Sağlıkta Hakkaniyet

Yıl 2022, Cilt: 5 Sayı: 3, 202 - 210, 21.12.2022

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https://doi.org/10.54189/hbd.1094643

Cited By: 1

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Hakkaniyet, ahlaki ve etik boyutu olan ve matematiksel eşitlik durumunun ötesinde bir kavramdır. Sağlıkta hakkaniyet, bireylerin ya da hane halklarının herhangi bir koşula bakılmaksızın ihtiyaç duyduğu sağlık hizmetini kullanabildiği durumu ifade etmektedir. Sağlıkta hakkaniyet “yatay” ve “dikey hakkaniyet” olmak üzere iki boyutta değerlendirilmektedir. Yatay hakkaniyet, eşit sağlık ihtiyacı olan bireylerin eşit düzeyde hizmet alabilmesidir. Dikey hakkaniyet ise, daha fazla sağlık ihtiyacı olan bireylere daha fazla sağlık hizmetinin sağlanması anlamına gelir. Dünyada özellikle az gelişmiş ya da gelişmekte olan ülkelerde hakkaniyetli sağlık konusunda çeşitli sorunlar yaşanmaktadır. Bu sorunlar büyük ölçüde sağlığın sosyal belirleyicileri olarak adlandırılan sosyal ve ekonomik faktörlerden ve sağlık hizmeti kullanımına dair yetersizliklerden kaynaklanmaktadır. Dünya Sağlık Örgütü çalışmalarında sağlıkta yaşanan hakkaniyetsizliklere vurgu yaparak, sağlık bakım sistemi ve sağlığın sosyal belirleyicilerine ilişkin yapılması gerekenler konusunda ülkelere öneriler geliştirmiş ve sağlıktaki hakkaniyetsizlikleri azaltmaları konusunda tavsiyelerde bulunmaktadır. Bu derlemede sağlıkta hakkaniyet kavramı, hakkaniyetin boyutları, sağlıkta hakkaniyeti artırmaya yönelik bilgiler sunulmaktadır.

