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Journals / Sosyal Politika ve Sosyal Hizmet Çalışmaları Dergisi / 2026 / Cilt: 7 Sayı: 1

Reframing Patient Rights in Turkey Through Max-Neef’s Human Scale Development Approach: A Holistic Analysis from Medical Social Work and Social Policy Perspectives

Türkiye'de Hasta Haklarının Max-Neef'in İnsan Odaklı Kalkınma Yaklaşımı ile Yeniden Çerçevelenmesi: Tıbbi Sosyal Hizmet ve Sosyal Politika

Ezgi Arslan Özdemir(ANKARA UNIVERSITY)0000-0001-8060-2535
Pages
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Publication Date
2026-03-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The analysis identifies that paternalistic tendencies in physician-patient communication in Turkey function as "inhibiting satisfiers" that suppress the patient’s needs for "Freedom" and "Understanding." The findings reveal that although the 1998 Patient Rights Regulation was designed as a set of legal satisfiers, significant "poverty of needs" is experienced in practice due to excessive patient volume and structural constraints.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study examines patient rights practices in Turkey through the lens of Manfred Max-Neef’s "Human Scale Development" theory from an interdisciplinary perspective.
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Key Findings & Data:The analysis identifies that paternalistic tendencies in physician-patient communication in Turkey function as "inhibiting satisfiers" that suppress the patient’s needs for "Freedom" and "Understanding." The findings reveal that although the 1998 Patient Rights Regulation was designed as a set of legal satisfiers, significant "poverty of needs" is experienced in practice due to excessive patient volume and structural constraints.
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Conclusion & Impact:The ultimate goal is to propose a dignified practice model that positions the patient as the primary actor in their own health journey.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:hasta hakları · tıbbi sosyal hizmet · Max-Neef

Abstract

This study examines patient rights practices in Turkey through the lens of Manfred Max-Neef’s "Human Scale Development" theory from an interdisciplinary perspective. While patient rights are often treated as a legal obligation in current literature, this research redefines them as clinical manifestations of universal human needs such as subsistence, protection, understanding, participation, identity, and freedom. The analysis identifies that paternalistic tendencies in physician-patient communication in Turkey function as "inhibiting satisfiers" that suppress the patient’s needs for "Freedom" and "Understanding." The findings reveal that although the 1998 Patient Rights Regulation was designed as a set of legal satisfiers, significant "poverty of needs" is experienced in practice due to excessive patient volume and structural constraints. Within the framework of social work and social policy, the study emphasizes that health is not merely a clinical condition but an integrated state of physical, social, and mental well-being. Consequently, the study offers concrete practice and policy recommendations, including the construction of diversity-sensitive care environments, informed consent processes based on cultural humility, and data governance models that protect the identity rights of vulnerable groups. The ultimate goal is to propose a dignified practice model that positions the patient as the primary actor in their own health journey.

Özet

Bu çalışma, Türkiye’deki hasta hakları uygulamalarını Manfred Max-Neef’in "İnsani Ölçekli Kalkınma" kuramı üzerinden disiplinlerarası bir bakış açısıyla incelemektedir. Mevcut literatürde sıklıkla yasal bir zorunluluk olarak ele alınan hasta hakları; bu araştırmada hastanın geçim, korunma, anlama, katılım, kimlik ve özgürlük gibi evrensel insani gereksinimlerinin klinik ortamdaki tezahürleri olarak yeniden tanımlanmaktadır. Türkiye’de hekim-hasta iletişimindeki paternalistik eğilimlerin, hastanın "Özgürlük" ve "Anlama" ihtiyaçlarını baskılayan birer "engelleyici tatmin edici" olarak işlev gördüğü saptanmıştır. Analizler, 1998 tarihli Hasta Hakları Yönetmeliği’nin yasal birer tatmin edici olarak tasarlandığını, ancak aşırı hasta yoğunluğu ve yapısal kısıtlılıklar nedeniyle uygulamada ciddi "gereksinim yoksullukları" yaşandığını ortaya koymaktadır. Sosyal hizmet ve sosyal politika bağlamında; sağlığın sadece klinik bir durum değil, fiziksel, sosyal ve ruhsal refahın bütünleşik hali olduğu vurgulanmaktadır. Çalışma sonucunda; çeşitliliğe duyarlı bakım ortamlarının inşası, kültürel alçakgönüllülük temelli onam süreçleri ve hassas grupların kimlik haklarını koruyan veri yönetişimi modelleri gibi somut pratik ve politika önerileri sunulmaktadır. Nihai hedef, hastayı kendi sağlık yolculuğunun ana aktörü konumuna getiren insan onuruna yaraşır bir uygulama modeli önermektir.

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Cite This Article

Özdemir, E. A. (2026). Reframing Patient Rights in Turkey Through Max-Neef’s Human Scale Development Approach: A Holistic Analysis from Medical Social Work and Social Policy Perspectives. Sosyal Politika ve Sosyal Hizmet Çalışmaları Dergisi, Cilt: 7 Sayı: 1. https://doi.org/10.61861/spshcd.1904534

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