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An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic

Yıl 2021, Cilt: 23 Sayı: Special Issue, 30 - 37, 30.03.2021
https://doi.org/10.18678/dtfd.896469

Öz

The coronavirus 2019 (COVID-19) pandemic is among the deadliest pandemics due to its impact on human health and its spread throughout the world. The impact of this outbreak has led to social, economic and human institutional transformations, especially health. Analyzing the performance of health systems at the point of identifying problems related to the current situation and developing solution suggestions, while providing opportunities to develop policy suggestions that will minimize the effects of the pandemic in the short term, can provide new perspectives to service delivery in the long term. This study aims to evaluate the performance of the Turkish health system in the COVID-19 pandemic and to contribute to the solution of problems. Within the scope of the study, the economic, social and technological effects of the COVID-19 pandemic were discussed, and its effects on the health system were evaluated. In the study, the performance of the health system and the reflections of the political and administrative system on the fight against the COVID-19 pandemic were also discussed. It is thought that this study will provide an opportunity to evaluate the effectiveness of the steps taken in combating the COVID-19 pandemic. As a result of the study, it will be possible to put forward a model proposal for the provision of health services in case of a global epidemic. In addition, in the COVID-19 pandemic, it is thought that the Ministry of Health will allow the evaluation of the health system and health service delivery.

