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Evaluation of Türkiye's Health Performance from 2018 to 2022

Yıl 2026, Cilt: 10 Sayı: 1, 125 - 144, 31.01.2026
https://doi.org/10.46237/amusbfd.1671885

Öz

Objective: One of the main goals of health systems is to improve and maintain public health. The performance of the health system has a strong impact on the health of the population, and better health outcomes can be achieved with high performance. The aim of the study is to examine Türkiye’s health performance in the last five years.
Method: The five-year health indicators between 2018 and 2022 were examined in the study. A total of 45 indicators were evaluated under the headings of mortality, morbidity, disease prevention and health protection, institutions and infrastructures providing health services, health service use, human resources in health, and health economics and financing. The data were taken from the official page of the Health Statistics Yearbooks of the Ministry of Health of the Republic of Türkiye. The TOPSIS method was applied in the analysis. The data were analyzed with the MS Office Excel Program.
Results: As a result of the analysis, 2022 ranked first with the highest performance (0.884). Then, it was found that the years 2021 (0.836), 2018 (0.745) and 2020 (0.686) showed high performance, respectively. The year 2019 ranks last with the lowest performance (0.226).
Conclusion: There has been a positive increase in the performance of the health system in Türkiye in recent years. It is thought that the rapid interventions made during the COVID-19 pandemic, which has affected the whole world, also contributed to this result.

Etik Beyan

Çalışma açık kaynak ikinci el veri ile yürütülmüş olduğu için etik kurul onayı gerektirmemektedir.

Kaynakça

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  • 2. Moolla, I., & Hiilamo, H. (2023). Health system characteristics and COVID-19 performance in high-income countries. BMC Health Services Research, 23(1), 1-14. https://doi.org/10.1186/s12913-023-09206-z
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  • 6. Smith, P. C., Mossialos, E., Papanicolas, I., & Leatherman, S. (2010). Performance measurement for health system improvement: Experiences, challenges and prospects. Cambridge University Press.
  • 7. Bankauskaite, V., & Dargent, G. (2007). Health systems performance indicators: Methodological issues. Presupuesto y Gasto Público, 49, 125-137.
  • 8. Barbazza, E., Klazinga, N. S., & Kringos, D. S. (2021). Exploring the actionability of healthcare performance indicators for quality of care: A qualitative analysis of the literature, expert opinion, and user experience. BMJ Quality & Safety, 30(12), 1010-1020. https://doi.org/10.1136/bmjqs-2020-011247
  • 9. Kruk, M. E., & Freedman, L. P. (2008). Assessing health system performance in developing countries: A review of the literature. Health Policy, 85(3), 263-276. https://doi.org/10.1016/j.healthpol.2007.09.003
  • 10. Yiğit, A. (2019). Performance analysis of OECD countries based on health outcomes and expenditure indicators. J Int Health Sci Manag, 5(9), 114-23.
  • 11. Simões, J., Magalhães, J. P. M., Biscaia, A., da Luz Pereira, A., Augusto, G. F., & Fronteira, I. (2021). Organisation of the state, model of health system and COVID‐19 health outcomes in six European countries, during the first months of the COVID‐19 epidemic in 2020. International Journal of Health Planning and Management, 36(5), 1874-1886. https://doi.org/10.1002/hpm.3271
  • 12. Araujo, C. A. S., Wanke, P., & Siqueira, M. M. (2018). A performance analysis of Brazilian public health: TOPSIS and neural networks application. International Journal of Productivity and Performance Management, 67(9), 1526-1549. https://doi.org/10.1108/IJPPM-11-2017-0319
  • 13. Moses, M. W., Korir, J., Zeng, W., et al. (2021). Performance assessment of the county healthcare systems in Kenya: A mixed-methods analysis. BMJ Global Health, 6, e004707. https://doi.org/10.1136/bmjgh-2020-004707
  • 14. Mitropoulos, P. (2021). Production and quality performance of healthcare services in EU countries during the economic crisis. Operational Research, 21, 857-873. https://doi.org/10.1007/s12351-019-00483-3
  • 15. Ta, Y., Zhu, Y., & Fu, H. (2020). Trends in access to health services, financial protection and satisfaction between 2010 and 2016: Has China achieved the goals of its health system reform? Social Science & Medicine, 245, 112715. https://doi.org/10.1016/j.socscimed.2019.112715
  • 16. Sielska, A. (2019). Comparison of healthcare performance and its determinants in European countries using TOPSIS approach. Warsaw Forum of Economic Sociology, 10(20), 71-94.
  • 17. Ardielli, E., Bémová, D., & Bobrowska, A. (2022). Multi-criteria evaluation of health care performance in the Czech Republic and Poland. In Dev. Adm. Border Areas Czech Repub Poland Conf Proc RASPO 2022 (pp. 12- 23).
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  • 21. de Farias Aires, R. F., & Ferreira, L. (2019). A new approach to avoid rank reversal cases in the TOPSIS method. Computational Industrial Engineering, 132, 84-97. https://doi.org/10.1016/j.cie.2019.04.023
  • 22. Khambhati, R., Patel, H., & Kumar, S. (2022). A performance evaluation and comparison model for urban public healthcare service quality (Urbpubhcservqual) by fuzzy TOPSIS method. Journal of Nonprofit & Public Sector Marketing, 34(3), 291-310. https://doi.org/10.1080/10495142.2020.1865232
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Türkiye'nin 2018-2022 Yılları Arasındaki Sağlık Performansının İncelenmesi

