caa a22 4500 606222235 CHVBK 20210128101132.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00038-014-0557-7 doi (NATIONALLICENCE)springer-10.1007/s00038-014-0557-7 Health policy analysis for prevention and control of cardiovascular diseases and diabetes mellitus in Turkey [Elektronische Daten] [Bulent Kilic, Sibel Kalaca, Belgin Unal, Peter Phillimore, Shahaduz Zaman] Objectives: Current capacity of the Turkish health system is reviewed to evaluate and develop appropriate policies for cardiovascular diseases (CVD), diabetes mellitus (DM) and related risk factors. Methods: This paper qualitatively evaluates existing policies; interviews with key informants (KIs); and rapid appraisal fieldwork in clinical settings about CVD-DM through the framework of Walt and Gilson (Health Policy Plan 9:353-370, 1994). Results: Document review shows that prevention and control of CVD-DM were strongly addressed in Turkey, yet no document mentioned country-wide early detection or screening programs. KIs indicated over-fragmented management of CVD-DM by the Ministry of Health (MoH). Coordination among the MoH, organizational structure at provincial level and civil society organizations are poor where mutual trust is a significant problem according to KIs. Clinical setting findings point to a complete lack of a referral structure and a lack of follow-up, compounding the absence of functioning health information systems for patient records. Conclusions: Primary care services for CVD-DM require urgent attention, focusing particularly on the training of staff in public facilities, the integration of patient data, referrals and follow-up across all levels of the health system. Swiss School of Public Health, 2014 Cardiovascular diseases nationallicence Diabetes mellitus nationallicence Document analyses nationallicence In-depth interviews nationallicence Policies on noncommunicable diseases nationallicence Qualitative study nationallicence Kilic Bulent Department of Public Health, Medical Faculty, Dokuz Eylul University, 35340, Izmir, Turkey aut Kalaca Sibel Department of Public Health, Medical Faculty, Marmara University, Istanbul, Turkey aut Unal Belgin Department of Public Health, Medical Faculty, Dokuz Eylul University, 35340, Izmir, Turkey aut Phillimore Peter Department of Sociology, Newcastle University, Newcastle upon Tyne, UK aut Zaman Shahaduz Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK aut International Journal of Public Health Springer Basel 60(2015-01-01), 47-53 1661-8556 60<47 2015 60 38 https://doi.org/10.1007/s00038-014-0557-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-014-0557-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kilic Bulent Department of Public Health, Medical Faculty, Dokuz Eylul University, 35340, Izmir, Turkey aut NATIONALLICENCE 700 1- Kalaca Sibel Department of Public Health, Medical Faculty, Marmara University, Istanbul, Turkey aut NATIONALLICENCE 700 1- Unal Belgin Department of Public Health, Medical Faculty, Dokuz Eylul University, 35340, Izmir, Turkey aut NATIONALLICENCE 700 1- Phillimore Peter Department of Sociology, Newcastle University, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Zaman Shahaduz Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60(2015-01-01), 47-53 1661-8556 60<47 2015 60 38