Kaynakça

  • Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int JSurg. 2020;76:71-6.
  • Türkiye Bilimler Akademisi. COVID-19 pandemi değerlendirme raporu (No:34). Ankara: TÜBA; 2020.
  • Temel MK, Ertin H. Lessons from the 1918 influenza pandemic for the COVID-19 pandemic. Anatol Clin. 2020;25(Special Issue on COVID 19):63-78.
  • Çınarlı İ. SARS (severe acute respiratory syndrome) outbreak regarding risk communication. İleti-ş-im. 2005;2:55-69.
  • Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Alp Meşe E. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci. 2020;50(SI-1):489-94.
  • Koçak Tufan Z, Kayaaslan B. Crushing the curve, the role of national and international institutions and policy makers in COVID-19 pandemic. Turk J Med Sci. 2020;50(SI-1):495-508.
  • Akın L, Gözel MG. Understanding dynamics of pandemics. Turk J Med Sci. 2020;50(SI-1):515-9.
  • Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet. 2020;395(10231):1225-8.
  • Açıkgöz Ö, Günay A. The early impact of the COVID-19 pandemic on the global and Turkish economy. Turk J Med Sci. 2020;50(SI-1):520-6.
  • Zeren F, Hızarcı AE. The impact of COVID-19 coronavirus on stock markets: evidence from selected countries. Bulletin of Accounting and Finance Reviews. 2020;3(1):78-84.
  • Acar Y. The novel coronavirus (COVID-19) outbreak and impact on tourism activities. Güncel Turizm Araştırmaları Dergisi. 2020;4(1):7-21.
  • Atkeson A. What will be the economic impact of COVID-19 in the US? Rough estimates of disease scenarios. NBER Working Papers. 2020;26867. doi: 10.3386/w26867.
  • McKibbin W, Fernando R. The global macroeconomic impacts of COVID-19: Seven scenarios. CAMA Working Paper Series. 2020;19. Available from: https://cama.crawford.anu.edu.au/publication/cama-working-paper-series/16221/global-macroeconomic-impacts-covid-19-seven-scenarios.
  • Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet. 2020;395(10228):931-4.
  • Çetin C, Kara A. Global surveillance, travel, and trade during a pandemic. Turk J Med Sci. 2020;50(SI-1):527-33.
  • Chuang YC, Huang YL, Tseng KC, Yen CH, Yang LH. Social capital and health-protective behavior intentions in an influenza pandemic. PLoS One. 2015;10(4):e0122970.
  • Bostan S, Erdem R, Öztürk YE, Kılıç T, Yılmaz A. The effect of COVID-19 pandemic on the Turkish society. Electron J Gen Med. 2020:17(6):em237.
  • Raoofi A, Takian A, Akbari Sari A, Olyaeemanesh A, Haghighi H, Aarabi M. COVID-19 pandemic and comparative health policy learning in Iran. Arch Iran Med. 2020;23(4):220-34.
  • Bulut C, Kato Y. Epidemiology of COVID-19. Turk J Med Sci. 2020;50(SI-1):563-70.
  • Güner R, Hasanoğlu İ, Aktaş F. COVID-19: Prevention and control measures in community. Turk J Med Sci. 2020;50(SI-1):571-7.
  • Wang Z, Tang K. Combating COVID-19: health equity matters. Nat Med. 2020;26(4):458.
  • Legido-Quigley H, Mateos-García JT, Campos VR, Gea-Sánchez M, Muntaner C, McKee M. The resilience of the Spanish health system against the COVID-19 pandemic. Lancet Public Health. 2020;5(5):e251-2.
  • Ergül B, Altın Yavuz A, Gündoğan Aşık E, Kalay B. Statistical evaluation of the COVID-19 outbreak data as of april around the World and in Turkey. Anatol Clin. 2020;25(Special Issue on COVID 19):130-41.
  • Telli Yamamoto SG, Altun D. The coronavirus and the rising of online education. Journal of University Research. 2020;3(1):25-34.
  • Hollander JE, Carr BG. Virtually perfect? Telemedicine for COVID-19. N Engl J Med. 2020;382(18):1679-81.
  • Zhou C, Su F, Pei T, Zhang A, Du Y, Luo B, et al. COVID-19: Challenges to GIS with big data. Geography and Sustainability. 2020;1(1):77-87.
  • Cinelli M, Quattrociocchi W, Galeazzi A, Valensise CM, Brugnoli E, Schmidt AL, et al. The COVID-19 social media infodemic. Sci Rep. 2020;10(1):16598.
  • Kakodkar P, Kaka N, Baig MN. A comprehensive literature review on the clinical presentation, and management of the pandemic coronavirus disease 2019 (COVID-19). Cureus. 2020;12(4):e7560.
  • Legido-Quigley H, Asgari N, Teo YY, Leung GM, Oshitani H, Fukuda K, et al. Are high-performing health systems resilient against the COVID-19 epidemic? Lancet. 2020;395(10227):848-50.
  • Kandel N, Chungong S, Omaar A, Xing J. Health security capacities in the context of COVID-19 outbreak: An analysis of International Health Regulations annual report data from 182 countries. Lancet. 2020;395(10229):1047-53.
  • World Health Organization. The World Health Report 2000, health systems: Improving performance. Geneva: World Health Organization; 2000.
  • World Health Organization. The Tallin Charter: Health systems for health and wealth. Copenhagen: World Health Organization; 2008.
  • World Health Organization. The European health report 2009, health and health systems. Copenhagen: World Health Organization; 2009.
  • The Organization for Economic Co-operation and Development. OECD reviews of health systems: Turkey 2008. Paris: OECD; 2008.
  • Handler A, Issel M, Turnock B. A conceptual framework to measure performance of the public health system. Am J Public Health. 2001;91(8):1235-9.
  • Özcan YA. Health care benchmarking and performance evaluation. New York: Springer; 2008.
  • Sağlık Bakanlığı. Sağlıkta dönüşüm. Ankara: Sağlık Bakanlığı; 2003.
  • Ateş H, Kırılmaz H, Aydın S. Sağlık sektöründe performans yönetimi: Türkiye örneği. Ankara: Asil Yayınları; 2007.
  • Babacan A. Post-COVID-19 period and new institutional politics in Turkey. In: Şeker M, Özer A, Korkut C, editors. Reflections on the pandemic: In the future of the World. Ankara: TÜBA; 2020. p.393-423.
  • Kırılmaz H. Yönetim ve sağlık yönetimi. In: Özer MA, editor. Yönetim ve: Yönetim’e disiplinlerarası yaklaşım. Ankara: Gazi Kitabevi; 2019. p.437-78.
  • Bakır C. The Turkish state’s responses to existential COVID-19 crisis. Policy Soc. 2020;39(3):424-41.
  • Erdem İ. Quarantine and precaution policies of Turkey against coronavirus (COVID-19). Turkish Studies. 2020;15(4):377-88.
  • San S, Bastug MF, Basli H. Crisis management in authoritarian regimes: A comparative study of COVID-19 responses in Turkey and Iran. Glob Public Health. 2020;[Epub ahead of print]. doi: 10.1080/17441692.2020.1867880.
  • Çınar F, Oğuz M. Evaluation of Turkey's COVID-19 SWOT analysis of strategy for pandemic. Sağlık ve Sosyal Refah Araştırmaları Dergisi. 2020;2(2):1-11.
  • Artantaş E, Gürsoy H. Basic social discussions on COVID-19 and a framework own taken to measures Turkey's. Niğde Ömer Halisdemir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2020;2(2):158-71.
  • Bilgili MY. Central government, local governments and coronavirus (COVID-19) pandemic. Turkish Studies. 2020;15(6):219-35.
  • Republic of Turkey Ministry of Health. Health statistics yearbook 2018. Ankara: Ministry of Health Publication; 2019.

