Araştırma Makalesi
BibTex RIS Kaynak Göster

Yıl 2023, Cilt: 5 Sayı: 2, 69 - 76, 31.07.2023

Sait Söyler Doğancan Çavmak

Öz

Kaynakça

  • Aday, L. A. and Andersen, R. (1974). A framework for the study of access to medical care. Health services research, 9(3), 208.
  • Akweongo, P., et al. (2021). Insured clients out-of-pocket payments for health care under the national health insurance scheme in Ghana. BMC Health Services Research, 21(1), 1-14.
  • Arcury, T. A., et al.(2005). The effects of geography and spatial behavior on health care utilization among the residents of a rural region. Health Services Research, 40(1), 135–155.
  • Ataguba, J. E. O., and Goudge, J. (2012). The impact of health insurance on health-care utilisation and out-of-pocket payments in South Africa. The Geneva Papers on Risk and Insurance-Issues and Practice, 37, 633-654.
  • Atanasova, E., et al. (2013). Out-of-pocket payments for health care services in Bulgaria: financial burden and barrier to access. The European Journal of Public Health, 23(6), 916-922.
  • Atun, R., et al. (2013). Universal health coverage in Turkey: enhancement of equity. The Lancet, 382(9886), 65-99.
  • Avsar, T. S., Erdem, R., and Akkas, E. (2017). Evaluation of the healthcare transformation programme in Turkey as a strategy for better health. Journal of international health sciences and management, 3(4), 11-19.
  • Cabrera-Barona, P., Blaschke, T., and Kienberger, S. (2017). Explaining accessibility and satisfaction related to healthcare: a mixed-methods approach. Social indicators research, 133, 719-739.
  • Dominic, A., Ogundipe, A., and Ogundipe, O. (2019). Determinants of women access to healthcare services in Sub-Saharan Africa. The Open Public Health Journal, 12(1).
  • Falkingham, J. (2004). Poverty, out-of-pocket payments and access to health care: evidence from Tajikistan. Social science and medicine, 58(2), 247-258.
  • Gu, D., Zhang, Z., and Zeng, Y. (2009). Access to healthcare services makes a difference in healthy longevity among older Chinese adults. Social science & medicine, 68(2), 210-219.
  • Gulliford, M., et al. (2002). What does' access to health care'mean?. Journal of health services research & policy, 7(3), 186-188. https://stats.oecd.org/
  • Kockaya, G., Oguzhan, G., and Çalışkan, Z. (2021). Changes in catastrophic health expenditures depending on health policies in Turkey. Frontiers in Public Health, 8, 614449.
  • Luo, W., and Wang, F. (2003). Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in the Chicago region. Environment and planning B: planning and design, 30(6), 865-884.
  • McGrail, M. R. (2012). Spatial accessibility of primary health care utilising the two step floating catchment area method: an assessment of recent improvements. International journal of health geographics, 11(1), 1-12.
  • McGrail, M.R. and Humphreys J.S. (2009). Measuring spatial accessibility to primary care in rural areas: improving the effectiveness of the two-step floating catchment area method. Appl Geogr, 29:533–541.
  • Oğuzhan, G., et al. (2021). Out-of-Pocket Healthcare Expenditures of Households Living With Rare Diseases. Reserach Square. https://doi.org/10.21203/rs.3.rs-540029/v1
  • Pan, X.,et al. (2018). Evaluating the accessibility of healthcare facilities using an integrated catchment area approach. International Journal of Environmental Research and Public Health, 15(9), 2051.
  • Penchansky, R., and Thomas, J. W. (1981). The concept of access: definition and relationship to consumer satisfaction. Medical care, 127-140.
  • Pu, Q., et al. (2020). Improving the spatial accessibility of healthcare in North Kivu, Democratic Republic of Congo. Applied Geography, 121, 102262.
  • Salkever, D. S. (1976). Accessibility and the demand for preventive care. Social Science & Medicine (1967), 10(9-10), 469-475.
  • Schokkaert, E., Steel, J., and Van de Voorde, C. (2017). Out-of-pocket payments and subjective unmet need of healthcare. Applied health economics and health policy, 15, 545-555.
  • Sibley, L. M., and Weiner, J. P. (2011). An evaluation of access to health care services along the rural-urban continuum in Canada. BMC health services research, 11(1), 1-11.
  • Tao, Z., et al. (2018). Measuring spatial accessibility to healthcare services with constraint of administrative boundary: A case study of Yanqing District, Beijing, China. International Journal for Equity in Health, 17(1), 1-12.
  • Tengilimoğlu, D., et al. (2015). Informal payments in health systems: purpose and occurrences in Turkey. Journal of Social Service Research, 41(5), 684-696.
  • Tsawe, M., and Susuman, A. S. (2014). Determinants of access to and use of maternal health care services in the Eastern Cape, South Africa: a quantitative and qualitative investigation. BMC research notes, 7(1), 1-10.
  • Wang, F. and Luo W. (2005) Assessing spatial and nonspatial factors for healthcare access: towards an integrated approach to defining health professional shortage areas. Health Place, 11, 131–146
  • Wendt, C. (2009). Mapping European healthcare systems: a comparative analysis of financing, service provision and access to healthcare. Journal of European Social Policy, 19(5), 432-445.
  • WHO (2017). https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses
  • WHO (2022). Health systems in action: Türkiye: 2022 Edition.
  • World Bank (2018). https://www.worldbank.org/en/results/2018/04/02/turkish-health-transformation-program-and-beyond
  • Yardim, M. S., and Uner, S. (2018). Equity in access to care in the era of health system reforms in Turkey. Health Policy, 122(6), 645-651.
  • Yetim, B., and Çelik, Y. (2020). Sağlık hizmetlerine erişim: Karşılanmamış ihtiyaçlar sorunu. Toplum ve Sosyal Hizmet, 31(2), 423-440.

