Türk Sağlık Sektöründe Kayıt Dışı Ekonominin Nedenleri Üzerine Bir Araştırma

Öz

Bu çalışma sağlık sektöründe kayıtdışı ekonominin ortaya çıkış nedenini incelemek amacıyla gerçekleştirilmiştir. Nitel araştırma olarak yürütülen bu çalışma kapsamında, sağlık sektöründe yer alan yöneticiler, denetçiler ve sektör temsilcileriyle görüşmeler yapılmıştır. Yapılan görüşmeler Yorumlayıcı Fenomenolojik Analiz yöntemiyle analiz edilmiştir. Çalışma sonucunda elde edilen bulgulara göre kayıt dışı ekonomi yalnızca tek bir faktörün etkisi ile ortaya çıkmadığı görülmüştür. Katılımcı ifadelerinden elde edilen sonuçalara göre gelir yetersizliği, denetim eksiksiliği, algılanan adalet eksikliği, hukuki belirsizlik ve sağlık sektörünün kendine has özellikleri kayıt dışı ekonominin nedenleri arasında gösterilen önemli nedenlerdendir. Ayrıca kültürel normlar, sosyal güven düzeyi, etik hassasiyetlerin aşınması ve gayriresmî ilişkilerin meşruiyet kazanması kayıt dışılığı besleyen önemli faktörler olarak ifade edilmiştir. Çalışma; ekonomik, kurumsal ve kültürel süreçlerin kayıt dışı ekonomik davranışlara olan etkisini çok boyutlu bir şekilde ele alarak literature katkı sağlamaktadır. Bulgulara göre, etik ilkelerin güçlendirilmesi, denetim mekanizmalarının güçlendirilmesi ve çalışanların çalışma koşullarının iyileştirilmesi süreci destekleyecek önemli politika önerilerindendir.

Anahtar Kelimeler

• Kayıt dışı Ekonomi
• Nitel Araştırma
• Sağlık

A Study On The Causes Of Unrecorded Economy In Turkish Health Sector

Öz

This study was conducted to examine the reasons for the emergence of the unrecorded economy in the healthcare sector. As part of this qualitative research, interviews were conducted with managers, auditors, and sector representatives in the healthcare industry. These interviews were analyzed using Interpretive Phenomenological Analysis. The findings indicate that the unrecorded economy is not caused by a single factor. According to the participants' statements, insufficient income, lack of oversight, perceived lack of justice, legal uncertainty, and the unique characteristics of the healthcare sector are significant factors contributing to the unrecorded economy. Furthermore, cultural norms, social trust levels, erosion of ethical sensitivities, and the legitimization of informal relationships are cited as important factors fueling informality. The study contributes to the literature by addressing the multi-dimensional impact of economic, institutional, and cultural processes on unrecorded economic behavior. According to the findings, strengthening ethical principles, solidifying oversight mechanisms, and improving working conditions for employees are significant policy recommendations to support this process.

Anahtar Kelimeler

• Unrecorded Economy
• Qualitative Research
• Health

Kaynakça

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