these statistics will also form the basis for efforts to improve healthcare quality in turkey which have already been growing in recent years many oecd health systems separate responsibilities for running and monitoring healthcare services quite definitely and the creation of affiliated agencies under the ministry is a sign that turkey is seriously considering the benefits of greater devolution of responsibilities for the health system in the future turkey might consider putting greater distance between functions such as accreditation and health technology assessment and the central ministry of health especially when quality governance activities apply to public healthcare services as well as private healthcare services