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SAĞLIK HARCMALARININ ENFLASYON KARŞISINDAKİ DEĞİŞİMİ: TÜRKİYE İÇİN İLERİYE DÖNÜK ÇIKARIMLAR

Year 2025, Issue: 49, 37 - 50
https://doi.org/10.18092/ulikidince.1608149

Abstract

Çalışmanın amacı, Türkiye’de sağlık harcamalarının yüksek enflasyon dönemlerinde nasıl sürdürülebileceğini kapsamlı bir şekilde incelemektir. Bu doğrultuda, 2010-2019 yıllarına ait sağlık harcamaları ve enflasyon verileri analiz edilmiş ve 2023 yılı için projeksiyonlar oluşturulmuştur. Çalışmanın yöntemi, geçmiş verilerin zaman serisi analizi ve ekonomik projeksiyonlarla değerlendirilmesi şeklinde yapılandırılmıştır. Bulgular, beklenen %14,3 oranına kıyasla, sağlık harcamalarının büyüme oranının %5’in altında kaldığını ve bu durumun sağlık sektöründe ciddi finansal baskılar yarattığını göstermektedir. COVID-19 pandemisi ve Ukrayna savaşı, Türkiye’de sağlık harcamaları üzerinde doğrudan etkiler yaratmıştır. Bu olaylar, enflasyonu artırarak ve bütçe açıklarını genişleterek sağlık sektörünü zorlamış, kamu harcamalarının sürdürülebilirliğini tehlikeye sokmuştur. Sonuç olarak, 2040 yılına kadar kamu bütçesinden sağlığa ayrılan payın yaklaşık %7 oranında artırılması gerektiği öngörülmektedir. Çalışma, kamu kaynaklarının artırılmasının zorluklarına dikkat çekmekte ve özel sektör katkısının artırılmasını önermektedir. Sağlık sektörünün sürdürülebilir finansmanı için yenilikçi stratejilerin geliştirilmesi büyük önem taşımaktadır.

References

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  • Nghiem, S., ve Connelly, L. B. (2017). Convergence and Determinants of Health Expenditures in OECD countries. Health Economics Review, 7(1), 1-8. https://doi.org/10.1186/s13561-017-0157-4
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CHANGES IN HEALTH EXPENDITURE RELATIVE TO INFLATION: PROSPECTIVE IMPLICATIONS FOR TÜRKİYE

Year 2025, Issue: 49, 37 - 50
https://doi.org/10.18092/ulikidince.1608149

Abstract

This study aims to examine how healthcare expenditures can be sustained during periods of high inflaiton in Türkiye. For this purpose, healthcare expenditure and inflation data from 2010 to 2019 were analyzed, and projections were developed for 2023. The methodology involves the evaluation of historical data using time series analysis and economic projections. The findings show that the healthcare expenditure growth rate, below 5%, is far lower than the expected 14.3%, placing significant financial pressure on the sector. The COVID-19 pandemic and the Ukraine war have directly impacted healthcare expenditures in Turkey. These events have exacerbated inflation and widened budget deficits, placing additional strain on the sustainability of public healthcare funding. As a result, it is projected that the share of the public budget allocated to healthcare needs to increase by approximately 7% by 2040. The study highlights the challenges of increasing public resources and recommends a greater contribution from the private sector. Developing innovative strategies is crucial for ensuring the sustainable financing of the healthcare sector.

