O'Neil Mary Lou
a Gender and Women's Studies Research Center, Kadir Has University , Istanbul , Turkey.
Eur J Contracept Reprod Health Care. 2017 Apr;22(2):88-93. doi: 10.1080/13625187.2016.1276163. Epub 2017 Jan 12.
Despite the existence of a liberal law on abortion in Turkey, there is growing evidence that actually securing an abortion in Istanbul may prove difficult. This study aimed to determine whether or not state hospitals and private hospitals that accept state health insurance in Istanbul are providing abortion services and for what indications.
Between October and December 2015, a mystery patient telephone survey of 154 hospitals, 43 public and 111 private, in Istanbul was conducted.
14% of the state hospitals in Istanbul perform abortions without restriction as to reason provided in the current law while 60% provide the service if there is a medical necessity. A quarter of state hospitals in Istanbul do not provide abortion services at all. 48.6% of private hospitals that accept the state health insurance also provide for abortion without restriction while 10% do not provide abortion services under any circumstances.
State and private hospitals in Istanbul are not providing abortion services to the full extent allowed under the law. The low numbers of state hospitals offering abortions without restriction indicates a de facto privatization of the service. This same trend is also visible in many private hospitals partnering with the state that do not provide abortion care. While many women may choose a private provider, the lack of provision of abortion care at state hospitals and those private hospitals working with the state leaves women little option but to purchase these services from private providers at some times subtantial costs.
尽管土耳其存在关于堕胎的宽松法律，但越来越多的证据表明，在伊斯坦布尔实际获得堕胎服务可能很困难。本研究旨在确定伊斯坦布尔接受国家医疗保险的公立医院和私立医院是否提供堕胎服务以及出于何种指征。
2015年10月至12月，对伊斯坦布尔的154家医院（43家公立和111家私立）进行了神秘患者电话调查。
伊斯坦布尔14%的公立医院在进行堕胎时不受现行法律规定理由的限制，60%在有医疗必要时提供该服务。伊斯坦布尔四分之一的公立医院根本不提供堕胎服务。接受国家医疗保险的私立医院中，48.6%也无限制地提供堕胎服务，10%在任何情况下都不提供堕胎服务。
伊斯坦布尔的公立医院和私立医院并未在法律允许的范围内充分提供堕胎服务。无限制提供堕胎服务的公立医院数量较少，表明该服务事实上的私有化。在许多与国家合作的私立医院中也可见到同样的趋势，这些医院不提供堕胎护理。虽然许多女性可能会选择私立医疗机构，但公立医院以及与国家合作的私立医院缺乏堕胎护理服务，这使得女性别无选择，只能有时以高昂的成本从私立医疗机构购买这些服务。
