Challenges of Performance Management for Health-Care in Public Sector: The Case of Turkey

In Turkey, neoliberal health reforms gained acceleration with Heath Transformation Programmewhich has been practiced since 2003. In this context, primary health-care has been transformed into“family medicine model”, secondary and tertiary health-care have been converted to “public hospitalunions”, and financing and delivery of health-care have been separated from each other, GeneralHealth Insurance has been established, and performance management system which establishesrelationship between produced health-care and wages has been put into practice as payment system.However, the system has both some significant challenges in practice and unfavourable impacts onhealth-care system. In this sense, the study aims to discuss the impacts of performance managementsystem for health-care in public sector on team service dimension of health-care, quality of health-care,health expenditures, unfairness in performance payments, redundant medical interventions andoveruse of medical equipments and drugs. The study analyses secondary data from the publicinstitutions by using descriptive analysis method. Fundamentally, in the research, it is argued thatperformance management for health-care in public sector has some challenges and unfavourableness inpractice.