Exempting the state and responsibilizing individuals during pandemic governance: Analyzing the health minister's responses to the Covid-19 pandemic in Turkey.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Pub Date : 2023-09-01 DOI:10.1177/13634593211060766
G Ezgi Akguloglu, Gulcin Con Wright
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引用次数: 1

Abstract

The COVID-19 pandemic pushed the governments of the world to implement different regulative and protective measures. Although these measures required serious re-considerations of public health strategies, they were still grounded on pre-existing contexts of countries' health systems, namely the "new public health" paradigm. Turkey's neoliberal health reforms since 2003 coincide with the principles of this paradigm's trends toward marketizing services and responsibilizing individuals; yet the Turkish context of the pandemic also stands out due to its mixed and unique form of governance. Utilizing the tweets of the Turkish Health Minister between March 13th and October 1st, 2020, we conducted a thematic qualitative analysis investigating the Turkish state's response to the COVID-19 pandemic. Our analysis revealed that state responsibility was framed around building new pandemic hospitals, informing the public, and building trust. Conversely, his tweets assigned Turkish individuals an active role in shaping pandemic outcomes through their "informed" and "empowered" agency. Finally, he coined "togetherness," referring to the sum of individual actions, as an indispensable goal in assuring public compliance with precautions. The Minister's tweets reflect the unique nature of pandemic governance in Turkey with a relatively imposing and swift response of centralized power but a primary focus on "responsibilized" individuals' collective actions.

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在大流行治理期间免除国家和负责任的个人:分析土耳其卫生部长对Covid-19大流行的反应。
COVID-19大流行促使世界各国政府实施不同的监管和保护措施。尽管这些措施需要认真重新考虑公共卫生战略,但它们仍然基于各国卫生系统的原有背景,即“新公共卫生”范式。自2003年以来,土耳其的新自由主义医疗改革与这种模式的服务市场化和个人负责任趋势的原则相吻合;然而,由于其混合和独特的治理形式,这一流行病的土耳其背景也很突出。利用土耳其卫生部长在2020年3月13日至10月1日期间的推文,我们进行了专题定性分析,调查了土耳其国家对COVID-19大流行的反应。我们的分析显示,国家的责任是围绕建设新的流行病医院、告知公众和建立信任展开的。相反,他的推文赋予土耳其个人通过其“知情”和“授权”机构在塑造流行病结果方面发挥积极作用。最后,他创造了“团结”,指的是个人行动的总和,作为确保公众遵守预防措施的不可或缺的目标。部长的推文反映了土耳其大流行病治理的独特性质,即集中权力相对有力和迅速的反应,但主要侧重于“负责任的”个人的集体行动。
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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
发文量
0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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