OECD Reviews of Health Care Quality: Turkey 2014

Raising Standards

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Turkey underwent a very ambitious reform programme  in 2003, the so-called "Health Transformation Programme". Access to healthcare in Turkey has greatly increased with the attainment of Universal Health Coverage, as also demonstrated by improvement in health outcomes, most notably around maternal and child health and infectious diseases. However, despite these significant achievements, Turkey has a significant way to travel to deliver high-quality health services to its population. Governance of the health system is highly centralised and typified by directive control from the Ministry of Health, and information collected in different part of the system is not always fully exploited.

The OECD Review of Health Care Quality in Turkey recommends a number of changes to address these shortcomings. The key recommendations are that: i) Turkey needs to develop robust systems to standardise and monitor the quality of care, encourage continuous professional development and incorporate patient views; ii) some loosening of the governance structure would be welcome, to allow regions greater flexibility to assess and respond to local health needs and to continue to provide health workers with incentives for improve quality; iii) data on health sector activity and outcomes need to be made more available and more usable for individual patients and clinicians, while greater effort is needed to increase the robustness of Turkey’s information systems at national level and harmonise performance measures to OECD and other international comparators.



Quality of care in Turkey's health system

This chapter provides an overview of policies and strategies to improve the quality of care in Turkey’s health system. It seeks to profile key quality of care policies and benchmark the extent to which policies to monitor and improve quality in the Turkish health system are being employed. In describing the quality governance structure and the role of the Ministry of Health and affiliated organisations, the chapter highlights how Turkey needs to continue steps towards more devolved governance, and work to align public hospital and public health system governance. Addressing the quality of inputs into the health system, the chapter recommends that Turkey continue the impressive work begun on quality standards and accreditation while working to build good patient safety and quality assurance systems. The chapter concludes with a recommendation that Turkey develop a coherent policy on how to strengthen the Turkish information infrastructure to facilitate the use of quality indicators.


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