Development of The Health System and Organizational Transformation in Republican History

Gülay Karaboğa; Yakup Çağlar; İrge Şener

Makale detayları

Development of The Health System and Organizational Transformation in Republican History

Yazarlar:

Gülay Karaboğa | Yakup Çağlar | İrge Şener

Yayıncı:

Kyrgyz-Turkish Manas University

Ana Başlıklar:

Sağlık Politikası

Dergi:

MANAS Sosyal Araştırmalar Dergisi Vol.12 Issue Özel Sayı, pp.318-337

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001302370

pISSN:

1694-7215

Anahtar kelimeler:

Özet:

 Including socio-economic and cultural components, health is a multidimensional concept, so that its definition differs as well as health related services; and there is a constant transformation in health services especially with changing economic and technological factors. With this study, transformation of Turkish health services in the course of one hundred years of republican history, which undergone a significant change especially after millennium, have been analyzed based on literature review and secondary data, and three periods were determined. In first period covering years 1923 to 2003, first foundations of todays institutionalization and organization were formed, important policies developed in 80 years. In second period of a decade covering years 2003 to 2013, it was focused on increasing efficiency of health services. The last period consists of the decade from 2013 until today. In this period, digital applications in health services started, and especially changes in organization of health services occurred. In line with this, with public-private partnerships, a new organizational structure for health services, city hospitals became operational. With this new organization, it was ensured that increasing costs in health services are met jointly by public and private sectors, and an increase in efficiency in provided services has been achieved.

 Including socio-economic and cultural components, health is a multidimensional concept, so that its definition differs as well as health related services; and there is a constant transformation in health services especially with changing economic and technological factors. With this study, transformation of Turkish health services in the course of one hundred years of republican history, which undergone a significant change especially after millennium, have been analyzed based on literature review and secondary data, and three periods were determined. In first period covering years 1923 to 2003, first foundations of todays institutionalization and organization were formed, important policies developed in 80 years. In second period of a decade covering years 2003 to 2013, it was focused on increasing efficiency of health services. The last period consists of the decade from 2013 until today. In this period, digital applications in health services started, and especially changes in organization of health services occurred. In line with this, with public-private partnerships, a new organizational structure for health services, city hospitals became operational. With this new organization, it was ensured that increasing costs in health services are met jointly by public and private sectors, and an increase in efficiency in provided services has been achieved.

 Including socio-economic and cultural components, health is a multidimensional concept, so that its definition differs as well as health related services; and there is a constant transformation in health services especially with changing economic and technological factors. With this study, transformation of Turkish health services in the course of one hundred years of republican history, which undergone a significant change especially after millennium, have been analyzed based on literature review and secondary data, and three periods were determined. In first period covering years 1923 to 2003, first foundations of todays institutionalization and organization were formed, important policies developed in 80 years. In second period of a decade covering years 2003 to 2013, it was focused on increasing efficiency of health services. The last period consists of the decade from 2013 until today. In this period, digital applications in health services started, and especially changes in organization of health services occurred. In line with this, with public-private partnerships, a new organizational structure for health services, city hospitals became operational. With this new organization, it was ensured that increasing costs in health services are met jointly by public and private sectors, and an increase in efficiency in provided services has been achieved.

 Sosyo-ekonomik ve kültürel bileşenleri kapsaması nedeniyle çok boyutlu bir kavram olan sağlık, tanımlanmasında olduğu üzere sağlık ile ilgili hizmetlerde de farklılık göstermektedir ve özellikle ekonomik ve teknolojik faktörlerin değişimi ile sağlık hizmetlerinde sürekli bir dönüşüm gerçekleşmektedir. Bu çalışma ile özellikle milenyum sonrasında önemli değişim geçiren Türk sağlık hizmetlerinin Cumhuriyet tarihimizin yüz yıllık sürecinde geçirdiği dönüşümler, literatür taraması ve ikincil veriler temelinde analiz edilmiş ve üç dönem belirlenmiştir. 1923-2003 yılları arasını kapsayan ilk dönemde, öncelikle günümüzdeki kurumsallaşma ve örgütlenmenin temelleri oluşturulmuş, 80 yıl içinde önemli politikalar geliştirilmiştir. 2003 ile 2013 yılları arasını kapsayan on yıllık ikinci dönemde, sağlık hizmetlerinin verimliliğinin artırılmasına odaklanılmıştır. Son dönem ise 2013 yılından günümüze kadar olan on yılı kapsamaktadır. Bu dönemde, sağlık alanında dijital uygulamalar başlamış ve özellikle sağlık hizmetlerinin örgütlenmesinde değişimler yaşanmıştır. Bu doğrultuda, kamu-özel ortaklığı ile sağlık hizmetleri için yeni bir organizasyonel yapı olan şehir hastaneleri faaliyete geçmiştir. Bu yeni yapı ile sağlık hizmetlerinde artan maliyetlerin kamu ve özel sektör tarafından ortak karşılanması, sağlanan hizmetlerde verimlilik artışının meydana gelmesi sağlanmıştır.

Makale detayları

Development of The Health System and Organizational Transformation in Republican History

Yazarlar:

Gülay Karaboğa | Yakup Çağlar | İrge Şener

Yayıncı:

Kyrgyz-Turkish Manas University

Ana Başlıklar:

Sağlık Politikası

Dergi:

MANAS Sosyal Araştırmalar Dergisi Vol.12 Issue Özel Sayı, pp.318-337

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001302370

pISSN:

1694-7215

Turkish Health Policies

Health Reform

Health Transformation Process

City HospitalsTür Sağlık Politikaları

Sağlık Reformu

Sağlıkta Dönüşüm Süreçleri

Şehir Hastaneleri

Sayı

Makale detayları

Yazarlar: Gülay Karaboğa | Yakup Çağlar | İrge Şener

Yayıncı: Kyrgyz-Turkish Manas University

Ana Başlıklar: Sağlık Politikası

Dergi: MANAS Sosyal Araştırmalar Dergisi Vol.12 Issue Özel Sayı, pp.318-337

Belge Tipi: Makale

Yayın Tarihi: 10/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001302370

pISSN: 1694-7215

Sayı

Yazarlar:

Gülay Karaboğa | Yakup Çağlar | İrge Şener

Yayıncı:

Kyrgyz-Turkish Manas University

Ana Başlıklar:

Sağlık Politikası

Dergi:

MANAS Sosyal Araştırmalar Dergisi Vol.12 Issue Özel Sayı, pp.318-337

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001302370

pISSN:

1694-7215