Yıl 2026, Cilt: 10 Sayı: 1, 125 - 144, 31.01.2026
https://doi.org/10.46237/amusbfd.1671885

Öz

Giriş ve Amaç: Sağlık sistemlerinin temel hedeflerinden biri halk sağlığını iyileştirmek ve sürdürmektir. Sağlık sisteminin performansı, nüfusun sağlığı üzerinde güçlü bir etkiye sahiptir ve yüksek performansla daha iyi sağlık sonuçları elde edilebilir. Çalışmanın amacı Türkiye’nin son beş yıldaki sağlık performansını incelemektir.
Gereç ve Yöntemler: Çalışmada 2018-2022 yılları arasındaki beş yıllık sağlık göstergeleri incelenmiştir. Mortalite, morbidite, hastalıkların önlenmesi ve sağlığın korunması, sağlık hizmeti verilen kurumlar ve alt yapıları, sağlık hizmeti kullanımı, sağlıkta insan kaynakları ile sağlık ekonomisi ve finansmanı başlıkları altında toplam 45 gösterge değerlendirilmiştir. Veriler T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllıkları resmi sayfasından alınmıştır. Analizde TOPSIS yöntemi uygulanmıştır. Veriler, MS Office Excel Programı ile analiz edilmiştir.
Bulgular: Analiz sonucunda 2022 yılı en yüksek performans (0,884) ile birinci sıradadır. Daha sonra sırasıyla 2021 (0,836), 2018 (0,745) ve 2020 (0,686) yıllarının yüksek performans gösterdiği bulunmuştur. 2019 yılı ise en düşük performans (0,226) ile son sırada yer almaktadır.
Sonuç: Türkiye’de sağlık sisteminin performansında son yıllarda olumlu bir yükselme görülmektedir. Tüm Dünyayı etkisine alan COVID-19 pandemisinde yapılan hızlı müdahalelerin de bu sonuca katkısı olduğu düşünülmektedir.

