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Health reform and ppp hospitals in Akp's Turkey

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  1. Tez No: 761485
  2. Yazar: EREN KARACA AKBAS
  3. Danışmanlar: DR. ÇAĞLAR KEYDER
  4. Tez Türü: Doktora
  5. Konular: Sosyoloji, Sociology
  6. Anahtar Kelimeler: Belirtilmemiş.
  7. Yıl: 2021
  8. Dil: İngilizce
  9. Üniversite: State University of New York at Binghamton
  10. Enstitü: Yurtdışı Enstitü
  11. Ana Bilim Dalı: Belirtilmemiş.
  12. Bilim Dalı: Belirtilmemiş.
  13. Sayfa Sayısı: 266

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Özet (Çeviri)

This dissertation examines Turkey's AKP-associated transformation in health policies, both in its global and national context, with a particular focus on the controversial PPP (Public-Private Partnership) hospital projects as the latest phase. The study draws a picture of the Turkish health care transformation with a political-economic approach, strengthened by contextualizing the impact of global changes in health policy formation in the country and analyzing country-specific political and economic developments simultaneously. A comprehensive framework to capture the developments after the 1980s emerges when the Washington Consensus, private sector involvement, and state-capital relationships are considered together as components of a dominant paradigm. Turkey's AKP-associated health reform fits into this transnational policy paradigm, where post1980 economic liberalization, the impact of international organizations, legislative changes towards privatization, and changing role of the state in healthcare are the implications. While some steps were taken in Turkey to implement these changes before AKP came to power, we see that AKP saw health reform as a populist tool and invested in it in a sustained manner, using the advantage of governing as a single party. Thus, for AKP, health reform became an important tool to garner popular support. Structural changes were needed and implemented along with more private sector involvement. In the first years of the reform, the capitalist class was optimistic, and expansion in health expenditures was promising. Yet, both developments started to slacken at the beginning v of the 2010s and the PPP hospital projects came out of the party's search for a strategy to extend the popularity of health-sector reform and its promises to the private sector. Yet, as the results unfolded, neither the government nor capitalist actors significantly benefited from the projects. Instead, they became concrete reminders of AKP's decreasing power to reproduce its legitimacy

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