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APPROACH TO PUBLIC PRIVATE PARTNERSHIPS APPLICATIONS IN THE PROVISION OF HEALTH CARE SERVİCES: SURVEY OF UŞAK CITY

Yıl 2015, Cilt 2, Sayı 3, 25 - 46, 28.07.2015
https://doi.org/10.15637/jlecon.78

Öz

Due to their characteristics, health care services can be funded and provided in public and private economy. Providing them mostly in public economy due to its positive externalities can cause heavy pressures on public financing balances. In order to minimize public financing problems caused by health care services and taking the advantages of administrative and financial superiorities of private sector the tendency for the privatization of health care services is gradually increasing. Recently PPP applications, one of the privatization models, have been observed to be used commonly in health sector. At that point the objective of the study is defined as to identify the perspectives of public sector employees and health service beneficiaries about PPP applications. In the context of this purpose how PPP applications are perceived in Uşak city is researched by presenting the working principles of PPP models specific to health sector. Within the scope of analyses the perception about the expectations from PPP applications in health sector is identified first. According to analysis results it was observed that health sector employees and health service beneficiaries do not have enough information about PPP applications and they are uncertain about whether they will provide the expected benefits or not.  

Kaynakça

  • ACARTÜRK, E. ve KESKIN, S.,(2011).Türkiye’de Sağlık Hizmetlerinin Sunumunda Kamu Özel Ortaklığı Modeli (Aydın Örneği),Adnan Menderes Üniversitesi Sosyal Bilimler Enstitüsü Maliye Anabilim Dalı Yüksek Lisans Tezi.
  • ACARTÜRK, E. ve KESKIN, S.,(2012). Türkiye’de Sağlık Sektöründe Kamu Özel Ortaklığı Modeli, Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, C.17, S.3.
  • BABAR, Z. D. and IZHAM, M. I. (2009). Effect of privatization of thedrug distribution system on drugprices in Malaysia. PublicHealth,123(8), 523–533.
  • BLOOM, David E. (1998), Public and Private Roles in Providing and Financing Reproductive Health Care, Harvard Institute for International Development Harvard University
  • COLOMBINI, M., MAYHEW, S. H., ALI, S. H., SHUIB, R. and WATTS, C. (2012). An Integrated healths ector response to violence against women in Malaysia: Lessonsfor supporting caleup.BMC PublicHealth, 12(548), nopagination.
  • De BETTIGNIES, J. E. and ROSS, T. (2009).Public private partnerships and the privatization of financing: An incomplete contracts approach, International Journal of Industrial Organization 27. 358–368.
  • DEWATRIPONT, M.and LEGROS, P, (2005), Public-private partnerships: contract design and risk transfer, EIB Papers, 10 (1): 120-145.
  • ENER, Meliha ve DEMIRCAN, Esra, (2008). Küreselleşme Sürecinde Değişen Devlet Anlayışından Kamu Hizmetlerinin Dönüşümüne: Sağlık Hizmetlerinde Piyasa Mekanizmaları. Süleyman Demirel Üniversitesi, İktisadi ve İdari Bilimler Fakültesi Dergisi, 13(1).
  • ENGEL, E., R. FISHER, and GALETOVIC, A. (2006).Renegotiation without hold up: Anticipating spending in infrastructure concessions. Cowles Foundation Discussion Paper 1567.
  • GUASCH, J. L. (2004).Granting and renegotiating infrastructure concenssions: Doing it right. WBI Development Studies, the World Bank.
  • GÜNGÖR, H. (2012). Sağlık Sektöründe Kamu-Özel İşbirliği Uygulamaları ve Türkiye İçin Değerlendirme, Uzmanlık Tezi.www.kalkinma.gov.tr/KamuOzelIsbirligiYayinlar/2_ Password_Removed. (Ac.: 01.02.2014)
  • HANSON, K., BERMAN P. (1998), Privatehealthcareprovision in developingcountries: a preliminaryanalysis of levelsandcomposition.Health 13:3. 195-211.
  • IOSSA, E. and MARTIMORT, D. (2015), The Simple Microeconomics of Public-Private Partnerships,Journal of Public Economic Theory, 17 (1), 2015. pp. 4–48.
