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Country profiles of health system responses to the crisis | Turkey 503 % Turkey: Fig. 1 Economic and fiscal indicators 2000–2007 and 2008–2011 60 55 50 45 40 35 30 25 20 15 10 5 0 −5 −10 −15 −20 −25 −30 _ _ _ _ ● ● _ _ _ _ ● _ _ _ _ _ _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ _ _ _ _ _ _ ● _ ● _ _ _ ● ● _ _ _ _ _ ● ● _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Year 2000−2007 2008 2009 2010 2011 _ _ _ _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Real GDP per capita growth Deficit/surplus (% GDP) Government spending (% GDP) Government health spending (% total government spending) Notes: Deficit/surplus: Eurostat; Other indicators: WHO Health for All. 10−year bond rates Unemployment rate Turkey: Fig. 2 Trends in per capita spending on health, 2000–2011 Public spending per capita OOP spending per capita Non−OOP private spending per capita 750 Per capita spending $, PPP 500 250 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Growth % 20 0 −20 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Public spending per capita growth OOP spending per capita growth Note: Spending calculated from WHO Health for All. Non−OOP private spending per capita growth
504 Economic crisis, health systems and health in Europe: country experience • Co-payments abolished for outpatient visits for primary care (2008); reduced user charges for specialist visits (from TL 8 to TL 5) and visits to private facilities (from TL 15 to TL 12) (2012). Changes to health service planning, purchasing and delivery Prices of medical goods • Capped generic prices at 60% of the original (previously 80%) (2011). Salaries and motivation of health sector workers • No response reported. Payment to providers • No response reported. Overhead costs: restructuring the Ministry of Health and purchasing agencies • No response reported. Provider infrastructure and capital investment • Introduction of an e-prescription system whereby only electronic prescriptions will be reimbursed by the Social Security Institution (2013). Priority setting or protocols to change access to treatments, coordination of care and patterns of use • No response reported. Waiting times • No response reported. Health promotion and prevention • No response reported.
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Economic crisis, health systems and
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The European Observatory on Health
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Keywords: DELIVERY OF HEALTH CARE E
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vi Economic crisis, health systems
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viii Economic crisis, health system
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List of abbreviations ACS Health in
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List of tables and figures Tables P
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xiv Economic crisis, health systems
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xvi Economic crisis, health systems
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xviii Economic crisis, health syste
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xx Economic crisis, health systems
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xxii Economic crisis, health system
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xxiv Economic crisis, health system
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xxvi Economic crisis, health system
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Acknowledgements This book represen
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Preface This book maps health polic
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Part I Country case studies
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4 Economic crisis, health systems a
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10 Economic crisis, health systems
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Chapter 4 The impact of the crisis
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Chapter 4 | The impact of the crisi
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Albania Genc Burazeri and Enver Ros
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Country profiles of health system r
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Austria Thomas Czypionka and Maria
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Azerbaijan Fuad Ibrahimov Economic
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Bulgaria Antoniya Dimova and Mina P
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Cyprus Elisavet Constantinou and Ma
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Czech Republic Tomáš Roubal and J
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Estonia Triin Habicht and Mall Lein
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Finland Jan Klavus and Lauri Vuoren
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France Karine Chevreul, Karen Berg
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Germany Klaus-Dirk Henke and Wilm Q
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Iceland Sigrún Gunnarsdóttir and
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Ireland Anne Nolan and Steve Thomas
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Israel Bruce Rosen and Amir Shmueli
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Kazakhstan Ninel Kadyrova and Tata
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Latvia Uldis Mitenbergs and Maris T
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Malta Natasha Azzopardi Muscat Econ
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Montenegro Ratka Knežević Economi
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Page 486 and 487: Norway Anne Karin Lindahl and Jon M
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Page 504 and 505: The Russian Federation Elena Potapc
Page 508 and 509: Serbia Vukasin Radulovic Economic t
Page 520 and 521: Spain Enrique Bernal-Delgado, Sandr
Page 528 and 529: Switzerland Alberto Holly and Phili
Page 532 and 533: Tajikistan Ghafur Khodjamurodov Eco
Page 538 and 539: Ukraine Valeria Lekhan and Mariia T
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