Türki̇ye’de Sağlik Hi̇zmetleri̇ni̇n Dönüşümü

Abstract

In this paper it is assumed that there is a close relationship between the health policy changes and socioeconomic structural changes of the Turkish society. Certainly scientific developments and globalization process are also important on social transformations of any society. Therefore, at the beginning of this paper in order to understand the process that is called "Transformation of Health Work Process", historical background of health system in Turkey is reviewed based on relevant literature. "Systematic review" method (Weed,2007) and process based sociology namely "methodological relationalism" (Elias,1977) are used to achieve study purposes. Findings revealed that we live in a period that is called "flexible" period in terms of capital accumulation. This period starting from 1990's is characterized by non-industrialization and privatization. In Turkey Southern European Model is applied based on Neoliberal Policies which mainly separates finance from health services. Second characteristic future is application of decentralization of administrative system. Majority of hospitals are transformed from social to economic organizations who run after profits by applying high numbers of operations to get money from insurances. Although there are some regulations to be followed, separation of services from finance also reduced the quality of health care. Besides some malpractices are observed regarding expensive unnecessary operations. Furthermore, some supervisory limitations on diagnostic and treatment processes can be interpreted lack of professional freedom of physicians.

Duration of Hospital Stay in Alcohol/Substance Addictions and Psychiatric Disorders: A 12-Year Retrospective Analysis

“…It is reported that the length of hospitalization in both public and private hospitals has been reduced with the Health Transformation Program policies that came into force in 2003 in Turkey. 18 In addition to shortening the length of hospital stay, the almost doubled bed turnover rate prevented healthcare staff from being able to meet the increased workload. 18 While decreased length of hospitalization period lowers the cost directly, reasons such as possible repetition of the disease due to reduced service quality, re-hospitalizations, and low working efficiency impose indirect financial burdens.…”

“…18 In addition to shortening the length of hospital stay, the almost doubled bed turnover rate prevented healthcare staff from being able to meet the increased workload. 18 While decreased length of hospitalization period lowers the cost directly, reasons such as possible repetition of the disease due to reduced service quality, re-hospitalizations, and low working efficiency impose indirect financial burdens. 19 A study that examined the relationship between length of hospital stay and recurrent admissions revealed that a reduction in hospitalization period increased readmission rates.…”

Türki̇ye’de Sağlik Poli̇ti̇kalarinin Dönüşümü

“…Sonrasında yürürlüğe giren İş Güvenliği Yasası ile tüm emekçilerin sağlık ve sosyal hakları devlet güvencesine kavuşmuştur. (Kasapoğlu, 2016).…”

Precarious contours of work–family conflict: The case of nurses in Turkey

“…The neoliberal restructuring of the HLP in Turkey has been based on the Health Transformation Programme (HTP), applied since 2003. The HTP is promoted to decrease public health expenses and is based on decentralisation, pressing health institutions to become financially and administratively autonomous management units (Elbek and Adaş, 2009; Kasapoğlu, 2016). The programme reinforces the requirement for health institutions to meet their expenses from within their own incomes, without putting a ‘burden’ on public resources and, in order to do so, places them under increased pressure to manage working conditions according to the demands of the market.…”