The key to health services in Turkey: new perspectives on leadership and hospital management.

Alper A Sahin
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Abstract

Health services are one of the most important criteria for making a country function. Turkey has mobilized all of its resources to provide high-quality, easily accessible and patient-friendly services for its population. To achieve this aim, the Turkish health care system has been undergoing a significant transformation through its Health Transformation Programme begun in 2005. The reforms focus on the introduction of a general health insurance system, changing hospital health services, improvements in hospital management and transformational leadership skills. Firstly, all state-run hospitals in the country were merged under the same umbrella, giving millions of people covered by the national security agency access to all of these hospitals. Secondly, all drugs and medical equipment used by patients were made free of charge. Thanks to these developments, hospitals were modernized, and this modernization process in the health sector is still continuing swiftly. On the other hand, for Turkish hospitals to survive, they need to modernize further and become closer to European models, and produce new leaders with new paradigms. In this new and changing health system, hospital leaders and executive officers should be visionaries and strategists advising when to change direction. Following this doctrine, most Turkish hospitals are now run by two top executives: the hospital manager and the chief executive officer who is in charge of business functions. These executives should clearly be the leaders of high-quality, health care organizations.

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土耳其保健服务的关键:关于领导和医院管理的新观点。
卫生服务是一个国家发挥作用的最重要标准之一。土耳其调动了一切资源,为其人民提供高质量、易于获得和对病人友好的服务。为了实现这一目标,土耳其卫生保健系统通过2005年开始实施的《卫生改革方案》进行了重大改革。改革的重点是引进一般健康保险制度,改变医院保健服务,改善医院管理和变革型领导技能。首先,全国所有国营医院被合并到同一保护伞下,使国家安全局所保护的数百万人能够进入所有这些医院。第二,病人使用的所有药品和医疗设备都是免费的。由于这些发展,医院实现了现代化,卫生部门的这一现代化进程仍在迅速进行。另一方面,土耳其医院要生存下去,就需要进一步现代化,向欧洲模式靠拢,并产生具有新范式的新领导人。在这个新的和不断变化的卫生系统中,医院领导和行政官员应该是有远见的人和战略家,建议何时改变方向。遵循这一原则,大多数土耳其医院现在由两名高层管理人员管理:医院经理和负责业务职能的首席执行官。这些高管显然应该是高质量医疗保健组织的领导者。
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