  • ISMAIL, S.,and AJIJA, S. R. (2011). Critical successfactorsforpublic-privatepartnership (PPP) implementation in Malaysia. Proc. OftheSeventhJointVenture International Conference, Sept 28–29. 2011. Bandung, Indonesia: Institute of TechnologyBandung (ITB).
  • JAMES, E. (1993), Why is there proportionately moreenrollment in privateschool in somecountries? Workin Papers (WPS 1069)The World Bank http://wwwwds.worldbank.org/external/default/
  • WDSContentServer/IW3P/IB/1999/04/28/000009265_3961004003631/Rendered/PDF /multi_page.pdf. ( Access: 1370372015)
  • KALAYCI, Ş. (2010),SPSS Uygulamalı Çok Değişkenli İstatistik Teknikleri, 5. Baskı Asil Yayınları
  • KARASU, K. (2011). Sağlık Hizmetlerinin Örgütlenmesinde Kamu – Özel Ortaklığı, Ankara Üniversitesi SBF Dergisi, 66 (3): 217-262 KAUL, I.,and FAUST, M. (2001). Global PublicGoodsandHealth:TakingtheAgendaForward,Bulletin of the World HealthOrganization, 869–874.
  • KICKBUSCH, I. and QUICK, J. (1998). Partnerships for health in the 21st century, World Health Stat Q, 51. 68–74.
  • MURRAY, C. J. L., GOVINDARAJ,R. and MUSGROVE, P. (1994) ,National health expenditures: a global analysis, Bulletin of the World HealthOrganization, 72 (4): 623-637
  • MUTLU, A., (2006). Küresel Kamusal Mallar Bağlamında Sağlık Hizmetleri ve Çevre Kirlenmesi: Üretim, Finansman ve Yönetim Sorunları, Maliye Dergisi, 150.
  • NAMBIAR, S. (2009). Revisiting privatization in Malaysia: The importance of institutional process.Asian Academy of Management Journal, 14(2), 21–40. .
  • OECD. (2012). Fromlessonstoprinciplesfortheuse of public-privatepartnerships. 32nd annualmeeting of WorkingParty of Senior Budget Officials, 6–7 June, Luxembourg. PublicGovernanceandTerritorial Development, Public Management Committee,
  • OECD. Retrievedfromhttp://www.oecd.org/gov/budgeting/48144872.pdf
  • PATTBERG, P.H., BIERMAN, F., CHAN, S. and MERT,A. (2012), Introduction: Partnerships for Sustainable Development, in Public-Private Partnerships for Sustainable Development: Emergence, Influence and Legitimacy...(Ed.) (2012): Philipp H. Pattberg, Edward Elger Publishing Limited, Cheltenham,UK.
  • PHUA, K.L., LING, S. W., PHUA, K. (2014), Public–PrivatePartnerships in Health in Malaysia: LessonsforPolicyImplementation,International Journal of Public Administration, 37: 506–513.
  • ŞAHIN, M. ve UYSAL, Ö. (2008). Kamu Ekonomisi Perspektifinden Kamu- Özel Sektör Ortaklıkları,Ekin Basım Yayın Dağıtım, Bursa.
  • SARISU, A.(2009)Kamu Özel İşbirlikleri,Yaklaşım Yayınları
  • SELEN, U. (2008), Küresel Kamu Malları ve Egemenlik Sorumluluğu Yaklaşımı, Mali Pusula Dergisi, Yıl 4 Sayı 48.
  • SUNDARAM, J. K. and CHOWDHURY, A. (2009). Reconsideringpublic-private partnerships in developing countries.International Journal of Institutions and Economies, 1(2), 191–205.
  • T.C. KALKINMA BAKANLIĞI, (2012), Dünyada ve Türkiye’de Kamu-Özel İşbirliği Uygulamalarına İlişkin Gelişmeler, Yatırım Programlama İzleme ve Değerlendirme Genel Müdürlüğü
  • TEKER, D. L. (2008),Sağlık Sektöründe Proje Finansman Modelleri: Türkiye İçin Bir Model Önerisi ve Bir Hastane Projesinin Fizibilite Analizi, Okan Üniversitesi
  • TEKIN, A. G. (2007), Kamu Özel Sektör İşbirlikleri- Kamu Özel Ortaklıkları, İdarecinin Sesi Dergisi, Cilt 21, Sayı, 122. [http://www.oib.gov.tr/basbakanlik/aligunertekin.pdf (Erişim Tarihi: 01.02.2014)]
  • WORLD HEALTH ORGANIZATION, Ministry of HealthMalaysia. (2011). Goodpractices in Asia: Effective paradigm shifts towards an improved national response to drugs and HIV/AIDS: Scale-up of harm reduction in Malaysia. Kuala Lumpur, Malaysia: World HealthOrganization.
  • WORLD BANK INSTITUTE. (2012). Public-private partnerships. Retrieved from http://wbi.worldbank.org/wbi/about/topics/public-private-partnerships
  • YILMAZ, B. E. ve YARAŞIR, S. (2011). Bir Küresel Kamusal Mal Olarak Sağlık ve Finansmanında Resmi Kalkınma Yardımlarının Rolü,İstanbul Üniversitesi İktisat Fakültesi, Maliye Araştırma Merkezi Konferansları, Seri 55.

