COVID-19 SAĞLIK KRİZİNİN ÜLKELERİN SAĞLIK SİSTEMLERİ ÜZERİNE ETKİSİ; KÜRESEL SAĞLIK SİSTEMLERİ BOYUTUYLA BİR DEĞERLENDİRME
COVID-19 salgınının yönetiminde ülkelerin hazırlıklı olmaması ve küresel sağlık sisteminin yetersizlikleri, salgını dünya genelinde küresel boyutlu sağlık krizine dönüştürmüştür. Bu çalışmada, COVID-19 sağlık krizinin ülkelerin sağlık sistemleri üzerine etkisi, küresel sağlık sistemleri boyutuyla literatür doğrultusunda değerlendirildi. Koronavirüs, diğer salgınlardan farklı olarak gelir düzey ayrımı gözetmeden tüm ülkelerde, hızla yayılmıştır. Birleşmiş Milletler ve Dünya Sağlık Örgütü (WHO) ülkeler arasındaki sosyal, ekonomik ve sağlık eşitsizliklerine bağlı, COVID-19 sürecinin daha kötüye gitmemesi için küresel dayanışma politikalarının desteklenmesinde ortak yaklaşımın gerekli olduğunu bildirmiştir. Fakat küresel siyasette etkili bazı güçlü ülkeler arasındaki anlaşmazlıkların küresel sağlık sistemini ve salgın yönetimini olumsuz etkilediği görülmüştür. COVID-19 salgının başlamasıyla bazı ülkeler "önce benim milletim" yaklaşımını ön plana çıkararak küresel sağlık politikalarının adil uygulanması yaklaşımını baltalamıştır. Dünya Ticaret Örgütüne üye ülkeler yapılmış ticaret anlaşmalarını da ihlal ederek salgınla mücadelede gerekli olan ürünlere ihracat kısıtlaması getirmiştir. Yine yüksek gelirli ülkelerin salgın sürecinde halk sağlığı ve insan hakları yaklaşımlarını göz ardı ederek satın alma gücüyle COVID-19 aşılarını elde ettiği bildirilmiştir. Dünya genelinde, pandemi sürecinde küresel sağlık sistemine daha fazla ihtiyaç duyulduğu halde salgınının küresel düzeyde etkili yönetilemediği görülmüştür. Küresel sağlık sisteminin etkili yönetişimi için yeniden tasarımın gerekli olduğu vurgulanmıştır.
IMPACT OF COVID-19 HEALTH CRISIS ON HEALTH SYSTEMS OF COUNTRIES; AN EVALUATION WITH THE DIMENSION OF GLOBAL HEALTH SYSTEMS
The countries' unpreparedness in managing the COVID-19 epidemic and the inadequacies of the global health system have turned the outbreak into a worldwide health crisis. In this study, the impact of the COVID-19 health crisis on the health systems of countries was evaluated based on the literature in terms of global health systems. Unlike other epidemics, the coronavirus has spread rapidly in all countries, regardless of income. The United Nations and the World Health Organization (WHO) stated that a joint approach is necessary for supporting global solidarity policies so that the COVID-19 process due to social, economic, and health inequalities between countries does not get worse. However, it has been seen that the disagreements between some powerful countries that are influential in global politics negatively affect the global health system and epidemic management. With the onset of the COVID-19 epidemic, some countries brought the "my nation first" approach to the fore, undermining the fair implementation of global health policies. The member countries of the World Trade Organization have also violated the trade agreements made and imposed export restrictions on the products necessary for the fight against the epidemic. It has also been reported that high-income countries disregarded public health and human rights approaches during the epidemic and reached COVID-19 vaccines proportional to their purchasing power. It has been observed that the epidemic cannot be managed effectively at the global level, although the global health system is more needed throughout the world during the pandemic process. It was emphasized that redesign is necessary for effective governance of the global health system.
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