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- Derleme MakaleAçık Erişim2023Impact of COVID-19 health crisis on health systems of countries; an evaluation with the dimension of global health systems
Sur, Haydar; Baş, Kazım
The countries' unpreparedness in managing the COVID-19 epidemic and the inadequacies of the global health system have turned the outbreak into a worldwide health crisis. In this study, the impact of the COVID-19 health crisis on the health systems of countries was evaluated based on the literature in terms of global health systems. Unlike other epidemics, the coronavirus has spread rapidly in all countries, regardless of income. The United Nations and the World Health Organization (WHO) stated that a joint approach is necessary for supporting global solidarity policies so that the COVID-19 process due to social, economic, and health inequalities between countries does not get worse. However, it has been seen that the disagreements between some powerful countries that are influential in global politics negatively affect the global health system and epidemic management. With the onset of the COVID-19 epidemic, some countries brought the "my nation first" approach to the fore, undermining the fair implementation of global health policies. The member countries of the World Trade Organization have also violated the trade agreements made and imposed export restrictions on the products necessary for the fight against the epidemic. It has also been reported that high-income countries disregarded public health and human rights approaches during the epidemic and reached COVID-19 vaccines proportional to their purchasing power. It has been observed that the epidemic cannot be managed effectively at the global level, although the global health system is more needed throughout the world during the pandemic process. It was emphasized that redesign is necessary for effective governance of the global health system.
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İncele - MakaleAçık Erişim2022Evaluation of health managers’ opinions about decentralization in health services; [Sağlık Yöneticilerinin Sağlık Hizmetlerinde Desantralizasyona İlişkin Görüşlerinin Değerlendirilmesi]
Bas, Kazim; Sur, Haydar
OBJECTIVE: It was aimed to determine the opinions of health-care managers on theimplementation of decentralization in health-care services. METHODS: The research is a cross-sectional and descriptive study.Sample of the study included 261 health managers. Research data were collected from health-care managers between June 8 and July 17, 2020, using face-to-face interviews technic by a questionnaire, in an average of 20–25 minutes. The obtained data were transferred to the computer environment and analyzed with the number, percentage, and Chi-square tests. RESULTS: About 52.5% of the health managers stated that health-care services should be provided by the public, 63.2% of them stated that health-care services should be a form of empowered decentralization, 41.8% of them stated that decentralization could be successful in Turkiye, 62.6% stated that decentralization would provide flexibility in health-care management, 70.3% of them said that it could find solutions to the problems, and 73.3% of them stated that it will improve employee performance whereas 44.9% of them stated that it would negatively affect providing services in integrity, 67.2% of them stated that it would cause regional inequalities, 73.2% of them said that local factors will intervene in health-care services, and 57.9% reported that it would weaken the central power. CONCLUSION: The majority of health-care managers prefer that health-care services are provided by the public health-care service and prefer the empowered decentralization of health-care services. More than half of the health-care managers expressed their positive views such as the fact that decentralization provides flexibility in health-care services, improve the performance, and participation in service along with the negative views such as the fact that decentralization negatively affects the service delivery, causes regional inequalities and intervention of local factors, and weakens the central power.
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