COVID-19 Pandemisinde Türk Sağlık Sisteminin Performansının Değerlendirilmesi

Yıl 2021, Cilt: 23 Sayı: Special Issue, 30 - 37, 30.03.2021
https://doi.org/10.18678/dtfd.896469

Öz

Koronavirüs hastalığı 2019 (coronavirus disease 2019, COVID-19) pandemisi, insan sağlığı üzerindeki etkisi ve tüm dünya üzerindeki yayılımı itibariyle en ölümcül pandemiler arasında yer almıştır. Bu salgının yarattığı etki sağlık başta olmak üzere sosyal, ekonomik ve beşerî boyutta kurumsal dönüşümlere neden olmuştur. Mevcut duruma dair sorunların belirlenmesi ve çözüm önerilerinin geliştirilmesi noktasında, sağlık sistemlerinin performansını analiz etmek, kısa vadede pandeminin etkilerini en aza indirecek olan politika önerilerinin geliştirilmesine fırsat tanırken, uzun vadede ise sağlık sektöründe hizmet sunumuna yeni perspektifler kazandırabilir. Bu çalışma, COVID-19 pandemisinde Türk sağlık sisteminin performansını değerlendirmeyi ve sorunlara çözüm noktasında katkıda bulunmayı hedeflemektedir. Çalışma kapsamında, COVID-19 salgınının ekonomik, sosyal ve teknolojik etkileri tartışılmış ve sağlık sistemi üzerindeki etkileri de değerlendirilmiştir. Ayrıca bu çalışmada, COVID-19 salgınıyla mücadelede sağlık sisteminin performansı ile siyasi ve yönetimsel sistemin yansımaları da tartışılmıştır. Bunun yanı sıra, bu çalışmanın COVID-19 pandemisiyle mücadelede atılan adımların etkinliği konusunda değerlendirme yapma imkânı da sağlayacağı düşünülmektedir. Çalışma sonucunda, küresel bir salgın durumunda sağlık hizmetlerinin sunumuna dair bir model önerisinin ortaya konulabilmesi mümkün olacaktır. Ayrıca, COVID-19 pandemisinde Sağlık Bakanlığı'nın sağlık sistemi ve sağlık hizmeti sunumunun değerlendirilmesine de imkan sağlanacağı düşünülmektedir.

