New public management, physicians and populism: Turkey's experience with health reforms

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New public management, physicians and populism : Turkey's experience with health reforms. / Agartan, Tuba I.; Kuhlmann, Ellen.

I: Sociology of Health and Illness, Bind 41, Nr. 7, 01.09.2019, s. 1410-1425.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Agartan, TI & Kuhlmann, E 2019, 'New public management, physicians and populism: Turkey's experience with health reforms', Sociology of Health and Illness, bind 41, nr. 7, s. 1410-1425. https://doi.org/10.1111/1467-9566.12956

APA

Agartan, T. I., & Kuhlmann, E. (2019). New public management, physicians and populism: Turkey's experience with health reforms. Sociology of Health and Illness, 41(7), 1410-1425. https://doi.org/10.1111/1467-9566.12956

CBE

MLA

Agartan, Tuba I. og Ellen Kuhlmann. "New public management, physicians and populism: Turkey's experience with health reforms". Sociology of Health and Illness. 2019, 41(7). 1410-1425. https://doi.org/10.1111/1467-9566.12956

Vancouver

Agartan TI, Kuhlmann E. New public management, physicians and populism: Turkey's experience with health reforms. Sociology of Health and Illness. 2019 sep 1;41(7):1410-1425. https://doi.org/10.1111/1467-9566.12956

Author

Agartan, Tuba I. ; Kuhlmann, Ellen. / New public management, physicians and populism : Turkey's experience with health reforms. I: Sociology of Health and Illness. 2019 ; Bind 41, Nr. 7. s. 1410-1425.

Bibtex

@article{d01d162293f94f2291e8ae3cd30752bd,
title = "New public management, physicians and populism: Turkey's experience with health reforms",
abstract = "Recent debates on the rise of right-wing or neoliberal populism globally have prompted public health and health systems researchers to explore its implications in the healthcare systems. This case study of Turkey's recent health reform initiative, the Health Transformation Program, aims to contribute to this debate by examining the nexus among populism, professionalism and the contemporary market and managerial reforms, often described as New Public Management (NPM). Building on document analysis and secondary sources, this article introduces a framework to explore whether and how populist agendas grow up in the shadow of NPM policies. We aim to deepen our understanding of the governance settings that might be used in different ways by right-wing populist leaders to advance their agendas. Our research reveals that the NPM reforms in Turkey have opened a ‘backdoor’ through which right-wing populist agendas were supported and the position of the medical profession as an important stakeholder in the institutional settings was weakened. However, what mattered most in the reform process was not the policies themselves but the ways new managerialist policies were implemented. Our analysis makes blind spots of the NPM reforms and healthcare governance research visible and calls for greater attention to implementation processes.",
keywords = "health policy reform, medical profession, new public management, populism, Turkey",
author = "Agartan, {Tuba I.} and Ellen Kuhlmann",
year = "2019",
month = "9",
day = "1",
doi = "10.1111/1467-9566.12956",
language = "English",
volume = "41",
pages = "1410--1425",
journal = "Sociology of Health and Illness",
issn = "0141-9889",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "7",

}

RIS

TY - JOUR

T1 - New public management, physicians and populism

T2 - Turkey's experience with health reforms

AU - Agartan, Tuba I.

AU - Kuhlmann, Ellen

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Recent debates on the rise of right-wing or neoliberal populism globally have prompted public health and health systems researchers to explore its implications in the healthcare systems. This case study of Turkey's recent health reform initiative, the Health Transformation Program, aims to contribute to this debate by examining the nexus among populism, professionalism and the contemporary market and managerial reforms, often described as New Public Management (NPM). Building on document analysis and secondary sources, this article introduces a framework to explore whether and how populist agendas grow up in the shadow of NPM policies. We aim to deepen our understanding of the governance settings that might be used in different ways by right-wing populist leaders to advance their agendas. Our research reveals that the NPM reforms in Turkey have opened a ‘backdoor’ through which right-wing populist agendas were supported and the position of the medical profession as an important stakeholder in the institutional settings was weakened. However, what mattered most in the reform process was not the policies themselves but the ways new managerialist policies were implemented. Our analysis makes blind spots of the NPM reforms and healthcare governance research visible and calls for greater attention to implementation processes.

AB - Recent debates on the rise of right-wing or neoliberal populism globally have prompted public health and health systems researchers to explore its implications in the healthcare systems. This case study of Turkey's recent health reform initiative, the Health Transformation Program, aims to contribute to this debate by examining the nexus among populism, professionalism and the contemporary market and managerial reforms, often described as New Public Management (NPM). Building on document analysis and secondary sources, this article introduces a framework to explore whether and how populist agendas grow up in the shadow of NPM policies. We aim to deepen our understanding of the governance settings that might be used in different ways by right-wing populist leaders to advance their agendas. Our research reveals that the NPM reforms in Turkey have opened a ‘backdoor’ through which right-wing populist agendas were supported and the position of the medical profession as an important stakeholder in the institutional settings was weakened. However, what mattered most in the reform process was not the policies themselves but the ways new managerialist policies were implemented. Our analysis makes blind spots of the NPM reforms and healthcare governance research visible and calls for greater attention to implementation processes.

KW - health policy reform

KW - medical profession

KW - new public management

KW - populism

KW - Turkey

UR - http://www.scopus.com/inward/record.url?scp=85066841781&partnerID=8YFLogxK

U2 - 10.1111/1467-9566.12956

DO - 10.1111/1467-9566.12956

M3 - Journal article

C2 - 31115914

AN - SCOPUS:85066841781

VL - 41

SP - 1410

EP - 1425

JO - Sociology of Health and Illness

JF - Sociology of Health and Illness

SN - 0141-9889

IS - 7

ER -