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Turkey straddles the border of southeastern Europe and southwestern Asia and its neighbours are Armenia, Azerbaijan, Bulgaria, Georgia, Greece, Iran, Iraq, Syria, the Mediterranean Sea and the Black Sea. It is neither considered truly European nor Middle Eastern but is somewhere in between, although formal EU accession talks are now underway.
As part of Turkey's bid to join the EU, national legislation regarding medical device regulation has been aligned with that of the EU, although that process is not yet complete and the two systems are not yet identical. As a result of this alignment, the regulatory environment in Turkey is far more complex and the processes much more comprehensive than elsewhere in the Middle East.
The government has placed an emphasis on developing its healthcare system, with the goal of establishing a Universal Healthcare System by 2013 as part of its ongoing reforms for the healthcare sector. In 2006, the government formed the Social Security Institution (SSI), which effectively merged the various social security (health insurance) organisations namely SSK, BagKur and Emekli Sandigi.
Around 85% of the medical device market is supplied by imports, which have risen rapidly in the past decade. In 2011, imports rose by 17.6% over 2010 and by a 2007-2011 CAGR of 6.0%. Half of imports were sourced from the USA, Germany and China. In the 12 months to October 2012, imports decreased by 6.5% to US$1,888.0 million. In this period, dental products showed some growth but almost all other categories fell in value.
The prospects for the medical device market in Turkey remain good; buoyed by strong import growth trends, for which the country relies heavily on, and the expansion of healthcare facilities coupled with rising health expenditure should see the market grow at an attractive rate of 9.8% in the 2012-2017 period. The market is currently the largest in the region, and is among the top 30 in the world.
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