Yaşlılık Sağlık Harcamalarının Geografik Dağılımı: Farklı Bölgelerde Yaşlı Sağlık Harcamalarında Gözlemlenen Değişiklikler

Year 2024, , 152 - 167, 30.04.2024

Necati Kocakoç

https://doi.org/10.29249/selcuksbmyd.1422536

Abstract

Bu çalışma, Türkiye'deki yaşlı nüfusun sağlık hizmetleri taleplerini ve bu hizmetlere yönelik harcamaların coğrafi dağılımını incelemiştir. Türkiye İstatistik Kurumu'nun 2021 verileri üzerinden yapılan analizde, sağlık hizmeti talebi, üretimi ve kapasitesinin bölgesel farklılıkları dendrogram ve aglomeratif kümeleme yöntemleriyle ortaya konmuştur. Bulgular, özellikle Batı Karadeniz, Doğu Karadeniz ve Batı Marmara bölgelerinin benzer talep özelliklerine sahip olduğunu ortaya koymuştur. Ayrıca, sağlık hizmeti üretiminin heterojen bir yapıya sahip olduğu, Güneydoğu Anadolu ve Doğu Anadolu bölgelerinin diğer bölgelere göre daha düşük sağlık hizmeti üretimine sahip olduğu belirlenmiştir. Sağlık hizmeti kapasitesi açısından batı bölgelerinin genel olarak daha yüksek bir kapasiteye sahip olduğu gözlemlenmiş; Orta Anadolu ve Ortadoğu Anadolu'nun kapasite bakımından benzer olduğu, ancak Batı Karadeniz ile Batı Anadolu arasında sağlık hizmeti talepleri açısından önemli farkların olduğu tespit edilmiştir. Araştırmada bölgesel ihtiyaçları dikkate alan özelleştirilmiş sağlık stratejilerinin geliştirilmesi, sağlık altyapısının güçlendirilmesi ve kaynak dağılımının adil bir şekilde yapılması, yaşlı nüfusun sağlık hizmetlerine eşit erişiminin sağlanması, eğitim ve farkındalık kampanyalarına yatırım yapılması, sağlık hizmetleri veri toplama ve izleme süreçlerinin iyileştirilmesi ve çok disiplinli yaklaşımların teşvik edilmesi önerilmektedir. Bu çalışma, ayrıca yaşlanan nüfus için sağlık hizmetlerinin daha verimli ve etkin kullanımını destekleyecek politika ve stratejilerin belirlenmesine katkıda bulunmayı hedeflemektedir.

Keywords

Sağlık, Sağlık Harcamaları, Yaşlılık Sağlık Harcamaları, Geografik Dağılım

Ethical Statement

Bu çalışma, insan ve hayvanların (materyal/veriler dahil) bilimsel ya da deneysel bilimsel amaçlarla kullanılmadığı, hayvanlar üzerinde yapılan araştırma olmadığı, insanlar üzerinde yapılan klinik araştırma olmadığı, odak grup çalışması, görüşme teknikleri anket, gözlem, deney mülakat vasıtasıyla kişilerden veri toplanmasını gerektiren nicel ya da nitel yaklaşımlar kullanılmadığı için ve kişisel verilerin korunması kanunu gereğince retrospektif çalışma olmadığından etik kurul onayı gerektirmemektedir.

Supporting Institution

Yok

Geographic Distribution of Old Age Health Expenditures: Observed Changes in Elderly Health Expenditures in Different Regions

Abstract

This Study, examined the geographical distribution of the health services demands of the elderly population in Türkiye and the expenditures on these services. In the analysis carried out on the 2021 data of the Turkish Statistical Institute, regional differences in health service demand, production and capacity were revealed through dendrogram and agglomerative clustering methods. The findings showed that the health service demand of the elderly population is heterogeneous and particularly the Western Black Sea, Eastern Black Sea and Western Marmara regions have similar demand characteristics. In addition, it was found that Southeastern Anatolia and Eastern Anatolia regions have lower health service production compared to other regions. It was observed that western regions generally have a higher capacity in terms of health services and it was determined that Central Anatolia and Central East Anatolia are similar in terms of health services capacity, but there are significant differences in healthcare service demands between Western Black Sea and Western Anatolia. The research recommends developing customized health strategies that take account of regional needs, strengthening the network infrastructure and ensuring equitable resource distribution, ensuring equal access to health services for the elderly population, investing in education and awareness campaigns, improving data collection and monitoring processes for health services, and encouraging multidisciplinary approaches. This study also intends to contribute to the determination of policies and strategies that will support more efficient and effective use of health services for the elderly population.

Keywords

Health, Health Expenditures, Old Age Health Expenditures, Geographic Distribution.

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