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首页> 外文期刊>The International journal of health planning and management >Public hospital reform in Turkey: The 'public hospital union' case (2012-2017)
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Public hospital reform in Turkey: The 'public hospital union' case (2012-2017)

机译：土耳其公立医院改革：“公立医院联盟”案例（2012-2017）

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摘要

The issue of public hospital reform in Turkey was raised in the mid-1980s due to the desire to restrict public expenditures for health care services. In the last 30 years, transformations of public hospitals into health enterprises with administrative and financial autonomy have been attempted in various ways. The process of subjecting public hospitals to reform evolved into the provincial "public hospital unions" model with the Decree Law No. 663 in November 2011. However, this model, which was created to use resources effectively and efficiently in the field of health, was terminated in 2017. The purpose of this study is to review and evaluate the "public hospital union" model of public hospital reform implemented between 2012 and 2017 as an integrated part of reforms in the Turkish health care system and to examine the factors and obstacles that led to the failure of this model. The level of autonomy, in terms of key management functions of unions and hospitals, was analyzed using the toolkit proposed by Chawla et al (1996), and Preker and Harding (2003). In the study, it is asserted that instead of autonomization and decentralization, such organizational reforms result in centralization and political control.
机译：20世纪80年代中期提出了土耳其公立医院改革问题，因为愿望限制公共支出保健服务。在过去的30年里，通过各种方式尝试了卫生自治的公立医院转变为卫生企业。在2011年11月的第663号法令第663号法令中发展公立医院改革的过程。但是，这一模式是在健康领域有效和有效地使用资源的，是2017年终止。本研究的目的是审查和评估2012年和2017年在土耳其医疗保健系统的综合部分改革的“公立医院联盟”模式，并审查了这些因素和障碍导致这个模型的失败。使用Chawla等（1996）提出的工具包和HARDING（2003）的工具包分析了自主权的自主权水平。在研究中，据称，这种组织改革而不是自主化和权力下放，导致集中化和政治控制。

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