Publication:
Turkey on the Way of Universal Health Coverage through the Health Transformation Program (2003-13)

Simple item page
dc.contributor.authorBump, Jesse
dc.contributor.authorSparkes, Susan
dc.contributor.authorTatar, Mehtap
dc.contributor.authorCelik, Yusuf
dc.contributor.editorAran, Meltem
dc.contributor.editorRokx, Claudia
dc.date.accessioned2014-12-31T16:50:16Z
dc.date.available2014-12-31T16:50:16Z
dc.date.issued2014-09
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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2014/09/23025459/turkey-way-universal-health-coverage-through-health-transformation-program
dc.identifier.doi10.1596/21059
dc.identifier.urihttps://hdl.handle.net/10986/21059
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank Group, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH CARE SERVICES
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectADMINISTRATIVE CONTROL
dc.subjectALLOCATIVE EFFICIENCY
dc.subjectANTENATAL CARE
dc.subjectCAPITA HEALTH EXPENDITURE
dc.subjectCHILD MORTALITY
dc.subjectCHILDBIRTH
dc.subjectCITIZEN
dc.subjectCITIZENS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectDEATHS
dc.subjectDEBT
dc.subjectDELIVERY SYSTEM
dc.subjectDEMAND FOR HEALTH
dc.subjectDEMAND FOR HEALTH SERVICES
dc.subjectDOCTORS
dc.subjectECONOMIC GROWTH
dc.subjectECONOMIC RESOURCES
dc.subjectEMERGENCY VEHICLES
dc.subjectEMPLOYMENT
dc.subjectEXPENDITURES
dc.subjectFINANCIAL PROTECTION
dc.subjectFINANCING OF HEALTH CARE
dc.subjectFOCUS GROUP DISCUSSIONS
dc.subjectFRAGMENTED FINANCING SYSTEM
dc.subjectGENERAL PRACTITIONERS
dc.subjectHEALTH ADMINISTRATION
dc.subjectHEALTH AFFAIRS
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE EXPENDITURES
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SECTOR
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CENTERS
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH DATA
dc.subjectHEALTH DELIVERY
dc.subjectHEALTH DELIVERY SYSTEM
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE GROWTH
dc.subjectHEALTH EXPENDITURE PER CAPITA
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCE
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FINANCING SYSTEM
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INFRASTRUCTURE
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHEALTH INSURANCE SYSTEM
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PLANNING
dc.subjectHEALTH POLICY
dc.subjectHEALTH POSTS
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROJECT
dc.subjectHEALTH REFORM
dc.subjectHEALTH REFORMS
dc.subjectHEALTH RISKS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SECTOR REFORM
dc.subjectHEALTH SECTOR WORKERS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH STATUS INDICATORS
dc.subjectHEALTH SUPPLY
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM EFFICIENCY
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH SYSTEMS IN TRANSITION
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHEALTH-CARE
dc.subjectHEALTH-CARE SYSTEM
dc.subjectHEALTH-FINANCING
dc.subjectHEALTHCARE SPENDING
dc.subjectHOSPITAL AUTONOMY
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL MANAGEMENT
dc.subjectHOSPITAL SECTOR
dc.subjectHOSPITALS
dc.subjectHR
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINCOME HOUSEHOLDS
dc.subjectINDIVIDUAL HEALTH
dc.subjectINDUCED DEMAND
dc.subjectINFANT
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINSERVICE TRAINING
dc.subjectINSURANCE
dc.subjectINSURANCE COVERAGE
dc.subjectINSURANCE SCHEMES
dc.subjectINTEGRATION
dc.subjectLABOR MARKET
dc.subjectLEVEL OF HEALTH SPENDING
dc.subjectLIFE EXPECTANCY
dc.subjectLIFE EXPECTANCY AT BIRTH
