Financial Sustainability Of Turkish Health Care System

Gülüzar Kurt Gümüş; Nehir Balcı

Research Article

Year 2018, Volume: 22 Issue: 4, 2265 - 2286, 31.12.2018

Gülüzar Kurt Gümüş , Nehir Balcı

Abstract

References

Angelis, A., Tordrup, D., & Kanavos, P. (2017). Is the Funding of Public National Health Systems Sustainable Over the Long Term? Evidence from Eight OECD Countries. Global Policy, 8(S2), pp. 7-22.
Atılgan, E., Kılıc, D., & Ertuğrul, H. M. (2017). The Dynamic Relationship Between Health Expenditure and Economic Growth: Is The Health-Led Growth Hypothesis Valid for Turkey? The European Journal of Health Economics, 18(5), 567-574.
BÜMKO, (2017). Bütçe ve Mali Kontrol Genel Müdürlüğü. http://www.bumko.gov.tr/TR,157/butce-buyuklukleri-ve-butce-gerceklesmeleri.html (01.06.2018).
Crisp, N. (2017). What Would a Sustainable Health and Care System Look like? BMJ: British Medical Journal, 358.
Di Matteo, L., & Di Matteo, R. (2012). The Fiscal Sustainability of Canadian Publicly Funded Healthcare Systems and the Policy Response to the Fiscal Gap. Canadian Health Services Research Foundation.
Harper, S. (2010) ‘The Capacity of Social Security and Health Care Institutions to Adapt to an Ageing World’, International Social Security Review, 63, 177–196.
IMF (2018) World Economic Outlook Database. https://www.imf.org/external/pubs/ft/weo/2018/01/weodata/download.aspx. (Accessed 18.06.2018).
Kalkınma Bakanlığı, (2013). Onuncu Kalkınma Planı (2014-2018), http://www.kalkinma.gov.tr/Lists/Kalknma%20Planlar/Attachments/12/Onuncu_Kalk%C4%B1nma_Plan%C4%B1.pdf (Accessed: 18.06.2018).
Kamaci, A., & Yazici, H. U. (2017). OECD Ülkelerinde Sağlik Harcamalarinin Ekonomik Büyüme Üzerindeki Etkisinin Ekonometrik Analizi. Sakarya İktisat Dergisi, 6(2), 52-69.
Knowles, J. C., Leighton, C., & Stinson W. (1997). Measuring Results of Health Sector Reform for System Performance: A Handbook of Indicators. In Special Initiative: Report (No. 1). Partnerships for Health Reform.
Miller, T. (2013). Sustainable Healthcare and the Role of Medical Technology, Arab Health Magazine, 3:64-66.
Moat, K. A., (2016). Addressing Health-System Sustainability in Ontario. McMaster Health Forum, 2016.
Odame, E.A, Akweongo, P, Yankah,B, Asenso-Boadi F & Agyepong I. (2013).Sustainability of Recurrent Expenditure on Public Social Welfare Programmes: Expenditure Analysis of The Free Maternal Care Programme of The Ghana National Health Insurance Scheme, Health Policy and Planning 2014;29, 271–279.
OECD, (2017a), Health at a Glance 2017 OECD Indicators. https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance_19991312, (Accessed 18.04.2018).
OECD, (2017b), Health Statistics Database, http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT, (Accessed 22.04.2018).
OECD, (2017c), Pension at a Glance 2017: OECD and G20 Indicators. https://www.oecd-ilibrary.org/search?value1=pension+at+glance+2017&option1=quicksearch&facetOptions=51&facetNames=pub_igoId_facet&operator51=AND&option51=pub_igoId_facet&value51=%27igo%2Foecd%27, (Accessed: 18.04.2018).
Özer, Ö., Yıldırım, H., Yıldırım, T. (2015). Sağlık Sistemlerinde Finansal Sürdürülebilirlik: Kuram ve Uygulama, (Yayınlanmış Doktora Tezi). ABSAM, Ankara.
Prada, G. Grimes, K. & Sklokin L. (2014). Defining Health and Health Care Sustainability, Ottawa: The Conference Board of Canada.
Prada G. (2012). Sustainability What Does This Mean for Canada's Health Care Systems. In Collaborative Meeting of the Conference Board of Canada’s Health-Related Executive Networks.
Rovere, M. C., & Skinner, B. J. (2011). Canada's Medicare Bubble: Is Government Health Spending Sustainable without User-Based Funding? Studies in Health Care Policy.
Ruggeri, G. C. (2002). Population Aging, Health Care Spending and Sustainability: Do We Really Have a Crisis? Caledon Institute of Social Policy.
Ruggeri, G. C. (2006). Health Care Spending, Fiscal Sustainability, and Public Investment. Saskatchewan Institute of Public Policy.
Sağlık Bakanlığı, (2012). Türkiye Sağlıkta Dönüşüm Programı Değerlendirme Raporu (2003-2011), http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/SDPturk.pdf, (01.02.2018).
Thomson, S., Võrk, A., Habicht, T., Rooväli, L., Evetovits, T., & Habicht, J. (2010). Responding to the Challenge of Financial Sustainability in Estonia’s Health System. WHO Regional Office for Europe.
Thomson, S. Foubister, T. Figueras, J. Kutzin, J. Permanand, G. ve Bryndová, L. (2009). Addressing Financial Sustainability in Health Systems, World Health Organization, Copenhagen Denmark.
Thomson, S. Foubister, T. ve Mossialos, E. (2008). Health Care Financing in the Context of Social Security, LSE Health and Social Care, London.
TUIK (2017), Türkiye İstatistik Kurumu, Sağlık Harcamaları İstatistikleri. http://www.tuik.gov.tr/PreTablo.do?alt_id=1084 (01.01.2018).
Wang, L. (2015). Does the` `National Free Health Care ''Have Financial Sustainability in China? A case of Shenmu County, Shaanxi Province, China. Technology and Health Care, 23(s1).
World Bank. (2017) World Development Indicators (WDI). Available https://data.worldbank.org/products/wdi. (17.04.2018).

