These statistics will also form the basis for efforts to improve health-care quality in Turkey, which have already been growing in recent years. Many OECD health systems separate responsibilities for running and monitoring health-care services quite definitely, and the creation of 4 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 health-care services as well as private health-care services.