The Effect of Universal Health Coverage on Health Outcomes: The Case of Türkiye

Year 2024, , 490 - 502, 31.05.2024

Murat Konca

https://doi.org/10.29023/alanyaakademik.1342126

Abstract

Bu çalışmanın amacı, Türkiye'de Genel Sağlık Sigortası uygulamasının doğumda beklenen yaşam süresi (yıl olarak) üzerindeki etkisini incelemektir. Çalışmada, Otoregresif Dağıtılmış Gecikme Sınırları (ARDL) testi modeli kullanılmıştır. Çalışma modelinin bağımsız değişkenleri, hekim sayısı (1.000 kişi başına), sağlık harcamalarının gayri safi yurt içi hasılaya oranı ve Genel Sağlık Sigortası uygulamasıdır. Bağımlı değişken olarak ise, doğumda beklenen yaşam süresi seçilmiştir. Sağlık harcamalarının gayri safi yurtiçi hasılaya oranının (p=0,001) ve Genel Sağlık Sigortası uygulamasının (p=0,011) uzun dönemde doğumda beklenen yaşam süresi üzerinde istatistiksel olarak anlamlı ve pozitif etkileri olduğu bulunmuştur. Ayrıca, Genel Sağlık Sigortası uygulamasının kısa dönemde doğumda beklenen yaşam süresi üzerinde istatistiksel olarak anlamlı ve pozitif bir etkisi olduğu bulunmuştur (p=0,001). ARDL sonrasında sonuçların sağlamlığı, Tam Düzeltilmiş Sırasal En Küçük Kareler Regresyonu, Dinamik Sırasal En Küçük Kareler Regresyonu ve Kanonik Eşbütünleşme Regresyonu ile test edilmiştir.

Keywords

Genel Sağlık Sigortası, Doğumda Beklenen Yaşam Süresi, ARDL Sınır Testi

The Effect of Universal Health Coverage on Health Outcomes: The Case of Türkiye

Abstract

This study aimed to examine the effect of Universal Health Coverage practice on life expectancy at birth (as years) in Türkiye. An autoregressive distributed lag bounds testing (ARDL) model was used. The independent variables were the number of physicians (per 1,000 people), the ratio of health expenditures to the gross domestic product, and the Universal Health Coverage practice in the study model. Life expectancy at birth was selected as the dependent variable. The ratio of health expenditures to the gross domestic product (p=0.001) and Universal Health Coverage practice (p=0.011) were found to have statistically significant and positive effects on life expectancy at birth in the long run. Universal Health Coverage practice was also found to have a statistically significant and positive effect on life expectancy at birth in the short run (p=0.001). After ARDL, the robustness of results was tested with Fully Modified Ordinary Least Squares, Dynamic Ordinary Least Squares, and Canonical Cointegrating Regressions.

Keywords

Universal Health Coverage, Life Expectancy at Birth, ARDL Bounds Testing

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