トルコ共和国における病院整備運営環境調査
Contents
1.2.
3.
4. 5 144
5. 2011 4 no 27897
6. a P PP S PV a 24 2 6
7. 2003 2008 2003 1 2
8. 150 23 24 2 29 1 25 12
9. A 7 45 Aci1
10. I C
11. Public Tender Agency 14 17 49
12. H gag ES N 3 566 5 Ei a P PP Campus
13. ICU ICU S S
14. RN re S PD i LAN a ean
15. PPP 5 SPV 7 3 7 Mersin Health Campus Adana Health Campus Gaziantep Health Campus Kocaeli Health Campus
16. 1T 115 gt 7 Marmaray Project Deputy Project Director
17. N 2 92 2 a b a b
18. 46 2 IS0
19. b PPP 100 77 78 a Gi PPP 3 PPP S PV
20. 3 44
21. 2011
22. CA PPP PF 1 PF I
23. AN CO 1 Rk CT MRI 104 gt E 222
24. ysdig 80 BOT PPP PPP
25. S PV a 1 Summary DA S PV iD EPC S PV on Contract 4 PPP
26. OECD 3
27. ISPAT 147 a
28. NICU 2 8 SS 0 e 55 C
29. P1 95 a
30. 137 X
31. OECD 2017 GDP GDP GDP
32. DH RN gt gt WH RH Ne gt gt HN gt gt on NH 1 1 1 1 1 1 1O 1 6 1 1 es NKY Consultancy 3 47 ro
33. O P PP 2 a 2011 8 25 11 00 b 1 3 2 P PP 3 117 a
34. 1 PPP 2 3 P PP 10 EB
35. PPP 1 5 000 1 3
36. 6 6 6 S PV I ON S PV S PV SPV
37. E 74 2 5 i a
38. OECD 3 2004 2005 OECD
39. 35 5510 2008 1 1 General Healthcare Insurance GH I G H I G H I 3 1 G H I 12 50 5
40. ee 84 89 7 13 24 52
41. P PP 25 6 1 2005
42. All6 gt Or 19 89 74 1 a Ministry of Finance
43. 76 1 2 3 4 5 6 7
44. auto control system PPP Act on the Addition of a New Provision to the Basic Act on Health Services 5396 7 Lruction of New Healthcare Premises against Lease and the Renovation of Existing Healthcare Premises again
45. Health Transformation Program 2003 1946 3 1 SSK Sosyal Sigortalar Kurumu 2 Social Security Organization Ba Kur 3 GERP
46. b F NPO PE
47. Discount Volume Service Volume Service Kocaeli Health Campus 1zmir Bayrak11 Integrated Health Campus 1 Lease Payment D E 0 0 lt D EE 0 25 0 25 D AMTI x 1
48. 2 1 run 43 3 A B C Ankara Numune Ankara Zubeyde A Ankara Kecioren Training and Hanim Women s 8 1 Private Hospital Research Hospital Hospital EL e A B A es A A A e A B A e A A A A A A A A A
49. EU 2010 2010 7 300 GDP 59 7 25 5 060 3 000
50. 1000 I 250 35 4785 2 2 5 5 27 II a 550 100 IV I HKS 12 3 HKS HKS HHKS THKSHHKS HKS
51. F 145 0
52. 28 OECD 1000 20022008 2002 2002 2 6 28 E 1000 1000 1 2002 2006 2008 2002 2006 2008 2002 2006 2008 Japan 2 04 2 15 2 22 8 61 9 35 9 81 14 1 13 6 Turkey 1 12 1 43 1 51 1 13 1 34 2 6 63 Spain 3 29 3 88 3 88 4 43 4 43 5 17 8 1 Greece 4 58 5 35 6 02 3 46 3 4 3 41 4 4 Italy 4 43 3 65 4 19 France 3 34 3 36 3 34 7 03 7 8 7 93 7
53. 4 1935 2010 6 6 1935 16 158 018 21 10 1980 44 736 957 20 65 1940 17 820 950 17 03 1985 50 664 458 24 88 1945 18 790 174 10 59 1990 56 473 035 21 71 1950 20 947 188 21 73 2000 67 803 927 18 28 1955 24 064 763 27 75 a 1960 27 154 820 28 53 2007 70 586 256 1965 31 391 421 24 62 2008 71 517 100 13 10 1970 35 605 176 25 19 2009 72 561 312 14 50 1975 40 347 719 25 00 2010 73 722 988 15 88 TurkStat Turkey s Statistical Yearbook 2010 5 1950 2100 GS 100 000 80 000 60 000 40 000 20 000 2051 1 622 A 2010 2 752 2035 88 770 TT 1950 1970 1990 2010 2030 2050 2070 2090 United Nations World Population Prospect
54. 67 nm EE Si EN 1 JETRO
55. NII A TL 45 000 000 2 250 000 000 2 UU 5 3 10 15 200 80 5 200
56. 123 4 PPP 1 23 7 2 10 4 3 4 PKK
57. OECD 30 2000 2008 900 10 0 800 lt 9 0 a mm 80 700 80
58. Deeds and Cadastra1 Directorate 5 1 500 1 200 1 100 1 50 2 y 5 1 10 1 20 1 100 74 vi 5 vii
59. Rs K RW iv Transfer of Right to Operate Model vyL 49 a 6 PPP State Planning Organization
60. iv Negotiation Method G Gi Gii
61. a R I 28 1 PPP 600 800
62. Supreme Planning Board b 7 13 a G ivy Gi iv i 0pen Tender ii Tender for Pre Selected Bidders 1 000
63. ST PT 61 2 PPP PPP 17 4 e
64. conception 3 Regulation on Active Implantable Medical Devices Regula tion 85 3 Requ irements 6 ii a Es
65. 5 1 000 1 000 2 9 a 1 1 45 65 15 64 X100 i 12
66. Volume Service Service Payment SPV Minimum Monthly Volume Guaranteed 709 SPV
67. 50 5 Foreign Direct Investment Law 4875 Foreign Direct Investment Law 4875 1 2 3 3 3 74 proceeds management and sim financial institut c d
68. 100 70 25 190 2002 100 2005 S S K 2003 272 2007 365 93
69. Campus Tepecik 0 i 1 400 Izmir 800 a RN PF I 2 1
70. a b Es 50 93
71. 2 8 Eu 6 79 1 4 10 2
72. 133 a P PP
73. 146 77 STEP 1 1 2 3 4
74. Eligibility of Bids Technical Evaluation 3 der Committee Evaluation of the Financial Evaluation Proposed Facility Proposed Services Design and Construction 100 Oj Adjus Technica1l Quality Score 309 kment Virtua1 A11 Inclusive Yearly Price 5
75. Mid 103 a iii
76. 3 644 PPP 00 PQ Campus 0 a a AS Izmir 1 640 PQ a
