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Analysis of strengths, weaknesses, opportunities, and threats in the development of a health technology assessment program in Turkey

Published online by Cambridge University Press:  09 April 2008

Rabia Kahveci  and
Catherine Meads
Rabia Kahveci
Affiliation:
Ministry of Health
Catherine Meads
Affiliation:
University of Birmingham
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Abstract

Objectives: The Turkish healthcare system is currently undergoing reform, and efficient use of resources has become a key factor in determining the allocation of resources. The objective of this study was to analyze strengths, weaknesses, opportunities, and threats (SWOT) in the development of a health technology assessment (HTA) program in Turkey.

Methods: A SWOT analysis was performed using a literature review and interviews with key people in the Turkish Ministry of Health and Ministry of Labor and Social Security.

Results: Regarding recent reforms in health care, investments for information network and databank are the strengths, but the traditional “expert-based” decision making, poor availability of data, and poor quality of data could be seen as some of the weaknesses. Another major weakness is lack of general awareness of HTA. Increasing demand for transparency in decision making, demand for evidence, and demand for credibility by decision makers are some of the opportunities, and current healthcare reforms, i.e., restructuring of healthcare and general health insurance, could also be seen as major opportunities. These opportunities unfortunately could be threatened by lack of funding, and resources are challenged by large, recent national investments.

Conclusions: There is a good opportunity for Turkey to use the skills in HTA currently being developed through activities in Europe and the Americas to assist in the development of a much more cost-effective and transparent healthcare system in Turkey.

Keywords

TurkeyHealth technology assessmentSWOT analysisHealthcare reformSocial security
Type
RESEARCH REPORT
Information
International Journal of Technology Assessment in Health Care , Volume 24 , Issue 2 , April 2008 , pp. 235 - 240
Copyright
Copyright © Cambridge University Press 2008

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References

REFERENCES

1. Carlsson, P. Health technology assessment and priority setting for health policy in Sweden. Int J Technol Assess Health Care. 2004;20:44–54.CrossRefGoogle ScholarPubMed
2. Casebeer, A. Application of SWOT analysis. Br J Hosp Med. 1993;49:430–431.Google ScholarPubMed
3. Cookson, R, Maynard, A. Health technology assessment in Europe improving clarity and performance. Int J Technol Assess Health Care. 2000;16:639–650.CrossRefGoogle ScholarPubMed
4. Corabian, P, Hailey, D, Harstall, C, Juzwishin, D, Moga, C. Mentoring a developing health technology assessment initiative in Romania: An example for countries with limited experience of assessing health technology. Int J Technol Assess Health Care. 2005;21:4.CrossRefGoogle ScholarPubMed
5. Gibis, B, Artiles, J, Corabian, P, et al. Application of strengths, weaknesses, opportunities and threats analysis in the development of a health technology assessment program. Health Policy. 2001;58:27–35CrossRefGoogle ScholarPubMed
6. Granados, A. Health-care management and the culture of assessment: an urgent liaison? Int J Technol Assess Health Care. 2005;21:420–422.CrossRefGoogle ScholarPubMed
7. Ministry of Health, Department of Strategic Planning data. Ankara, Republic of Turkey.Google Scholar
8. Ministry of Health, Department of Drugs and Pharmacy data. Ankara, Republic of Turkey.Google Scholar
9. Ministry of Labor and Social Security. Reform in social security system. Ankara, Republic of Turkey. April 2005.Google Scholar
10. Ministry of Labor and Social Security. Towards a new social security system in Turkey. Ankara, Republic of Turkey. April 2006.Google Scholar
11. Moga, C, Corabian, P, Harstall, C, et al. Developing health technology assessment in Romania. Eurohealth. 2003;9:30–34.Google Scholar
12. Mollahaliloglu, S. What are the objectives of the new Health Transformation Programme in Turkey? Eurohealth. 2003;9:27–29.Google Scholar
13. Serdar Savas, B, Karahan, O, Omer Saka, R. In: Thomson, S, Mossialos, E, eds. Health care systems in transition: Turkey. Vol. 4. Copenhagen: European Observatory on Health Care Systems; 2002.Google Scholar
14. Oortwijn, W, Banta, D, Vondeling, H, Bouter, L. Identification and priority setting for health technology assessment in The Nether-lands: Actors and activities. Health Policy. 1999;47:241–253CrossRefGoogle Scholar
15. The Central Intelligence Agency. The world factbook, 2006. Available at: http://www.cia.gov/cia/publications/factbook/geos/tu.html. Accessed December 2006.Google Scholar
16. WHO Europe. Highlights on health in Turkey, 2005. Available at: http://www.euro.who.int/highlights (accessed: December 2006)Google Scholar
17. Woolf, SH, Henshall, C. Health technology assessment in the United Kingdom. Int J Technol Assess Health Care. 2000;16:591–625.CrossRefGoogle ScholarPubMed
18. World Bank. Health transition project. Available at: www.worldbank.org.tr. Accessed December 2006.Google Scholar