References

  • American Hospital Association. (2024). America’s Hospitals and Health Systems Continue to Face Escalating Operational Costs and Economic Pressures. https://www.aha.org/system/ files/media/file/2024/05/Americas-Hospitals-and-Health-Systems-Continue-to-Face-Escalating-Operational-Costs-and-Economic-Pressures.pdf (Access Date: 21 May 2024)
  • Altuntaş, M. Özyurt, M. (2020). Kentleşme ve Sağlık Harcamaları: Türkiye Üzerine Ekonometrik Bir Çalışma. Kafkas Üniversitesi İktisadi ve İdari Bilimler Dergisi, 11(22), 891-915.
  • Anderson, G. F., Reinhardt, U. E., Hussey, P. S., ve Petrosyan, V. (2000). Health Spending in the United States and the Rest of the Industrialized World. Health Affairs, 19(3), 150-157. https://doi.org/10.1377/hlthaff.19.3.150
  • Atalan, A. (2020). Forecasting for Healthcare Expenditure of Turkey Covering the Years of 2018-2050. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(1), 8-16. https://doi.org/ 10.37989/gumussagbil.538111
  • Bektaş, H., ve Ulutürk Akman, S. (2018). Examination of the Role of Health Expenditures on Economic Growth: Empirical Evidence From Turkey. Kırklareli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 7(3), 141-146.
  • Béland, D., Rocco, P., & Waddan, A. (2024). Understanding the Inflation and Social Policy Nexus. Social Policy and Society, 23(1), 1–15. https://doi.org/10.1017/S1474746423000439
  • Beylik, U., Cirakli, U., Cetin, M., Ecevit, E., ve Senol, O. (2022). The Relationship Between Health Expenditure İndicators and Economic Growth in OECD Countries: A Driscoll-Kraay Approach. Frontiers in Public Health, 10, 1050550. https://doi.org/10.3389 /fpubh.2022.1050550
  • Bölükbaşı, N., Işık, H., ve Söyler, S. (2021). Sağlık Harcamaları ve İlaç Harcamaları İlişkisi: Türkiye ve OECD Ülkeleri Açısından Bir Karşılaştırma Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 7(1), 47-56.
  • Cancino, R. S., Su, Z., Mesa, L. A., Tomlinson, G. E., ve Wang, J. (2020). The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities. JMIR Cancer, 6(2), e21697. https://doi.org/10.2196/21697
  • Center for Retirement Research (CRR). (2022). Social Security’s Financing Shortfall: Options for Reform. Boston College. https://crr.bc.edu/wp-content/uploads/2022/08/IB_22-13-2.pdf (Access Date: 05 June 2025)
  • Çil Koçyiğit, S., ve Arslan Çilhoroz, İ. (2021). Determinants of Health Expenditures in The World: A Panel Data Analysis. International Journal of Business, Economics and Management Pers-pectives (IJBEMP), 5(2), 772-784.
  • Devlet Planlama Teşkilatı. (2006). Dokuzuncu Kalkınma Planı (2007-2013). https://www.sbb.gov.tr /wp-content/uploads/2022/07/Dokuzuncu_Kalkinma_Plani-2007-2013.pdf (Access Date: 20 May 2024)
  • Gebreyes, K., Davis, A., Davis, S., Shukla, M., ve Rush, B. (2021). The Future of Health Care Spending: Insights on Managing Costs and Improving Outcomes. Deloitte Insights. https://www2.deloitte.com/us/en/insights/industry/health-care/future-health-care-spending.html (Access Date: 21 May 2024)
  • Hubbard, R. G., & Munnell, A. H. (2021). The impact of inflation on Social Security benefits [Issue brief]. National Library of Medicine. https://digirepo.nlm.nih.gov/master/borndig/ 101490194/The%20impact%20of%20inflation%20on%20Social%20Security%20benefits.pdf (Access Date: 05 June 2025)
  • International Food Policy Research Institute. (2022). 2022 Global Food Policy Report: Climate Change and Food Systems. International Food Policy Research Institute. https://doi.org/10.2499/9780896294257
  • International Monetary Fund. (2023). World Economic Outlook: Navigating Global Divergences. https://www.imf.org/en/Publications/WEO/Issues/2023/10/10/world-economic-outlook-october-2023 (Access Date: 20 May 2024)
  • Jakovljevic M, Groot W, Souliotis K. (2022). Health Care Financing and Affordability in the Emerging Global Markets, Volume II. Front Public Health, 10:1054409. https://doi.org/10.3389 /fpubh.2022.1054409
  • Keehan, S. P., Fiore, J. A., Poisal, J. A., Cuckler, G. A., Sisko, A. M., Smith, S. D., Madison, A. J., ve Rennie, K. E. (2023). National Health Expenditure Projections, 2022–31: Growth to Stabilize Once the COVID-19 Public Health Emergency Ends. Health Affairs, 42(7), 886-898. https://doi.org/10.1377/hlthaff.2023.00403
  • Kilpatrick, J. (2022). Supply Chain Implications of the Russia-Ukraine Conflict. Deloitte Insights. https://www2.deloitte.com/us/en/insights/industry/health-care/russia-ukraine-supply-chain-impact.html (Access Date: 21 May 2024)
  • Lorenzoni, L., Belloni, A., ve Sassi, F. (2014). Health-Care Expenditure and Health Policy in the USA Versus Other High-Spending OECD countries. The Lancet, 384(9937), 83-92. https://doi.org/10.1016/S0140-6736(14)60571-7
