Prelims

Julinda Hoxha (Bilkent University, Turkey)

Network Policy Making within the Turkish Health Sector: Becoming Collaborative

ISBN: 978-1-83867-095-5, eISBN: 978-1-83867-094-8

Publication date: 13 March 2020

Citation

Hoxha, J. (2020), "Prelims", Network Policy Making within the Turkish Health Sector: Becoming Collaborative, Emerald Publishing Limited, Leeds, pp. i-xiv. https://doi.org/10.1108/978-1-83867-094-820201001

Publisher

:

Emerald Publishing Limited

Copyright © 2020 Julinda Hoxha


Half Title Page

Network Policy Making within the Turkish Health Sector

Title Page

Network Policy Making within the Turkish Health Sector: Becoming Collaborative

BY

Julinda Hoxha

Bilkent University, Turkey

United Kingdom – North America – Japan – India – Malaysia – China

Copyright Page

Emerald Publishing Limited

Howard House, Wagon Lane, Bingley BD16 1WA, UK

First edition 2020

© Julinda Hoxha, 2020

Published under an exclusive licence.

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British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

ISBN: 978-1-83867-095-5 (Print)

ISBN: 978-1-83867-094-8 (Online)

ISBN: 978-1-83867-096-2 (Epub)

Contents

List of Tables and Figures vii
List of Terms and Abbreviations ix
Acknowledgments xi
Foreword xiii
Chapter 1 Introduction: Extending the Study of Policy Networks Beyond their Original Context 1
Chapter 2 Setting the Stage: An Integrated Framework for Assessing Network Collaboration Across Country Cases 17
Chapter 3 Tracing Origins: The Context of Network Formation in a Least Likely Policy Environment 41
Chapter 4 Becoming Collaborative: Policy Networks within the Turkish Health Sector in Turkey 63
Chapter 5 Tackling the Root Causes: Inherited Structural and Cultural Barriers to Policy Collaboration in Turkey 95
Chapter 6 Conclusion: Leveraging Networks to Achieve Policy Collaboration 113
Appendix 127
References 131
Index 147

List of Tables and Figures

Table 1. Network Structural Capacity. 26
Table 2. Network Relational Capacity. 33
Table 3. Network Institutional Capacity. 38
Table 4. Results of Content Analysis. 66
Fig. 1. General Satisfaction with Health Care Services (%), 2003–2010. 58
Fig. 2. Cross-Sectoral Arrangements within the Turkish Health Sector. 97
Fig. 3. Three Stages of Network Institutional Resilience. 120

List of Terms and Abbreviations

AKP Justice and Development Party (Adalet ve Kalkınma Partisi)
ATO Ankara Chamber of Commerce (Ankara Ticaret Odası)
BLT Model Build Lease Transfer Model
CHP Republican People’s Party (Cumhuriyet Halk Partisi)
CMHC Community Mental Health Centers
ÇPSSGP Program for Improving Multi-Sectoral Health Responsibility (Çok Paydaşlı Sağlık Sorumluluğunu Geliştirme Proğramı)
DEİK Foreign Economic Relations Board (Dış Ekonomik İlişkiler Kurulu)
EU European Union
EVSAD Home Healthcare and Social Services Association (Evde Sağlık ve Sosyal Hizmetler Derneği)
GDP Gross Domestic Product
GNA Turkısh Grand National Assembly
HTA Health Technology Assessment
HTP Health Transformation Programme
IT Information Technology
MHSA Ministry of Health and Social Affairs
MoFSP Ministry of Family and Social Policies
MoH Ministry of Health
NCC Network Collaborative Capacity
NGO Non-Governmental Organization
NGS Network Governance School
NHIS National Health Information System
OECD Organization for Economic Cooperation and Development
PPP Public–Private Partnership
RDA Regional Development Agencies
SATURK Health Tourism Coordination Council (Sağlık Turizmi Koordinasyon Kurulu)
SHÇEK Social Services and Child Protection Agency (Sosyal Hizmetler ve Çocuk Esirgeme Kurumu)
SME Small and Medium Size Enterprises
SPO State Planning Organization
SRDC Software Research and Development Consultancy Limited
SSI Social Security Institution
SYDV Social Assistance and Solidarity Foundations (Sosyal Yardımlaşma ve Dayanışma Vakfı)
TAPDK Tobacco and Alcohol Market Regulatory Authority (Tütün ve Alkol Piyasası Düzenleme Kurumu)
TİKA Turkish Cooperation and Coordination Agency (Türk İşbirliği ve Koordinasyon Başkanlığı)
TMMDA Turkish Medicines and Medical Devices Agency
TMMOB Turkish Chamber of Engineers and Architects (Türk Mühendis ve Mimar Odaları Birliği)
TOBB The Union of Chamber and Commodity Exchanges of Turkey (Türkiye Odalar ve Borsalar Birliği)
TÜİK Turkish Statistical Institute (Türkiye İstatistik Kurumu)
WB World Bank
WHO World Health Organization
YÖK The Council of Higher Education (Yüksek Öğretim Kurulu)

