King's College, The William G. McGowan School of Business, Wilkes-Barre, PA 18711, USA.
Health Policy. 2012 Sep;107(1):21-30. doi: 10.1016/j.healthpol.2012.05.002. Epub 2012 May 29.
The Turkish health care system has been undergoing a significant transformation with the Health Transformation Program (HTP) since 2003. The HTP's overall objective is to improve governance, efficiency, user and provider satisfaction, and long-term fiscal sustainability of the health care system in Turkey.
To systematically evaluate the effects of the HTP Phase I reforms on various stakeholders, and to outline strategic options for the implementation of the second phase of health transformation in Turkey.
A total of 47 formal structured stakeholder interviews, representing 29 different institutions, are conducted between December 2008 and January 2009. Five main components of the HTP were examined: strengthening of the Ministry of Health (MoH) capacity for stewardship, universal health insurance, reorganizing health service delivery, human resources development, and national health information system.
There is a general agreement among stakeholders that the progress made thus far is the greatest in the national health information system and the slowest in strengthening the MoH capacity for stewardship. It appears that the HTP has the capacity to deliver cost-effective health care services and the implementation progress, so far, is in congruence with the overall economic development and growth in Turkey.
自 2003 年以来，土耳其医疗保健系统一直在进行重大改革，实施了卫生转型计划（HTP）。HTP 的总体目标是提高土耳其医疗保健系统的治理水平、效率、用户和提供者满意度以及长期财政可持续性。
系统评估 HTP 第一阶段改革对各利益相关者的影响，并为土耳其实施第二阶段卫生转型提出战略选择。
2008 年 12 月至 2009 年 1 月期间，共进行了 47 次正式的结构化利益相关者访谈，代表了 29 个不同的机构。研究考察了 HTP 的五个主要组成部分：加强卫生部（MoH）的管理能力、全民健康保险、重组卫生服务提供、人力资源开发和国家卫生信息系统。
利益相关者普遍认为，迄今为止，国家卫生信息系统取得的进展最大，而加强 MoH 管理能力的进展最慢。HTP 似乎有能力提供具有成本效益的医疗服务，迄今为止的实施进展与土耳其的整体经济发展和增长是一致的。
