Öz
Health systems almost all around the world face many challenges such as the aging population, increasing chronic and infectious diseases, needs, technological innovations, and health expenditures. Countries, including Turkey, are looking for a variety of remedies to overcome these challenges, and the value-based healthcare concept has come to the forefront in tackling the challenges. The main objective of this article is to reveal the value-based healthcare in general and the Turkish case. In the scope of this article, an open-ended questionnaire consisting of the six subtitles related to value-based health care in the Turkish health system was prepared and the questionnaire was sent to 12 representatives including public institutions, healthcare providers, health economists, academics, experts, and other associations from the field of health. Their responses were the main qualitative material of this research and this research was conducted between June 2020 and August 2020. It is believed that the concept of value-based healthcare has a huge potential to develop person-centered health systems that can produce efficient, quality, effective, and sustainable healthcare, and thereby improve health outcomes.
Anahtar Kelimeler
value-based healthcare G20 Global Innovation Hub for Improving Value in Health health systems Turkey
Kaynakça
- Elf M, Flink M, Nilsson M, Tistad M, von Koch L, Ytterberg C. (2017). The case of value-based healthcare for people living with complex long-term conditions. BMC Health Services Research ;17(1):24.
- Fullman N, Yearwood J, Abay S. (2018). Measuring Performance on the Healthcare Access and Quality Index for 195 Countries and Territories and Selected Subnational Locations: A Systematic Analysis from the Global Burden of Disease Study 2016. The Lancet. 2018(391): 2236-2271.
- Harvard Business School. (2020). Key Concepts. https://www.isc.hbs.edu/health-care/value-based-health-care/key-concepts/Pages/default.aspx Accessed May 5, 2020
- Health Ministerial Declaration of the Summit Joint Statement: G20 Joint Finance and Health Ministers Meeting http://www.g20.utoronto.ca/2020/2020-g20-finance-health-0917.html Accessed October 18, 2020
- Kaplan RS, Porter ME. (2019). The Big Idea: How to Solve the Cost Crisis in Health Care. https://hbr.org/2011/09/how-to-solve-the-cost-crisis-in-health-care, Accessed September 12, 2019
- OECD. (2019). Health at a Glance 2019: OECD Indicators, OECD Publishing, Paris.
- Porter ME, Teisberg EO. (2006). Redefining competition in health care. Harvard Business Review. 82(6):64-76, 136.
- Porter ME. (2010). What is Value in Health Care?. New England Journal of Medicine, 363: 2477-2481.
- Porter ME, Lee TH.(2015). Why strategy matters now?. New England Journal of Medicine 30;372(18):1681-4.
- Porter, ME. (2008). Value-Based Health Care Delivery. Annals of Surgery 126, 144–150.
- Porter, ME., Clemens G. (2012). Redefining German Health Care: Moving to a Value-Based System. Heidelberg: Springer.
- Porter ME, Lee TH. (2020). The Strategy That Will Fix Health Care. Harvard Business Review. https://hbr.org/2013/10/the-strategy-that-will-fix-health-care Accessed April 15, 2020
- Porter ME. (2020). Value-Based Health Care Delivery: Systems Integration & Growth. VBHC Intensive Seminar Boston, MA January 16, 2020 https://www.isc.hbs.edu/Documents/pdf/2020-system-integration-porter.pdf Accessed May 18, 2020
- Putera I. (2017). Redefining Health: Implication for Value-Based Healthcare Reform. Cureus. 2;9(3):e1067.
- The Economist Intelligence Unit. (2020). Value Based Healthcare: A Global Assessment. Findings and Methodology. https://perspectives.eiu.com/sites/default/files/EIU_Medtronic_Findings-and-Methodology_1.pdf Accessed February 5, 2020
- The Ministry of Health. (2018). Sağlık İstatistikleri Yıllığı 2018. Sağlık Bakanlığı: Ankara.
- TURKSTAT. (2018). Sağlık Harcamaları İstatistikleri. TUİK:ç Ankara. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=30624 Accessed April 20,2020
- The Ministry of Health. (2003). Sağlıkta Dönüşüm Programı. Sağlık Bakanlığı: Ankara.
- Ward L, Powell RE, Scharf ML, Chapman A, Kavuru M. (2017). Patient-Centered Specialty Practice: Defining the Role of Specialists in Value-Based Health Care. Chest. 151(4):930-935.
- Yıldırım HH.(2020). Health Tourism and Anatolian Blessings Medicine: A Strategic Business Model Proposal for Turkey’s Branding. Journal of Health Systems and Policies, 2(1): 1-32.
- Yıldırım HH., Yıldırım T. (2011). Healthcare Financing Reform in Turkey: Context and Salient Features. Journal of European Social Policy, 21(2): 178-193.
