{"id":1161,"date":"2014-05-22T12:15:57","date_gmt":"2014-05-22T10:15:57","guid":{"rendered":"http:\/\/ijph.blogs.springer.com\/?p=1161"},"modified":"2014-05-22T12:15:57","modified_gmt":"2014-05-22T10:15:57","slug":"health-policy-analysis-in-turkey","status":"publish","type":"post","link":"http:\/\/blogs.springer.com\/ijph\/general-public-health\/health-policy-analysis-in-turkey\/","title":{"rendered":"Health policy analysis in Turkey: cardiovascular diseases and diabetes mellitus"},"content":{"rendered":"\"cvd\"<\/a>\n

 <\/p>\n

Last month, thousands of people walked in Istanbul<\/a>, showing their support to the obesity prevention program. Obesity is a major health concern in Turkey, leading- amongst others- to cardiovascular diseases (CVD) and diabetes mellitus (DM). Those two diseases are quite prevelant in Turkey: Ischemic hear disease is the number one cause of death there (causing 22% deaths), while the prevalence of diabetes mellitus is 16.5% and has increased about 90% between 1998-2010.<\/p>\n

In a paper we recently published<\/a>, the authors aimed to evaluate current policies for managing the burden of CVD and DM and related risk factors in the Turkish health system. This study is part of a bigger project called MedCHAMPS <\/a>, that was conducted across 4 countries. The study evaluates existing policies in different ways:<\/p>\n

– By qualitatively evaluating documents describing existing policies<\/p>\n

– By conducting interviews with key informants<\/p>\n

– By observation and rapid appraisal fieldwork in clinical settings<\/p>\n

 <\/p>\n

The authors summarize their main results as follows:<\/p>\n

– The policy documents examined strongly addressed prevention and control; however, there was no mention for country-wide early detection and screening programs.<\/p>\n

– Key informants indicated over-fragmented management of CVD\u2013DM by the Ministry of Health\u00a0 and poor coordination and lack of trust between the Ministry of Health, organizational structure at provincial level and civil society organizations<\/p>\n

– The appraisal of clinical settings showed lack of a referral structure and a lack of follow-up, and general absence of functioning health information systems for patient records.<\/p>\n

The authors conclude that there needs to be better training of staff in public facilities and that patients data. Moreover, patient data,\u00a0 referrals and follow-up across all levels of the health system need to be integrated.<\/p>\n

How are health policies regarding cardiovascular diseases and diabetes mellitus in your country? What can be improved?<\/p>\n

 <\/p>\n

*picture credit <\/a><\/p>\n

** This study was written by Bulent Kilic, Sibel Kalaca, Belgin Unal<\/a>, Peter Phillimore<\/a> and Shahaduz Zaman<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

  Last month, thousands of people walked in Istanbul, showing their support to the obesity prevention program. Obesity is a major health concern in Turkey, leading- amongst others- to cardiovascular diseases (CVD) and diabetes mellitus (DM). Those two diseases are quite prevelant in Turkey: Ischemic hear disease is the number one cause of death there… Read more »<\/a><\/p>\n","protected":false},"author":301,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9,10,11],"tags":[135,223,234,428,670,726],"class_list":["post-1161","post","type-post","status-publish","format-standard","hentry","category-general-public-health","category-hot-off-the-press","category-international-journal-of-public-health","tag-cardiovascular-diseases","tag-diabetes-mellitus","tag-document-analyses","tag-in-depth-interviews","tag-policies-of-noncommunicable-diseases","tag-qualitative-study"],"_links":{"self":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/posts\/1161","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/users\/301"}],"replies":[{"embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/comments?post=1161"}],"version-history":[{"count":0,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/posts\/1161\/revisions"}],"wp:attachment":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/media?parent=1161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/categories?post=1161"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/tags?post=1161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}