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Turkish health system reform from the people perspective


A cross sectional study was carried out in Turkey to assess the consequences of the health system reforms that had been carried out in the last decade.

Materials and methods

A total of 482 heads of household have been selected by using a multi-stage sampling method. Data was collected via household’s structured questionnaire. The response rate was 71.7% and data was analysed by using SPSS version 16.0. Age range of respondents was 28 to 73 years old with the mean age of 46.60 ±11.85 years. The majority of clients were married (59.8%) and were employed at the time of data collection (87.2%).


Among the respondents, more than two thirds (69.3%) of the population believed that the changes have had a positive effect on the accessibility (82.0%); availability of resources (74.9%); quality of care (73.2%) and attitude by politician/mass media (76.1%). The elderly, married female, and those who believed that people are happier than 10 years ago have a more positive view of the changes, while the unemployed, low educated and those who perceived themselves as unhealthy showed less positive views. At the same time, the majority of respondents (77.6%) preferred the current health care system than the past.


This study could bring closer the viewpoints of different categories of people and officials of the health system reforms in a way that could lead to the better implementation of such reforms.

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Correspondence to Saad A Ali Jadoo Alazawi.

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

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Ali Jadoo Alazawi, S.A., Aljunid, S., Sulku, S.N. et al. Turkish health system reform from the people perspective. BMC Public Health 14, P14 (2014).

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  • Public Health
  • Health Care
  • Cross Sectional Study
  • Environmental Health
  • Health Care System