Öz
Sağlık sistemleri, yaşlanan nüfus, artan kronik ve bulaşıcı hastalıklar, ihtiyaçlar, teknolojik yenilikler ve sağlık harcamaları gibi birçok zorlukla karşı karşıyadır. Türkiye de dahil olmak üzere ülkeler, bu zorlukların üstesinden gelmek için çeşitli politikalar üretmektedir ve bu noktada değer temelli sağlık hizmeti kavramı ön plana çıkmaktadır. Bu makalenin temel amacı değer temelli sağlık hizmetini Türkiye örneği çerçevesinde ele almaktır. Bu makale kapsamında, Türkiye sağlık sisteminde değere dayalı sağlık hizmetleri ile ilgili toplamda altı alt başlıktan oluşan açık uçlu bir anket hazırlanmış ve anket sağlık alanındaki kamu kurumları, sağlık politikası uzmanları, sağlık ekonomistleri, akademisyenler ve sağlık alanında çalışan dernekler dahil olmak üzere 12 temsilciye gönderilmiştir. Temsilcilerden gelen yanıtlar bu araştırmanın temel niteliksel materyalini oluşturmaktadır ve bu araştırma Haziran 2020 ile Ağustos 2020 arasında gerçekleştirilmiştir. Değer temelli sağlık hizmetleri kavramının kişi bazlı sağlık sistemleri geliştirmek ve verimli, etkil, sürdürülebilir ve kaliteli hizmet üretebilecek sağlık sistemlerini hayata geçirmek için büyük bir potansiyele sahip olduğu; bu sayede de sağlık sonuçlarını iyileştirebileceğine dair bir kanıya varılmıştır.
ANAHTAR KELİMELER: Değer temelli sağlık hizmetleri, sağlık sistemleri, Sağlıkta Değeri İyileştirmek için G20 Küresel İnovasyon Merkezi, Türkiye
Anahtar Kelimeler
değer temelli sağlık hizmetleri sağlık sistemleri Sağlıkta Değeri İyileştirmek için G20 Küresel İnovasyon Merkezi
Kaynakça
- Elf M, Flink M, Nilsson M, Tistad M, von Koch L, Ytterberg C. (2017). The case of value-based healthcare for people living with complex long-term conditions. BMC Health Services Research ;17(1):24.
- Fullman N, Yearwood J, Abay S. (2018). Measuring Performance on the Healthcare Access and Quality Index for 195 Countries and Territories and Selected Subnational Locations: A Systematic Analysis from the Global Burden of Disease Study 2016. The Lancet. 2018(391): 2236-2271.
- Harvard Business School. (2020). Key Concepts. https://www.isc.hbs.edu/health-care/value-based-health-care/key-concepts/Pages/default.aspx Accessed May 5, 2020
- Health Ministerial Declaration of the Summit Joint Statement: G20 Joint Finance and Health Ministers Meeting http://www.g20.utoronto.ca/2020/2020-g20-finance-health-0917.html Accessed October 18, 2020
- Kaplan RS, Porter ME. (2019). The Big Idea: How to Solve the Cost Crisis in Health Care. https://hbr.org/2011/09/how-to-solve-the-cost-crisis-in-health-care, Accessed September 12, 2019
- OECD. (2019). Health at a Glance 2019: OECD Indicators, OECD Publishing, Paris.
- Porter ME, Teisberg EO. (2006). Redefining competition in health care. Harvard Business Review. 82(6):64-76, 136.
- Porter ME. (2010). What is Value in Health Care?. New England Journal of Medicine, 363: 2477-2481.
- Porter ME, Lee TH.(2015). Why strategy matters now?. New England Journal of Medicine 30;372(18):1681-4.
- Porter, ME. (2008). Value-Based Health Care Delivery. Annals of Surgery 126, 144–150.
- Porter, ME., Clemens G. (2012). Redefining German Health Care: Moving to a Value-Based System. Heidelberg: Springer.
- Porter ME, Lee TH. (2020). The Strategy That Will Fix Health Care. Harvard Business Review. https://hbr.org/2013/10/the-strategy-that-will-fix-health-care Accessed April 15, 2020
- Porter ME. (2020). Value-Based Health Care Delivery: Systems Integration & Growth. VBHC Intensive Seminar Boston, MA January 16, 2020 https://www.isc.hbs.edu/Documents/pdf/2020-system-integration-porter.pdf Accessed May 18, 2020
- Putera I. (2017). Redefining Health: Implication for Value-Based Healthcare Reform. Cureus. 2;9(3):e1067.
- The Economist Intelligence Unit. (2020). Value Based Healthcare: A Global Assessment. Findings and Methodology. https://perspectives.eiu.com/sites/default/files/EIU_Medtronic_Findings-and-Methodology_1.pdf Accessed February 5, 2020
- The Ministry of Health. (2018). Sağlık İstatistikleri Yıllığı 2018. Sağlık Bakanlığı: Ankara.
- TURKSTAT. (2018). Sağlık Harcamaları İstatistikleri. TUİK:ç Ankara. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=30624 Accessed April 20,2020
- The Ministry of Health. (2003). Sağlıkta Dönüşüm Programı. Sağlık Bakanlığı: Ankara.
- Ward L, Powell RE, Scharf ML, Chapman A, Kavuru M. (2017). Patient-Centered Specialty Practice: Defining the Role of Specialists in Value-Based Health Care. Chest. 151(4):930-935.
- Yıldırım HH.(2020). Health Tourism and Anatolian Blessings Medicine: A Strategic Business Model Proposal for Turkey’s Branding. Journal of Health Systems and Policies, 2(1): 1-32.
- Yıldırım HH., Yıldırım T. (2011). Healthcare Financing Reform in Turkey: Context and Salient Features. Journal of European Social Policy, 21(2): 178-193.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Nisan 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 4 Sayı: 1 |