77. G J Gi Pe iv EE 7 7 Oo iii 8 G lt ii 3 iii iv
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79. PF 62 1 PPP 1 2003 Health Transformation Program 10 2015 90 000 ISPATI
80. 5 IA 6 A gs ES 6 AA
81. 1583 4 3644 850 I 400 3566 2 PPP 2011 1 28
82. 2008 2013 DRG PPS 33 4 G DP 2008
83. 26200 e 69 DHL a Provincial Organizations 22093 Regul Regulation of Ministry of Health on Bed and Personnel Standards in ation on Operation of Treatment Institutions with Bed 17927 1 PPP
84. 40 2004 6 10 2011 I MF 5 6 42 40 2008 4 350 000 300 000 250 000 200 000 150
85. SS I S S I S S I Online S S I MO S S I S S I 37 5510 Healthcare Practice Directives 7 SS I
86. MAQUET h 1500 X I SPA 1 IEIS 2003
87. Regulation on the Energy Performance of Bui1dings 27075 2008 5 12 60 2 SE 77 a
88. 2 1 E 5 2 TL 1 500 000 75 000 000 5 2 TL 3 000 000 150 000 000 6 1 2 1 PQ Phase P PP IS0 9001 2000 IS014001 7
89. Regulation on Determination of Minimum Education Conditions of Education Programmes for Doctorship Nursery Midwifery Dentistry VeterinaTY Pharmacy and Architecture 26775 Nursing Law 26510 Circular on Nursing Law B 10 PER 0 10 00 06 020 Circular on Appointments 2002 1 Circular on Appointment and Transfer 2001 2 2003 4 Circular on Recruitment of Contracted Personne1 Circular on Internal Service Education Regulation 2020 4 Regulation on Appointment and Transfer of Contracted Health Personne 1 25217 Regulation Regarding Contracted Hea
90. Base Design ew Design Proposa1 F 9 Service Performance Specification Document Logistic Plan Safety and Environment Plan Organization and Human Resource General Specification 4 2 4 4 1 Ten gt Plan
91. P PP 1
92. S S 1 r 0 SS TI 1 SS I
93. 60 PPP No MAN PQ seri d 5 1 Kayseri Integrate 1 583 YDA Health Campus 1 G 2 IC G 3 G 42YDA G 2 a ON 3 566 5 G 6 G 7 G 8 G 9 G 1 G 2 G 3 G Ankara Bilkent 4 1 C G 3 6 gt Integrated Health Campus 08 5 YDA G PALA G 6 G 7 G 8 G 1 G 2 YDA G Elazig Integrated Health 3 G 850 4 Campus 4 G G 5 G 6 I C G 1 1ICI G 2 C amp T G 3 YDA G 800 4 Kocoglu InsaatG YDA 5 G f 6 G 7 I C G 1 YDA G 2 I C G Manisa Education and 3 Koc
94. 1990 2000 2005 2010 2015 2020 2025 Crude death rate 7 1 6 6 6 4 6 3 6 3 6 6 7 1 Deaths 392 422 436 459 491 541 605 Infant mortality rate 51 5 31 6 18 4 13 2 11 0 9 9 8 8 Crude birth rate 2 o 24 1 20 3 18 5 17 5 16 4 15 4 14 4 Birhs 1329 1307 1270 1279 1273 1261 1234 Expectation of life at birth 67 4 71 0 73 0 74 3 74 9 75 4 75 9 Total fertility rate 2 93 2 38 2 20 2 11 205 2 01 1 97 Gross reproduction rate 1 43 1 16 1 07 1 03 1 00 0 98 0 96 Net reproduction rate 1 32 1 11 1 04 1 01 0 98 0 97 0 95 Mean age of childbearing 26 9 27 0 27 3 27 2 26 9 26 8 26 6 TurkStat Turkey s Statistical Yearbook 2010 c Istanbu1 1 300 18 Tstanbu1 2 551 km Kocaeli 5 Istanbul
95. 2009 06 07 9 2 2003 3 5 20
96. et 0 17 10 2002 2008 300 0 2 74 275 4 250 0 200 0 150 0 E 166 8 169 9 142 9 14997 100 0 4 127 9 113 0 1 50 0 0 0 2002 2003 2004 2005 2006 2007 2008 The Ministry of Health of Turkey Health Statistics Yearbook 2010 18 10 2006 2008 2006 2007 2008 2006 2007 2008 68 9 68 2 69 8 37 6 38 5 41 6 28 9 33 3 36 3 10 8 14 4 15 3 21 0 22 8 21 5 12 5 13 3 13 5 18 2 19 9 20 8 8 4 8 4 8 7 14 8 17 2 18 5 7 7 8 0 8 4 9 7 8 4 8 8 7 6 8 4 8 0
97. 2 PPP PQ Tender PPP
98. 4 PF I PF I 4 MK 5 3 Ni Ni EE DE Dk DE x NN
99. B 1 C Ra 75 139
100. 45 2009 30 429 3 50 2011 6225 Medical Association E 1990 E 98 17 70 E 81 44 88 7 64 95
101. 0 PPP tments and Services by Public Sector in Cooperation with Private Sector through Certain Cooperation Models 7 2 5 i GGii 69 5 3 i Gi Build L
102. 24 365 TS I TSEK ISO VDE FDA IEC TUV UL DIN CE D I COM
103. 126 2 1988 6 10 1999 8 M7 8 17 118 201 1 5 8
104. TOK I PP 1 52 TOK TI PPP 33 600 90 000 2 PPP BOT
105. 2 2 9 5 TL 3 PPP 75 000 000 3 750 000 000 1TL 50 3 PPP A Rg 5 IFRS 4
106. MR I 1 1 5T 110 MR I 2 MR I 1 Philips 120 MR I 1 1 5T 10 CT 2 10 CT 2 CT 4 Canon Kodak 8 PET 1 CT 20 25 2 70 80 1 3 1 Siemens 2 2 2 6 Siemens 2 1 2 2 1 A
107. IT 24 b i Fundamental Healthcare Services Law 3359 Law on Practice of Medicine and Medical Science 1219
108. S PV hn hm 4 1 6 mf 12 mf NICU 6 mT 6 Yi 5 ME 24
109. 587 2010 69 1891 120 1 3 2010
110. Ministry of National Defense 68 2005 f Regulation on the Cons healthcare institutions and authorities
111. 9 1 Preliminary Risk Matrix 30 2 15 1 15 2 113 3 gt VR Interventional radiology
112. 2 2 PPP 25 26 TYPE QUANTITY 1 Blood pressure measurement instrument 2 units 2 Stethoscope 2 units 3 Aspirator aspirator canullae of various sizes 1 unit 4 Portable oxygen cylinder oxygen mask and
