Türkiye Sağlık Sisteminde Reformlar Ve Politika Süreçlerinde Sağlıkta Dönüşüm Programı

Yıl 2023, Cilt: 3 Sayı: 3, 71 - 78, 30.09.2023

Sebla Ak

Öz

Amaç: Türk sağlık ortamı 2003 yılından itibaren “Sağlıkta Dönüşüm Programı” adı verilen bir reformla yeniden yapılandırılmıştır. Program, Türkiye'nin sağlık sorunlarına çözüm getirmek amacıyla gündeme gelmesine rağmen dünyadaki dönüşümle uyum içindedir. Benzer birçok ülkede olduğu gibi Türkiye'de de program hem bilgi hem de finans açısından kabul görmektedir. Para Fonu, Dünya Bankası ve Dünya Sağlık Örgütü'nün katkıları belirleyicidir. Bu makalede, küresel dönüşüm, bu dönüşümün dinamikleri, Türkiye'deki yansımaları ve dönüşümün sağlık çalışanları ve halk sağlığı üzerindeki etkilerinin ana hatlarıyla incelenmesi amaçlanmaktadır.
Yöntemler: Araştırmada doküman incelemesi yöntemi kullanılmıştır. Bunun için PubMed ve Google Scholar sayfaları kullanılmıştır. Bu çalışma, Mart ve Ağustos 2022'de yayınlanmış akademik veri tabanlarında ve Google burs arama sayfalarında 2006-2022 yılları arasında yayınlanan İngilizce ve Türkçe Makale ve tezler olarak taranmıştır.
Sonuç: SDP'nin mali yönüne odaklanmak söz konusu iken esas olan sağlıktır. Piyasada bir piyasalaşma olduğu vurgulanmış ve bu piyasalaşmanın bileşenleri açıklanmaya çalışılmıştır.

Anahtar Kelimeler

Health Services and Reforms, Transformation Policies in Health, Turkey’s Health Policies

Health Transformation Program In Turkish Health System Reforms And Policy Processes

Öz

Objective:The Turkish healthcare environment has been restructured since 2003 with a reform called the “Health Transformation Programme”. Although the program came to the agenda with the aim of solving the health problems of Turkey, with the transformation in the world, is in harmony. As in many similar countries, in Turkey, the program is accepted both in terms of information and finance.The contributions of the Monetary Fund, the World Bank and the World Health Organization are decisive. In this article, the main lines ofIt is aimed to examine the global transformation, the dynamics of this transformation, its reflections in Turkey and the impact of the transformation on health workers and public health.
Methods: Document analysis method was used in the research. PubMed and Google Scholar pages were used for this This study was searched as English and Turkish Articles and theses published between 2006-2022 in academic databases pubmed and Google scholar search pages in March and August 2022.
Conclusion: While it is in question to focus on the financial aspect of the SDP, the main thing is health.It has been emphasized that there is a marketization of the market and the components of this marketization have been tried to be explained.

Anahtar Kelimeler

Health Services and Reforms, Transformation Policies in Health, Turkey’s Health Policies