Kaynakça

  • Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int JSurg. 2020;76:71-6.
  • Türkiye Bilimler Akademisi. COVID-19 pandemi değerlendirme raporu (No:34). Ankara: TÜBA; 2020.
  • Temel MK, Ertin H. Lessons from the 1918 influenza pandemic for the COVID-19 pandemic. Anatol Clin. 2020;25(Special Issue on COVID 19):63-78.
  • Çınarlı İ. SARS (severe acute respiratory syndrome) outbreak regarding risk communication. İleti-ş-im. 2005;2:55-69.
  • Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Alp Meşe E. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci. 2020;50(SI-1):489-94.
  • Koçak Tufan Z, Kayaaslan B. Crushing the curve, the role of national and international institutions and policy makers in COVID-19 pandemic. Turk J Med Sci. 2020;50(SI-1):495-508.
  • Akın L, Gözel MG. Understanding dynamics of pandemics. Turk J Med Sci. 2020;50(SI-1):515-9.
  • Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet. 2020;395(10231):1225-8.
  • Açıkgöz Ö, Günay A. The early impact of the COVID-19 pandemic on the global and Turkish economy. Turk J Med Sci. 2020;50(SI-1):520-6.
  • Zeren F, Hızarcı AE. The impact of COVID-19 coronavirus on stock markets: evidence from selected countries. Bulletin of Accounting and Finance Reviews. 2020;3(1):78-84.
  • Acar Y. The novel coronavirus (COVID-19) outbreak and impact on tourism activities. Güncel Turizm Araştırmaları Dergisi. 2020;4(1):7-21.
  • Atkeson A. What will be the economic impact of COVID-19 in the US? Rough estimates of disease scenarios. NBER Working Papers. 2020;26867. doi: 10.3386/w26867.
  • McKibbin W, Fernando R. The global macroeconomic impacts of COVID-19: Seven scenarios. CAMA Working Paper Series. 2020;19. Available from: https://cama.crawford.anu.edu.au/publication/cama-working-paper-series/16221/global-macroeconomic-impacts-covid-19-seven-scenarios.
  • Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet. 2020;395(10228):931-4.
  • Çetin C, Kara A. Global surveillance, travel, and trade during a pandemic. Turk J Med Sci. 2020;50(SI-1):527-33.
  • Chuang YC, Huang YL, Tseng KC, Yen CH, Yang LH. Social capital and health-protective behavior intentions in an influenza pandemic. PLoS One. 2015;10(4):e0122970.
  • Bostan S, Erdem R, Öztürk YE, Kılıç T, Yılmaz A. The effect of COVID-19 pandemic on the Turkish society. Electron J Gen Med. 2020:17(6):em237.
  • Raoofi A, Takian A, Akbari Sari A, Olyaeemanesh A, Haghighi H, Aarabi M. COVID-19 pandemic and comparative health policy learning in Iran. Arch Iran Med. 2020;23(4):220-34.
  • Bulut C, Kato Y. Epidemiology of COVID-19. Turk J Med Sci. 2020;50(SI-1):563-70.
  • Güner R, Hasanoğlu İ, Aktaş F. COVID-19: Prevention and control measures in community. Turk J Med Sci. 2020;50(SI-1):571-7.
  • Wang Z, Tang K. Combating COVID-19: health equity matters. Nat Med. 2020;26(4):458.
  • Legido-Quigley H, Mateos-García JT, Campos VR, Gea-Sánchez M, Muntaner C, McKee M. The resilience of the Spanish health system against the COVID-19 pandemic. Lancet Public Health. 2020;5(5):e251-2.
  • Ergül B, Altın Yavuz A, Gündoğan Aşık E, Kalay B. Statistical evaluation of the COVID-19 outbreak data as of april around the World and in Turkey. Anatol Clin. 2020;25(Special Issue on COVID 19):130-41.
  • Telli Yamamoto SG, Altun D. The coronavirus and the rising of online education. Journal of University Research. 2020;3(1):25-34.
  • Hollander JE, Carr BG. Virtually perfect? Telemedicine for COVID-19. N Engl J Med. 2020;382(18):1679-81.
  • Zhou C, Su F, Pei T, Zhang A, Du Y, Luo B, et al. COVID-19: Challenges to GIS with big data. Geography and Sustainability. 2020;1(1):77-87.
  • Cinelli M, Quattrociocchi W, Galeazzi A, Valensise CM, Brugnoli E, Schmidt AL, et al. The COVID-19 social media infodemic. Sci Rep. 2020;10(1):16598.
  • Kakodkar P, Kaka N, Baig MN. A comprehensive literature review on the clinical presentation, and management of the pandemic coronavirus disease 2019 (COVID-19). Cureus. 2020;12(4):e7560.
  • Legido-Quigley H, Asgari N, Teo YY, Leung GM, Oshitani H, Fukuda K, et al. Are high-performing health systems resilient against the COVID-19 epidemic? Lancet. 2020;395(10227):848-50.
  • Kandel N, Chungong S, Omaar A, Xing J. Health security capacities in the context of COVID-19 outbreak: An analysis of International Health Regulations annual report data from 182 countries. Lancet. 2020;395(10229):1047-53.
  • World Health Organization. The World Health Report 2000, health systems: Improving performance. Geneva: World Health Organization; 2000.
  • World Health Organization. The Tallin Charter: Health systems for health and wealth. Copenhagen: World Health Organization; 2008.
  • World Health Organization. The European health report 2009, health and health systems. Copenhagen: World Health Organization; 2009.
  • The Organization for Economic Co-operation and Development. OECD reviews of health systems: Turkey 2008. Paris: OECD; 2008.
  • Handler A, Issel M, Turnock B. A conceptual framework to measure performance of the public health system. Am J Public Health. 2001;91(8):1235-9.
  • Özcan YA. Health care benchmarking and performance evaluation. New York: Springer; 2008.
  • Sağlık Bakanlığı. Sağlıkta dönüşüm. Ankara: Sağlık Bakanlığı; 2003.
  • Ateş H, Kırılmaz H, Aydın S. Sağlık sektöründe performans yönetimi: Türkiye örneği. Ankara: Asil Yayınları; 2007.
  • Babacan A. Post-COVID-19 period and new institutional politics in Turkey. In: Şeker M, Özer A, Korkut C, editors. Reflections on the pandemic: In the future of the World. Ankara: TÜBA; 2020. p.393-423.
  • Kırılmaz H. Yönetim ve sağlık yönetimi. In: Özer MA, editor. Yönetim ve: Yönetim’e disiplinlerarası yaklaşım. Ankara: Gazi Kitabevi; 2019. p.437-78.
  • Bakır C. The Turkish state’s responses to existential COVID-19 crisis. Policy Soc. 2020;39(3):424-41.
  • Erdem İ. Quarantine and precaution policies of Turkey against coronavirus (COVID-19). Turkish Studies. 2020;15(4):377-88.
  • San S, Bastug MF, Basli H. Crisis management in authoritarian regimes: A comparative study of COVID-19 responses in Turkey and Iran. Glob Public Health. 2020;[Epub ahead of print]. doi: 10.1080/17441692.2020.1867880.
  • Çınar F, Oğuz M. Evaluation of Turkey's COVID-19 SWOT analysis of strategy for pandemic. Sağlık ve Sosyal Refah Araştırmaları Dergisi. 2020;2(2):1-11.
  • Artantaş E, Gürsoy H. Basic social discussions on COVID-19 and a framework own taken to measures Turkey's. Niğde Ömer Halisdemir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2020;2(2):158-71.
  • Bilgili MY. Central government, local governments and coronavirus (COVID-19) pandemic. Turkish Studies. 2020;15(6):219-35.
  • Republic of Turkey Ministry of Health. Health statistics yearbook 2018. Ankara: Ministry of Health Publication; 2019.
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Davetli Derleme
Yazarlar