113. 1 2 EL Px S PV E rect Agreement E 2 FE i S PV
114. EX EX 21 1200 20 1967 2007 1400 2003 2004 2005 2006 2007 2008 1000 otal MOH 800 Other ministry eo0 4 e University Municipality 400 social Insurance Private 200 a 1970 1980 1990 2000 2010 TurkStat 21
115. P PP 4 HP 7 LU c V V 3
116. EPC SPV a Operation SPV EPC
117. EC 8 and Inspection of i Products 0 5 NN Regulation on Market Supervision
118. SS1I S S 1 SS I S S I
119. a b 50 1 ms 3 a
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121. 51 gt gt gt gt gt gt gt gt
122. 2015 1 6 OECD 2010 FY 10 20 30 40 50 OECD OECD Social indicator 2011 8 2 01d age support ratio 15 64 65 3 2 10 7 OECD 0ld age support ratio 2010 2050 9 83 m 2050 2010
123. 53 Ei PPP 46 3 B C D A D D 0 Ei
124. NKY Consultancy 4 Genera1 Directive on Accounting 1993 12 31 26440 1993 12 31 46305 20
125. 88 a iii Competitive Dialogues G G1
126. X A 138 2 PPP 3
127. 5 STEP 2 1 2 3 3 4 3 STEP 3 1 2 1
128. c d Law 4857 acting Regulation 27010 Heavy and Dangerous Work Regulation 25494 Regulation Regarding foreign inves 2 1 tor 90 a Regulation on Work Health and Safety During Temporary or Fixed Term Works 25463 Law on Work Permits of Foreigners 4817
129. ce 1992
130. gt 1997 12 19 10181 no 27075 2008 12 5 52
131. 21 198 E PKO PKO JDR 1970 7 JDR 1992 http www mofa go jp mofaj area turkey 99 index html http www med osaka u ac jp pub cir home forinternationa1 html
132. gt PPP PPP
133. 10 10 2 3 3 2 2 3 3 4 3 15 6 6
134. PPP PPP PPP 50 TC SAGLIK BAKANLIGI SEHIR HASTANELERI SUNUMU 51 TSPAT The Republic of Turkey Prime Ministry Investment Support and Promotion Agency 63 a PPP PQ
135. 1 70 12 71 27 PPP 1 1 PPP The Ministry of Health of Turkey Department of Public Private Partnership http www ppp gov tr E 2011 GL lt 87 a i Build Operate Transfer Model BOT ii Build Operate Model B O iii Build Lease Model
136. 30 56 49 Zh NN TR 97
137. 2008 1000 1 5 1 3 3 7 8 2006 4 6 2008 6 3 b 2008 2008 6 3 I CT 1000 2 MO t 1 1 1 5
138. S PV S PV 25 SPV
139. P PP S PV PPP gt 131 a ee 68 Turkstat 69 ll JETRO 3 23 7 P P P28
140. DAB Dispute Adjudication Board NA 128 4 e PPP
141. viii ix Fire Brigade Directorates 3194 26 3194
142. 29 1955 20 2000 9 1990 2010 40 o 2025 76 1990 24 o 2025 14 4 10
143. EE B AS pup o 3 4 10 C02 F 10 000 Y 1 A Class D 78 61 3 PPP 57
144. S PV P PP i 2 1 NN OPD
145. 3 4 2002 2010 24708 2002 3 27 2 Gi 5 PPP
146. ISPAT 1993 3 PPP MOH 8 940
147. a PG yos SPV gt Ee b en a BB
148. 4 5 a 5 net profit dividends from the sale or liquidation of all or any part of an investment amounts arising from 1icense ilar agreements reimbursements and interest payments arising from foreign loans through banks or special ions Emp loyment i Procedures and Principles on Employment of Child and Young Workers 25425 Sub contr ul
149. 500 821 105 19 291 454 500 250 296 451 610 510 75 17 130 85 160 675 6 7 90 2500 546 716 5 000 3 174 5 000 500 50 N A 1500 15 20 1 000 200 8 12 1 23 16 o 2009 16 207 9 000 6 000 13 000 A B 36 231 74 336 10 12 28 000 D 91 809 43 000 Invasive Intensions
150. 1 2010 SPV 2010 Guideline on Minimum Design Standards for Healthcare Buildings in Turkey 1 130 mm eR 1 1 150 1 120 mi 1 200 mT 1 150 1 200 Ti
151. 11 10 2010 istanbul Kocaeli a zeo ena zoeszzs sel im 50l io7 3 14 0 3 3 3 5 1 1 1 5 1 91 Sinop 202 7401 45 8 Kestamonul 27 Bartn 187 758 16 6 37 Karaman i 22 1 9 75 28 1 Sanlurfa 1 663 371 6 1 30 3 Zonguldak 0 9 4 30 1 28 1 30 4 3 7 Cankiri 16 412 154 40 Tuncei 10 77 797 176 174 73722 988 108 159 96 iogl 159 TurkStat Turkey s Statistical Yearbook 2010 TurkStat 13 oo oew cy lt so EE oo oes TurkStat Address Based Population Registration System Results 2010 13 1990 2010 S gt 100 50 100 50 9 TurkStat
152. b TI SPAT Law on Practice of 2011 10 11 Medicine and Medical Science 2 Se 1219 Pa a 2 HT
153. 71 gt gt gt gt 134 PPP 72 PPP 2011 07 25 ae LKocaei 3 lt a Pp 4 2 E E 3 73
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160. General Hosp ital 50 Day Hospita1 5 Manual on Minimum Design Standards of Turkish Healthcare Facilities Rs 1
161. 4 3 15 I CD 1 0 2010 2 148 19 2 6 lt Z 1 ICD 10 2 ICD 10 The Ministry of Health of Turkey Health Statistics Yearbook
162. 4 2010 Tarkiye de Taponya Yili Japan Year 2010 in Turkey HP 1959 1971 2009 5 501 14 23 17 414 62 1987
163. 1 ME 44 MR I 1 lt WW 1 7 mc mm 3 z i erg 50
164. TS09001 2000 THF 48 Zubeyde Hanim Women s Hospital Zubeyde Hanim 1991 2003 429 TSE IS09001 2000 2001 TS UNICEF Zubeyde Hanim IVF Ll 3 Ankara Kecioren Private Hospital