  • Lorenzoni, L., Marino, A., Morgan, D., ve James, C. (2020). OECD Health Working Paper No. 110: Health spending projecti-ons to 2030: New Results Based on a Revised OECD Methodology. OECD Publishing. https://www.oecd-ilibrary.org/social-issues-migration-health/health-spending-projections-to-2030_5667f23d-en (Access Date: 25 April 2024)
  • Lund, S., Madgavkar, A., Manyika, J., Smit, S., Ellingrud, K., Robinson, O., ve Krishnan, M. (2021). The Future of Work After COVID-19. McKinsey Global Institute. https://www.mckinsey.com/featured-insights/future-of-work/the-future-of-work-after-covid-19 (Access Date: 20 May 2024)
  • McKinsey ve Company. (2020). COVID-19: Implications for Business. McKinsey Global Institute. https://www.mckinsey.com/business-functions/risk-and-resilience/our-insights/covid-19-implications-for-business (Access Date: 20 May 2024)
  • Moynihan, R., Sanders, S., Michaleff, Z. A., Scott, A. M., Clark, J., ve To, E. J. (2021). Impact of COVID-19 on Healthcare Services: Disruptions and Adaptions. Journal of Health Services Research ve Policy, 26(3), 189-197. https://doi.org/10.1177/1355819620967806
  • National Tax Journal (NTJ). (2011). Inflation and the income limits of Social Security. National Tax Journal, 64(2), 395–416. https://www.journals.uchicago.edu/doi/abs/10.17310/ ntj.2011.2.08 (Access Date: 05 July 2025)
  • Nghiem, S., ve Connelly, L. B. (2017). Convergence and Determinants of Health Expenditures in OECD countries. Health Economics Review, 7(1), 1-8. https://doi.org/10.1186/s13561-017-0157-4
  • Noyan Yalman, İ., ve Ersan, H. (2023). Sağlık Harcamalarının Cari Açık ve Büyüme Üzerine Etileri: Türkiye Örneği. Uluslararası Güncel Sosyal Bilimler Dergisi, 2(1), 25-30.
  • OECD. (2010). Health at a Glance 2010: OECD indicators. Paris: OECD Publishing. https://doi.org/ 10.1787/health_glance-2010-en
  • OECD. (2021). Health at a Glance 2021: OECD indicators. Paris: OECD Publishing. https://doi.org/ 10.1787/ae3016b9-en
  • OECD. (2022). Economic Outlook 2022. Paris: OECD Publishing. https://doi.org/10.1787/eco_ outlook-2022-en
  • OECD. (2023). Health at a Glance 2023: OECD Indicators, OECD Publishing, Paris, https://doi.org /10.1787/7a7afb35-en.
  • Özmen, Z. (2017). Refah Modelleri Açısından Avrupa’da ve Türkiye’de Sosyal Güvenlik Sisteminin Finansmanı. Düzce Üniversitesi Sosyal Bilimler Dergisi, 7(1), 88-117.
  • Özyörük, H.E ve Civelek, E. (2022). The Effects of Covid-19 Pandemic on Consumer Behavior and Consumer Markets. Tüketici ve Tüketim Araştırmaları Dergisi, 14(1), 77-106. https://doi.org/10.15659/ttad.14.1.148
  • Panopoulou, E., ve Pantelidis, T. (2012). Convergence in Per Capita Health Expenditures and Health Outcomes in the OECD Countries. Applied Economics, 44(30), 3909–3920. https://doi.org/10.1080/00036846.2011.583222
  • Pfefferbaum, B., ve North, C. S. (2020). Mental Health and the Covid-19 Pandemic. The New England Journal of Medicine, 383(6), 510-512. https://doi.org/10.1056/NEJMp2008017
  • Pierros, C., Rodousakis, N., ve Soklis, G. (2024). Exchange-Rate Pass-Through in Turkey with a Supply and Use Model. Applied Economics Letters, 31(1), 24–30. https://doi.org /10.1080/13504851.2022.2121376
  • Richardson, H. S. (2022). Economic and financial aspects of social security. Routledge. https://doi.org/10.4324/9781003254546
  • Sağlık Bakanlığı. (2022). Sağlık İstatistikleri Yıllığı. https://www.saglik.gov.tr/ (Access Date: 20 May 2024)
  • Sousa, R. (2024). The Interplay of Inflation, Healthcare Spending, and Suicide Rates: An Empirical Analysis. In: Rocha, Á., Ferrás, C., Hochstetter Diez, J., Diéguez Rebolledo, M. (eds) Information Technology and Systems. ICITS 2024. Lecture Notes in Networks and Systems, vol 932.
  • Sparkes, S. P., Bump, J. B., Özçelik, E. A., Kutzin, J., ve Reich, M. R. (2019). Political Economy Analysis for Health Financing Reform. Health Systems & Reform, 5(3), 183-194. https://doi.org /10.1080/23288604.2019.1633874
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There are 50 citations in total.

Details

Primary Language English
Subjects Econometric and Statistical Methods, Labor Economics, Labor Economics and Industrial Relations
Journal Section Articles
Authors

Zeynep Özmen Bol 0000-0002-5271-1344

Serkan Cantürk 0000-0002-7283-7227

Early Pub Date October 24, 2025
Publication Date October 29, 2025
Submission Date December 26, 2024
Acceptance Date July 31, 2025
Published in Issue Year 2025 Issue: 49

Cite

APA Özmen Bol, Z., & Cantürk, S. (2025). CHANGES IN HEALTH EXPENDITURE RELATIVE TO INFLATION: PROSPECTIVE IMPLICATIONS FOR TÜRKİYE. Uluslararası İktisadi Ve İdari İncelemeler Dergisi(49), 37-50. https://doi.org/10.18092/ulikidince.1608149

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