Kaynakça

  • 1. Liu, Y., Rao, K., Wu, J., & Gakidou, E. (2008). China's health system performance. Lancet, 372(9653), 1914-1923. https://doi.org/10.1016/S0140-6736(08)61362-8
  • 2. Moolla, I., & Hiilamo, H. (2023). Health system characteristics and COVID-19 performance in high-income countries. BMC Health Services Research, 23(1), 1-14. https://doi.org/10.1186/s12913-023-09206-z
  • 3. Organisation for Economic Co-operation and Development (OECD). (2021). Health at a glance 2021: OECD indicators. OECD Publishing. https://www.oecd-ilibrary.org/docserver/ae3016b9-en.pdf (Accessed: 22 August 2024)
  • 4. Murray, C. J., & Frenk, J. (1999). A WHO framework for health system performance assessment: Evidence and information for policy. World Health Organization.
  • 5. Anderson, G., & Hussey, P. S. (2001). Comparing health system performance in OECD countries. Health Affairs, 20(3), 219-232. https://doi.org/10.1377/hlthaff.20.3.219
  • 6. Smith, P. C., Mossialos, E., Papanicolas, I., & Leatherman, S. (2010). Performance measurement for health system improvement: Experiences, challenges and prospects. Cambridge University Press.
  • 7. Bankauskaite, V., & Dargent, G. (2007). Health systems performance indicators: Methodological issues. Presupuesto y Gasto Público, 49, 125-137.
  • 8. Barbazza, E., Klazinga, N. S., & Kringos, D. S. (2021). Exploring the actionability of healthcare performance indicators for quality of care: A qualitative analysis of the literature, expert opinion, and user experience. BMJ Quality & Safety, 30(12), 1010-1020. https://doi.org/10.1136/bmjqs-2020-011247
  • 9. Kruk, M. E., & Freedman, L. P. (2008). Assessing health system performance in developing countries: A review of the literature. Health Policy, 85(3), 263-276. https://doi.org/10.1016/j.healthpol.2007.09.003
  • 10. Yiğit, A. (2019). Performance analysis of OECD countries based on health outcomes and expenditure indicators. J Int Health Sci Manag, 5(9), 114-23.
  • 11. Simões, J., Magalhães, J. P. M., Biscaia, A., da Luz Pereira, A., Augusto, G. F., & Fronteira, I. (2021). Organisation of the state, model of health system and COVID‐19 health outcomes in six European countries, during the first months of the COVID‐19 epidemic in 2020. International Journal of Health Planning and Management, 36(5), 1874-1886. https://doi.org/10.1002/hpm.3271
  • 12. Araujo, C. A. S., Wanke, P., & Siqueira, M. M. (2018). A performance analysis of Brazilian public health: TOPSIS and neural networks application. International Journal of Productivity and Performance Management, 67(9), 1526-1549. https://doi.org/10.1108/IJPPM-11-2017-0319
  • 13. Moses, M. W., Korir, J., Zeng, W., et al. (2021). Performance assessment of the county healthcare systems in Kenya: A mixed-methods analysis. BMJ Global Health, 6, e004707. https://doi.org/10.1136/bmjgh-2020-004707
  • 14. Mitropoulos, P. (2021). Production and quality performance of healthcare services in EU countries during the economic crisis. Operational Research, 21, 857-873. https://doi.org/10.1007/s12351-019-00483-3
  • 15. Ta, Y., Zhu, Y., & Fu, H. (2020). Trends in access to health services, financial protection and satisfaction between 2010 and 2016: Has China achieved the goals of its health system reform? Social Science & Medicine, 245, 112715. https://doi.org/10.1016/j.socscimed.2019.112715
  • 16. Sielska, A. (2019). Comparison of healthcare performance and its determinants in European countries using TOPSIS approach. Warsaw Forum of Economic Sociology, 10(20), 71-94.
  • 17. Ardielli, E., Bémová, D., & Bobrowska, A. (2022). Multi-criteria evaluation of health care performance in the Czech Republic and Poland. In Dev. Adm. Border Areas Czech Repub Poland Conf Proc RASPO 2022 (pp. 12- 23).
  • 18. Dalbudak, E., Rençber, Ö. F. (2022). Çok kriterli karar verme yöntemleri üzerine literatür incelemesi (A literature review on multicriteria decision making methods). Gaziantep Univ Iktisadi Idari Bilimler Fak Derg, 4(1), 1-17. doi: 10.55769/gauniibf.1068692.
  • 19. Yıldırım, B. F., & Önder, E. (2018). Çok kriterli karar verme yöntemleri (Multi-criteria decision making methods). Bursa: Dora Yayınları.
  • 20. Zulqarnain, R. M., Saeed, M., Ahmad, N., Dayan, F., & Ahmad, B. (2020). Application of TOPSIS method for decision making. IJSRMSS Int J Sci Res Math Stat Sci, 7(2), 76-81.