165. ii working capita1 iii 2N iv Directive on the Grading of Private Hospitals and Additiona1 harging S S 1
166. 1950 2 095 4 2006 12 2011 EU 3 4 1890 9
167. he 4 H 3 60 LT LT RT RT DT
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171. JB I C J B I C NEX I 143 3 1 3
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174. 2003 2007 1106 150 200W 22 2003 2007 1 1 1 9 23 PPP 10 Izmir Kocaeli Ankara Tstanbul Ankara Istanbul Ankara Tstanbu1 24
175. PA IT CS i 3 5 48
176. 1999 Izmit A Tstanbul 780 136 H Campus 4 i 930
177. 7 VAT 4 PPP PPP 1984 3096 1994 BOT 3 996 BOT BO 1995 2001 30 BOT BO EU Essential Directive
178. BDP 6 EU PKK PPP lstanbul Diyarbair Elazig AA RE J
179. 2 a Zoning Law Regulation on Constructions within Barthquake Zones 26100 3194 Law Regarding Building Inspection 4708 Regulation on Health and Security in Constructional Work 25325 Regulation on Constructional Materia 24870 Regulation on Criterion for Constructional Materia l 27270 Regulation on Procedures and Principles of Implementation of Construction Supervision 24491 TL Law on Construction Supervision 4708 I Regulation Regarding Facilities to be Opened Near Highways 2
180. 65 780 576 00 mi 36 200 71 34 100 18 179 2010 91 39 km2 72 179 2010 2010 11 89 23 104 2010 GDP US 741 85 10 US 17 182 2010 GDP 960 51 10 US 16 183 2010 GDP 0 398 69 US 57 179 2010 GDP 13 463 66 US 64 180 2010 GDP 060 48 9 183 2010 181 85 80 181 2010 6 40 60 181 2010 8 20 18 183 2010 48 56 10 US 177 183 2010 38 49 10 US 13 166 2010 4 51 10 US 52 167 2010 20 00 24 31 2010 66 1i00 gO 000
181. SPV 53 2 53 4 53 9 53 10 49 2 49 2 51 2 53 7 23 Compensation on Termination 1 112 i S PV 33 1
182. Law on Turkish Fngineers and Architectures Chambers Union 8625 d Regulation on Fire Protection of Buildings 24822 Circular on Fire Prevention and Fire Extinguishing Supervisions 2010 2 e Regulation on Restrictions on Production Placement on the Market and Usage of Certain Hazardous Materials and Products 27092 Regulation on Packaging Classifying Labeling of Hazardous Chemicals and Pharmaceutica l Preparation 27092 f Regulation on Contro1 of Industry Related Air Pollution 27277 Regulation on Control of Soil Pollution 24609 g Regu
183. PKK 34 E5 H 17 000 3 2001 GDP 8 9 GD P 2 2010 7350 8 9 2 2 GDP 1096 JO B 6 4 1 2 a GDP 10 GDP 700 500 500 400 300 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
184. C amp E 121 3 1 P PP P PP 2
185. i 144 2 146 3 ll 149 1
186. 30 15 60 1 60 10 1 2 3 1 8 IRO
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188. Ankara Kecioren TIS09001 2008 50 ENT 49
189. Regulation on Ministry of Health s Inpatient Medical Faci ities Directive on Physiotherapy and Other Similar Facilities Regulation on Control of Waste of Packages 26562 Regulation on Control of Solid Waste 20814 Regulation on Medical Waste 25883 Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Waste Management Guidelines Regulation on Ministry of Health s Inpatient Medical Faci ities Directive on the Termination of Medical Wastes Directive on the Transportation of Hazardous Wastes 84 Regulation on the Incineration of Waste Materials Hazardous Wastes
190. 3 2 A S PV Financial Summary MOH 1 h E E P PP E 1 BH E J E 4
191. H 1 2003 2003 3 2002 E 1 8 1993 2003 123 996 601 5 736 517 2004 146 410 441 6 440 800 2005 187 300 274 7 011 514 2006 217 540 425 7 764 651 2007 249 141 099 8 720 289 2008 273 702 825 9 684 245 2009 295 262 190 9 901 660 2010 302 984 218 10 528 173 1 2
192. 30 29 OECD 100 2002 lt 2008 MRI CT 2 100 100 100 100 2002 2006 2008 2002 2006 2008 2002 2006 2008 2002 2006 2008 Japan 35 3 43 1 92 6 97 3 29 7 6 6 Turkey 3 3 5 Z 2 78 102 Z 7 1 5 Greece 16 3 19 6 26 4 30 7 39 2 45 5 3 5 5 Italy 10 8 18 6 24 30 3 26 9 4 5 5 4 United Kingdom 4 8 5 6 5 6 7 1 7 6 7 4 7 3 8 4 9 3 9 4 4 9 United States 26 5 34 40 1 OECD OECD Health Data 2010 Frequently Requested Data 2010 31 3
193. I 2 116
194. Lease Payment 3 Service Payment W d CP1I 86 Lease Payment service fee 6 1 4 Lease Payment Turkish katistical Institution 1 3 C P PP I
195. a AA 2 SR NPO
196. 2010 Turkish Healthcare Buildings Minimum Design Standards 2010 Guidelines Law on Treatment by Radiology Electricity and Other Physiotherapy Establishments 3153 Regulation on Ministry of Health s Inpatient Medical Faci ities Law on Turkish Atomic Energy Institution Directive of Radiation Safety Regulation of Radiation Protection and Licensing Regulation on the Safety and Licensing of Facilities with Gamma and Electron Beam Emission Regulation on Waste Materials from Radioactive Use Regulation on the Transfer of Radioactive Materials Regulation on Facilities with Radiological and Electrical Treatment Services Regulation on Provisions for R
