Demografik Faktörlerdeki Değişiklikler Kamu Sağlık Harcamalarını Etkiliyor Mu? Türkiye Örneği

Yıl 2024, , 145 - 160, 27.06.2024

Sacit Sarı

https://doi.org/10.33399/biibfad.1412196

Öz

Bu çalışmanın temel amacı, 1980-2021 dönemi arası kamu sağlık harcamalarının belirleyicilerini yıllık verilerle demografik faktörler özelinde Türkiye ekonomisi için analiz etmektir. Bu kapsamda zaman serisi yöntemleri kullanılmıştır. Değişkenlerin durağanlığı geleneksel birim kök testleriyle ve serilerde yapısal kırılmayı içselleştiren birim kök testiyle sınanmıştır. Düzeyde durağan olmayan değişkenler arasındaki uzun dönemli ilişkilerin varlığı ARDL sınır testi yöntemiyle araştırılmıştır. Analiz sonucuna göre, kamu sağlık harcamaları ile GSYH, yaşlı bağımlı nüfus oranı, şehirleşme ve nüfus değişkenleri arasında uzun dönemli bir ilişki bulunmaktadır. GSYH düzeyindeki artışlar kamu sağlık harcamalarını azaltırken, demografik değişkenlerdeki artışlar kamu sağlık harcamalarını artırmaktadır. Beklenen yaşam süresinin artması, değişen demografik yapı, kentleşme ve tıbbi teknolojideki ilerlemeler sağlık harcamalarını önemli ölçüde artırmıştır. Sürdürülebilir ve verimli bir kamu sağlık harcaması için politika yapıcıların özel sektörün sağlık piyasasındaki payını artıracak politikalar geliştirmesi gerekmektedir.

Anahtar Kelimeler

Kamu sağlık harcamaları, Demografik Eğilimler, ARDL sınır testi

Do Changes in Demographic Factors Affect Public Health Expenditures? The Case of Turkiye

Öz

The main objective of this study is to analyze the effect of demographic factors on public health expenditures in the Turkish economy for the period between 1980 and 2021. Time series methods are employed in this analysis. The stationarity of the variables is tested with the conventional unit root test, while Zivot-Andrews unit root test is employed to identify potential structural breaks in the data. The existence of long-run relationships between non-stationary variables is investigated using the ARDL bounds test method. According to the analysis results, a persistent and statistically significant association exists between public health expenditures and GDP, contingent upon variables such as the old dependent population ratio, urbanization, and population. While increases in national product decrease public health expenditures, increases in demographic variables cause an overall rise in total public health expenditures. Increasing life expectancy, changing demographic structure, urbanization, and advances in medical technology have significantly increased health expenditures. Policymakers must establish strategies to boost the representation of the private sector in the health market if public health spending is to be sustainable and efficient.

Anahtar Kelimeler

Public health expenditure, Demographic Trends, ARDL bounds test

Kaynakça

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