Methods in Social Sciences. Seçkin Publishing.
• Zaman, M. (2023). ChatGPT for the healthcare sector: SWOT analysis. Int J Res Ind Eng. doi:10.22105/riej.2023.391536.1373.