197. 64 2 PPP P PP 1 2 P PP 3 P PP 4 5 1 a 1 Fundamental Healthcare Services Law 3359 Decree on Organization and Duties of the Ministry of Health 18251 Regulation on Procedures and Principles Regarding Co Usage of Health Facilities of Ministry of Health and Relevant U
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199. N A ee Atlas amp Oyak Joint Venture 2 N A TEPE INSAAT PROJEN MIMARLIK N A N A 580 TL N A N A N A 45
200. PPP 3359 PPP PF
201. S S I 2008 Socia1 Security and Universal Health Insurance Law 81 23 MOH OEC D 2003 3 2008
202. 124 2000 01 2002 10 GDP 5 2020 OE CD 2011 17 GDP 31 6 7 4 48 528M 2010 gt GDP 9 5 2010 gt 12 2010 gt GDP 11 BRICs 11 1
203. 2 3 NN 70 P PP J gt 4 S PV 1 9 m 2 1 7 54 110 1
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206. 11 12 1990 2010 45 20 13 2010 10 10 Tunceli Canknr Ardahan 10 10 10 9 10 18
207. 5 United Nations Developmen Fusun Ersoy A GENERAL OVE ly Medicine Hakan Yaman Continuing medical educati East Journal of Fami 2 6 9 WORLD HEALTH TOURISM 6 13 14 16 RVIEW OF MEDICAL EDUCATION AND FACULTY DEVELOPMENT PROGRAMS IN TURKEY Middle n in Turkey Recent developments http www healthtourism com tr jp pages 13 html 17 21 BMC Medical Education 2002 59 5 5 2 3 4 2 4 4 3 4 4 5
208. 3 Rt 1 4 42 4
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213. P PP 78 6
214. Regulation on Implementation of the Law on Work Permits of Foreigners 25214 Regulation Regarding Foreign Personnel Employment in Direct Foreign Investments 25214 Regulation on Overtime Working Regarding the Employment Law 25425 Principles Regarding Work Performed by Wor Regulation on Procedures and kers in Shifts 25426 Law on Weekly Vacation 394 Regulation on Working Conditions of Pregnant or Nursing Women and on Nursing Rooms and Child Care Dorms 25522 Hy E Regulation on Annual Paid Vacation 25391 91 3 PPP 1 PPP Tender Document
215. SPV 2 1 O S PV 41 30 1 3 S PV S PV D S PV S P V
216. ST 1 1 E 1 E
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227. 973 3 UYGULAMA VE ARASTIRMA MERKEZ 10343160 OZEL MEDICALPARK 956 4 BAHCELIEVLER HASTANESI BAHCELIEVLER 12075031 AN DEVA TEDAVI OZEL SAGLIK HIZMETLERIA S AN DEVA 946 7 12075019 MEDICAL PARK SAGLIK HIZMETLERI A S 946 7 12345235 OZEL UNIVERSAL HOSPITALS GROUP CAMLICA 946 7 ALMAN HASTANESi 12060202 OZEL ANKARA GUVEN HASTANESI 944 4 12065010 TDV OZEL 29 MAYIS HASTANESI 5 29 943 6 5 29 11340182 YEDITEPE UNIVERSITESI HASTANESI YEDITEPE 943 1 10063014 OZEL AKAY HASTANESI AKAY 942 1 11060401 BASKENT UNIVERSITESI 940 7 ISPAT Ratings of the Private Hospitals 29
228. 2009 2 5 1993 96 BE ODA 2006 08 ODA 1997 2002 a Qc TT 1999 8 EN SD
229. 30 15 15 pl 55 1 1 2 Civi1 Traffic Impact Study Mii 1 MEP 1 TEDAS A P RO F BMO MEP 6 Water and Sewage MEP 3 Authority 1 NKY Consul
230. Genera1 Service Specification Management Performance Monitoring Monthly Reporting Recruitment Training amp Induction Human Resource Issues Integration with Administration Practice and health amp Safety Quality Assurance Environmental Management Contingency Planning Performance Parameters Operations Special Service Terms Performance Parameters
231. I 2003 2010 The Ministry of Health of Turkey Health Statistics Yearbook 2010 TurkStat Turkey s Statistical Yearbook 2010 16 b 2010
232. NDA S PV j F 141 b Financia P PP DA i c E S PV d S PV P PP Procurement and Constructi S PV e S PV S PV
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236. 2 1 NR DIP Score 60 Points 1 2 a 2 2 0 Score 35 Points FT H 0 2 Score 5 Points 3 N A N A N A Lowest Value AF E A 1 100 x 30 E x 4 1 Proposed Facility Proposed Services Design and Construction 600 ji 106
237. Regulation on AWSA Pricing Lists Regulation on Refinement Facilities Circular on Arrangement of Patient Room 2077 44 Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Movable Goods 26407 Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Ministry of Health s Inpatient Medical Faci ities Regulation on Gardens and Sport Areas 2000 Regulation on Procedures and Principles on Disinfection against Pest in the Area of Public Health 25709 Regulation on Ministry of Health s Inpatient Medical Faci ities Regulation on Pest Control in Public Health Areas 25709 Regulation on Car Parking
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241. Marmaray Project Deputy Project Director I 4 4 3 Gunduz Law Offic 1C Istas MOH YDA 2011 11 26 12 2