AN EVALUATION OF ACCESS TO HEALTHCARE SERVICES IN TÜRKİYE

Yıl 2023, Cilt: 5 Sayı: 2, 69 - 76, 31.07.2023

Sait Söyler Doğancan Çavmak

Öz

Access to health services is an important determinant of a society's health indicators and it consists of various dimensions. These dimensions consist of physical capacity, human resources and economic indicators. Therefore, this study aims to provide a general evaluation of access to healthcare services in Turkey comparing with OECD countries based on historical statistical data. In the research, it has been determined that many health indicators of Turkey have improved over the years. Despite improvements in the number of doctors, nurses and hospital beds, Turkey is still behind the OECD average in these indicators. Although the number of applications to physicians is above the OECD average, the fact that these applications occur with proportionally fewer physicians can be a problematic point. Although there have been improvements over the years in out-of-pocket payments and catastrophic health expenditures, it has been determined that there has been an increase in these indicators in recent years. As a result, there is still a need for improvement in many areas. Therefore, it is recommended that policymakers prioritize areas that are lagging behind in resource allocation.

Anahtar Kelimeler

Accessibility Healthcare Services Health Indicators Access to Healthcare

Kaynakça

  • Aday, L. A. and Andersen, R. (1974). A framework for the study of access to medical care. Health services research, 9(3), 208.
  • Akweongo, P., et al. (2021). Insured clients out-of-pocket payments for health care under the national health insurance scheme in Ghana. BMC Health Services Research, 21(1), 1-14.
  • Arcury, T. A., et al.(2005). The effects of geography and spatial behavior on health care utilization among the residents of a rural region. Health Services Research, 40(1), 135–155.
  • Ataguba, J. E. O., and Goudge, J. (2012). The impact of health insurance on health-care utilisation and out-of-pocket payments in South Africa. The Geneva Papers on Risk and Insurance-Issues and Practice, 37, 633-654.
  • Atanasova, E., et al. (2013). Out-of-pocket payments for health care services in Bulgaria: financial burden and barrier to access. The European Journal of Public Health, 23(6), 916-922.
  • Atun, R., et al. (2013). Universal health coverage in Turkey: enhancement of equity. The Lancet, 382(9886), 65-99.
  • Avsar, T. S., Erdem, R., and Akkas, E. (2017). Evaluation of the healthcare transformation programme in Turkey as a strategy for better health. Journal of international health sciences and management, 3(4), 11-19.
  • Cabrera-Barona, P., Blaschke, T., and Kienberger, S. (2017). Explaining accessibility and satisfaction related to healthcare: a mixed-methods approach. Social indicators research, 133, 719-739.
  • Dominic, A., Ogundipe, A., and Ogundipe, O. (2019). Determinants of women access to healthcare services in Sub-Saharan Africa. The Open Public Health Journal, 12(1).
  • Falkingham, J. (2004). Poverty, out-of-pocket payments and access to health care: evidence from Tajikistan. Social science and medicine, 58(2), 247-258.
  • Gu, D., Zhang, Z., and Zeng, Y. (2009). Access to healthcare services makes a difference in healthy longevity among older Chinese adults. Social science & medicine, 68(2), 210-219.
  • Gulliford, M., et al. (2002). What does' access to health care'mean?. Journal of health services research & policy, 7(3), 186-188. https://stats.oecd.org/
  • Kockaya, G., Oguzhan, G., and Çalışkan, Z. (2021). Changes in catastrophic health expenditures depending on health policies in Turkey. Frontiers in Public Health, 8, 614449.
