Exploring Patient Experiences of the Internal Market for Healthcare Provision in Turkey
Publicness under Pressure
Bibliographic Data
| ID | 2116180 |
|---|---|
| Authors | Volkan Yılmaz (0000-0002-9283-3020, Bogaziçi University, corresponding author) |
| Year | 2021 |
| Volume | 50 |
| Issue | 3 |
| Pages | 588-605 |
| Publication date | 2021-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Social Policy (JOURNAL) |
| Journal identifiers | ISSN: 0047-2794 • E-ISSN: 1469-7823 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s0047279420000343 |
| OpenAlex | W3034102382 |
| Language | EN |
| Citations received | 2 |
| References cited | 40 |
The establishment of internal markets for healthcare provision in publicly-funded healthcare systems brings forth a number of new regulatory challenges. During the 2003 healthcare reform in Turkey, universal health coverage (UHC) was implemented concurrently with the establishment of an internal market for service provision, resulting in an increase in private sector activity. In this context, this paper explores how, in the Turkish case, the macro-level adoption of an internal market model for healthcare provision has shaped patient experiences at the micro-level in their ability to receive treatment in private hospitals offering publicly-funded services (PHOPS). It also examines the influence of the internal market on the realised publicness of healthcare services in Turkey. Data for the study were obtained from patient complaints that appeared on a private online platform and 20 patient interviews. These showed that patients sometimes face significant challenges, including pressure to make informal payments, when accessing their entitlements, which is evidence of the erosion of publicness in a hybrid healthcare system. These challenges emerge from information asymmetry between patients and providers; a large space for PHOPS to manoeuvre when deciding to register patients as insurance holders or private patients; and the ineffective public regulation of the internal market
Business · Context (archaeology) · Domestic market · Economic growth · Economics · Health care · Payment · Political science · Private sector · Public relations · Public sector · Turkish · Finance · Global Health Care Issues · Healthcare innovation and challenges · Healthcare Policy and Management
Uncertainty and the Welfare Economics of Medical Care
Understanding informal payments for health care
Informal Payments And The Financing Of Health Care In Developing And Transition Countries
Social Insurance and Allied Services
The changing role of the state in healthcare systems
Mutual dependence or state dominance? Large private suppliers and the British state 2010–15
Understanding Hybridity in Public Organizations
State Regulatory Capacity
Quasi-Markets and Social Policy
Putting Together the Publicness Puzzle
Publicness in times of market accountability
Informal payments for health care in transition economies
Regulating incentives
Marketization and universalism
Markets and Motives Trust and Egoism in Welfare Markets
Framing Privatisation in the English National Health Service
Structural Interests' in Health Care
Poland's Health Reform
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |