Abstract
The term of public private parthnership refers to a model of partnership established so that the private sector can use its capital and other facilities for public good in the areas of public service is provided. It is a model that has been put into practice to provide public services by private sector and to build hospitals and other healthcare facilities which needs big capital in health care sector. With the city hospitals established as part of the health transformation program, this model has been passed on to life, and investments have begun to be made. In this study, the opinions of the health administrators in Ankara and Trabzon on the implementation of public private partnership in Turkey were evaluated. For this purpose, data were collected by a questionnaire prepared by the researchers. According to the results obtained, it has been determined that the health administrators have a variety of knowledge about the application. It has been determined that the activities of the Ministry of Health are effective at this level of knowledge. Besides that, the perceptions are generally positive, but there are some uncertainties because of the health facilities foreseen by the model are in the process of being implemented, yet the the outcomes of the evaluation have not been achieved sufficiently.
Highlights
Dünya genelinde küreselleşme ile birlikte sağlık sektörüne devletin müdahalesi azalmaya başlamıştır
The term of public private parthnership refers to a model of partnership established so
a model that has been put into practice to provide public services by private sector
Summary
Özel sektör kuruluşlarının önemli ölçüde risk ve yönetim sorumluluğu aldığı, kamu mal ve hizmetlerinin sağlanması için özel kesim ve devlet kurumları arasındaki uzun dönemli sözleşme olarak tanımlanmaktadır [4]. Bu iki kavramın dışında yeni bir finansman modeli olarak değerlendirilen kamu özel ortaklığı yüksek sermaye isteyen büyük projeler için uygulanması planlanmaktadır [5]. Sağlıkta sektöründe hizmet sunumuna özel sektörün katılımını artırmaya yönelik bir stratejisi olarak tanımlanabilen kamu özel ortaklığının, sağlık hizmeti alanına piyasa ilkelerinin yerleşmesi, hizmeti sunan kuruluşların kar amaçlı şirketlere dönüşmesi, sağlık sistemlerinin ticarileşmesi, maliyetlerin ve risklerin toplumsallaşması, bireyselleşen sağlık anlayışı, kurulan hastanelerin yeni kar ve birim merkezleri haline getirilirken diğer yandan da özel harcamaların genişlemesine yol açması [7] gibi sebeplerle eleştirilebilmektedir. Alınan hizmet karşılığında ise devlet özel girişime sözleşme süresince kira ödeyecektir [10]
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