The making of a global medical tourism destination: From state-supported privatisation to state entrepreneurialism in healthcare in Turkey

IF 1.5 Q2 POLITICAL SCIENCE

Global Social Policy Pub Date : 2021-08-01 DOI:10.1177/1468018120981423

V. Yilmaz, Puren Aktas

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引用次数: 7

Abstract

Examining medical tourism, especially in countries with publicly funded and organised healthcare systems, offers a gateway into an understanding of the changing role of the state in contemporary societies. Drawing on a comprehensive documentary review, this article examines the evolving role of the state in transforming Turkey into a global medical tourism destination. The article identifies two stages of state involvement in medical tourism: the period after the 2003 healthcare reform and the rise of an entrepreneurial healthcare state since 2013. The article suggests that the state, in the first period, performed a facilitator role by supporting privatisation in healthcare provision; in the second period, it assumed an entrepreneurial role, establishing large hospital complexes through a public-private partnership and created a public corporation to capitalise on the export of healthcare services. The Turkish case demonstrates that the role of the state in medical tourism is subject to change over time, depending on shifts in governmental strategies for healthcare and government-business relations. The article also offers evidence on the continued relevance of the multidimensional engagement of the state in healthcare that cuts across economic and social policy commitments. This engagement has recently extended into the domain of healthcare provision in the context of medical tourism.

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打造全球医疗旅游目的地:从国家支持的私有化到土耳其医疗保健领域的国家创业主义

研究医疗旅游，特别是在拥有公共资助和有组织的医疗保健系统的国家，为理解国家在当代社会中不断变化的角色提供了一个途径。借鉴全面的纪录片审查，这篇文章探讨了国家在转变土耳其成为全球医疗旅游目的地不断发展的作用。本文确定了国家参与医疗旅游的两个阶段:2003年医疗改革后的时期和2013年以来创业医疗国家的兴起。文章认为，在第一阶段，国家通过支持医疗保健私有化发挥了推动者的作用;在第二个阶段，它发挥了企业作用，通过公私伙伴关系建立了大型综合医院，并创建了一家公共公司，以利用医疗保健服务的出口。土耳其的案例表明，随着时间的推移，国家在医疗旅游中的作用可能会发生变化，这取决于政府在医疗保健和政商关系方面的战略转变。文章还提供了证据，证明国家在医疗保健领域的多维参与持续存在的相关性，这种参与度跨越了经济和社会政策承诺。这种接触最近已扩展到医疗旅游背景下的保健服务领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global Social Policy POLITICAL SCIENCE-

CiteScore

3.20

自引率

6.70%

发文量

期刊介绍： Global Social Policy is a fully peer-reviewed journal that advances the understanding of the impact of globalisation processes upon social policy and social development on the one hand, and the impact of social policy upon globalisation processes on the other hand. The journal analyses the contributions of a range of national and international actors, both governmental and non-governmental, to global social policy and social development discourse and practice. Global Social Policy publishes scholarly policy-oriented articles and reports that focus on aspects of social policy and social and human development as broadly defined in the context of globalisation be it in contemporary or historical contexts.