APPROACH TO PUBLIC PRIVATE PARTNERSHIPS APPLICATIONS IN THE PROVISION OF HEALTH CARE SERVİCES: SURVEY OF UŞAK CITY

Yıl 2015, Cilt 2, Sayı 3, 25 - 46, 28.07.2015
https://doi.org/10.15637/jlecon.78

Öz

Due to their characteristics, health care services can be funded and provided in public and private economy. Providing them mostly in public economy due to its positive externalities can cause heavy pressures on public financing balances. In order to minimize public financing problems caused by health care services and taking the advantages of administrative and financial superiorities of private sector the tendency for the privatization of health care services is gradually increasing. Recently PPP applications, one of the privatization models, have been observed to be used commonly in health sector. At that point the objective of the study is defined as to identify the perspectives of public sector employees and health service beneficiaries about PPP applications. In the context of this purpose how PPP applications are perceived in Uşak city is researched by presenting the working principles of PPP models specific to health sector. Within the scope of analyses the perception about the expectations from PPP applications in health sector is identified first. According to analysis results it was observed that health sector employees and health service beneficiaries do not have enough information about PPP applications and they are uncertain about whether they will provide the expected benefits or not.  

Kaynakça

  • ACARTÜRK, E. ve KESKIN, S.,(2011).Türkiye’de Sağlık Hizmetlerinin Sunumunda Kamu Özel Ortaklığı Modeli (Aydın Örneği),Adnan Menderes Üniversitesi Sosyal Bilimler Enstitüsü Maliye Anabilim Dalı Yüksek Lisans Tezi.
  • ACARTÜRK, E. ve KESKIN, S.,(2012). Türkiye’de Sağlık Sektöründe Kamu Özel Ortaklığı Modeli, Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, C.17, S.3.
  • BABAR, Z. D. and IZHAM, M. I. (2009). Effect of privatization of thedrug distribution system on drugprices in Malaysia. PublicHealth,123(8), 523–533.
  • BLOOM, David E. (1998), Public and Private Roles in Providing and Financing Reproductive Health Care, Harvard Institute for International Development Harvard University
  • COLOMBINI, M., MAYHEW, S. H., ALI, S. H., SHUIB, R. and WATTS, C. (2012). An Integrated healths ector response to violence against women in Malaysia: Lessonsfor supporting caleup.BMC PublicHealth, 12(548), nopagination.
  • De BETTIGNIES, J. E. and ROSS, T. (2009).Public private partnerships and the privatization of financing: An incomplete contracts approach, International Journal of Industrial Organization 27. 358–368.
  • DEWATRIPONT, M.and LEGROS, P, (2005), Public-private partnerships: contract design and risk transfer, EIB Papers, 10 (1): 120-145.
