Öz
Aim: The aim of this study was to put forth the similarities and differences between the OECD Organisation for Economic Co-operation and Development countries while placing the them into two or more groups and determining which variables cause similarities and differences in terms of health indicators and compare them with Turkey.Methods: The study was conducted in 34 OECD countries. Descriptive statistics have been collected/calculated using health indicators appointed by WHO World Health Organization . A multidimensional scaling analysis MDS has been used to examine the similarities and the differences between the countries with Statistical Package for the Social Sciences SPSS 20.0 software.Results: Turkey, Mexico, Chile and the Republic of South Korea are perceived similar in terms of health systems indicators variables as a result of MDS. Greece 4.538 , United States 4,438 , Switzerland 4.044 , Portugal 4,160 , Australia 4,018 , Spain 4.062 and Japan where is the number for Japan are the coutries having the biggest differences with Turkey in terms of the twelve health sytems indicators among the OECD countiries. Annual growth in health expenditures and neonatal infant mortality rates are the most significant factors that separate Turkey from the other countries. Conclusion: In order to further develop the health sytem in Turkey, policy makers must take into an account the similarities and differences between Turkey and the OECD countries
Anahtar Kelimeler
Kaynakça
- Alva S, Kleinau E, Pomeroy A, Rowan K. Measuring the Impact of Health Systems Strengthening. Agency for International Development. 2009; 1: 8.
- WHO Official website, http://www.who.int/countries/en/ (Date of Access: 20.07.2015)
- Tandon A. Measuring Efficiency of Macro Systems: An Application to Millennium Development Goal Attainment. Asian Development Bank. 2005; 1.
- Kocak O. Health Services and Development in the Health Sector in the Welfare State in Turkey. Industrial Relatıons And Human Resources Journal, 2011; 13: 61-82.
- Arslanhan S. How Increasing Health Costs Affect Health Indicators?. Report of the Economic Policy Research Foundation of Turkey. 2010.
- OECD Official Website. OECD Health Data: http://www.oecd.org/els/ health-systems/health-data.htm (Date of Access: 25.07.2015).
- Kalaycı Ş. Multivariate Statistical Techniques SPSS Applied 6th Edition. Ankara: Asil Press, 2014: 379-86.
- Wickelmaier F. An Introduction to Multidimensional Scaling (MDS). Sound Quality Research Unit. 2013; 1.
- Yenidoğan T. G. The Multidimensional Scaling Analysis In Marketing Research: A Research On The Brand Perception Of University Students. Journal of Akdeniz University Faculty of Economics and Administrative Sciences. 2008; 15: 138-69.
- Everitt B. Howell D. Encyclopedia of Statistics in Behavioral Science. 3.Edition. John Wiley & Sons,Ltd., 2005.
- UNESCO, Multidimensional Scaling:http://www.unesco.org/webworld/ idams/advguide/Chapt8.htm (Dates Of Access: 15.02.2016).
- Statistic Text Book, Multidimensional Scaling, http://documents. software.dell.com/Statistics/Textbook/Multidimensional-Scaling, (Dates of Access:15.02.2016).
- Ersöz F. Analysis of Health Levels and Health Spending in OECD Countries and Turkey. Statisticians Journal. 2008; 2: 95-104.
- Rehimli S, Ocakoğlu G, Sığırlı D, Büyükuysak MS. Evaluation of Woman Health Indicators for Turkey and OECD Union Members. The Journal of Inonu University Medical Faculty. 2008; 15: 261-6.
- Sığırlı D, Ediz B, Cangur Sengül, Ercan Ilker, Kan Ismet. Examination of Turkey’s and European Union Member States’ Health Indicators with Multidimensionel Scaling. The Journal of Inonu University Medical Faculty. 2006; 13: 81-5.
- Schieber GJ, Poullier JP, Greenwald LM. Health Spending, Delivery, Outcomes in OECD Countries. Health Affairs.1992; 12: 120-9.
- Anderson GF, Hussey PS, Frogner BK, Waters HR. Health Spending In The United States And The Rest Of The Industrialized World. Health Affairs.2005; 24: 903-14.
- Barlas E, Santas F, Kar A. Comparative Analysis of Regional Infant Mortality Rate in the Health Economics Perspective in Turkey. 2 Internatonal Conference On Eurasian Economies; 2014 July 1-3; Skopje – Macedonia. p. 959-70.
- Martínez J, Martineau T. Human Resources in the Health Sector: An International Perspective. London: Health Systems Resource Center. 2014.
