Transforming Turkey's Health System — Lessons for Universal Coverage  

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Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 373 no. 14 (Oct. 2015), page 1285-1289.

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Perpustakaan FK Nomor Panggil: N08.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

In 2003, Turkey embarked on ambitious health system reform to overcome major inequities in health outcomes and to protect all citizens against financial risk. Within 10 years, it had achieved universal health coverage and notable improvements in outcomes and equity. Health insurance was introduced in Turkey in 1945, at first covering blue-collar workers and later other groups. From 1960 onward, Turkey's 5-year development plans included universal health coverage as an objective; a new constitution in 1982 guaranteed rights to health insurance and health services; and a 1987 Basic Law on Health aimed to operationalize these rights. But the law wasn't implemented, universal coverage failed to materialize, and the poor and unemployed remained without effective coverage. Although the “Green Card” scheme was introduced in 1992 to cover low-income households, it wasn't integrated with existing insurance schemes and lacked a system for identifying potential beneficiaries; moreover, it provided limited financial assistance for inpatient care and none for outpatient consultations, diagnostic tests, or medicines; uptake was therefore low.

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