World Applied Sciences Journal, cilt.5, sa.2, ss.224-235, 2008 (Hakemli Dergi)
Abstract: In the Twentieth Century, particularly in the last quarter, our world has been experiencing
unprecedentedly radical social changes. In the all range of today society, a common opinion has more and more
been pervading that a new world is arising shaped by new technologies, new institutional structures, new
culture and economy. This new situation in which economic, social, cultural and political events taking place
anywhere in the world have also influenced the other societies of the world and the interdependence has
increased refers to the process of globalization. Today, negative effects of neo-liberal policies are felt in
common of the world, not only remain limited with economic life, but also it has taken social field under its
influence. On the recent years, social security crisis occurred in developed countries has been spreading of the
world with gradually. Today, collected taxes in developed and developing countries doesn’t enough to present
health service on desired level. For this reason, it has been gone to the new policies and search of the resources
in health field. Health investments and health expenditures have been reduced and restricted, understanding
of the private insurance has becoming widespread in health sector day by day, it is concentrated on medical
treatment approach instead of protective and preventive services in health field. Therefore, inequalities of
reaching to health services among income groups are increasing more and more in our country like all of the
world. Problems in health system make difficult the low income groups’ life more than other citizens in Turkey.
Especially, poor families have person with chronic illness stay more alone in this process. In chronic illnesses
with terminal period are become crisis situation on its own for person and his/her family, therefore to increase
the effectiveness of treatment process, it is needed new approaches with social work focused in treatment.
Key words: Globalization, Neo-Liberalism, New health policies, Chronic illnesses with terminal period,
Family, Social support, Social work