Anahtar Kelimeler

Hakkaniyet, Sağlık, Sosyal Belirleyiciler, Sağlık Hizmeti Kullanımı

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

• Abimbola, S., Baatiema, L., & Bigdeli, M. (2019). The impacts of decentralization on health system equity, efficiency and resilience: A realist synthesis of the evidence. Health Policy and Planning, 34(8), 605–617. https://doi.org/10.1093/heapol/czz055
• Aksungur, A. (2020). Sağlık Hizmetleri Kullanımında Hakkaniyet: Türkiye Sağlık Sisteminin Değerlendirilmesi [Hacettepe Üniversitesi]. https://doi.org/Yayınlanmamış Doktora Tezi, Ankara.
• Alleyne, G. A. O. (2000). Reflexiones del Director / From the Director Equity and health 1. 7(1), 1–7.
• Anand, S. (2002). The concern for equity in health. Journal of Epidemiology and Community Health, 56(7), 485–487. https://doi.org/10.1136/jech.56.7.485
• Berkman LF, K. I. (Eds). (2003). Social Epidemiology: Berkman, LF, Kawachi I (Eds) Oxford University Press, New York, 2000, pp. 391. Health Education Research, 18(3), 404–407. https://doi.org/10.1093/her/cyg020
• Braveman, P. A. (2003). Monitoring equity in health and healthcare: A conceptual framework. Journal of Health Population and Nutrition, 21(3), 181–192.
• Braveman, P., & Gruskin, S. (2003). Defining equity in health. Journal of Epidemiology and Community Health, 57(4), 254–258. https://doi.org/10.1136/jech.57.4.254
• Braveman, P., Starfield, B., & Geiger, H. J. (2001). World Health Report 2000: How it removes equity from the agenda for public health monitoring and policy. British Medical Journal, 323(7314), 678–680. https://doi.org/10.1136/bmj.323.7314.678
• Braveman, P. (2006). Health disparities and health equity: Concepts and measurement. Annual Review of Public Health, 27, 167–194. https://doi.org/10.1146/annurev.publhealth.27.021405.102103
• Braveman, P. (2014). What is health equity: And how does a life-course approach take us further toward it? Maternal and Child Health Journal, 18(2), 366–372. https://doi.org/10.1007/s10995-013-1226-9 Çelik, Y. (2013). Sağlık Ekonomisi. Siyasal Kitabevi, Ankara
• Chang, W. C. (2002). The meaning and goals of equity in health. Journal of Epidemiology and Community Health, 56(7), 488–491. https://doi.org/10.1136/jech.56.7.488
• Commission on Social Determinants of Health. (2007). Achieving Health Equity: from root causes to fair outcomes, Interim Statement. World Health Organization, 370(9593), 1–78. http://www.sciencedirect.com/science/article/pii/S0140673607613853
• Cookson, R., Asaria, M., Ali, S., Ferguson, B., Fleetcroft, R., Goddard, M., Goldblatt, P., Laudicella, M., & Raine, R. (2016). Health Equity Indicators for the English NHS. In Centre for Health Economics (Issue 124). www.health_equity_indicators_for_the_English_NHS.pdf
• Coudouel, A., & Paternostro, S. (2005). Analyzing the Distributional Impact of Reforms. In Analyzing the Distributional Impact of Reforms. https://doi.org/10.1596/0-8213-6181-3
• Dei, V., & Sebastian, M. S. (2018). Is healthcare really equal for all? Assessing the horizontal and vertical equity in healthcare utilisation among older Ghanaians. International Journal for Equity in Health, 17(1), 1–12. https://doi.org/10.1186/s12939-018-0791-3
• Donev, D., Kovacic, L., & Laaser, U. (2013). The Role and Organization of Health Care Systems. In Health: Systems – Lifestyles – Policies (Volume I) (Issue October). https://www.researchgate.net/publication/257830385_The_Role_and_Organization_of_Health_Care_Systems/citation/download%0Ahttps://www.researchgate.net/publication/http://www.seejph.com/category/books/
• Dover, D. C., & Belon, A. P. (2019). The health equity measurement framework: A comprehensive model to measure social inequities in health. International Journal for Equity in Health, 18(1), 1–12. https://doi.org/10.1186/s12939-019-0935-0
• Uğurluoğlu, E.,&Özgen H. (2008). Sağlık Hizmetleri Finansmanı ve Hakkaniyet. Hacettepe Sağlık İdaresi Dergisi, 11(2), 1999–2026.
• Edwards, T. L., Breeyear, J., Piekos, J. A., & Velez Edwards, D. R. (2020). Equity in Health: Consideration of Race and Ethnicity in Precision Medicine. Trends in Genetics, 36(11), 807–809. https://doi.org/10.1016/j.tig.2020.07.001
• Eriksson, M., Dahlgren, L., Janlert, U., Weinehall, L., & Emmelin, M. (2010). Social Capital, Gender and Educational Level Impact on Self-Rated Health. The Open Public Health Journal, 3(1), 1–12. https://doi.org/10.2174/1874944501003010001
• Hahn, K., Steinhäuser, J., & Goetz, K. (2020). Equity in Health Care: A Qualitative Study with Refugees, Health Care Professionals, and Administrators in One Region in Germany. BioMed Research International, 2020, 1–8. https://doi.org/10.1155/2020/4647389
• Hugo, J. F. M., Couper, I. D., Thigiti, J., & Loeliger, S. (2010). Equity in health care: Does family med icine have a role? African Journal of Primary Health Care and Family Medicine, 2(1), 3–5. https://doi.org/10.4102/phcfm.v2i1.243 Islam, M. K., Merlo, J., Kawachi, I., Lindström, M., & Gerdtham, U. G. (2006). Social capital and health: Does egalitarianism matter? A literature review. International Journal for Equity in Health, 5(3), 1–28. https://doi.org/10.1186/1475-9276-5-3
• Novignon, A. L. (2014). [WIP] Mp r a. Economic Policy, MPRA Paper No:56897, 0–33. https://mpra.ub.uni-muenchen.de/568997
• Kim, D., & Saada, A. (2013). The social determinants of infant mortality and birth outcomes in western developed nations: A cross-country systematic review. International Journal of Environmental Research and Public Health, 10(6), 2296–2335. https://doi.org/10.3390/ijerph10062296
• Leclerc, A., Kaminski, M., & Lang, T. (2008). Closing the gap in a generation. Health equity through action on the social determinants of health. In World Health Organization (Vol. 57, Issue 4). https://doi.org/10.1016/j.respe.2009.04.006
