Toward Universal Coverage : Turkey’s Green Card Program for the Poor
This case study unravels Turkey's path to universal coverage. It outlines both the transformation of the health system and the performance of the 'Yesil Kart', the Green Card, program, a noncontributory health insurance scheme for the poor. Initially launched in 1992, the Green Card p...
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| Format: | Working Paper |
| Language: | en_US |
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World Bank, Washington DC
2013
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10986/13309 |
| id |
okr-10986-13309 |
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oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
en_US |
| topic |
access to health care access to services Ambulance Ambulance services beds blood products Budget Law capacity building capitation capitation basis certification chronic condition chronic diseases citizens clinical staff community health contracts with providers Cost sharing deaths decision making delivery mechanisms delivery system dental care dental prosthesis developing countries diabetes diagnostic tests dialysis doctors economic growth elderly emergency care emergency cases enrollees family health financial protection financial risk financial risks Force of Law gross domestic product health care health care financing health care provision health care services health care utilization health centers Health Coverage Health Expenditure Health Expenditures health facilities health financing health funding health indicators Health information health information system Health Insurance health insurance coverage Health Insurance Program health insurance scheme health insurance schemes health insurance system health outcomes Health Policy health promotion health promotion activities health records health reform health sector Health Sector Reform health service health service delivery health services Health System health system performance health systems healthcare healthcare services home visits hospital hospital autonomy Hospital services hospital system Hospitalization hospitals household income Human Development human resources ill health illnesses incentive structures income income countries infant infant mortality infant mortality rate infant mortality rates information systems inpatient treatment Insurance integration Life expectancy live births maternal health maternal health care maternal mortality maternal mortality ratio medical devices medical examinations medical goods medicines midwives Ministry of Health mortality National Health National Health Policy national level newborns number of people nurses outpatient services patient patients pharmaceutical companies Pharmaceutical expenditure pharmaceutical spending pharmacies pharmacy physician pocket payments prenatal care prescription drugs preventive care preventive health care primary care private hospitals private sector Private Sectors provision of care Public Health Public Health Expenditure Public Health Expenditures Public Health Spending public hospitals public spending purchasing power purchasing power parity referrals reform effort rural populations safety net Social Affairs Social Insurance Social Policies Social Security social security schemes treatments universal access use of resources vaccinations vaccines visits Workers |
| spellingShingle |
access to health care access to services Ambulance Ambulance services beds blood products Budget Law capacity building capitation capitation basis certification chronic condition chronic diseases citizens clinical staff community health contracts with providers Cost sharing deaths decision making delivery mechanisms delivery system dental care dental prosthesis developing countries diabetes diagnostic tests dialysis doctors economic growth elderly emergency care emergency cases enrollees family health financial protection financial risk financial risks Force of Law gross domestic product health care health care financing health care provision health care services health care utilization health centers Health Coverage Health Expenditure Health Expenditures health facilities health financing health funding health indicators Health information health information system Health Insurance health insurance coverage Health Insurance Program health insurance scheme health insurance schemes health insurance system health outcomes Health Policy health promotion health promotion activities health records health reform health sector Health Sector Reform health service health service delivery health services Health System health system performance health systems healthcare healthcare services home visits hospital hospital autonomy Hospital services hospital system Hospitalization hospitals household income Human Development human resources ill health illnesses incentive structures income income countries infant infant mortality infant mortality rate infant mortality rates information systems inpatient treatment Insurance integration Life expectancy live births maternal health maternal health care maternal mortality maternal mortality ratio medical devices medical examinations medical goods medicines midwives Ministry of Health mortality National Health National Health Policy national level newborns number of people nurses outpatient services patient patients pharmaceutical companies Pharmaceutical expenditure pharmaceutical spending pharmacies pharmacy physician pocket payments prenatal care prescription drugs preventive care preventive health care primary care private hospitals private sector Private Sectors provision of care Public Health Public Health Expenditure Public Health Expenditures Public Health Spending public hospitals public spending purchasing power purchasing power parity referrals reform effort rural populations safety net Social Affairs Social Insurance Social Policies Social Security social security schemes treatments universal access use of resources vaccinations vaccines visits Workers Menon, Rekha Mollahaliloglu, Salih Postolovska, Iryna Toward Universal Coverage : Turkey’s Green Card Program for the Poor |
| geographic_facet |
Europe and Central Asia Turkey |
| relation |
UNICO Studies Series;No. 18 |
| description |
