SAĞLIK HİZMETLERİNDE KÜRESEL REFORM YAKLAŞIMLARI

Year 2011, Issue: 60, 323 - 365, 25.01.2012

Davuthan Günaydın

Abstract

Sağlık hizmetlerinde gerçekleştirilmeye çalışılan reformlar genel olarak iki grupta değerlendirilmektedir. Bunlardan ilki, DB ve IMF tarafından desteklenen “piyasa temelli” sağlık reformudur. Bu modelde sağlık hizmetleri, piyasa ekonomisi ile  ilişkilendirilmektedir. İkincisi ise, DSÖ ve UNICEF tarafından desteklenen “sosyal model”dir. Bu model, sağlık hizmetlerini insan ihtiyacı temelinde değerlendirir. Ayrıca, bu iki modele ilave olarak, her iki modelin birlikte kullanıldığı, “yaklaşımların işbirliği” olarak adlandırılabilecek üçüncü bir modelden de söz etmek mümkündür.

 

The reforms that are planned to be realized in the future will be
evaluated in two groups. The first one of them is “the market based”, which is supported by WB and IMF. In this model, health care services are related with the market economics. The second one is “the social model”, which is supported by WHO and UNICEF. This model treats health care services at a base that health care is a commodity for human beings. It is also possible to think of a third model that can be named
“cooperation of approaches” which represent a model where these two approaches given above are combined together.

Keywords

Sağlık Hizmetleri Reformu, Sağlık Hizmetleri

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