• Manavgat, G. (2019). Sağlık Hizmetleri Finansmanında Dikey Hakkaniyet: Türkiye’de Cepten Yapılan Sağlık Ödemeleri için Konsantrasyon ve Lorenz Eğrileri Analizi (2002-2016). Ekonomik ve Sosyal Araştırmalar Dergisi, 15(2), 263–280.
• Morisod, K., Luta, X., Marti, J., Spycher, J., Malebranche, M., & Bodenmann, P. (2021). Measuring Health Equity in Emergency Care Using Routinely Collected Data: A Systematic Review. Health Equity, 5(1), 801–817. https://doi.org/10.1089/heq.2021.0035
• Murray, C. J., & Frenk, A. J. (2000). A Framework for assessing the performance of health systems. Bulletin of the world Health Organization. Bulletin of the World Health Organization, 78(6), 717–731. https://www.who.int/bulletin/archives/78(6)717.pdf?ua=1
• Murray, C. J. L., & Frenk, J. (2000). A WHO framework for health system performance assessment. 1–27. http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000600004&lng=en&nrm=iso&tlng=e
• Nolen, L. B., Braveman, P., Dachs, J. N. W., Delgado, I., Gakidou, E., Moser, K., Rolfe, L., Vega, J., & Zarowsky, C. (2005). Strengthening health information systems to address health equity challenges. Bulletin of the World Health Organization, 83(8), 597–603. https://doi.org//S0042-96862005000800013
• Northridge, M. E., & Freeman, L. (2011). Urban planning and health equity. Journal of Urban Health, 88(3), 582–597. https://doi.org/10.1007/s11524-011-9558-5
• Olayinka, A., Olaide, L., & Opeloyeru, S. (2016). Inequity in Healthcare Utilization: Analysis of the Nigeria Situation. International Journal of Business and Social Science, 7(5), 223–232. https://ijbssnet.com/journals/Vol_7_No_5_May_2016/21.pdf
• The World Health Organization, T. W. H. (1999). Health21 The health for all policy framework for the WHO European Region (Issue No.6).
• Östlin, P., Braveman, P., Dachs, J. N., Dahlgren, G., Diderichsen, F., Harris, E., Howden-Chapman, P., Labonte, R., Loewenson, R., McIntyre, D., Pannarunothai, S., Sen, G., Whitehead, M., Vega, J., Irwin, A., Panisset, U., & Valentine, N. (2005). Priorities for research to take forward the health equity policy agenda. Bulletin of the World Health Organization, 83(12), 948–953. https://doi.org//S0042-96862005001200018
• Peltzer, K., Williams, J. S., Kowal, P., Negin, J., Snodgrass, J. J., Yawson, A., Minicuci, N., Thiele, L., Phaswana-Mafuya, N., Biritwum, R. B., Naidoo, N., & Chatterji, S. (2014). Universal health coverage in emerging economies: Findings on health care utilization by older adults in China, Ghana, India, Mexico, the Russian Federation, and South Africa. Global Health Action, 7(1), 1–9. https://doi.org/10.3402/gha.v7.25314
• Petrera, M., Valdivia, M., Jimenez, E., & Almeida, G. (2013). Equity in health and health care in Peru, 2004-2008. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 33(2), 131–136. https://doi.org/10.1590/S1020-49892013000200008
• Sadana, R., Simpson, S., Popay, J., Albrect, D., & Hasseinpoor, A.R.2011). İmproving Equity in Health by Addressing Social Determinants. In World Health Organization. https://doi.org/10.4324/9780203866900
• Shadmi, E., Chen, Y., Dourado, I., Faran-Perach, I., Furler, J., Hangoma, P., Hanvoravongchai, P., Obando, C., Petrosyan, V., Rao, K. D., Ruano, A. L., Shi, L., De Souza, L. E., Spitzer-Shohat, S., Sturgiss, E., Suphanchaimat, R., Uribe, M. V., & Willems, S. (2020). Health equity and COVID-19: Global perspectives. International Journal for Equity in Health, 19(1), 1–16. https://doi.org/10.1186/s12939-020-01218-z
• Shah, G. H., Shankar, P., Schwind, J. S., & Sittaramane, V. (2020). The detrimental impact of the COVID-19 crisis on health equity and social determinants of health. Journal of Public Health Management and Practice, 26(4), 317–319. https://doi.org/10.1097/PHH.0000000000001200
• Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. http://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf Starfield, B. (2011). The hidden inequity in health care. International Journal for Equity in Health, 10(15), 1–3. https://doi.org/10.1186/1475-9276-10-15
• Tang, S., Meng, Q., Chen, L., Bekedam, H., Evans, T., & Whitehead, M. (2008). Tackling the challenges to health equity in China. The Lancet, 372(9648), 1493–1501. https://doi.org/10.1016/S0140-6736(08)61364-1
• The World Health Organization. (1998). World Health Report Life in the 21st Century A vision for all Report of the Director-General. In World Health Organization. https://doi.org/ISBN 92 4 156189 0
• Tsui, E. K. (2010). Sectoral job training as an intervention to improve health equity. American Journal of Public Health, 100(S1), 88–94. https://doi.org/10.2105/AJPH.2009.181826
• Türk Dil Kurumu. (1932). https://www.tdk.gov.tr/
• Venkatapuram, S., Bell, R., & Marmot, M. (2010). The right to sutures: Social epidemiology, human rights, and social justice. Health and Human Rights, 12(2), 3–16.
• Wagstaff, A., Paci, P., & van Doorslaer, E. (1991). On the measurement of inequalities in health. Social Science and Medicine, 33(5), 545–557. https://doi.org/10.1016/0277-9536(91)90212-U
• Wang, S. I., & Yaung, C. L. (2013). Vertical equity of healthcare in Taiwan: Health services were distributed according to need. International Journal for Equity in Health, 12(1), 1–8. https://doi.org/10.1186/1475-9276-12-12
• West-Charles, R. A. V. (2001). Equity & Health (Issue 8). https://doi.org/ISBN 9275122881
• Wilf-Miron, R., Avni, S., Valinsky, L., Myers, V., Ziv, A., Peretz, G., Luxenburg, O., Saban, M., & Feder-Bubis, P. (2021). Developing a National Set of Health Equity Indicators Using a Consensus Building Process. International Journal of Health Policy and Management, x(x), 1–11. https://doi.org/10.34172/ijhpm.2021.54
• Zhou, Z., Su, Y., Gao, J., Campbell, B., Zhu, Z., Xu, L., & Zhang, Y. (2013). Assessing equity of healthcare utilization in rural China: Results from nationally representative surveys from 1993 to 2008. International Journal for Equity in Health, 12(34), 1–9. https://doi.org/10.1186/1475-9276-12-34