Hamza Ateş 0000-0003-0975-0062

Harun Kırılmaz 0000-0001-6055-6826

Yayımlanma Tarihi 30 Mart 2021
Gönderilme Tarihi 8 Ocak 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 23 Sayı: Special Issue

Kaynak Göster

APA Ateş, H., & Kırılmaz, H. (2021). An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic. Duzce Medical Journal, 23(Special Issue), 30-37. https://doi.org/10.18678/dtfd.896469
AMA Ateş H, Kırılmaz H. An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic. Duzce Med J. Mart 2021;23(Special Issue):30-37. doi:10.18678/dtfd.896469
Chicago Ateş, Hamza, ve Harun Kırılmaz. “An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic”. Duzce Medical Journal 23, sy. Special Issue (Mart 2021): 30-37. https://doi.org/10.18678/dtfd.896469.
EndNote Ateş H, Kırılmaz H (01 Mart 2021) An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic. Duzce Medical Journal 23 Special Issue 30–37.
IEEE H. Ateş ve H. Kırılmaz, “An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic”, Duzce Med J, c. 23, sy. Special Issue, ss. 30–37, 2021, doi: 10.18678/dtfd.896469.
ISNAD Ateş, Hamza - Kırılmaz, Harun. “An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic”. Duzce Medical Journal 23/Special Issue (Mart 2021), 30-37. https://doi.org/10.18678/dtfd.896469.
JAMA Ateş H, Kırılmaz H. An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic. Duzce Med J. 2021;23:30–37.
MLA Ateş, Hamza ve Harun Kırılmaz. “An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic”. Duzce Medical Journal, c. 23, sy. Special Issue, 2021, ss. 30-37, doi:10.18678/dtfd.896469.
Vancouver Ateş H, Kırılmaz H. An Evaluation of the Performance of the Turkish Health System in the COVID-19 Pandemic. Duzce Med J. 2021;23(Special Issue):30-7.
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