  • 21. de Farias Aires, R. F., & Ferreira, L. (2019). A new approach to avoid rank reversal cases in the TOPSIS method. Computational Industrial Engineering, 132, 84-97. https://doi.org/10.1016/j.cie.2019.04.023
  • 22. Khambhati, R., Patel, H., & Kumar, S. (2022). A performance evaluation and comparison model for urban public healthcare service quality (Urbpubhcservqual) by fuzzy TOPSIS method. Journal of Nonprofit & Public Sector Marketing, 34(3), 291-310. https://doi.org/10.1080/10495142.2020.1865232
  • 23. Chakraborty, S. (2022). TOPSIS and modified TOPSIS: A comparative analysis. Decision Analytics Journal, 2, 100021. https://doi.org/10.1016/j.dajour.2021.100021
  • 24. Mufazzal, S., & Muzakkir, S. M. (2018). A new multi-criterion decision making (MCDM) method based on proximity indexed value for minimizing rank reversals. Computers & Industrial Engineering, 119, 427-438. https://doi.org/10.1016/j.cie.2018.03.045
  • 25. Neogi, D. (2021). Performance appraisal of select nations in mitigation of COVID-19 pandemic using entropy-based TOPSIS method. Ciência & Saúde Coletiva, 26, 1419-1428. https://doi.org/10.1590/1413- 81232021264.43132020
  • 26. Şahin, K., & Cezlan, E. Ç. (2023). OECD ülkelerinin sağlık göstergeleri ve sağlık finansman modellerini karşılaştırılması (Comparison of health indicators and health financing models of OECD Countries). Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 41(1), 44-61. https://doi.org/10.17065/huniibf.1096257
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  • 28. Ministry of Health of Türkiye. Health Statistics Yearbook (HSY), 2019 https://dosyasb.saglik.gov.tr/Eklenti/40564,saglik-istatistikleri-yilligi-2019pdf.pdf?0 (Accessed: 17 August 2024).
  • 29. Ministry of Health of Türkiye. Health Statistics Yearbook (HSY), 2020 https://dosyasb.saglik.gov.tr/Eklenti/43399,siy2020-tur-26052022pdf.pdf?0 (Accessed: 17 August 2024).
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  • 32. World Health Organization. The World Health Report 2000: Health Systems: Improving Performance. Geneva: WHO; 2000 https://www.who.int/whr/2000/en/ (Accessed: 17 August 2024).
  • 33. Akbulut, Y., Sarp, N., & Ugurluoglu, E. (2007). Reform of the health care system in Turkey: A review of universal health insurance. World Hospitals and Health Services, 43(1), 13-16.
  • 34. Yenimahalleli Yasar, G. (2011). Health transformation programme in Turkey: An assessment. International Journal of Health Planning and Management, 26(2), 110–133. https://doi.org/10.1002/hpm.1065
  • 35. Tatar, M., & Kanavos, P. (2006). Health care reform in Turkey. Eurohealth, 12(1), 20-22.
  • 36. Akinci, F., Mollahaliloğlu, S., Gürsöz, H., & Oğücü, F. (2012). Assessment of the Turkish health care system reforms: A stakeholder analysis. Health Policy, 107(1), 21–30. https://doi.org/10.1016/j.healthpol.2012.05.002
  • 37. Bağcı, H. (2023). Do healthcare reforms affect health status? Türkiye practice. Ankara Medical Journal, 23(3), 269–283. https://doi.org/10.5505/amj.2023.45077
  • 38. Gavurova, B., Kocisova, K., & Sopko, J. (2021). Health system efficiency in OECD countries: Dynamic network DEA approach. Health Economics Review, 11, 1–25.
  • 39. The Ministry of Health of Türkiye. General Directorate of Public Health: COVID-19 (SARS-COV-2 Infection) General Information, Epidemiology and Diagnosis Scientific Advisory Board Study. 2020 https://covid19.saglik.gov.tr/Eklenti/39551/0/covid-19rehberigenelbilgilerepidemiyolojivetanipdf.pdf (Accessed: 18 August 2024).
  • 40. UN News. UN announces global health measures. Released: 2023 May 5. https://news.un.org/en/story/2023/05/1136367 (Acccesed: 2 November 2024).
  • 41. The Ministry of Health of Türkiye. COVID-19 Information Platform. https://covid19.saglik.gov.tr/TR- 66935/genel-koronavirus-tablosu.html (Accessed: 18 August 2024).
  • 42. Mahendradhata, Y., Andayani, N. L. P. E., Hasri, E. T., Arifi, M. D., Siahaan, R. G. M., Solikha, D. A., et al. (2021). The capacity of the Indonesian healthcare system to respond to COVID-19. Frontiers in Public Health, 9, 649819. https://doi.org/10.3389/fpubh.2021.649819