242. P PP 53 PQ PPP PPP 2007 P PP PPP PQ
243. Social Securities and General Health Insurance Law 5510 Regulation on General Health Insurance Actiyvities 26981 Communique on Medical Implementation by Socia Security Institution 27532 Insurance Law 5684 Circular by Undersecretariat of Treasury on Health Insurance Agreements 2011 3 b i 3359 Healthcare Services Fundamental Law Fundamental Healthcare Services Law 3359 54
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247. 6 9 7 3 6 3 5 9 6 7 6 5 5 4 5 9 5 9 4 9 5 2 4 7 5 2 6 0 5 8 4 8 4 3 4 4 5 5 5 7 5 4 4 6 4 8 4 2 The Ministry of Health of Turkey Health Statistics Yearbook 2010 3 2010 19 Giii 2008 90 19 2003 2008 200
248. SSI Social Security Institute YDA PPP MTK Architects Guven JETRO Tstanbu Bakirkoy Health Campus Eskisehir Health Campus Kocaeli Health Campus Diyarbakir Yenisehir Health Campus 2011 5 28 6 5 3 3 3
249. 6 00 8 00 10 00 12 00 OECD OECD Social indicator 2011 8 1955 2010 1955 2000 2007 2008 2009 2010 24 064 763 67 803 927 70 586 256 71 517 100 72 561 312 73 722 988 20 44 24 83 28 27 28 47 28 77 29 22 Old age 13 94 10 23 9 98 9 95 9 90 9 83 support ratio TurkStat Turkey s Statistical Yearbook 2010 OECD OECD Social indicator 2011 9 1955 2000 2010 85 BS5 80 80 84 75 75 79 70 70 74 65 65 69 60 60 64 55 55 59 50 50 54 45 45 49 40 40 44 35 35 39 30 30 34 25 25 29 20 20 24 15 15 19 10 10 14 0 4 0 4 ar 10 10 10 E TurkStat Turkey s Statistical Yearbook 2010 11 Ei a 10 1990 2025
250. 28 Ni 0 80 100 0 20 PDH IC DBCS TDSCS 2 x100 PDH IC DBCS DSCS 10 27 10 SA Facility Name Hospital Point Code 11345031 BASKENT UNIVERSITESI ISTANBUL SAGLIK
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255. 2003 2007 2003 2004 2005 2006 2007 Total 1 130 100 1 175 100 1 156 100 1 163 100 1 276 100 MOH 664 59 683 58 795 69 769 66 849 67 Other ministry 10 1 8 1 30 3 27 2 1 0 University 50 4 52 4 53 5 56 5 56 4 Municipality 9 1 8 1 9 1 6 1 5 0 Social Insurance 121 11 146 12 Private 272 24 278 24 269 23 305 26 365 29 TurkStat 22 2003 240 220 200 180 140 120 100 The Ministry of Health of Turkey Health Statistics Yearbook 2010 TurkStat Turkey s Statistical Yearbook 2010 22 23 2003 2007 2003 2004 2005 2006 2007 2008 1 130 1 175 1 156 1 163 1276 164 897 171 888 176 785 180 767 184 983 5 737 6 441 7 012 7 765 8 720 9 684 123 997 146 410 187 300 217 540 249 141 273 703 1 34 8 37
256. 3 148 a 3 4 P PP 24 365
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258. 14 Service Requirements Section 1 Sub section B 34 2 14 Service Requirements 3 04 34 3 18 Payment Mechanism 5 1 ll 110 06 09 1 Warning Notice W E HH S PV 3 3 S PV SPV WW 1 E
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263. 1 unit oxygen canulla 5 Nebulizator 1 unit 6 Defibrillator 1 unit 7 Electrocardiograph equipment 1 unit 8 Emergency intervention trolley Crash Cart 1 unit 9 AirLaryngoscope Ambu containing airway 1 unit cannula emergency ampoules 10 Intubation Tubes Sufficient number 11 Serum hanger Per Bed Sufficient number 12 Bed Frame 3 piece feet and head parts Sufficient number adjustable 13 Bed Sufficient number 14 Aleze mattress mattress cover pillow Sufficient number eiderdown 15 Basic First Aid Consumables Cotton gas Sufficient number tissue alcohol bandages of various sizes 16 Urine sound urine bag Sufficient number 17 Thermophore Sufficient number 18 Urine Collector Sufficient number 19 Urine container duck Sufficient number 20 Kidney cuvette Sufficient number 21 Nasogastric sound Sufficient number 22 Multi function monitor 1 unit 23 Examination bench 1 unit 24 Otoscope ophtalmometer
264. 21624 2010 Turkish Healthcare Buildings Minimum Design Standards 2010 Guidelines 80 Regulation on Operation of Treatment Institutions with Bed 17927 Directive on Ministry of Health Goods Procedures Instructions on Goods and Materials 4221 Rules and Codes to be Followed in Goods Receipt Regulation on Ministry of Health s Inpatient Medical Faci ities Regulation on Movable Goods 26407 General Directive on Goods and Materials General Directive on Procurement and Transfer of Goods and Materials Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Mini
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275. 65 ii 1219 Law on Practice of Medicine and Medical Sciences Law on Pilot Family Practise 5258 Turkish Doctors Association Law 25665 Turkish Dentist Association Law 3224 Pharmacists Association Law 6643 Regulation on Operation of Treatment Institutions with Bed 1792 Law on Compensation and Working Principals of Health Personnel 2368 Law on Employment of Contracted Health Personnel in Places of Difficult of Procurement of Personne lt 5413
