Year 2017, Volume 17 , Issue 36, Pages 71 - 102 2017-11-20

Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi
The Effects of the 2008 Health Reform on Out-of-Pocket Health Expenditures in Turkey

Eleftherios GIOVANIS [1] , Öznur ÖZDAMAR [2]


Türkiye sağlık sisteminde 2003 yılından bu yana önemli değişiklikler yaşanmış ve anlamlı reformlar yapılmıştır. Bunların en önemlilerinden biri hiçbir ek ödeme talep edilmeksizin yeşil kartlıların Emekli Sandığı, BAĞ-KUR, SSK gibi diğer kamusal sağlık sigortası yararlanıcıları ile aynı hizmetlerden yararlanmaya başladığı 2008 reformudur. Bu çalışma öncelikle Türkiye’deki sağlık sigortası planlarının özelliklerini, kamusal sigorta, özel sigorta ve yeşil kart sahipliği ile sigortasız olmanın bireyler açısından belirleyicilerini incelemektedir. Bunların yanı sıra 2008 reformunun cepten sağlık harcamaları üzerindeki etkisi analiz edilmiştir. Reformun özellikle yeşil kartlıların cepten sağlık harcamaları üzerindeki etkisinin analizi ilgili literatürde ilk defa bu çalışma ile yer bulacaktır. İlgili analizlerde 2002-2011 dönemini kapsayan TÜİK Hanehalkı Bütçe Anketi Mikro Veri Seti kullanılmış ve eğilim skoru eşleştirme yöntemiyle oluşturulan sözde panel verilere farkın farkı yöntemi uygulanmıştır. İlk bulgular, kamusal sağlık sigortası sahiplerinin yeşli kart sahipleri yada sigortasızlara oranla cepten daha az sağlık harcaması yaptıklarını göstermiştir. Bunun yanısıra 2008 reformu ile birlikte kamusal sigorta sahipleri ile yeşil kartlılar arasında cepten harcama farkının azaldığı tespit edilmiştir.

The Turkish health care system has been subject to significant and critical changes and reforms since 2003. One of the most important reforms has been implemented in 2008 where the Green Card holders are entitled to the same services, without any fee, as those with public health insurance, such as the Emekli Sandığı, BAĞKUR, SSK. This study initially examines the characteristics of health insurance schemes, determinants of holding one of the health insurance schemes (public, private, green card, no-insurance) in Turkey. It further analyses the effect of 2008 reform on out of pocket expenditures (OOPEs). The study will be the first in the related literature analysing the effect of this reform especially on the OOPEs of green card holders. The analysis relies on a detailed micro-data level survey, TUİK Household Budget Survey, over the period 2002-2011 and employs a difference-in-difference approach using a pseudo-panel based on propensity score matching. Initial results show that individuals who have public insurance are less inclined to face out-of-pocket health expenditures compared to those without health insurance and the Green Card holders. However, the difference of the OOPEs between the public health insurees and green card holders is reduced after the implementation of the 2008 reform.

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Journal Section Articles
Authors

Author: Eleftherios GIOVANIS

Author: Öznur ÖZDAMAR

Dates

Application Date : February 24, 2017
Acceptance Date : May 10, 2017
Publication Date : November 20, 2017

Bibtex @research article { auiibfd357616, journal = {Akdeniz İİBF Dergisi}, issn = {1302-9975}, eissn = {2667-7229}, address = {AKDENİZ ÜNİVERSİTESİ İKTİSADİ VE İDARİ BİLİMLER FAKÜLTESİ DEKANI DUMLUPINAR CAD. ANTALYA}, publisher = {Akdeniz University}, year = {2017}, volume = {17}, pages = {71 - 102}, doi = {10.25294/auiibfd.357616}, title = {Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi}, key = {cite}, author = {Gıovanıs, Eleftherios and Özdamar, Öznur} }
APA Gıovanıs, E , Özdamar, Ö . (2017). Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi . Akdeniz İİBF Dergisi , 17 (36) , 71-102 . DOI: 10.25294/auiibfd.357616
MLA Gıovanıs, E , Özdamar, Ö . "Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi" . Akdeniz İİBF Dergisi 17 (2017 ): 71-102 <https://dergipark.org.tr/en/pub/auiibfd/issue/32209/357616>
Chicago Gıovanıs, E , Özdamar, Ö . "Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi". Akdeniz İİBF Dergisi 17 (2017 ): 71-102
RIS TY - JOUR T1 - Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi AU - Eleftherios Gıovanıs , Öznur Özdamar Y1 - 2017 PY - 2017 N1 - doi: 10.25294/auiibfd.357616 DO - 10.25294/auiibfd.357616 T2 - Akdeniz İİBF Dergisi JF - Journal JO - JOR SP - 71 EP - 102 VL - 17 IS - 36 SN - 1302-9975-2667-7229 M3 - doi: 10.25294/auiibfd.357616 UR - https://doi.org/10.25294/auiibfd.357616 Y2 - 2017 ER -
EndNote %0 Akdeniz İİBF Dergisi Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi %A Eleftherios Gıovanıs , Öznur Özdamar %T Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi %D 2017 %J Akdeniz İİBF Dergisi %P 1302-9975-2667-7229 %V 17 %N 36 %R doi: 10.25294/auiibfd.357616 %U 10.25294/auiibfd.357616
ISNAD Gıovanıs, Eleftherios , Özdamar, Öznur . "Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi". Akdeniz İİBF Dergisi 17 / 36 (November 2017): 71-102 . https://doi.org/10.25294/auiibfd.357616
AMA Gıovanıs E , Özdamar Ö . Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi. Akdeniz İİBF Dergisi. 2017; 17(36): 71-102.
Vancouver Gıovanıs E , Özdamar Ö . Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi. Akdeniz İİBF Dergisi. 2017; 17(36): 71-102.
IEEE E. Gıovanıs and Ö. Özdamar , "Türkiye’de 2008 Yılı Sağlık Reformunun Cepten Yapılan Sağlık Harcamaları Üzerindeki Etkisi", Akdeniz İİBF Dergisi, vol. 17, no. 36, pp. 71-102, Nov. 2017, doi:10.25294/auiibfd.357616