Türkiye’de Kamu Sağlık Sisteminde Sözleşmeli Yöneticilik Uygulaması

Abstract

Associated with the market-oriented alterations of the government's role within economy following 1980s, government institutions and personnel have also had a change in the same direction. Our country has made a reform by preparing projects in this sense, as well. The most powerful of these studies is the Health Transformation Programme (HTP). Through HTP, the field of Health has been scrutinized fully, and different actions have been introduced, and nonconventional applications which are different from the previous structure in terms of organisation configuration, economy of health, monetary resources, application forms of service and personnel regime have been brought. The most important one of these different applications has happened on the side of health personnel. A large number of employment models have been set in different structures and legislations, and the most remarkable one of them has been the contractual management model. Under the guidance of HTP, the model of contractual management was adopted for the managers working at health institutions in rural areas with the dated 02/11/2011 Decree Law No: 663 concerning the Organisation and Duties of the Ministry of Health and Subsidiaries. Thanks to the adopted application of contractual management, career perception of the Ministry of Health has undergone a change and this system which has not been applied in Turkey before is precedential for other public enterprises, as well. In this study, the place, understanding and application of contractual management in health employment diversity which is an essential step for the sake of professionalising health management is analysed. Studies have been done regarding 663 numbered decree law throughout literature in Turkey. However, there are scarcely any studies about the contractual management research existing in the internal structure of health personnel when it is condensed into specific details. The contractual management in health system are analysed by making a literature and legal arrangements review for this study.