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Sağlık sektöründe Kamu-Özel İşbirliği (KÖİ) modeli 1990'larda İngiltere'de uygulanmaya başlanmış ve bu ülkeden dünyaya yayılmıştır. KÖİ modelini uygulayan ülkelerin bazıları İngiltere örneğini doğrudan transfer etmiş, bazıları da kendi sağlık sistemlerine uyarlama yolunu tercih etmişlerdir. Bu bağlamda, sağlık sektöründe KÖİ “altyapı tabanlı model”, “ayrık klinik servisler modeli” ve “entegre KÖİ modeli” olmak üzere üç alt model şeklinde uygulanmaktadır. Bu çalışmanın amacı, İngiltere KÖİ örneği esas alınarak gerçekleştirilen şehir hastaneleri modelinin politika transferi bağlamında incelenmesidir. Bu amaçla, şehir hastanelerinde uygulanan KÖİ modeli çeşitli açılardan İngiltere KÖİ modeliyle karşılaştırılmaktadır. Karşılaştırma, özel sektör girişimcilerinin yapısı, kamu ve özel sektörün görev ve sorumluluk paylaşımı, özel sektöre ödenen bedeller, özel amaçlı şirketin kuruluşu ve işlevi, modelin uygulandığı sektörler, karşılaşılan riskler ve risklerin paylaşımları, modele yöneltilen eleştiriler ve tesisin kamuya devri başlıklarında ele alınmaktadır. Bu değerlendirmeler ve karşılaştırmalar sonucunda, şehir hastanelerinde kullanılan KÖİ modelinin İngiltere örneği esas alınarak uygulandığı sonucuna varılmıştır. Nitel araştırma yöntemi ile yapılan çalışmada, doküman incelemesi veri toplama yöntemi kullanılmıştır.
The public-private cooperation model in the health sector began to be implemented in the 1990s in the UK and spread from this country to the world. Some of the countries that implemented the MRI model have directly transferred the UK sample, while some have preferred the way of adapting to their own health systems. In this context, in the healthcare sector, KPI is applied in the form of three submodels: the "sub-based model", the "specific clinical service model" and the "integrated KPI model". The aim of this study is to study the model of urban hospitals conducted on the basis of the UK’s rural example in the context of policy transfer. For this purpose, the rural model applied in urban hospitals is compared to the British rural model in various ways. The comparison, the structure of private sector entrepreneurs, the public and private sector’s responsibility and responsibility sharing, the fees paid to the private sector, the organization and function of the private company, the sectors in which the model is applied, the risks and risks encountered, the criticism of the model and the public transfer of the facility. The results of these assessments and comparisons have come to the conclusion that the CIO model used in urban hospitals is applied based on the example of England. In the study with the quality research method, the document review data collection method has been used.
In the health sector, the Public-Private Partnership (PPP) model was introduced in the UK in the 1990s and spread from this country to the world. Some of the countries implementing the PPP model have directly transferred the example of England and others have preferred to adapt to their own health systems. In this context, PPP is implemented in the health sector as three sub-models: “infrastructure-based model”, “discrete clinical services model” and “integrated PPP model”. The aim of this study is to examine the city hospitals model that performed by based on the example of England PPP, in the context of policy transfer. For this purpose, the PPP model applied in city hospitals is compared with the UK PPP model in various aspects. Comparison is covered under the headings of the structure of private sector entrepreneurs, the sharing of duties and responsibilities of the public and private sector, the fees paid to the private sector, the establishment and function of the special purpose company, the sectors in which the model is applied, encountered risks and sharing of risks, the criticisms directed to the model and the transfer of the facility to the public. As a result of these evaluations and comparisons, It was concluded that the PPP model used in city hospitals was applied based on the example of England. In the study which was conducted with qualitative research method, document analysis data collection method was used.
Alan : Sosyal, Beşeri ve İdari Bilimler
Dergi Türü : Uluslararası
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