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Herkes için Sağlık? Türkiye'de Sağlık Hizmetleri Kullanımında Eşitlik Üzerine Bir Araştırma

Year 2025, Volume: 8 Issue: 5, 494 - 515, 15.10.2025
https://doi.org/10.59445/ijephss.1719000

Abstract

Sağlık hizmetleri kullanımında eşitsizlikler gelir temelli, mesleki veya bölgesel faktörlerden kaynaklanabilir. Bu eşitsizlikler, önlenebilir ve haksız nedenlerle sağlık hizmetlerinin kullanımını engellediğinde politika yapıcılar tarafından müdahale gerektirir. 2003 yılında başlatılan Sağlıkta Dönüşüm Programı bu nitelikte bir politika müdahalesi olarak kabul edilebilir. Bu program sağlık hizmetlerinin etkinliğini, verimliliğini ve eşitliğini sağlamayı amaçlamaktadır. Ancak bu politika değişikliğinden kaynaklanan refah düzeyinin analiz edilmesi gerekmektedir. Çalışma, literatürdeki bu boşluğa odaklanmayı amaçlamaktadır. Çalışma, Sağlıkta Dönüşüm Programı’ndan sonra sağlık hizmetleri kullanımında eşitlik ilkesinin sağlanıp sağlanamadığını incelemektedir. Çalışmanın bu amacı için Türkiye Sağlık Araştırması veri seti analiz edilecektir. Probit modeli tahminlerinin sonuçları, Türkiye’de gelir temelli eşitsizliğe ek olarak sağlık hizmetleri kullanımında bölgesel eşitsizliğin de olduğunu göstermektedir. Ayrıca, belirli meslek grupları arasında eşitsizlik kanıtları gözlemlenmiştir. Türkiye’de sağlık hizmetlerinin kullanımındaki eşitsizleri gidermek için politikaların daha hassas bir şekilde uygulanması zorunludur. Sağlık politikalarının, özellikle gelir, servet ve istihdam politikaları ile desteklenmesi gerekir.

Ethical Statement

Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.

Supporting Institution

Çalışma, kamusal, özel, ticari nitelikte ya da kar amacı gütmeyen herhangi bir kurumdan destek alınmadan hazırlanmıştır.

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Health for All? A Study on Equity in Health Services Utilization in Turkey

Year 2025, Volume: 8 Issue: 5, 494 - 515, 15.10.2025
https://doi.org/10.59445/ijephss.1719000

Abstract

Inequities in the utilization of health services may stem from income-related, occupational, or region-based factors. These inequities require intervention by policymakers when they prevent individuals from utilizing health services for avoidable and unjust reasons. The Health Transformation Program, initiated in 2003, can be regarded as a policy intervention of this nature. This program aims to enhance the effectiveness, efficiency, and equity of health services. However, the level of prosperity resulting from this policy change still needs to be analyzed. This study addresses this gap in the literature. It examines whether the principle of equity in health service utilization has been achieved after the Health Transformation Program. For this purpose, data from the Turkey Health Survey were analyzed. The probit model estimates show that, in addition to income-related inequity, region-based inequities exist in health service utilization in Turkey. Furthermore, evidence of inequity was observed among specific occupational groups. In order to address inequities in the utilization of health services in Turkey, it is essential that policies are implemented with greater precision. It is especially important that health policies are supported by income, wealth, and employment policies..

Ethical Statement

It is declared that scientific and ethical principles have been followed while carrying out and writing this study and that all the sources used have been properly cited.

Supporting Institution

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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There are 113 citations in total.

Details

Primary Language English
Subjects Applied Microeconometrics, Behavioural Economy, Health Economy
Journal Section Articles
Authors

Janberk Okan 0000-0001-7325-3306

Hasan Karaduman 0000-0003-3629-3047

Publication Date October 15, 2025
Submission Date June 13, 2025
Acceptance Date October 14, 2025
Published in Issue Year 2025 Volume: 8 Issue: 5

Cite

APA Okan, J., & Karaduman, H. (2025). Health for All? A Study on Equity in Health Services Utilization in Turkey. Uluslararası Ekonomi Siyaset İnsan Ve Toplum Bilimleri Dergisi, 8(5), 494-515. https://doi.org/10.59445/ijephss.1719000

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