Year 2020, Volume 28 , Issue 46, Pages 25 - 49 2020-10-31

Türkiye’de Farklı Ekonomik Gruptaki Hanehalkları için Cepten Yapılan Sağlık Harcamalarının Ekonomik Yükünün İncelenmesi
Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey

Gökçe MANAVGAT [1] , Fatih SAYGILI [2] , Martine AUDIBERT [3]


Bu çalışmada, TÜİK tarafından derlenen Hanehalkı Bütçe Anketleri (2002-2016) kullanılarak, Türkiye’de hanehalklarının cepten yapmış oldukları sağlık harcamalarının katastrofik düzeyi araştırılmıştır. Katastrofik sağlık harcamalarının hesaplanmasında iki yöntem kullanılmıştır. Geleneksel sabit katastrofik eşik değerleri ve daha önce Türkiye için uygulanmamış farklı sosyo ekonomik gruplar için değişim gösteren değişken eşik değerleri yaklaşımları kullanılarak analizler yapılmış ve sonuçlar karşılatılırmıştır. Ayrıca, katastrofik sağlık harcamalarında olası risk faktörleri lojistik regresyon modelleri kullanılarak analiz edilmiştir. Türkiye için yapılan önceki araştırmaların aksine, bu çalışmada yoksul hanehalkları arasında katastrofik sağlık harcamalarına maruz kalma olasılığı daha yüksek olduğu belirlenmiştir. Bu sonuç, her bir farklı ekonomik grupta yer alan hanehalkları arasında aynı eşik değeri seçilerek yapılan analizlerin, harcama eşiği sonrası aynı oranda harcama yapma eğilimine sahip olacağı mantığının yanıltıcı olabileceğini dikkate almak gerektiğini ortaya koymaktadır.
In this study, the varying nature of catastrophic threshold for out-of-pocket health expenditures of Turkish households has been investigated by the help of Household Budget Surveys compiled by TurkStat (2002-2016). Two methods have been used in the calculation of catastrophic health expenditures: (i) The fixed (same) catastrophic thresholds and (ii) variable thresholds based on different socio-economic groups (quintile) have been calculated and compared. Also, catastrophic health expenditures risk factors have been analysed by using binary logistic regression models. Unlike previous studies, poor households have been found more likely to experience catastrophic health expenditure in Turkey. Thus, the result indicates that analyses using the same threshold level for all socio-economic groups of a society might lead policymakers to misleading conclusions.
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Primary Language en
Subjects Social, Economics
Journal Section Articles
Authors

Orcid: 0000-0003-3729-835X
Author: Gökçe MANAVGAT (Primary Author)
Institution: Toros Universitesi
Country: Turkey


Orcid: 0000-0001-8203-7904
Author: Fatih SAYGILI
Institution: EGE UNIVERSITY
Country: Turkey


Orcid: 0000-0002-6187-2502
Author: Martine AUDIBERT
Institution: Université Clermont Auvergne
Country: France


Dates

Publication Date : October 31, 2020

Bibtex @research article { sosyoekonomi642190, journal = {Sosyoekonomi}, issn = {1305-5577}, address = {}, publisher = {Sosyoekonomi Society}, year = {2020}, volume = {28}, pages = {25 - 49}, doi = {10.17233/sosyoekonomi.2020.04.02}, title = {Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey}, key = {cite}, author = {Manavgat, Gökçe and Saygılı, Fatih and Audıbert, Martine} }
APA Manavgat, G , Saygılı, F , Audıbert, M . (2020). Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey . Sosyoekonomi , 28 (46) , 25-49 . DOI: 10.17233/sosyoekonomi.2020.04.02
MLA Manavgat, G , Saygılı, F , Audıbert, M . "Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey" . Sosyoekonomi 28 (2020 ): 25-49 <https://dergipark.org.tr/en/pub/sosyoekonomi/issue/57521/642190>
Chicago Manavgat, G , Saygılı, F , Audıbert, M . "Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey". Sosyoekonomi 28 (2020 ): 25-49
RIS TY - JOUR T1 - Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey AU - Gökçe Manavgat , Fatih Saygılı , Martine Audıbert Y1 - 2020 PY - 2020 N1 - doi: 10.17233/sosyoekonomi.2020.04.02 DO - 10.17233/sosyoekonomi.2020.04.02 T2 - Sosyoekonomi JF - Journal JO - JOR SP - 25 EP - 49 VL - 28 IS - 46 SN - 1305-5577- M3 - doi: 10.17233/sosyoekonomi.2020.04.02 UR - https://doi.org/10.17233/sosyoekonomi.2020.04.02 Y2 - 2020 ER -
EndNote %0 Sosyoekonomi Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey %A Gökçe Manavgat , Fatih Saygılı , Martine Audıbert %T Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey %D 2020 %J Sosyoekonomi %P 1305-5577- %V 28 %N 46 %R doi: 10.17233/sosyoekonomi.2020.04.02 %U 10.17233/sosyoekonomi.2020.04.02
ISNAD Manavgat, Gökçe , Saygılı, Fatih , Audıbert, Martine . "Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey". Sosyoekonomi 28 / 46 (October 2020): 25-49 . https://doi.org/10.17233/sosyoekonomi.2020.04.02
AMA Manavgat G , Saygılı F , Audıbert M . Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey. Sosyoekonomi. 2020; 28(46): 25-49.
Vancouver Manavgat G , Saygılı F , Audıbert M . Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey. Sosyoekonomi. 2020; 28(46): 25-49.
IEEE G. Manavgat , F. Saygılı and M. Audıbert , "Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey", Sosyoekonomi, vol. 28, no. 46, pp. 25-49, Oct. 2020, doi:10.17233/sosyoekonomi.2020.04.02