Analysing Factors Leading to Catastrophic Expenditure in Surgical Health Care

Year 2025, Volume: 20 Issue: 1, 182 - 199

Serdar Kuzu , Ali Kablan , İbrahim Demir

Abstract

Catastrophic health expenditure (CHE) occurs when households reduce their basic expenses to finance health services in a certain period and when individuals' out-of-pocket expenses exceed or cover a large portion of the household's expenditure or income. This study analyzes the relationship between the CHE level and the share of public health expenditures in overall health expenditures(HE), an essential indicator of the health system's structure and the country's income level. The study found that the proportion of public HEs in total HEs and per capita income calculated using purchasing power parity had a statistically significant negative impact on the risk of CHEs for surgical procedures.

Keywords

Health Economics, Catastrophic Health Expenditure, Surgical Health Service, Gross domestic product

Cerrahi Sağlık Hizmetlerinde Katastrofik Harcamalara Yol Açan Faktörlerin Analizi

Abstract

Katastrofik sağlık harcamaları (CEH), hanelerin belirli bir dönemde sağlık hizmetlerini finanse etmek için temel harcamalarını azaltmaları ve bireylerin cepten harcamalarının hanenin harcamalarının veya gelirinin büyük bir kısmını aşması veya karşılaması durumunda ortaya çıkmaktadır. Bu çalışma, CEH düzeyi ile sağlık sisteminin yapısının ve ülkenin gelir düzeyinin temel bir göstergesi olan genel sağlık harcamalarındaki (HE) kamu sağlık harcamalarının payı arasındaki ilişkiyi analiz etmeyi amaçlamaktadır. Çalışma sonucunda satın alma gücü paritesi kullanılarak hesaplanan toplam HE'lerdeki kamu HE'lerinin oranının ve kişi başına düşen gelirin, cerrahi prosedürler için CHE'lerin riski üzerinde istatistiksel olarak anlamlı bir negatif etkiye sahip olduğunu bulunmuştur.

Keywords

Sağlık Ekonomisi, Katastrofik Sağlık Harcamaları, Cerrahi Bakım, Gayri Safi Yurtiçi Hasıla

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