TÜRKİYE SAĞLIK SİSTEMİ PERFORMANSININ DEĞERLENDİRİLMESİ: ULUSLARARASI KARŞILAŞTIRMALI TANIMLAYICI BİR ANALİZ

Year 2025, Volume: 3 Issue: 5, 74 - 94, 30.06.2025

İsrafil Boyacı , Rimon Ahmed

https://doi.org/10.62101/iticudisticaretdergisi.1640883

Abstract

Bu makale, Sağlıkta Dönüşüm Programı 2003-2013 (SDP) ile reform edilen Türkiye sağlık sisteminin bir değerlendirmesini yapmayı amaçlamaktadır. Dönüşen Türkiye sağlık sisteminin karşılaştırmalı performansı, 2000-2023 yıllarını kapsayan ülke düzeyinde veriler yardımıyla betimleyici değerlendirmeler ile incelenmiştir. Gelişmiş ve gelişmekte olan ülkelerin durumuna dair makaledeki analizler, sağlık harcamaları, sağlık sigortası kapsamı, sağlık girdileri, sağlık hizmetlerinin kullanımı, sağlık sonuçları ve sağlık riski faktörleri ile ilgili yaygın olarak kullanılan göstergelerde dünya genelindeki ilerleme düzeyini ve eğilimlerini de ortaya koymaktadır. Makaledeki değerlendirmeler sonucunda, daha düşük sağlık harcamalarına rağmen Türkiye'nin özellikle SDP reform döneminde karşılaştırılan ülkelere nispeten daha az ülke sağlık harcamasıyla nüfusun sağlık istatistiklerini önemli ölçüde iyileştirdiği; ancak reform döneminden sonra bu ilerlemenin devamlılığının sağlanamadığı ortaya çıkmıştır. Makalenin bulguları, Türkiye sağlık sisteminin son yirmi yılda sağlık hizmetlerine daha az harcama yaparak daha iyi sağlık sonuçları elde edip etmediği sorusunu ele almak için araştırmaların yapılmasının gerekliliğini işaret etmektedir. Böylece, ülke sağlık politikaları açısından önemli değerlendirmeler içeren bu makale, sağlık hizmetlerine sürekli yatırım yapmanın önemini ve Türkiye sağlık sistemindeki verimlilik ve üretkenlik konularının daha fazla incelenmesi gereken konular olduğunu ortaya koymaktadır.

Keywords

Sağlık Harcamaları , Sağlık Çıktıları , Sağlıkta Dönüşüm Programı (SDP) , Sağlık Sistemi Performans Değerlendirmesi , Türkiye Sağlık Sistemi

ASSESSMENT OF HEALTH SYSTEM PERFORMANCE IN TÜRKİYE OVER 2000-2023: A DESCRIPTIVE INTERNATIONAL COMPARATIVE ANALYSIS

Abstract

This article aims to provide an assessment of the Turkish health system, which has been reformed with the Health Transformation Program 2003-2013 (HTP). The comparative performance of the transformed Turkish health system has been descriptively investigated using a sample of country-level data covering the years 2000-2023. The analyses, which contain both developed and emerging countries, reveal the level of progress and trends across the globe in the commonly used indicators about healthcare expenditure, health insurance coverage, healthcare inputs, healthcare utilization, health outcomes, and risk factors. As a result of the evaluations in this article, it has been revealed that despite lower healthcare spending, Türkiye has significantly improved the population health outcomes with relatively less healthcare spending, particularly during the HTP reform period; however, continuity of this progress has not been observed after the reform period. The findings of the article call for more investigations to address the question of whether the Turkish health system has spent less on healthcare over the last twenty years while getting more better health outcomes. Thus, this policy-relevant article points out the importance of continued investment to healthcare as well as the efficiency and productivity issues in Türkiye's healthcare system as topics that need to be researched further.

Keywords

Healthcare Expenditure , Health Outcomes , Health Transformation Program (HTP) , Health System Performance Assessment , Turkish Health System

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