  • 43. Rajan, S., McKee, M., Hernández-Quevedo, C., Karanikolos, M., Richardson, E., Webb, E., et al. (2022). What have European countries done to prevent the spread of COVID-19? Lessons from the COVID-19 Health System Response Monitor. Health Policy, 126(5), 355–361. https://doi.org/10.1016/j.healthpol.2022.03.005
  • 44. Aydın, G. Z. (2022). OECD ülkelerinde COVID-19 pandemisinin çok kriterli karar verme yöntemleriyle değerlendirilmesi (Evaluation of Covid-19 Pandemic in OECD Countries by Multi-Criteria Decision Making Methods). Samsun Sağlık Bilimleri Dergisi, 7(3), 713-730. https://doi.org/10.47115/jshs.1069306
  • 45. Geyik, S. K., Satman, M. H., & Kalyoncu, G. (2022). G20 ülkelerinin COVID-19 pandemisi ile mücadele performanslarının çok kriterli karar verme yöntemleri ile değerlendirilmesi (Performance Evaluation of G20 Countries’ Fight Against COVID-19 Using Multiple Criteria Decision-Making Methods). Ekoist: Journal of Econometrics and Statistics, (37), 27-52. https://doi.org/10.26650/ekoist.2022.37.1161945
  • 46. Uslu, Y., Şahin, K., Aygün, S., & Tuna, M. (2023). OECD ülkeleri ve Türkiye’nin sağlık harcamalarının TOPSIS yöntemi ile incelenmesi (Analysis of Health Expenditures of OECD Countries and Turkey by TOPSIS Method). Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(2), 386-395. https://doi.org/10.37989/gumussagbil.1183077
  • 47. Demirbilek, Y., Pehlivantürk, G., Özgüler, Z. Ö., & Meşe, E. A. (2020). COVID-19 outbreak control, example of Ministry of Health of Turkey. Turkish Journal of Medical Sciences, 50(9), 489-494. https://doi.org/10.3906/sag- 2004-187
  • 48. TRT News [Internet]. Türkiye builds new hospitals within 45 days. 2024 Sep 18 [cited 2024 Sep 18]. Available from: https://www.trthaber.com/haber/gundem/45-gun-icinde-turkiyeye-yeni-hastaneler- kazandirildi-488828.html
  • 49. The Ministry of Health of Türkiye. News archive. https://www.saglik.gov.tr/TR,25639/haber-arsivi.html (Accessed: 23 November 2024).
  • 50. Siverskog, J., & Henriksson, M. (2022). The health cost of reducing hospital bed capacity. Social Science & Medicine, 313, 115399. https://doi.org/10.1016/j.socscimed.2022.115399
  • 51. Tian, F., & Pan, J. (2021). Hospital bed supply and inequality as determinants of maternal mortality in China between 2004 and 2016. International Journal for Equity in Health, 20(1), 1-15. https://doi.org/10.1186/s12939-021-01391-9
  • 52. Boniol, M., Kunjumen, T., Nair, T. S., Siyam, A., Campbell, J., & Diallo, K. (2022). The global health workforce stock and distribution in 2020 and 2030: A threat to equity and ‘universal’ health coverage? BMJ Global Health, 7(6), e009316.
  • 53. Liu, J., & Eggleston, K. (2021). The association between health workforce and health outcomes: A cross- country econometric study. Social Indicators Research, 163(2), 609-632. https://doi.org/10.1007/s11205-022- 02910-z
  • 54. Amiri, A., & Solankallio-Vahteri, T. (2019). Nurse staffing and life expectancy at birth and at 65 years old: Evidence from 35 OECD countries. International Journal of Nursing Sciences, 6(4), 362-370. https://doi.org/10.1016/j.ijnss.2019.07.001
  • 55. Basu, S., Berkowitz, S. A., Phillips, R. L., Bitton, A., Landon, B. E., & Phillips, R. S. (2019). Association of primary care physician supply with population mortality in the United States, 2005–2015. JAMA Internal Medicine, 179(4), 506-514. https://doi.org/10.1001/jamainternmed.2018.7624
  • 56. Edeme, R. K., Emecheta, C., & Omeje, M. O. (2017). Public health expenditure and health outcomes in Nigeria. American Journal of Biomedical and Life Sciences, 5(5), 96-102. https://doi.org/10.11648/j.ajbls.20170505.13
  • 57. Vavken, P., Pagenstert, G., Grimm, C., & Dorotka, R. (2012). Does increased health care spending afford better health care outcomes? Swiss Medical Weekly, 142(23-24), 13589. https://doi.org/10.4414/smw.2012.13589
Toplam 57 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Sistemleri
Bölüm Araştırma Makalesi
Yazarlar

Özlem Özaydın 0000-0003-0929-1302

Özden Güdük 0000-0002-2268-0428

Emrah Önder 0000-0002-0554-1290

Gönderilme Tarihi 9 Nisan 2025
Kabul Tarihi 30 Ekim 2025
Yayımlanma Tarihi 31 Ocak 2026
Yayımlandığı Sayı Yıl 2026 Cilt: 10 Sayı: 1

Kaynak Göster

APA Özaydın, Ö., Güdük, Ö., & Önder, E. (2026). Evaluation of Türkiye’s Health Performance from 2018 to 2022. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 10(1), 125-144. https://doi.org/10.46237/amusbfd.1671885