The Increase in the Social Utility of the Geriatric Population Gained from the Human Health Workers during the Pandemic

Year 2022, , 242 - 250, 28.04.2022

Murat Çiftçi

https://doi.org/10.18521/ktd.1059885

Abstract

Objective: It was intended to analyze the change in social utility loss in 2020, when the pandemic showed its first shock, caused by the inter-provincial distribution of health personnel of the elderly compared to 2019 and other indicators based on this (rate of social utility, SHW, IHW, SHW/IHW per thousand elderly people).
Method: The method used in the study is the Atkinson inequality index. The data used in the application are for 2019 and 2020 at the NUTS-3 level. Health personnel data were compiled from SSI and data for the elderly population were compiled from TSI.
Results: The Atkinson inequality index varied between 0.414 and 0.302 in 2019. The index value fell between 0.292 and 0.206 in 2020. Depending on the index values, while the rate of social utility varied between 69.8% to 58.6% in 2019, it increased to vary between 79.4% to 70.8% in 2020. The rate of social utility loss, on the other hand, while being varied from 41.4% to 30.2% in 2019, decreased to being varied between 20.6% to 29.2% in 2020.
Conclusions: The findings show that there is a significant improvement in the social utility of the elderly from the human health workers. This serves as evidence to the situation which shows that the health policies implemented during the pandemic period, unlike many other countries, supported the access of the elderly to health services.

Keywords

Pandemic, Turkish health politics, geriatrics, public health, social politics, interregional inequality.

Pandemide Geriatrik Nüfusun Sağlık Çalışanlarından Sağladığı Sosyal Faydada Yaşanan Artış

Abstract

Amaç: Pandeminin ilk şok etkisini gösterdiği 2020 yılında, yaşlıların sağlık personelinin iller arası dağılımından kaynaklanan sosyal fayda kayıplarında 2019’a göre yaşanan değişimi ve buna dayalı olan diğer göstergeleri (sosyal fayda oranı, SHW, IHW, bin yaşlı başına düşen , SHW ve IHW) analiz etmek amaçlandı.
Gereç ve Yöntem: Çalışmada kullanılan yöntem, Atkinson eşitsizlik endeksidir. Uygulamada kullanılan verileri İBBS-3 düzeyinde 2019 ve 2020 yılları içindir. Sağlık personeli verileri SGK’dan, yaşlı yaş gruplarındaki nüfus için veriler TÜİK’ten derlenmiştir.
Bulgular: Atkinson eşitsizlik endeksi 2019’da 0,414 ile 0,302 arasında gerçekleşti. Endeks değeri 2020’deyse 0,292 ile 0,206 arasına geriledi. Endeks değerlerine bağlı olarak 2019’da sosyal fayda oranı 69,8% ile 58,6% arasındayken, 2020’de 79,4% ile 70,8% arasına yükseldi. Bu değişim rate of socail utility için yaklaşık ¼’lük artışa işaret eder. Sosyal fayda kaybıysa 2019’da 41,4% ile 30,2% arasındayken, 2020’de 20,6% ile 29,2% arasına geriledi. Bu değişim sosyal fayda kaybı oranında yaklaşık ortalama 1/3’lük gerilemeye işaret eder.
Sonuç: Elde edilen bulgular, insan sağlığı hizmetlerinde çalışanlardan yaşlıların sağladığı sosyal faydada ciddi iyileşmenin olduğunu gösteriyor. Bu durum pandemi sürecinde uygulanan sağlık politikalarının, diğer pek çok ülkenin aksine yaşlıların sağlık hizmet erişimini destekleyici yönde olduğuna bir kanıt özelliğindedir.

Keywords

Pandemi, Türk sağlık politikası, geriatri, kamu sağlığı, sosyal politika, bölgelerarası eşitsizlik.

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