@article{article_851235, title={Determinants of Health System Performance in Europe: A Study Based on Clustering Analysis}, journal={Acıbadem Üniversitesi Sağlık Bilimleri Dergisi}, volume={12}, pages={682–689}, year={2021}, DOI={10.31067/acusaglik.851235}, url={https://izlik.org/JA59NC44YK}, author={Balçık, Pınar Yalçın and Demirci, Şenol and Konca, Murat}, keywords={Clustering analysis, health systems, performance management}, abstract={Health system performance is influenced by many factors such as behavioral and educational factors other than health system indicators. The aim of this study was to evaluate the effects of behavioral risk factors and educational factors on the health system performance in European Union member and candidate countries. Clustering analysis method was employed in the study. Firstly, clustering analysis was performed using health indicators and then, indicators related to behavioral risk factors and education were included in the analysis and it was investigated whether indicators related to behavioral risk factors and education affected the clusters formed by using health indicators. 4 clusters were formed in the clustering analysis using the health indicators, 5 clusters were formed in the clustering analysis with the addition of indicators related to behavioral risk factors to the health indicators and finally 5 clusters were formed in the clustering analysis with the addition of indicators related to education to the health indicators. It was seen that behavioral risk factors and educational indicators caused changes in clusters formed of countries. Countries that want to improve their health status should take into account behavioral risk factors and the impact of education on health status.}, number={3}