Acknowledgments

To understand matters rightly we should understand their details; and as that knowledge is almost infinite, our knowledge is always superficial and imperfect.(La Rouchefoucauld, The Maxims, 1678)

We owe so much to those people, who sometimes through their help and motivation but even more so through their critique keep us moving forward in our knowledge seeking endeavors. Here, I can only mention but a few who had a direct influence on my work. First of all, I am deeply indebted to Professor Metin Heper for his unrelenting support and guidance throughout the whole process of book writing. I am also very grateful to Associate Professor Saime Özçürümez, who encouraged me to explore some of the most relevant and salient research puzzles within the field of comparative politics and convinced me of the need to do research on the topic of this book. I would also like to thank Professor Mete Yıldız, Associate Professor Zeynep Kadirbeyoğlu, and Associate Professor Çağla Ökten, who have been very helpful in highlighting some of the main limitations as well as possibilities for improvement in my research through their constructive criticism. My special thanks go to Associate Professor Anne Mette Kjær for her readiness to help while preparing the book proposal. I am also very thankful to Eliza Gheorghe, Christina Hamer, Jermaine Ma, Amanda Hayes, and Petra Cafnik Uludağ for all their comments and suggestions throughout the process of book writing. Last but not least, I deeply thank my parents Ylli and Bukurije, my husband Saimir, and my children Emin and Sara. They are the motivation that makes me work harder each day. My biggest hope is to be their source of motivation one day in the future.

Foreword

Little is known about network policy making in less advanced democracies. This is particularly the case in low- and middle-income countries. In the latter countries, little effort has been made to come up with systematic and cross-national studies of policy networks. In the process, the networks in such places have generally remained only as metaphors and “theoretical” perspectives.

Turkey is a middle-income country. Despite its “structural and cultural constrains” the country has made an effort to join the club of developed economies, basically through adopting the latter’s policy models. This has been the case particularly in the health sector, public health, health tourism, and the medical industry.

The present book examines the conditions under which said policy networks have emerged and thrived in Turkey by, not unexpectedly, drawing upon the health policy sector. While recent policy studies in Turkey have employed macro-level institutional analysis, this book has adopted a micro–meso level analysis of policy processes, focusing on the investigation of the (policy) networks within the health policy sub-areas.

As the present author has pointed out elsewhere (Heper, 1993), in Turkey while both societal and political elites have been expected to play an active role toward policy making in the name of “general interest,” studies on the Turkish case have shown that societal actors have traditionally had minimal or no impact on public policy making due to the impediments such as populism, clientelism, and opportunities (Heper & Yıldırım, 2011).

More recently, the networks in Turkey have turned out to be the effective channels of societal participation. Lately, the expert involvement in the said policy making processes and the tools that provide legitimacy to those processes, have been at the heart of public policy issues.

In her book, Julinda Hoxha has skillfully traced the past and present odyssey in question.

In essence, in solitude.

Prof. Dr. Metin Heper
Bilkent University

References

Heper, 1993Heper, M. (1993). Political culture as a dimension of compatibility. In M. Heper, A. Öncü, & H. Kramer (Eds.), Turkey and the west: Changing political and cultural identities (pp. 1617). London: IB Tauris.

Heper, 2011Heper, M., & Yıldırım, S. (2011). Revisiting civil society in Turkey. Journal of Southeast European and Black Sea Studies, 11(1), 118.