Financial Sustainability Of Turkish Health Care System

Year 2018, Volume: 22 Issue: 4, 2265 - 2286, 31.12.2018

Gülüzar Kurt Gümüş , Nehir Balcı

Abstract

Sağlık
sistemlerinde sürdürülebilirlik ve sistemlerin finansal gücü ve reform çalışmalarıyla
finansal sürdürülebilirliğin nasıl sağlanabileceği, günümüzde politika
yapıcılar tarafından tartışılan başlıca konular arasında yer almaktadır. Bu
çalışmada sağlık harcamalarının temel makroekonomik değişkenlerle
karşılaştırması yapılmış, sürdürülebilirlik problemi araştırılmış ve sağlık
sisteminde sürdürülebilirliği etkileyebilecek dışsal faktörlerin ve kamu sağlık
harcamalarının gelecek projeksiyonları ile gelecekte Türk sağlık sisteminin
karşılaşması muhtemel senaryolar ortaya konmuştur. Çalışmanın sonuçları
1980’lerden günümüze gelen dönemde sağlık harcamalarının ekonomik büyümeden daha
fazla arttığını ortaya koymaktadır, fakat 2003
sonrasında yapılan reformlar sonucunda sağlık harcamalarındaki büyümenin
hız kesmesi nedeniyle, finansal sürdürülebilirliğin mümkün hale geldiği tespit
edilmiştir. Dışsal faktörlerin gelecek projeksiyonları, bu faktörlerdeki
gelişmeler nedeniyle sağlık sistemindeki finansal yükün gelecekte artacağını,
sağlık politika yapıcılarının bu durumu gözönünde bulundurmaları gerektiğini
göstermiştir.

