White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University Hospital

With the Health Transformation Program (HTP) in Turkey whose infrastructure was established in the 1980s and came into practice in 2003, a significant stage of the neo-liberal transformation process started in the field of public health services. With the transformation process in health, a transiti...

Full description

Saved in:
Bibliographic Details
Main Author: Sinan Acar
Format: Article
Language:English
Published: Istanbul University Press 2020-06-01
Series:Journal of Economy Culture and Society
Subjects:
Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/D2A75B3FA6D14BB99A209A2C1A183D4B
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850036152725143552
author Sinan Acar
author_facet Sinan Acar
author_sort Sinan Acar
collection DOAJ
description With the Health Transformation Program (HTP) in Turkey whose infrastructure was established in the 1980s and came into practice in 2003, a significant stage of the neo-liberal transformation process started in the field of public health services. With the transformation process in health, a transition was made into performance- based service production in healthcare services, and flexible forms of employment started to be seen in employment processes. This study mainly focuses on the perception and experience of the white- collar subcontracted employees in public health services of flexible and precarious employment in the neoliberal period. As a result, it was observed that most participants were young, single and graduates of higher education. It was found that the knowledge, skills and experience of the employees were not considered in decision-making processes, and accordingly, they had lower levels of feelings of organizational justice. It may be stated that, due to the production of services with flexible and performance based work, the workload of the employees has increased considerably and the work is carried out with a low number of employees. Having employees with the same job and similar educational levels under different forms of employment was found to reveal material and moral inequalities among the employees. Consequently, the neo-liberal transformation process in public health services also shows its effect on the employment processes in these fields and the existing structure is being transformed in a way to also involve white-collar occupations by taking contracts, flexibility and precarity as a basis.
format Article
id doaj-art-5743c0a2f95241f78b6b75d3daaa3060
institution DOAJ
issn 2645-8772
language English
publishDate 2020-06-01
publisher Istanbul University Press
record_format Article
series Journal of Economy Culture and Society
spelling doaj-art-5743c0a2f95241f78b6b75d3daaa30602025-08-20T02:57:17ZengIstanbul University PressJournal of Economy Culture and Society2645-87722020-06-016120722810.26650/JECS2019-0037123456White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University HospitalSinan Acar0https://orcid.org/0000-0002-5270-542XBartın Üniversitesi, Bartin, TurkiyeWith the Health Transformation Program (HTP) in Turkey whose infrastructure was established in the 1980s and came into practice in 2003, a significant stage of the neo-liberal transformation process started in the field of public health services. With the transformation process in health, a transition was made into performance- based service production in healthcare services, and flexible forms of employment started to be seen in employment processes. This study mainly focuses on the perception and experience of the white- collar subcontracted employees in public health services of flexible and precarious employment in the neoliberal period. As a result, it was observed that most participants were young, single and graduates of higher education. It was found that the knowledge, skills and experience of the employees were not considered in decision-making processes, and accordingly, they had lower levels of feelings of organizational justice. It may be stated that, due to the production of services with flexible and performance based work, the workload of the employees has increased considerably and the work is carried out with a low number of employees. Having employees with the same job and similar educational levels under different forms of employment was found to reveal material and moral inequalities among the employees. Consequently, the neo-liberal transformation process in public health services also shows its effect on the employment processes in these fields and the existing structure is being transformed in a way to also involve white-collar occupations by taking contracts, flexibility and precarity as a basis.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/D2A75B3FA6D14BB99A209A2C1A183D4Bflexibilityprecaritypublic health serviceswhite-collar subcontracted employees
spellingShingle Sinan Acar
White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University Hospital
Journal of Economy Culture and Society
flexibility
precarity
public health services
white-collar subcontracted employees
title White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University Hospital
title_full White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University Hospital
title_fullStr White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University Hospital
title_full_unstemmed White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University Hospital
title_short White Collar Subcontracted Employees in the Public Health Sector: The Case of Fırat University Hospital
title_sort white collar subcontracted employees in the public health sector the case of firat university hospital
topic flexibility
precarity
public health services
white-collar subcontracted employees
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/D2A75B3FA6D14BB99A209A2C1A183D4B
work_keys_str_mv AT sinanacar whitecollarsubcontractedemployeesinthepublichealthsectorthecaseoffıratuniversityhospital