Kilic, B., Kalaca, S., Unal, B., Phillimore, P. and Zaman, S. (2015) Health policy analysis for prevention and control of cardiovascular diseases and diabetes mellitus in Turkey. International Journal of Public Health, 60(S1), pp. 47-53. (doi: 10.1007/s00038-014-0557-7) (PMID:24817009)
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Abstract
Objectives Current capacity of the Turkish health system is reviewed to evaluate and develop appropriate policies for cardiovascular diseases (CVD), diabetes mellitus (DM) and related risk factors.<p></p> Methods This paper qualitatively evaluates existing policies; interviews with key informants (KIs); and rapid appraisal fieldwork in clinical settings about CVD–DM through the framework of Walt and Gilson (Health Policy Plan 9:353–370, 1994).<p></p> Results Document review shows that prevention and control of CVD–DM were strongly addressed in Turkey, yet no document mentioned country-wide early detection or screening programs. KIs indicated over-fragmented management of CVD–DM by the Ministry of Health (MoH). Coordination among the MoH, organizational structure at provincial level and civil society organizations are poor where mutual trust is a significant problem according to KIs. Clinical setting findings point to a complete lack of a referral structure and a lack of follow-up, compounding the absence of functioning health information systems for patient records.<p></p> Conclusions Primary care services for CVD–DM require urgent attention, focusing particularly on the training of staff in public facilities, the integration of patient data, referrals and follow-up across all levels of the health system.<p></p>
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Zaman, Dr Shahaduz |
| Authors: | Kilic, B., Kalaca, S., Unal, B., Phillimore, P., and Zaman, S. |
| College/School: | College of Social Sciences > School of Social & Environmental Sustainability |
| Journal Name: | International Journal of Public Health |
| Publisher: | Springer |
| ISSN: | 1661-8556 |
| ISSN (Online): | 1661-8564 |
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