Keywords

Türk Sağlık Sistemi, Sağlık Harcamaları

References

Angelis, A., Tordrup, D., & Kanavos, P. (2017). Is the Funding of Public National Health Systems Sustainable Over the Long Term? Evidence from Eight OECD Countries. Global Policy, 8(S2), pp. 7-22.
Atılgan, E., Kılıc, D., & Ertuğrul, H. M. (2017). The Dynamic Relationship Between Health Expenditure and Economic Growth: Is The Health-Led Growth Hypothesis Valid for Turkey? The European Journal of Health Economics, 18(5), 567-574.
BÜMKO, (2017). Bütçe ve Mali Kontrol Genel Müdürlüğü. http://www.bumko.gov.tr/TR,157/butce-buyuklukleri-ve-butce-gerceklesmeleri.html (01.06.2018).
Crisp, N. (2017). What Would a Sustainable Health and Care System Look like? BMJ: British Medical Journal, 358.
Di Matteo, L., & Di Matteo, R. (2012). The Fiscal Sustainability of Canadian Publicly Funded Healthcare Systems and the Policy Response to the Fiscal Gap. Canadian Health Services Research Foundation.
Harper, S. (2010) ‘The Capacity of Social Security and Health Care Institutions to Adapt to an Ageing World’, International Social Security Review, 63, 177–196.
IMF (2018) World Economic Outlook Database. https://www.imf.org/external/pubs/ft/weo/2018/01/weodata/download.aspx. (Accessed 18.06.2018).
Kalkınma Bakanlığı, (2013). Onuncu Kalkınma Planı (2014-2018), http://www.kalkinma.gov.tr/Lists/Kalknma%20Planlar/Attachments/12/Onuncu_Kalk%C4%B1nma_Plan%C4%B1.pdf (Accessed: 18.06.2018).
Kamaci, A., & Yazici, H. U. (2017). OECD Ülkelerinde Sağlik Harcamalarinin Ekonomik Büyüme Üzerindeki Etkisinin Ekonometrik Analizi. Sakarya İktisat Dergisi, 6(2), 52-69.
Knowles, J. C., Leighton, C., & Stinson W. (1997). Measuring Results of Health Sector Reform for System Performance: A Handbook of Indicators. In Special Initiative: Report (No. 1). Partnerships for Health Reform.
Miller, T. (2013). Sustainable Healthcare and the Role of Medical Technology, Arab Health Magazine, 3:64-66.
Moat, K. A., (2016). Addressing Health-System Sustainability in Ontario. McMaster Health Forum, 2016.
Odame, E.A, Akweongo, P, Yankah,B, Asenso-Boadi F & Agyepong I. (2013).Sustainability of Recurrent Expenditure on Public Social Welfare Programmes: Expenditure Analysis of The Free Maternal Care Programme of The Ghana National Health Insurance Scheme, Health Policy and Planning 2014;29, 271–279.
OECD, (2017a), Health at a Glance 2017 OECD Indicators. https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance_19991312, (Accessed 18.04.2018).
OECD, (2017b), Health Statistics Database, http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT, (Accessed 22.04.2018).
OECD, (2017c), Pension at a Glance 2017: OECD and G20 Indicators. https://www.oecd-ilibrary.org/search?value1=pension+at+glance+2017&option1=quicksearch&facetOptions=51&facetNames=pub_igoId_facet&operator51=AND&option51=pub_igoId_facet&value51=%27igo%2Foecd%27, (Accessed: 18.04.2018).
Özer, Ö., Yıldırım, H., Yıldırım, T. (2015). Sağlık Sistemlerinde Finansal Sürdürülebilirlik: Kuram ve Uygulama, (Yayınlanmış Doktora Tezi). ABSAM, Ankara.
Prada, G. Grimes, K. & Sklokin L. (2014). Defining Health and Health Care Sustainability, Ottawa: The Conference Board of Canada.
Prada G. (2012). Sustainability What Does This Mean for Canada's Health Care Systems. In Collaborative Meeting of the Conference Board of Canada’s Health-Related Executive Networks.
Rovere, M. C., & Skinner, B. J. (2011). Canada's Medicare Bubble: Is Government Health Spending Sustainable without User-Based Funding? Studies in Health Care Policy.
Ruggeri, G. C. (2002). Population Aging, Health Care Spending and Sustainability: Do We Really Have a Crisis? Caledon Institute of Social Policy.
Ruggeri, G. C. (2006). Health Care Spending, Fiscal Sustainability, and Public Investment. Saskatchewan Institute of Public Policy.
Sağlık Bakanlığı, (2012). Türkiye Sağlıkta Dönüşüm Programı Değerlendirme Raporu (2003-2011), http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/SDPturk.pdf, (01.02.2018).
Thomson, S., Võrk, A., Habicht, T., Rooväli, L., Evetovits, T., & Habicht, J. (2010). Responding to the Challenge of Financial Sustainability in Estonia’s Health System. WHO Regional Office for Europe.
Thomson, S. Foubister, T. Figueras, J. Kutzin, J. Permanand, G. ve Bryndová, L. (2009). Addressing Financial Sustainability in Health Systems, World Health Organization, Copenhagen Denmark.
Thomson, S. Foubister, T. ve Mossialos, E. (2008). Health Care Financing in the Context of Social Security, LSE Health and Social Care, London.
TUIK (2017), Türkiye İstatistik Kurumu, Sağlık Harcamaları İstatistikleri. http://www.tuik.gov.tr/PreTablo.do?alt_id=1084 (01.01.2018).
Wang, L. (2015). Does the` `National Free Health Care ''Have Financial Sustainability in China? A case of Shenmu County, Shaanxi Province, China. Technology and Health Care, 23(s1).
World Bank. (2017) World Development Indicators (WDI). Available https://data.worldbank.org/products/wdi. (17.04.2018).

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Details

Primary Language	Turkish
Journal Section	Makaleler
Authors	Gülüzar Kurt Gümüş Nehir Balcı This is me
Publication Date	December 31, 2018
Published in Issue	Year 2018 Volume: 22 Issue: 4

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APA	Kurt Gümüş, G., & Balcı, N. (2018). Financial Sustainability Of Turkish Health Care System. Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 22(4), 2265-2286.

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