dc.subjectLIVE BIRTHS
dc.subjectLOCAL AUTHORITIES
dc.subjectMATERNAL HEALTH
dc.subjectMATERNAL HEALTH SERVICES
dc.subjectMEDICAL CENTERS
dc.subjectMEDICAL POLICY
dc.subjectMEDICAL SCHOOL
dc.subjectMEDICAL SPECIALTIES
dc.subjectMEDICINES
dc.subjectMIDWIVES
dc.subjectMINISTRY OF HEALTH
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNATIONAL HEALTH POLICY
dc.subjectNEWBORN HEALTH
dc.subjectNURSES
dc.subjectNUTRITION
dc.subjectOLD SYSTEM
dc.subjectOUTPATIENT SERVICES
dc.subjectPARADIGM SHIFT
dc.subjectPARAMEDICS
dc.subjectPARLIAMENTARY SEATS
dc.subjectPARTY PLATFORM
dc.subjectPATIENT
dc.subjectPATIENT CARE
dc.subjectPATIENT COST
dc.subjectPATIENT SATISFACTION
dc.subjectPATIENTS
dc.subjectPHARMACEUTICAL EXPENDITURES
dc.subjectPHARMACISTS
dc.subjectPHARMACY
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPOCKET PAYMENTS
dc.subjectPOLICY CHANGE
dc.subjectPOLICY DECISIONS
dc.subjectPOLICY GOALS
dc.subjectPOLICY RESEARCH
dc.subjectPOLITICAL POWER
dc.subjectPOLITICAL TURMOIL
dc.subjectPOPULAR SUPPORT
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPRESCRIPTION DRUGS
dc.subjectPREVENTIVE HEALTH SERVICES
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH CARE FACILITIES
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE PHARMACIES
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SECTORS
dc.subjectPROFESSIONAL ASSOCIATIONS
dc.subjectPROGRESS
dc.subjectPROVISION OF HEALTH CARE
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH EXPENDITURES
dc.subjectPUBLIC HEALTH SYSTEM
dc.subjectPUBLIC HOSPITAL
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC PROVIDERS
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SERVICE
dc.subjectPUBLIC SUPPORT
dc.subjectPURCHASER-PROVIDER SPLIT
dc.subjectPURCHASING POWER
dc.subjectPURCHASING POWER PARITY
dc.subjectQUALITY ASSURANCE
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF SERVICES
dc.subjectRURAL AREAS
dc.subjectSCIENTIFIC EVIDENCE
dc.subjectSERIES OF MEETINGS
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVIDER
dc.subjectSERVICE PROVISION
dc.subjectSERVICE QUALITY
dc.subjectSERVICE UTILIZATION
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL POLICY
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SECURITY SCHEMES
dc.subjectSOCIOECONOMIC DEVELOPMENT
dc.subjectSOCIOECONOMIC STATUS
dc.subjectSTATE PLANNING
dc.subjectSUPPLY OF HEALTH CARE
dc.subjectSUSTAINABLE DEVELOPMENT
dc.subjectTRADE UNIONS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectURBAN CENTERS
dc.subjectWORKERS
dc.titleTurkey on the Way of Universal Health Coverage through the Health Transformation Program (2003-13)en
dspace.entity.typePublication
okr.date.disclosure2014-12-15
okr.date.doiregistration2025-05-05T12:49:28.791366Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2014/09/23025459/turkey-way-universal-health-coverage-through-health-transformation-program
okr.globalpracticeHealth, Nutrition, and Population
okr.guid704941468338368780
okr.identifier.externaldocumentum000470435_20141215085326
okr.identifier.internaldocumentum23025459
okr.identifier.report93172
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/12/15/000470435_20141215085326/Rendered/PDF/931720WP0UHC0C0hnp0discussion0paper.pdfen
okr.region.countryTurkiye
okr.topicHealth Monitoring and Evaluation
okr.topicLaw and Development::Health Law
okr.topicHealth Economics and Finance
okr.topicHealth Systems Development and Reform
okr.topicHealth, Nutrition and Population::Population Policies
okr.unitHealth, Nutrition, and Population (HNP) Global Practice
Files
Collections
Health, Nutrition and Population (HNP) Discussion Papers