This case study unravels Turkey's path to universal coverage. It outlines both the transformation of the health system and the performance of the 'Yesil Kart', the Green Card, program, a noncontributory health insurance scheme for the poor. Initially launched in 1992, the Green Card program has seen a rapid expansion in the number of beneficiaries and program benefits since the implementation of the Health Transformation Program, or HTP in 2003, with the number of beneficiaries more than tripling, from 2.5 million beneficiaries in 2003 to 9.1 million beneficiaries in 2011. In addition, both the coverage and targeting of the program improved substantially. While the Green Card program initially began as a separate targeted scheme for the poor, in January 2012 it became part of the UHI scheme managed by Social Security Institution, or SSI. As this study will show, gradual steps were taken over the years to expand coverage, improve targeting, and expand benefits of the Green Card program to align it with the UHI. This, combined with the improvements in service delivery within a comprehensive reform of the health sector, makes Turkey a unique example of universal coverage for quality health services. The study is organized as follows. Section two briefly outlines Turkey's health reform and how health care is currently organized and delivered. Section three describes the Green Card Program, it evolution, and its performance. The final section discusses the pending agenda. |
| format |
Publications & Research :: Working Paper |
| author |
Menon, Rekha Mollahaliloglu, Salih Postolovska, Iryna |
| author_facet |
Menon, Rekha Mollahaliloglu, Salih Postolovska, Iryna |
| author_sort |
Menon, Rekha |
| title |
Toward Universal Coverage : Turkey’s Green Card Program for the Poor |
| title_short |
Toward Universal Coverage : Turkey’s Green Card Program for the Poor |
| title_full |
Toward Universal Coverage : Turkey’s Green Card Program for the Poor |
| title_fullStr |
Toward Universal Coverage : Turkey’s Green Card Program for the Poor |
| title_full_unstemmed |
Toward Universal Coverage : Turkey’s Green Card Program for the Poor |
| title_sort |
toward universal coverage : turkey’s green card program for the poor |
| publisher |
World Bank, Washington DC |
| publishDate |
2013 |
| url |
http://hdl.handle.net/10986/13309 |
| _version_ |
1764423153192271872 |
| spelling |
okr-10986-133092021-04-23T14:03:07Z Toward Universal Coverage : Turkey’s Green Card Program for the Poor Menon, Rekha Mollahaliloglu, Salih Postolovska, Iryna access to health care access to services Ambulance Ambulance services beds blood products Budget Law capacity building capitation capitation basis certification chronic condition chronic diseases citizens clinical staff community health contracts with providers Cost sharing deaths decision making delivery mechanisms delivery system dental care dental prosthesis developing countries diabetes diagnostic tests dialysis doctors economic growth elderly emergency care emergency cases enrollees family health financial protection financial risk financial risks Force of Law gross domestic product health care health care financing health care provision health care services health care utilization health centers Health Coverage Health Expenditure Health Expenditures health facilities health financing health funding health indicators Health information health information system Health Insurance health insurance coverage Health Insurance Program health insurance scheme health insurance schemes health insurance system health outcomes Health Policy health promotion health promotion activities health records health reform health sector Health Sector Reform health service health service delivery health services Health System health system performance health systems healthcare healthcare services home visits hospital hospital autonomy Hospital services hospital system Hospitalization hospitals household income Human Development human resources ill health illnesses incentive structures income income countries infant infant mortality infant mortality rate infant mortality rates information systems inpatient treatment Insurance integration Life expectancy live births maternal health maternal health care maternal mortality maternal mortality ratio medical devices medical examinations medical goods medicines midwives Ministry of Health mortality National Health National Health Policy national level newborns number of people nurses outpatient services patient patients pharmaceutical companies Pharmaceutical expenditure pharmaceutical spending pharmacies pharmacy physician pocket payments prenatal care prescription drugs preventive care preventive health care primary care private hospitals private sector Private Sectors provision of care Public Health Public Health Expenditure Public Health Expenditures Public Health Spending public hospitals public spending purchasing power purchasing power parity referrals reform effort rural populations safety net Social Affairs Social Insurance Social Policies Social Security social security schemes treatments universal access use of resources vaccinations vaccines visits Workers This case study unravels Turkey's path to universal coverage. It outlines both the transformation of the health system and the performance of the 'Yesil Kart', the Green Card, program, a noncontributory health insurance scheme for the poor. Initially launched in 1992, the Green Card program has seen a rapid expansion in the number of beneficiaries and program benefits since the implementation of the Health Transformation Program, or HTP in 2003, with the number of beneficiaries more than tripling, from 2.5 million beneficiaries in 2003 to 9.1 million beneficiaries in 2011. In addition, both the coverage and targeting of the program improved substantially. While the Green Card program initially began as a separate targeted scheme for the poor, in January 2012 it became part of the UHI scheme managed by Social Security Institution, or SSI. As this study will show, gradual steps were taken over the years to expand coverage, improve targeting, and expand benefits of the Green Card program to align it with the UHI. This, combined with the improvements in service delivery within a comprehensive reform of the health sector, makes Turkey a unique example of universal coverage for quality health services. The study is organized as follows. Section two briefly outlines Turkey's health reform and how health care is currently organized and delivered. Section three describes the Green Card Program, it evolution, and its performance. The final section discusses the pending agenda. 2013-05-06T16:44:41Z 2013-05-06T16:44:41Z 2013-01 http://hdl.handle.net/10986/13309 en_US UNICO Studies Series;No. 18 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington DC Publications & Research :: Working Paper Publications & Research Europe and Central Asia Turkey |