Öz
Amaç: Bu çalışmanın amacı Türkiye temelli olarak seçilmiş sağlık göstergeleri açısından OECD ülkelerinin benzerlik ve farklılık analizini yapmak, ülkeleri sağlık göstergelerine göre alt gruplara ayırmak ve farklılıklara ve benzerliklere neden olan değişkenleri belirlemektir. Hastalar ve Yöntem: Çalışma Dünya Sağlık Örgütü tarafından sağlık sistemi göstergesi olarak gösterilen değişkenler yardımı ile 34 OECD ülkesinde gerçekleştirilmiştir. Öncelikle sağlık göstergeleri ile tanımlayıcı istatistikler gerçekleştirilmiş daha sonra ise Çok Boyutlu Ölçekleme Analizi yardımı ile ülkeler arasındaki benzerlik ve farklılıklar Statistical Package for the Social Sciences SPSS 20.0 paket programı aracılığıyla gerçekleştirilmiştir. Bulgular: Çalışma sonuçlarına göre Türkiye, Meksika, Şili ve Kore Cumhuriyeti ile sağlık göstergeleri açısından benzer algılanmaktadır ve OECD ülkeleri arasında bir alt grubu oluşturmaktadır. Yunanistan, Amerika Birleşik Devletleri, İsviçre, Portekiz, Avusturalya, İspanya ve Japonya OECD ülkeleri içinde sağlık göstergeleri açısından Türkiye’nin en benzemez olduğu ülkelerdir. Sağlık harcamalarındaki bir yıllık büyüme oranı ve neonatal bebek ölüm hızı Türkiye’yi diğer ülkelerden ayıran en önemli sağlık göstergeleri olarak bulunmuştur.Sonuç: Ülkemizin sağlık sisteminin geliştirilmesi ve sağlık çıktılarının iyileşmesi için politika yapıcılara Türkiye ile OECD ülkeleri arasındaki farklılıkları dikkate almaları önerilmektedir
Anahtar Kelimeler
Kaynakça
- Alva S, Kleinau E, Pomeroy A, Rowan K. Measuring the Impact of Health Systems Strengthening. Agency for International Development. 2009; 1: 8.
- WHO Official website, http://www.who.int/countries/en/ (Date of Access: 20.07.2015)
- Tandon A. Measuring Efficiency of Macro Systems: An Application to Millennium Development Goal Attainment. Asian Development Bank. 2005; 1.
- Kocak O. Health Services and Development in the Health Sector in the Welfare State in Turkey. Industrial Relatıons And Human Resources Journal, 2011; 13: 61-82.
- Arslanhan S. How Increasing Health Costs Affect Health Indicators?. Report of the Economic Policy Research Foundation of Turkey. 2010.
- OECD Official Website. OECD Health Data: http://www.oecd.org/els/ health-systems/health-data.htm (Date of Access: 25.07.2015).
- Kalaycı Ş. Multivariate Statistical Techniques SPSS Applied 6th Edition. Ankara: Asil Press, 2014: 379-86.
- Wickelmaier F. An Introduction to Multidimensional Scaling (MDS). Sound Quality Research Unit. 2013; 1.
- Yenidoğan T. G. The Multidimensional Scaling Analysis In Marketing Research: A Research On The Brand Perception Of University Students. Journal of Akdeniz University Faculty of Economics and Administrative Sciences. 2008; 15: 138-69.
- Everitt B. Howell D. Encyclopedia of Statistics in Behavioral Science. 3.Edition. John Wiley & Sons,Ltd., 2005.
- UNESCO, Multidimensional Scaling:http://www.unesco.org/webworld/ idams/advguide/Chapt8.htm (Dates Of Access: 15.02.2016).
- Statistic Text Book, Multidimensional Scaling, http://documents. software.dell.com/Statistics/Textbook/Multidimensional-Scaling, (Dates of Access:15.02.2016).
- Ersöz F. Analysis of Health Levels and Health Spending in OECD Countries and Turkey. Statisticians Journal. 2008; 2: 95-104.
- Rehimli S, Ocakoğlu G, Sığırlı D, Büyükuysak MS. Evaluation of Woman Health Indicators for Turkey and OECD Union Members. The Journal of Inonu University Medical Faculty. 2008; 15: 261-6.
- Sığırlı D, Ediz B, Cangur Sengül, Ercan Ilker, Kan Ismet. Examination of Turkey’s and European Union Member States’ Health Indicators with Multidimensionel Scaling. The Journal of Inonu University Medical Faculty. 2006; 13: 81-5.
- Schieber GJ, Poullier JP, Greenwald LM. Health Spending, Delivery, Outcomes in OECD Countries. Health Affairs.1992; 12: 120-9.
- Anderson GF, Hussey PS, Frogner BK, Waters HR. Health Spending In The United States And The Rest Of The Industrialized World. Health Affairs.2005; 24: 903-14.
- Barlas E, Santas F, Kar A. Comparative Analysis of Regional Infant Mortality Rate in the Health Economics Perspective in Turkey. 2 Internatonal Conference On Eurasian Economies; 2014 July 1-3; Skopje – Macedonia. p. 959-70.
- Martínez J, Martineau T. Human Resources in the Health Sector: An International Perspective. London: Health Systems Resource Center. 2014.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2016 |
| Yayımlandığı Sayı | Yıl 2016Sayı: 3 |