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dc.contributorAran, Meltem
dc.contributorRokx, Claudia
dc.contributor.authorBump, Jesse
dc.contributor.authorCelik, Yusuf
dc.contributor.authorSparkes, Susan
dc.contributor.authorTatar, Mehtap
dc.date.accessioned2019-09-25T21:28:14Z
dc.date.available2019-09-25T21:28:14Z
dc.date.created2017-12-29 00:27
dc.date.issued2014-12-31
dc.identifieroai:openknowledge.worldbank.org:10986/21059
dc.identifierhttp://hdl.handle.net/10986/21059
dc.identifier.urihttp://hdl.handle.net/20.500.12424/513847
dc.description.abstractBeginning in 2003, Turkey initiated a
 series of reforms under the Health Transformation Program
 (HTP) that over the past decade have led to the achievement
 of universal health coverage (UHC). The progress of Turkey s
 health system has few if any parallels in scope and
 speed. Before the reforms, Turkey s aggregate health
 indicators lagged behind those of OECD member states and
 other middle-income countries. The health financing system
 was fragmented, with four separate insurance schemes and a
 Green Card program for the poor, each with distinct
 benefits packages and access rules. Both the Ministry of
 Labor and Social Security and Ministry of Health (MoH) were
 providers and financiers of the health system, and four
 different ministries were directly involved in public health
 care delivery. Turkey s reform efforts have impacted
 virtually all aspects of the country s health system and
 have resulted in the rapid expansion of the proportion of
 the population covered and of the services to which they are
 entitled. At the same time, financial protection has
 improved. For example, (i) insurance coverage increased from
 64 to 98 percent between 2002 and 2012; (ii) the share of
 pregnant women having four antenatal care visits increased
 from 54 to 82 percent between 2003 and 2010; and (iii)
 citizen satisfaction with health services increased from
 39.5 to 75.9 percent between 2003 and 2011. Despite dramatic
 improvements there is still space for Turkey to continue to
 improve its citizens health outcomes, and challenges lie
 ahead for improving services beyond primary care. The main
 criticism to reform has so far come from health sector
 workers; the future sustainability of reform will rely not
 only on continued fiscal support to the health sector but
 also the maintenence of service provider satisfaction.
dc.languageEnglish
dc.languageen_US
dc.language.isoeng
dc.publisherWorld Bank Group, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.subjectHOSPITALS
dc.subjectINDUCED DEMAND
dc.subjectPHARMACEUTICAL EXPENDITURES
dc.subjectOUTPATIENT SERVICES
dc.subjectPUBLIC EXPENDITURE
dc.subjectHOSPITAL AUTONOMY
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectMORBIDITY
dc.subjectPHYSICIANS
dc.subjectFINANCING OF HEALTH CARE
dc.subjectHEALTH CARE SYSTEM
dc.subjectCHILDBIRTH
dc.subjectPURCHASING POWER PARITY
dc.subjectSUSTAINABLE DEVELOPMENT
dc.subjectUNDER-FIVE MORTALITY
dc.subjectPHARMACISTS
dc.subjectINSURANCE COVERAGE
dc.subjectPARTY PLATFORM
dc.subjectCITIZENS
dc.subjectPUBLIC HOSPITALS
dc.subjectDEBT
dc.subjectPOPULAR SUPPORT
dc.subjectHEALTH EXPENDITURE
dc.subjectHOSPITAL MANAGEMENT
dc.subjectILLNESS
dc.subjectSUPPLY OF HEALTH CARE
dc.subjectMEDICAL SPECIALTIES
dc.subjectPUBLIC HEALTH CARE
dc.subjectSERIES OF MEETINGS
dc.subjectCITIZEN
dc.subjectHEALTH SERVICES
dc.subjectNATIONAL HEALTH POLICY
dc.subjectHEALTH INFRASTRUCTURE
dc.subjectQUALITY OF SERVICES
dc.subjectHEALTH REFORM
dc.subjectOLD SYSTEM
dc.subjectPOLICY RESEARCH
dc.subjectPATIENT COST
dc.subjectINDIVIDUAL HEALTH
dc.subjectPREGNANT WOMEN
dc.subjectHEALTH DELIVERY SYSTEM
dc.subjectCHILD MORTALITY
dc.subjectINFANT
dc.subjectCAPITA HEALTH EXPENDITURE
dc.subjectHEALTH WORKFORCE
dc.subjectMIDWIVES
dc.subjectHEALTH PLANNING
dc.subjectHOSPITAL BEDS
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectPHARMACY
dc.subjectHEALTH EXPENDITURE PER CAPITA
dc.subjectNURSES
dc.subjectHEALTH FINANCING SYSTEM
dc.subjectHEALTH DATA
dc.subjectPROGRESS
dc.subjectSERVICE QUALITY
dc.subjectPARADIGM SHIFT
dc.subjectPOLICY DECISIONS
dc.subjectHEALTH CARE SECTOR
dc.subjectDEMAND FOR HEALTH
dc.subjectPROVISION OF HEALTH CARE
dc.subjectPOLICY GOALS
