Situation analysis in health manpower and performance-based remuneration

This study consists of two parts that deal with the quantitative analysis of the health workforce and the analysis of the performance-based remuneration model applied in the field of health. In the first part, the occupational groups of physicians, dentists, pharmacists and nurses/midwives that make up the health workforce are evaluated, and it is seen that there is a numerical increase in these occupational groups over the years, but this increase is far behind in international comparisons. There are also great differences in the regional distribution of these occupations. These differences are; It also reflects negatively on criteria such as infant mortality rate, maternal mortality rate and dmft/DMFT indices used in the health system. In the second part of the thesis, the calculation steps of the performance-based remuneration system are analyzed. In the performance-based remuneration model applied in the field of health; number of dependent population, fragile population groups, number of daily examinations, chronic disease follow-up system, socioeconomic development level of the place of work, warning point status, title of personnel, duty, discipline status, working conditions, working time, contribution to service, productivity, examination, education/training It has been seen that many factors such as research activities, examinations, general medical procedures consisting of interventional procedures and specific medical procedures are taken as basis. This work; It compares the current situation of the health workforce and the current status of the performance-based remuneration model in the field of health with the targets in the strategic plans, reveals the strengths of the system and makes suggestions about the weaknesses.