  • ENER, Meliha ve DEMIRCAN, Esra, (2008). Küreselleşme Sürecinde Değişen Devlet Anlayışından Kamu Hizmetlerinin Dönüşümüne: Sağlık Hizmetlerinde Piyasa Mekanizmaları. Süleyman Demirel Üniversitesi, İktisadi ve İdari Bilimler Fakültesi Dergisi, 13(1).
  • ENGEL, E., R. FISHER, and GALETOVIC, A. (2006).Renegotiation without hold up: Anticipating spending in infrastructure concessions. Cowles Foundation Discussion Paper 1567.
  • GUASCH, J. L. (2004).Granting and renegotiating infrastructure concenssions: Doing it right. WBI Development Studies, the World Bank.
  • GÜNGÖR, H. (2012). Sağlık Sektöründe Kamu-Özel İşbirliği Uygulamaları ve Türkiye İçin Değerlendirme, Uzmanlık Tezi.www.kalkinma.gov.tr/KamuOzelIsbirligiYayinlar/2_ Password_Removed. (Ac.: 01.02.2014)
  • HANSON, K., BERMAN P. (1998), Privatehealthcareprovision in developingcountries: a preliminaryanalysis of levelsandcomposition.Health 13:3. 195-211.
  • IOSSA, E. and MARTIMORT, D. (2015), The Simple Microeconomics of Public-Private Partnerships,Journal of Public Economic Theory, 17 (1), 2015. pp. 4–48.
  • ISMAIL, S.,and AJIJA, S. R. (2011). Critical successfactorsforpublic-privatepartnership (PPP) implementation in Malaysia. Proc. OftheSeventhJointVenture International Conference, Sept 28–29. 2011. Bandung, Indonesia: Institute of TechnologyBandung (ITB).
  • JAMES, E. (1993), Why is there proportionately moreenrollment in privateschool in somecountries? Workin Papers (WPS 1069)The World Bank http://wwwwds.worldbank.org/external/default/
  • WDSContentServer/IW3P/IB/1999/04/28/000009265_3961004003631/Rendered/PDF /multi_page.pdf. ( Access: 1370372015)
  • KALAYCI, Ş. (2010),SPSS Uygulamalı Çok Değişkenli İstatistik Teknikleri, 5. Baskı Asil Yayınları
  • KARASU, K. (2011). Sağlık Hizmetlerinin Örgütlenmesinde Kamu – Özel Ortaklığı, Ankara Üniversitesi SBF Dergisi, 66 (3): 217-262 KAUL, I.,and FAUST, M. (2001). Global PublicGoodsandHealth:TakingtheAgendaForward,Bulletin of the World HealthOrganization, 869–874.
  • KICKBUSCH, I. and QUICK, J. (1998). Partnerships for health in the 21st century, World Health Stat Q, 51. 68–74.
  • MURRAY, C. J. L., GOVINDARAJ,R. and MUSGROVE, P. (1994) ,National health expenditures: a global analysis, Bulletin of the World HealthOrganization, 72 (4): 623-637
  • MUTLU, A., (2006). Küresel Kamusal Mallar Bağlamında Sağlık Hizmetleri ve Çevre Kirlenmesi: Üretim, Finansman ve Yönetim Sorunları, Maliye Dergisi, 150.
  • NAMBIAR, S. (2009). Revisiting privatization in Malaysia: The importance of institutional process.Asian Academy of Management Journal, 14(2), 21–40. .
  • OECD. (2012). Fromlessonstoprinciplesfortheuse of public-privatepartnerships. 32nd annualmeeting of WorkingParty of Senior Budget Officials, 6–7 June, Luxembourg. PublicGovernanceandTerritorial Development, Public Management Committee,
