The effects of the Presidential Government System on the health sector: The case of Adana province

Government systems and constitutional movements are among the critical elements in Turkish political life. Administrative developments and constitutional movements have affected social life since the establishment of the Republic and determined the institutional and structural identity of the state at the same time. There have been some changes recently in the 1982 constitution, which is still in force. In particular, the constitutional amendment referendum held on 16th April 2017, exemplifies this situation. With this referendum, the changes constituting the legal infrastructure of the Presidential Government System (PGS) were accepted and with the 24th June 2018 elections, the PGS was actually implemented. With the transition to the new system, state organs were reshaped. Structural arrangements have been made in institutions and organizations, especially in the organizational structure of the ministries. Similarly, there have been some changes in the Ministry of Health and its subsidiaries. In this thesis, the effects of the PGS on the health sector were examined, and in this context, semi-structured interviews were conducted with the health personnel and administrative personnel working in Adana City Training & Research Hospital. In addition to the interviews made while examining the health sector after the PGS, health statistics yearbooks and strategic plans were used. Ministry of Health activity reports were examined, and strategic plans were evaluated. As a result of these examinations and interviews, it has been concluded that some changes have occurred in health services after the PGS. Additionally, it has been concluded that some administrative changes have been experienced with the PGS, and within this context, some developments have occurred in health services.