THE RELATIONSHIP BETWEEN PHARMACEUTICAL EXPENDITURES WITH HEALTH OUTCOMES: AN APPLICATION OF CANONICAL CORRELATION ANALYSIS

Yıl 2017, Cilt: 35 Sayı: 2, 23 - 47, 30.06.2017

Songül Çınaroğlu

https://doi.org/10.17065/huniibf.324724

Cited By: 1

Öz

Health is one of the sectors
that best reflects main characteristics of service industry. Pharmaceutical
industry is a big industry for health care undergoing changes parallel with
variations in socio-demographic structure of the society. In recent years with
an effect of the aging of the population it becomes prior to examine the
relationship between main dynamics of pharmaceutical industry with health
outcomes. For this reason in this study the interaction between expenditures
for pharmaceuticals and health outcomes investigated for European countries
which are member of European Federation of Pharmaceutical Industries and
Associations including Turkey with canonical correlation analysis. As a result
of the study it is seen that there is a strong and meaningful relationship
between pharmaceutical expenditures and health outcome indicators (=0.73, p<0.05). Study results
shows that pharmaceutical expenditures are strong indicators of health outcomes
which are primary indicators of performance assessment in health system. This
result highlight the necessity of considering specific dynamics of pharmaceutical
industry in health system performance assessment for European countries which
are fighting with productivity management problem with an increasingly aging of
the population.

 

Anahtar Kelimeler

Pharmaceutical expenditures, health outcome measures, canonical correlation analysis

İLAÇ HARCAMALARININ SAĞLIK SONUÇLARI İLE İLİŞKİSİ: BİR KANONİK KORELASYON ANALİZİ UYGULAMASI

Öz

Sağlık
sektörü hizmet sektörünün temel karakteristiğini en iyi şekilde yansıtan
sektörlerin başında gelmektedir. İlaç endüstrisi sağlık alanı için büyük bir
endüstri olup toplumun sosyo-demografik yapısındaki değişimlere paralel olarak
değişime uğramaktadır. Son yıllarda özellikle Avrupa ülkelerinde yaşlanarak
sağlık ihtiyacı giderek artan toplum yapısının etkisi ile ilaç endüstrisinin
temel dinamiklerinin sağlık sonuçları ile ilişkisinin incelenmesi temel bir
gereklilik olarak ortaya çıkmıştır. Bu nedenle, bu çalışmada Türkiye’nin de
aralarında bulunduğu ve European Federation of Pharmaceutical Industries and Associations (EFPIA)’ya üye olan Avrupa ülkelerinde farklı
başlıklar itibariyle ilaç için yapılan harcamaların sağlık sonuçları ile olan
ilişkisi kanonik korelasyon analizi ile incelenmiştir. Analiz sonucunda ilaç
harcamaları ile sağlık sonuç göstergeleri arasında güçlü ve anlamlı (=0.73,
p<0.05) bir ilişki olduğu görülmüştür. Çalışma sonuçları sağlık sistemi
performansının değerlendirilmesinde temel bir ölçüt olan sağlık sonuçlarının
incelenmesinde ilaç için yapılan harcamaların güçlü bir gösterge olduğunu
ortaya koymaktadır. Bu sonuç, giderek yaşlanan nüfus ile birlikte ortaya çıkan
verimlilik yönetimi sorunu ile mücadele etmek durumunda olan Avrupa ülkeleri
için sağlık sistemi performans değerlendirmelerinde ilaç endüstrisine özgü
dinamikleri göz önünde bulundurmak gerekliliğini ortaya koymaktadır.

Anahtar Kelimeler

İlaç harcamaları, sağlık sonuç ölçütleri, kanonik korelasyon analizi

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