Examining the Economic Burden of Out-of-Pocket Health Expenditures for Households in Different Socio-Economic Groups in Turkey

Year 2020, Volume: 28 Issue: 46, 25 - 49, 31.10.2020

Gökçe Manavgat Fatih Saygılı Martine Audıbert

https://doi.org/10.17233/sosyoekonomi.2020.04.02

Cited By: 5

Abstract

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.

Keywords

Catastrophic Health Expenditure, Health Financing, Out-Of-Pocket Health Expenditure, Health Policy, Financial Burden, Turkey

Türkiye’de Farklı Ekonomik Gruptaki Hanehalkları için Cepten Yapılan Sağlık Harcamalarının Ekonomik Yükünün İncelenmesi

Abstract

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.

Keywords

Katastrofik Sağlık Harcaması, Sağlık Finansmanı, Cepten Sağlık Harcaması, Sağlık Politikası, Finansal Yük, Türkiye

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