Universal health coverage (UHC) has been elevated to the status of a global policy target, but this was at the expense of losing its aspirational meaning. As a case in point, Turkey has been one of the countries that has achieved UHC, according to the technocratic definition. This article employs a combination of deductive and inductive thematic analysis methods to explore patient organisation (PO) perspectives on the Turkish health-care system based on 26 respondent interviews from 19 POs in Istanbul. Highlighting the inadequacy of the technocratic definition of UHC, the article maintains that an analysis of PO perspectives opens the way for a nuanced and bottom-up assessment of essential service coverage and financial protection by identifying elusive gaps in both dimensions that would otherwise be lost in generalist evaluations. The findings also underline the importance of keeping intact the UHC’s aspirational element to enable POs to participate in the politics of priority setting in health care.

中文翻译：

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重新思考全民健康覆盖：关于土耳其医疗保健系统患者组织观点的定性研究

全民健康覆盖 (UHC) 已被提升为全球政策目标的地位，但这是以失去其理想意义为代价的。例如，根据技术专家的定义，土耳其是实现全民健康覆盖的国家之一。本文基于对伊斯坦布尔 19 个 PO 的 26 位受访者的访谈，结合演绎和归纳主题分析方法，探讨土耳其医疗保健系统的患者组织 (PO) 观点。这篇文章强调了 UHC 的技术官僚定义的不足之处，并坚持认为，通过识别两个维度中难以捉摸的差距，对 PO 观点的分析开辟了对基本服务覆盖范围和财务保护进行细致入微和自下而上的评估的道路，否则这些差距将在通才评价。