Koruyucu hizmetler sağlık harcamalarını azaltabilir mi?

Abstract

Tıp ve sağlık hizmetlerindeki gelişmeler nedeniyle tüm dünyada doğumda yaşam beklentisi artmaktadır. Bunun doğal sonucu olarak demografik açıdan yaşlı nüfus artmakta, epidemiyolojik açıdan da hastalık türleri ve ölüm nedenleri değişmektedir. Bu gelişmelere ek olarak tüm ülkelerde sağlık harcamaları kişi başına düşen milli gelir artışından daha hızlı artmakta ve yöneticileri sağlık harcamalarını kontrol konusunda arayışlara itmektedir. Sağlık harcamalarını azaltmak veya kontrol altına almak için en sık dile getirilen çözüm önerilerinden birisi koruyucu sağlık hizmet sunumuna ağırlık verilmesidir. Bu makalede yaşlı nüfusun sayısal artışının gerçekten sağlık harcamalarında artışa yol açıp açmadığı ve koruyucu hizmet sunumunun neden sağlık harcamalarını azaltıcı değil de tam tersine arttırıcı etkisinin olduğu konuları tartışılmıştır.

Keywords

• Yaşlılık,Koruyucu sağlık hizmetleri,Sağlık harcamaları

Can preventive services help to reduce health care expenditures?

Abstract

Life expectancy at birth is increasing globally due to rapid developments in medicine and health services.  As a consequence of this increase geriatric age group is growing and disease profiles are changing. Health care expenditures are also increasing rapidly parallel to these demographic and epidemiologic transformations. Increase of health care expenditures per capita is higher than the increase of GDP per capita in most countries and all decision-makers are struggling to control the increase. Focusing on preventive health services is among the most favorite solutions for controlling the health care expenditures. In this review article the influence of the increase of geriatric age group and the role of preventive health services to reduce health care expenditures are discussed.

Keywords

• Aged-population,Preventive services,Health care expenditures

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