Health Systems Strengthening Lessons from the Turkish Experience

In 2003, the Government of Turkey launched an Health Systems Strengthening (HSS) reform called the 'Health Transformation Program' (HTP). The HTP was designed to address these health system challenges. It was recognized at the outset that without system-wide reforms, significant and sustainable changes in health system performance could not take place. The overall objective of the HTP was to make the health system more effective by improving governance, efficiency, user and provider satisfaction, and long-term sustainability. The main elements of the HTP are: (i) establishment of a single purchaser in the health system; (ii) focusing the Ministry of Health (MoH) on stewardship functions; (iii) making the public sector health services delivery network autonomous; and (iv) strengthening human resources management and information systems in the health system. In its technical focus and paradigm, the HTP represents a classic 'textbook' approach to HSS which many Bank clients are trying to implement.

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Bibliographic Details
Main Author: Chakraborty, Sarbani
Language:English
Published: World Bank, Washington, DC 2009-12
Subjects:ACCESS TO HEALTH SERVICES, ADMINISTRATIVE LAW, DOCTORS, EMPLOYMENT, EXPENDITURES, FINANCIAL PROTECTION, HEALTH CARE, HEALTH CENTERS, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCING, HEALTH FINANCING SYSTEM, HEALTH INDICATORS, HEALTH INSURANCE, HEALTH INSURANCE COVERAGE, HEALTH INSURANCE SCHEMES, HEALTH OUTCOMES, HEALTH POSTS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SPENDING, HEALTH SYSTEM, HEALTH SYSTEM PERFORMANCE, HEALTH SYSTEMS, HEALTH SYSTEMS STRENGTHENING, HEALTH WORKERS, HEALTHCARE, HOSPITAL AUTONOMY, HOSPITAL BUDGETS, HOSPITALS, HOUSEHOLD EXPENDITURE, HOUSEHOLDS, HUMAN DEVELOPMENT, HUMAN RESOURCES, HUMAN RESOURCES MANAGEMENT, IMMUNIZATION, IMPACT ON HEALTH OUTCOMES, INCOME, INCOME COUNTRIES, INFORMAL PAYMENTS, INFORMATION SYSTEMS, INTERVENTIONS, LAWS, PATIENT, PATIENT SATISFACTION, PHYSICIAN, PHYSICIANS, POLICY RESEARCH, PREGNANT WOMEN, PRIMARY HEALTH CARE, PUBLIC HOSPITAL, PUBLIC HOSPITALS, PUBLIC SECTOR, QUALITY OF CARE, QUALITY OF HEALTH, RURAL AREAS, SOCIAL INSURANCE, SOCIAL SECURITY, WORKERS,
Online Access:http://documents.worldbank.org/curated/en/2009/12/11677692/health-systems-strengthening-lessons-turkish-experience
https://hdl.handle.net/10986/10222
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