Akdaǧ Recep
Former Minister of Health ; Turkey.
Health Syst Reform. 2015 Jan 2;1(1):3-8. doi: 10.1080/23288604.2014.956017.
-Universal Health Coverage (UHC) is a feasible but difficult goal. It requires an outcome-oriented transformation program plus the strong commitment and leadership of high-level politicians. It also necessitates attention to context and receptivity to change, which are crucial for strategy development and delivery. Any health minister should acknowledge that it is very difficult to achieve success without public support, which also translates into support for the prime minister or president of the country. It is possible to achieve major improvements to health system performance in a relatively short period of time under the right conditions. Turkey made remarkable progress in health status, patient satisfaction and financial risk protection with its ten-year Health Transformation Program. Based on Turkey's transf-ormational experience, nine guiding principles are proposed. These principles are invaluable to transformational leadership and overcoming challenges: assuring deep commitment to bring change, using a two-pronged action approach, gaining the public's support as a shield, developing a comprehensive program, achieving a balance between the public and private sectors, obtaining and sustaining the financial protection of citizens, learning from mistakes, not being blinded by short-term success, and focusing on outcomes.
全民健康覆盖（UHC）是一个可行但困难的目标。它需要一个以结果为导向的转型计划，以及高层政治家的坚定承诺和领导力。它还需要关注具体情况和对变革的接受度，这对战略制定和实施至关重要。任何卫生部长都应认识到，没有公众支持就很难取得成功，而公众支持也意味着对该国总理或总统的支持。在合适的条件下，有可能在相对较短的时间内大幅改善卫生系统绩效。土耳其通过其为期十年的卫生转型计划在健康状况、患者满意度和财务风险保护方面取得了显著进展。基于土耳其的转型经验，提出了九条指导原则。这些原则对于转型领导力和克服挑战非常宝贵：确保对变革的深度承诺，采用双管齐下的行动方法，赢得公众支持作为保障，制定全面计划，在公共部门和私营部门之间取得平衡，获得并维持公民的财务保护，从错误中学习，不被短期成功蒙蔽，以及关注结果。
