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Managing expectations with emotional accountability: making City Hospitals accountable during the COVID-19 pandemic in Turkey

Author

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  • Istemi Demirag
  • Cemil Eren Fırtın
  • Ebru Tekin Bilbil

Abstract

Purpose - This paper explores the role of the COVID-19 pandemic in the financial and parliamentary accountability mechanisms of public-private partnership (PPP) “City Hospitals” in Turkey. Diverse and changing accountability mechanisms are explored regarding budgetary, affordability and emotions during the COVID-19 pandemic. Design/methodology/approach - This is a case study of City Hospitals in Turkey. Empirical data are collected and analyzed qualitatively from publicly available government and related sources, Turkish National Audit reports (Sayistay), strategic healthcare investment plans, relevant laws, decrees and NGO reports and news articles. Findings - Existing accountability mechanisms for arranging and/or delivering value-for-money (VfM) in Turkish PPP hospitals are weak. This provided policy makers with more flexibility to manage expectations of its citizens in dealing with COVID-19 pandemic. Political decision makers, through PPPs, created political capital for themselves by engaging in emotional accountability at the expense of better financial and parliamentary accountability. Originality/value - This article contributes to the literature by articulating how roles of accountability change in crisis and introduces the concept of emotional accountability during a period of heavy infrastructure investments in City Hospitals in Turkey.

Suggested Citation

  • Istemi Demirag & Cemil Eren Fırtın & Ebru Tekin Bilbil, 2020. "Managing expectations with emotional accountability: making City Hospitals accountable during the COVID-19 pandemic in Turkey," Journal of Public Budgeting, Accounting & Financial Management, Emerald Group Publishing Limited, vol. 32(5), pages 889-901, October.
    • Handle: RePEc:eme:jpbafm:jpbafm-07-2020-0097
    DOI: 10.1108/JPBAFM-07-2020-0097
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    Citations

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    Cited by:

    1. Songul Cinaroglu, 2024. "Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis," Health Care Management Science, Springer, vol. 27(1), pages 88-113, March.
    2. Hardi Warsono & Retna Hanani & Amni Zarkasyi Rahman, 2023. "Local Governments’ Financial Accountability Responses in Critical Time: Reflection from Intergovernmental Management in Indonesia During the Early Covid-19 Pandemic," Academic Journal of Interdisciplinary Studies, Richtmann Publishing Ltd, vol. 12, January.

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