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Sağlık Sistemleri Performans Ölçümü, Önemi ve Dünya Sağlık Örgütü Yaklaşımı

Health Systems Performance Measurement, Importance and World Health Organization Approach

Journal Name:

  • Hacettepe Sağlık İdaresi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
The interest on measuring health systems performance in the world has been increasing because of the realities about both health care resource scarcity and achieving better health status. This interest got the greatest emphasis with World Health Report 2000. The interest is not only about just measuring health system performance but also about changing definition and criteria of performance. Three main objectives of a country’s health care system were defined as health gain attainment, responsiveness, and fairness in financial contribution in World Health Report 2000. The attainment level of these three objectives were used as a performance criteria in ranking and benchmarking 191 member states. In this study, three main objectives used as performance criteria and the methodology used by WHO in ranking countries in terms of attainment levels ofobjectives were discussed, and necessary recommendations were made for Turkish Health Care System based on the place of Turkey among 191 countries in terms of three objectives.
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Abstract (Original Language): 
Dünya’da sağlık sistemlerinin performansınıölçmeye yönelik ilgi, hem kaynakların kıtlığıhem de daha iyi bir sağlık seviyesine ulaşabilme gerçekleri yüzünden giderek artmaktadır. Dünya Sağlık Raporu 2000 ile bu ilgi, belki de en yüksek seviyesine çıkmıştır. Bu ilgi, sağlık sistemlerinin sadece ölçülmesiyle ilgili olmayıp aynızamanda performansın tanımıve kriterlerini de değiştirmektedir. Dünya Sağlık Raporu 2000’de bir sağlık sisteminin ulaşmayıarzuladığıüç temel amaç sağlık seviyesinin yükseltilmesi, yeterlilik ve finansmanda adalet olarak sıralanmıştır. 191 ülkenin sağlık sistemlerinin sıralanmasında ve birbirleriyle kıyaslanmasında ise bu amaçlara ulaşma derecesi önemli bir kriter olarak kullanılmıştır. Bu çalışmada, performans kriteri olarak kullanılan üç temel amaç ve bu amaçlara ulaşma seviyesi açısından ülkelerin sıralanmasında DSÖ tarafından kullanılan yöntem tartışılmışve 191 ülke arasında Türkiye’nin konumuna bakılarak Türk Sağlık Sistemi için gerekli önerilerde bulunulmuştur.
FULL TEXT (PDF): 
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  • 1
5-29
  • Turkish

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