  • Luo, W., and Wang, F. (2003). Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in the Chicago region. Environment and planning B: planning and design, 30(6), 865-884.
  • McGrail, M. R. (2012). Spatial accessibility of primary health care utilising the two step floating catchment area method: an assessment of recent improvements. International journal of health geographics, 11(1), 1-12.
  • McGrail, M.R. and Humphreys J.S. (2009). Measuring spatial accessibility to primary care in rural areas: improving the effectiveness of the two-step floating catchment area method. Appl Geogr, 29:533–541.
  • Oğuzhan, G., et al. (2021). Out-of-Pocket Healthcare Expenditures of Households Living With Rare Diseases. Reserach Square. https://doi.org/10.21203/rs.3.rs-540029/v1
  • Pan, X.,et al. (2018). Evaluating the accessibility of healthcare facilities using an integrated catchment area approach. International Journal of Environmental Research and Public Health, 15(9), 2051.
  • Penchansky, R., and Thomas, J. W. (1981). The concept of access: definition and relationship to consumer satisfaction. Medical care, 127-140.
  • Pu, Q., et al. (2020). Improving the spatial accessibility of healthcare in North Kivu, Democratic Republic of Congo. Applied Geography, 121, 102262.
  • Salkever, D. S. (1976). Accessibility and the demand for preventive care. Social Science & Medicine (1967), 10(9-10), 469-475.
  • Schokkaert, E., Steel, J., and Van de Voorde, C. (2017). Out-of-pocket payments and subjective unmet need of healthcare. Applied health economics and health policy, 15, 545-555.
  • Sibley, L. M., and Weiner, J. P. (2011). An evaluation of access to health care services along the rural-urban continuum in Canada. BMC health services research, 11(1), 1-11.
  • Tao, Z., et al. (2018). Measuring spatial accessibility to healthcare services with constraint of administrative boundary: A case study of Yanqing District, Beijing, China. International Journal for Equity in Health, 17(1), 1-12.
  • Tengilimoğlu, D., et al. (2015). Informal payments in health systems: purpose and occurrences in Turkey. Journal of Social Service Research, 41(5), 684-696.
  • Tsawe, M., and Susuman, A. S. (2014). Determinants of access to and use of maternal health care services in the Eastern Cape, South Africa: a quantitative and qualitative investigation. BMC research notes, 7(1), 1-10.
  • Wang, F. and Luo W. (2005) Assessing spatial and nonspatial factors for healthcare access: towards an integrated approach to defining health professional shortage areas. Health Place, 11, 131–146
  • Wendt, C. (2009). Mapping European healthcare systems: a comparative analysis of financing, service provision and access to healthcare. Journal of European Social Policy, 19(5), 432-445.
  • WHO (2017). https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses
  • WHO (2022). Health systems in action: Türkiye: 2022 Edition.
  • World Bank (2018). https://www.worldbank.org/en/results/2018/04/02/turkish-health-transformation-program-and-beyond
  • Yardim, M. S., and Uner, S. (2018). Equity in access to care in the era of health system reforms in Turkey. Health Policy, 122(6), 645-651.
  • Yetim, B., and Çelik, Y. (2020). Sağlık hizmetlerine erişim: Karşılanmamış ihtiyaçlar sorunu. Toplum ve Sosyal Hizmet, 31(2), 423-440.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Politikası
Bölüm Research Article
Yazarlar

Sait Söyler 0000-0002-7915-0073

Doğancan Çavmak 0000-0002-3329-4573

Yayımlanma Tarihi 31 Temmuz 2023
Kabul Tarihi 13 Haziran 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 5 Sayı: 2

Kaynak Göster

APA Söyler, S., & Çavmak, D. (2023). AN EVALUATION OF ACCESS TO HEALTHCARE SERVICES IN TÜRKİYE. Aurum Journal of Health Sciences, 5(2), 69-76.