COUNTRY KEY FINDINGS - LESSONS LEARNT
- Strong central leadership was critical to the success of Turkey’s Health Transformation Programme. In a maturing system, the role of the central authorities can now shift to setting out broad system goals, getting the right incentives in place and enabling local service providers to meet those goals.
- Most data in the Turkish health system largely focuses on supply and activity. Now that UHC has been achieved, governance focussed on quality and outcomes must become the priority. Open comparison of service-level data should be promoted, to drive up quality standards and reduce variation.
- Current quality assurance activities tend to focus on minimum standards.To build a quality culture, the focus of on-going reform should move from one of control and penalising bad performers to one of encouraging continuous improvement. Greater involvement of patients and their carers will be instrumental in delivering safer, more effective care.
- Payment and incentive structures focus on quantity and productivity enhancement. This may risk ensuring that care is delivered in the most appropriate settings. Stronger primary care, and guidelines that cover the entire patient pathway, will be vital to ensure sustainable, high-quality and patient-centred care.
- Assessment and recommendations
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