Kaynakça

• Agırbas I. Health policy of the Atatürk period, Ankara University Insitute of Turkish revolution history, no:48 , pp.733-748, 2011.
• Akdag R. Health policy and services in Turkey new Turkey, Ankara, vol.4, pp. 23-24, 1998.
• Akdag R. Turkey health transformation program and basic health services T.C. ministry of health publication pp.18, 2008.
• Akdag R. Turkey health transformation program evaluation report pp.18-20, 2003-2011. https://dosyasb.saglik.gov.tr/eklenti/5131,sdpturkpdf.pdf?0
• Akdur R. Evaluation of primary health care services in Turkey and europe, Ankara University Faculty of Medicine Journal, vol. 56(4), pp.207-216,2003
• Akdur R. Health in Turkey from the republic to the present, 12th national public health congress,pp.45-71, 2008. https://www.recepakdur.com/media/1372/04-akdur-r-cumhuriyetten-gu-nu-mu-ze-tu-rkiye-sag-lik-12ulusal-halk-sag-lig-i-kongresi-21-25-ekim-2008-ankara-kitabi-sayfa-45-71.pdf
• Bostancı Y. General health ınsurance in social security law Selçuk University social sciences ınstitue ıntitute private law department, 2008,
• Creese A. User fees: they don't reduce costs, and they increase Inequity ,pp:202-203,2008
• Doguc E. Behavioral economics as health expenditure and solution proposal in Turkey international Health Management and Strategies Research Journal, Vol.7(3), 2021.
• Er Ü. Health transformation tool, Ankara University institute of social sciences Ankara ,2011.
• Fedai R, Before health transformation programs: development of health services in Turkey: 1923 -2003 Manas Social Research Journal, vol. 8(2): 2010-2032, 2019.
• Gonc T. The effects of neoliberal policies on health at the global level, Anadolu University Journal of Social Sciences, vol. 2 (2): 159-178,2017.
• Gumus E, Çelikay F, Yalama G. 24. Turkey finance symposium proceedings book Eskişehir University Osman Gazi university faculty of economics and administrative sciences department of finance 19-23 may, 2009. http://maliyesempozyumu.org/wp-content/uploads/2016/11/Maliye-Sempozyumu_24.pdf
• Gumus E. Social security system in turkey: current situation, problems and suggestions, seta analysis, no:24, 2010.
• Kol E. Transformation experienced in health services in turkey, a study on lower income groups in Eskişehir, Anadolu University, Eskişehir, pp.222, 2014.
• Kockaya G, Atikeler K, Yenilmez F. Evaluation of private and public insurance premium/damage health expenditure in Turkey, Journal of Social Security, pp.9.
• Ministry of Health, National Health Policy, Ankara, 1993, http://ekutuphane.sagem.gov.tr/ kitaplar/ ulusal_saglik_politikasi.pdf,
• Okursoy A. Evaluation of the performance of the health system and public hospitals in Turkey Adnan Menderes University, institute of social sciences, department of business administration, Aydın, pp.150, 2010.
• Orhaner E. Health services financing and general health insurance in Turkey, Journal Of The Faculty of Commerce and Tourism Education pp:1, 2006.
• Pala K. World Bank's health policy and general health insurance for Turkey, journal of society and physicians, 18(2):115-119, 2003. Milliyet newspaper review award,2007, https://www.researchgate.net/publication/280230044_turkiye_icin_nasil_bir_saglik_reformu
• Pala K. What kind of health reform for Turkey? Uludağ Universitesi, Bursa, 2007 pp.19,d Serdar B, Karahan Ö, Saka Ö, Health care systems in transition: Turkey, Ed. Sarah Thomson ve Elias Mossialos. The European Observatory on Health Care Systems, Copenhagen, Vol:4, pp:4, 2002.
• Soysal A, Kıraç A, Alu A. The family medicine system in Turkey and the satisfaction measures of the people of Diyarbakır with the family medicine system Dicle University journal of the Faculty of Economics and Administrative Sciences, Vol.6(10): 76-88, 2016.
• Toth F. Healthcare policies over the last 20 years: reforms and counter-refor- ms, Health Policy, vol.95, pp.82, 2015
• WHO. 2005 medical costs push millions of people into poverty across the globe, world health organization, news release,2005, http://whqlibdoc.who.int/press_release/2005/PR_65.pdf.
• World Bank, 2002 Turkey: reforms in the health sector to improve prevalence and efficiency, report no. 24358-tu, world bank document. 2002.
• Yasar G. Y. Health financing and health financing model proposal for turkey, Ankara University institute of social sciences, department of labor economics and industrial relations, Ankara, 2007.
• Yilmaz G. Reforms and policy transfer in the Turkish health system, Social Policy Study Journal, vol.18(4),pp179-206,2018.