  • OECD. Retrievedfromhttp://www.oecd.org/gov/budgeting/48144872.pdf
  • PATTBERG, P.H., BIERMAN, F., CHAN, S. and MERT,A. (2012), Introduction: Partnerships for Sustainable Development, in Public-Private Partnerships for Sustainable Development: Emergence, Influence and Legitimacy...(Ed.) (2012): Philipp H. Pattberg, Edward Elger Publishing Limited, Cheltenham,UK.
  • PHUA, K.L., LING, S. W., PHUA, K. (2014), Public–PrivatePartnerships in Health in Malaysia: LessonsforPolicyImplementation,International Journal of Public Administration, 37: 506–513.
  • ŞAHIN, M. ve UYSAL, Ö. (2008). Kamu Ekonomisi Perspektifinden Kamu- Özel Sektör Ortaklıkları,Ekin Basım Yayın Dağıtım, Bursa.
  • SARISU, A.(2009)Kamu Özel İşbirlikleri,Yaklaşım Yayınları
  • SELEN, U. (2008), Küresel Kamu Malları ve Egemenlik Sorumluluğu Yaklaşımı, Mali Pusula Dergisi, Yıl 4 Sayı 48.
  • SUNDARAM, J. K. and CHOWDHURY, A. (2009). Reconsideringpublic-private partnerships in developing countries.International Journal of Institutions and Economies, 1(2), 191–205.
  • T.C. KALKINMA BAKANLIĞI, (2012), Dünyada ve Türkiye’de Kamu-Özel İşbirliği Uygulamalarına İlişkin Gelişmeler, Yatırım Programlama İzleme ve Değerlendirme Genel Müdürlüğü
  • TEKER, D. L. (2008),Sağlık Sektöründe Proje Finansman Modelleri: Türkiye İçin Bir Model Önerisi ve Bir Hastane Projesinin Fizibilite Analizi, Okan Üniversitesi
  • TEKIN, A. G. (2007), Kamu Özel Sektör İşbirlikleri- Kamu Özel Ortaklıkları, İdarecinin Sesi Dergisi, Cilt 21, Sayı, 122. [http://www.oib.gov.tr/basbakanlik/aligunertekin.pdf (Erişim Tarihi: 01.02.2014)]
  • WORLD HEALTH ORGANIZATION, Ministry of HealthMalaysia. (2011). Goodpractices in Asia: Effective paradigm shifts towards an improved national response to drugs and HIV/AIDS: Scale-up of harm reduction in Malaysia. Kuala Lumpur, Malaysia: World HealthOrganization.
  • WORLD BANK INSTITUTE. (2012). Public-private partnerships. Retrieved from http://wbi.worldbank.org/wbi/about/topics/public-private-partnerships
  • YILMAZ, B. E. ve YARAŞIR, S. (2011). Bir Küresel Kamusal Mal Olarak Sağlık ve Finansmanında Resmi Kalkınma Yardımlarının Rolü,İstanbul Üniversitesi İktisat Fakültesi, Maliye Araştırma Merkezi Konferansları, Seri 55.

Ayrıntılar

Konular Sosyal
Bölüm Makaleler
Yazarlar

Ufuk Selen Bu kişi benim
Doçent Dr.


Göksel Karaş
0000-0003-4091-1258

Yayımlanma Tarihi 28 Temmuz 2015
Yayınlandığı Sayı Yıl 2015, Cilt 2, Sayı 3

Kaynak Göster

APA Selen, U. & Karaş, G. (2015). APPROACH TO PUBLIC PRIVATE PARTNERSHIPS APPLICATIONS IN THE PROVISION OF HEALTH CARE SERVİCES: SURVEY OF UŞAK CITY . Journal of Life Economics , 2 (3) , 25-46 . DOI: 10.15637/jlecon.78

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