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283. 7 50 12 50 Short Term Benefits a 1 50 1 66 b c d 2 e f Long Term Benefits 18 18 10
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287. PPP Regulation on Operation of Treatment Institutions with Bed 17927 Law on Soil Protection and Land Use 5403 Forestry Law 5192 Environment Law 2872 Law on Green Areas 2872 Law on the Estates of Greenery 4342 Cadastral Law 5304 0ccupancy Law 5543 Law on Urban Development 3194 Land Deed Law 5831 Provincial Specia Administrations Law 5302 Metropolitan Municipalities Law 5216 Law on Expropriation 2942 Regulation on Soi1 Protection and Land Use Law 26024 Regulation on Development Plans and Amendments 18916 Regulation on Environmental Plans 27051 Regulation on Buildings to be Buil
288. ema HH 12 LT 2 3 20 EYE Vol 106 200 ins between Turkish men women E 8 E 1960 h Harriyet Daily News 15 74 E i F
289. 3 F 2004 1 2008 ES a 24 2003 Harriyet Daily News 2010 8 27 2006 7 8 3 2007 F 7
290. Directive on Security Culture on Information Systems and Network Directive on Centra Schedu ling Systems Regulation on Ministry of Health s Inpatient Medical Faci ities Directive on Private Security Services Law on Private Security Services 5188 Regulation on Disaster Management Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Ministry of Health s Inpatient Medical Faci ities Law on Nurseries 8647 Operational Guidelines of Inpatient Medical Facilities Directive and Guide1ines for Home Care Regulation on Patient Rights Regulation on Pre Schoo1 Institutions 25485 Regulation on Ministry of Health s Inpatient Medical Faci itie
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306. 000 100 000 50 000 b 2011 41 TL 5 30 5 41 6 21 7 80 5 73 NKY Consultancy SPON S ASAI PACIFIC CONSTRUCTION COSTS HANDBOOK 4 EDITION 2008 43 5
307. 2010 17 c Gi B i B 2000 2006 2006 2010 2000 H 1I V 100 16 2000 lt 2010 25 000 20000 15ooo R II 10 000
308. 2020 IT 550 TI CU 20 I CU 30 o o 50 mm 6 o 50 m 74 m 10 o 100 m 149 20 o 150 m 30 8 IV CHHS chief medical officer 10 N I CU 22 1
309. 2990 Circular Regarding Number and Definitions of Hospital Beds 2008 65 b Regulations Regarding Planning 18916 Construction Law 3194 Regulation Regarding Procedures and Principles of Preparing Presentation 56 25 50 75 100 150 200 250 900 350 400 450 500 600 700 800 900 1 000 1 100 1 200 19 72 a Implementation Supervision and Finalization of Construction Plans and Landscaping Projects 25887 c Law on Engineering and Architecture 3458
310. 3 2006 2007 2008 83 0 87 6 89 3 91 3 53 9 59 3 70 2 73 7 21 2 29 6 35 0 36 7 The Ministry of Health of Turkey Health Statistics Yearbook 2008 20 2 0utpatient institutions 2007 1 273 67 29 4 20 21 2 1981 Ministry of Health 601 190 1981 831 1982 648 1980 9 12
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314. E L V EPC J B IC 122 PPP S PV 25
315. I 6 300
316. adiation Safety Directive on the Well Being of Public Officials Working with Radioactive Materials Regulation on Operation 83 of Treatment Institutions with Bed 17927 Medical Devices Regulation 26398 Regulation on Active Implantable Medical Devices 26398 Regulation on In Vitro Diagnostic Medical Devices 26398 Regulation on Ministry of Health s Inpatient Medical Faci ities Infection Contro1 Regulation of Inpatient Medical Faci ities Circular on Physiotherapy Application 2007 76 Directive on Implementation of Medical Social Services 2010 Turkish Healthcare Buildings Minimum Design Standards 2010 Guidelines
317. ive In Vitro Medica Equipment 25779 Circular on Medical Equipment Supply and Payment Principles 2007 72 Regulation on Advertising Activities of Medicinal Products for Human Use 25268 Regulation on Manufacture Places of Medicina Products for Human Use 25268 iv Regulation on Control of Medical Waste 25883 Circular by Ministry of Science on Medical Waste 2000 40 Circular by Ministry of Environment and Forest on Removal of Medical Waste 2010 17 Circular Regarding Public Health Personnel Working with Radiation Sources 2007 8 Circula
318. lation on Water Pollution Contro1 25687 Ts h Regulation on Energy Performance in Buildings 27075 Energy Efficiency Law 5627 73 i Regulation on Control of Waste of Packages 26562 Regulation on Control of Solid Waste 20814 a EA EX Development Law 3194