dc.subjectFINANCIAL PROTECTION
dc.subjectHEALTH RISKS
dc.subjectPATIENTS
dc.subjectHEALTH AFFAIRS
dc.subjectACCESS TO HEALTH CARE SERVICES
dc.subjectPROFESSIONAL ASSOCIATIONS
dc.subjectINFANT MORTALITY RATE
dc.subjectSOCIAL SECURITY SCHEMES
dc.subjectADMINISTRATIVE CONTROL
dc.subjectPRIVATE SECTOR
dc.subjectHEALTH-FINANCING
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH INSURANCE
dc.subjectPATIENT
dc.subjectPREGNANCY
dc.subjectQUALITY OF CARE
dc.subjectURBAN CENTERS
dc.subjectHEALTH CARE
dc.subjectTRADE UNIONS
dc.subjectHEALTH SECTOR REFORM
dc.subjectHEALTH INDICATORS
dc.subjectNUTRITION
dc.subjectPHYSICIAN
dc.subjectMATERNAL HEALTH
dc.subjectHUMAN RESOURCES
dc.subjectPATIENT SATISFACTION
dc.subjectSOCIAL POLICY
dc.subjectGENERAL PRACTITIONERS
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectHEALTH SYSTEMS IN TRANSITION
dc.subjectHEALTH SUPPLY
dc.subjectPUBLIC PROVIDERS
dc.subjectINSURANCE
dc.subjectDOCTORS
dc.subjectMEDICAL CENTERS
dc.subjectPUBLIC HEALTH
dc.subjectPARAMEDICS
dc.subjectPUBLIC HEALTH EXPENDITURES
dc.subjectPUBLIC SECTOR
dc.subjectMEDICAL POLICY
dc.subjectINFANT MORTALITY
dc.subjectWORKERS
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH EXPENDITURE GROWTH
dc.subjectHR
dc.subjectPRIVATE SECTORS
dc.subjectSOCIAL INSURANCE
dc.subjectEXPENDITURES
dc.subjectPRIVATE INSURANCE
dc.subjectMORTALITY
dc.subjectMATERNAL HEALTH SERVICES
dc.subjectHEALTH SECTOR
dc.subjectPUBLIC HOSPITAL
dc.subjectFOCUS GROUP DISCUSSIONS
dc.subjectPATIENT CARE
dc.subjectHEALTH CENTERS
dc.subjectMEDICAL SCHOOL
dc.subjectINCOME HOUSEHOLDS
dc.subjectANTENATAL CARE
dc.subjectDEATHS
dc.subjectHEALTH SECTOR WORKERS
dc.subjectHEALTH FINANCING
dc.subjectHEALTH ADMINISTRATION
dc.subjectHEALTH FINANCE
dc.subjectIMMUNIZATION
dc.subjectHEALTH POSTS
dc.subjectPRIMARY HEALTH CARE FACILITIES
dc.subjectINSERVICE TRAINING
dc.subjectNEWBORN HEALTH
dc.subjectPUBLIC SERVICE
dc.subjectCOMMUNICABLE DISEASES
dc.subjectHEALTH COVERAGE
dc.subjectSTATE PLANNING
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH REFORMS
dc.subjectHEALTH CARE COSTS
dc.subjectSOCIAL SECURITY
dc.subjectDEMAND FOR HEALTH SERVICES
dc.subjectHEALTH INSURANCE SYSTEM
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH CARE EXPENDITURES
dc.subjectPRIMARY HEALTH CARE
dc.subjectPURCHASING POWER
dc.subjectEMPLOYMENT
dc.subjectECONOMIC GROWTH
dc.subjectSCIENTIFIC EVIDENCE
dc.subjectHEALTH SPENDING
dc.subjectNATIONAL HEALTH
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH STATUS INDICATORS
dc.subjectHOSPITAL SECTOR
dc.subjectHEALTH-CARE SYSTEM
dc.subjectLABOR MARKET
dc.subjectPOLITICAL POWER
dc.subjectSOCIOECONOMIC STATUS
dc.subjectLOCAL AUTHORITIES
dc.subjectHEALTH DELIVERY
dc.subjectQUALITY ASSURANCE
dc.subjectPUBLIC SUPPORT
dc.subjectPRIVATE PHARMACIES
dc.subjectSERVICE UTILIZATION
dc.subjectLIVE BIRTHS
dc.subjectSERVICE PROVISION
dc.subjectSERVICE DELIVERY
dc.subjectHEALTH SYSTEM EFFICIENCY
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH EXPENDITURES
dc.subjectACCESS TO HEALTH CARE
dc.subjectPOLICY CHANGE
dc.subjectPURCHASER-PROVIDER SPLIT
dc.subjectHEALTH POLICY
dc.subjectALLOCATIVE EFFICIENCY
dc.subjectDELIVERY SYSTEM
dc.subjectHEALTHCARE SPENDING
dc.subjectINCOME
dc.subjectPOCKET PAYMENTS
dc.subjectPRESCRIPTION DRUGS
dc.subjectHEALTH-CARE
dc.subjectECONOMIC RESOURCES
dc.subjectINTEGRATION
dc.subjectPOLITICAL TURMOIL
dc.subjectHEALTH PROJECT
dc.subjectINSURANCE SCHEMES
dc.subjectPARLIAMENTARY SEATS
dc.subjectLIFE EXPECTANCY AT BIRTH
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH STATUS
dc.subjectPUBLIC HEALTH SYSTEM
dc.subjectSERVICE PROVIDER
dc.subjectHEALTH WORKERS
dc.subjectSOCIOECONOMIC DEVELOPMENT
dc.subjectPREVENTIVE HEALTH SERVICES
dc.subjectRURAL AREAS
dc.subjectLEVEL OF HEALTH SPENDING
dc.subjectMEDICINES
dc.subjectFRAGMENTED FINANCING SYSTEM
dc.subjectPRIMARY CARE
dc.subjectHEALTH CARE DELIVERY
dc.subjectMINISTRY OF HEALTH
dc.subjectHUMAN DEVELOPMENT
dc.subjectHEALTH SYSTEM
dc.subjectEMERGENCY VEHICLES
dc.subjectINCOME COUNTRIES
dc.subjectLIFE EXPECTANCY
dc.titleTurkey on the Way of Universal Health Coverage through the Health Transformation Program (2003-13)
dc.typePublications & Research :: Working Paper
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