319. lth Personnel Disciplinary Commissions 25445 Regulation on Appointment Principles and Procedures of Certain Health Personnel to Public Institutions and Organizations by Draw 25374 66 a a HN iii Medical Devices Regulation 26398 ul Regulation on Active Implantable Medical Devices 26398 Regulation on In Vitro Diagnostic Medical Devices 26398 Communique Regarding Approved Institutions to Act in the Matter of Medical Devices Implantable Medical Devices in Vitro Medical Devices 25286 Communiqu6 on Common Technical Properties for Act
320. nits of Universities 27850 Regulation on Patient Rights 23420 Regulation on First Aid 24762 Qirective Regarding Transplantation Centers 15785 Regulation of Ministry of Health on Bed and Personnel Standards in Provincia Organizations 22093 Communique Regarding Tmplementation Procedures and Principles of Emergency Services Health Facilities with Bed 27378 Circular on Intensive Care Unit Standards 2009 56 Decree Law on Organization and Duties of the Ministry of Health and Related Institutions 28103 52 2 2 c G
321. oglu Ins G 5 6 00 SS Research Hospital 4 G DAZ 2 5 G 6 G G Konya Karatay Integrated Health Campus a 98 2 PP P P PP S PV S PV NN 26236
322. r on Medical Waste Depots 2007 10 Circular Regarding Implementations of Regulation on Medical Waste Contro1 2010 75 Y Fundamental Healthcare Services Law 3359 67 Regulation on Administration and Working Procedures and Principles of Health Establishments Belonging to Public Institutions and Organizations 22168 Social Securities and General Health Insurance Law 5510 Regulation on General Health Insurance Actiyvities 26981 3 h Regulation on Purchases Indicated in Article 3 h of the Public Tender Law Numbered 4734 25523 vi
323. roficiency in Construction Professions 601 2000 Building Supervision Law Turkish Specification for Structures to be Built in Disaster Areas Turkish Seismic Code 2007 4708 2001 Turkish Earthquake Code 2007 Turkish Association of Seismic Isolation TAS TI 2009 2012 Erzurum Health Campus 800 Istanbu1 Karta1 Training and Research Hospita1
324. ry HSFP I B Hospitals 14 Kocaeli Health Campus 7 72 B 9 15 zmir Bayrakl1 Integrated Health 7 640 B 12 Campus 16 Eskisehir Health Campus 780 A 17 Isparta City Hospital 700 B 9 25 043 A Projects on the Pre Qualification Tender Announcement Phase Projects on the Pre Qualification Phase Projects on the Bid Phase Projects on the Final Bid Phase NH Projects on the Contract Phase MOH P PP 97
325. s Regulation on Priyate Kindergarten and Day Nursery and Private Children Clubs Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Ministry of Health s Inpatient Medical Faci ities Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Ministry of Health s Inpatient Medical Faci ities 82 Directive on Food Materials and Pub ic Health Goods Regulation on Medical Laboratories 28036 Regulation on Ministry of Health s Inpatient Medical Faci ities Regulation on Medical Laboratories Regulation on the Control of Operation and Supervision of Laboratories
326. s the 2010 Revision 4 b E 83 65 E OECD hy hy 2010 29 9 83 15 64 10 3 6 7 8 1955
327. sential Requirements Turkish Atomic Energy Authority I Conformity Assessment Procedure CE iii Conformity Assessment Procedure f E Essentia1 E
328. st Operation of Non Medical Services and Functional Areas of Activity 26236 P PP 3 4 2 PPP 4 1 Gi Law on Social Insurances and Genera Health Insurance 1 2 4 4
329. stry of Health s Inpatient Medical Faci ities Regulation on Operation of Treatment Institutions with Bed 17927 Directive on Medical Information Systems IS Directive on Family Physician s IS Directive on Licensed Software Intellectual Property Law 5846 PACS Directive on PACS Guidelines MOH MOH Guidelines on Computer and Surrounding Units Network Storage Backup and Security Hardware Saglik NET Saglik NET Standards Law on E Signatures Directive of Archive in Ministry of Health s Inpatient Medical Facilities 81 Law on Electronic Communication
330. t in Seismic Zones Genera1 Regulation on the Appointment Sale and Rent of Land Residences and Commercial Buildings by the municipalities Regulation on Foreign PPP 3 79 Investment Companies Owning Estates PPP PP P Regulation 10655 Regulation on Operation of Treatment Institutions with Bed 17927 Regulation on Revolving Funds 209 Regulation on Ministry of Health s Revolving Funds Regulation on Operation of Treatment Institutions with Bed 17927 Electricity Market Law 4628 Law on Subsurface Waters 167 AWSA
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