Türkiye'nin Farklı Rejimler Altında Sağlık Turizm Potansiyeli: Uluslararası Rekabet Gücünü Etkileyen Makroekonomik Faktörler
Yıl 2025,
Cilt: 25 Sayı: 3, 567 - 578, 06.08.2025
Uğur Sinet
,
Coşkun Akdeniz
,
Ümit Gaberli
Öz
Bu çalışma 2003Ç1-2023Ç1 dönemi için, Türkiye’deki uluslararası sağlık turizm gelirlerinin makroekonomik belirleyicilerini, doğrusal olmayan bir yaklaşım olan Markov Rejim Değişim modeliyle ele almaktadır. Ampirik bulgular, iki rejimin tanımlandığını ve 2016Ç1 döneminde; düşükten yüksek rejime net bir geçiş olduğunu göstermektedir. Düşük rejimde ekonomik faktörlerin genel olarak istatistiksel olarak anlamsız olup, öte yandan yüksek rejimde ise hemen hemen tüm değişkenlerin uluslararası sağlık turizmi gelirleri üzerinde istatistiksel olarak anlamlı bir etkisi vardır. Yüksek rejimde göreli fiyatlar, reel efektif döviz kuru ve petrol fiyatlarındaki artışlar; uluslararası sağlık turizmi gelirlerinde bir azalmaya yol açarken, sağlık sektörü hisse senedi getirileri ise söz konusu gelirleri olumlu etkilemektedir. Küresel bir faktör olarak, belirsizlik endeksi ise her iki rejimde de istatistiksel olarak anlamsızdır. Elde edilen bulgular, Türkiye’nin sağlık turizm pazarındaki fiyat rekabetine bağımlılığını vurgulamakta ve sektörün uzun vadeli uygulanabilirliğini artırmak için sürdürülebilir kamu teşviklerine olan ihtiyacın altını çizmektedir.
Kaynakça
-
Agazade, S., and Ergun, A. (2022). Health Tourism Revenues and Real Exchange Rate Relationship in Türkiye. Journal of Quality Assurance in Hospitality & Tourism, (2022), 1-18.
-
Baharumshah, A. Z., Soon, S. V., and Wohar, M. E. (2017). Markov-Switching Analysis of Exchange Rate Pass-Through: Perspective from Asian Countries. International Review of Economics & Finance, 51, 245-257.
-
Biri, G. (2021). Türkiye’nin Sağlık Turizmi Gelirini Etkileyen Faktörlerin Eşbütünleşme Analizi. Anadolu University Faculty of Economics and Administrative Sciences Journal, 22(2), 73-82.
-
Catık, A. N., and Onder, A. Ö. (2011). Inflationary Effects of Oil Prices in Turkey: A Regime-Switching Approach. Emerging Markets Finance and Trade, 47(5), 125-140.
-
Ceti, B., and Unluonen, K. (2020). Economic Evaluation of Health Tourism in Turkey. Journal of Tourismology, 6(1), 99-109.
-
Connell, J. (2006). Medical Tourism: Sea, Sun, Sand and… Surgery. Tourism Management, 27(6), 1093.
-
Global Healthcare Market (2024). https://www.reportlinker.com (Date accessed: 01.09.2024).
-
Ha, J., Yu, C., and Hwang, Y. (2021). Analyzing the Impact of Relative Push and Pull Factors on Inbound Medical Tourism in South Korea: Focused on BCG Matrix Applied Segment Group Characteristics. Asia Pacific Journal of Tourism Research, 26(7), 768-779.
-
Hamilton, J. D. (1994). Time Series Analysis. New Jersey: Princeton University Press.
-
Isıklı, E., Asan, S. S., and Usta, S. K. (2020). Predicting the Medical Tourism Demand of Turkey. F. Calışır, and O. Korhan (Eds.), Industrial Engineering in the Digital Disruption Era (p. 119-132). Springer.
-
Krolzig, H-M. (1997). Markov-Switching Vector Autoregressions: Modelling, Statistical Inference, and Application to Business Cycle Analysis. Lecture Notes in Economics and Mathematical Systems, 454, Berlin: Springer.
-
Medical Tourism (2024). https://www.medicaltourism.com/destinations/turkey (Date accessed: 13.09.2024).
-
Medical Tourism Destinations (2024). https://www.medicaltourism.com/mti/destinations (Date accessed: 13.09.2024)
-
Peker, S. V., Van Gıersbergen, M. Y., and Biçersoy, G. (2018). Sağlık Bilişimi ve Turkiye’de Hastanelerin Dijitalleşmesi. Health Academy Kastamonu, 3(3), 228-267.
-
Prasetyo, A., Sedianingsih, and Ratnasar, R. T. (2020). Determinants of Health Visit Appeal Based On Medical Tourism. Elementary Education Online, 19(4), 441-449.
-
Smith, M., and Puczkó, L. (2010). Taking Your Life into Your Own Hands? New Trends in European Health Tourism. Tourism Recreation Research, 35(2), 161-172.
-
Turner, L. (2007). First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism. BioSocieties, 2(3), 303-325.
-
Vetitnev, A., Kopyirin, A., and Kiseleva, A. (2016). System Dynamics Modelling and Forecasting Health Tourism Demand: the Case of Russian Resorts. Current Issues in Tourism, 19(7), 618-623.
-
Vogelsang, T. J., and Perron, P. (1998). Additional Tests for a Unit Root Allowing for a Break in the Trend Function at an Unknown Time. International Economic Review, 1073-1100.
-
Yagcıbası, O. F., and Yildirim, M. O. (2019). Estimating Taylor Rules with Markov Switching Regimes for Turkey. Romanian Journal of Economic Forecasting, 22(3), 81-95.
-
Yu, J. Y., and Ko, T. G. (2012). A Cross-Cultural Study of Perceptions of Medical Tourism among Chinese, Japanese and Korean Tourists in Korea. Tourism Management, 33(1), 80-88.
Health Tourism Potential of Turkey under the Different Regimes: Macroeconomic Factors Affecting the International Competitiveness
Yıl 2025,
Cilt: 25 Sayı: 3, 567 - 578, 06.08.2025
Uğur Sinet
,
Coşkun Akdeniz
,
Ümit Gaberli
Öz
This study focuses on the macroeconomic determinants of international health tourism revenues in Turkey from 2003Q1 to 2023Q1 with a nonlinear approach, a Markov Regime Switching model. Empirical findings show that two regimes are identified, and there is a clear-cut transition from the low to the high regime in 2016Q1. Most economic factors are statistically insignificant in the low regime, whereas almost all variables have a statistically significant impact on international health tourism revenues in the high regime. In the high regime, increases in relative prices, real effective exchange rates, and oil prices lead to a decrease in international health tourism revenues, while health sector stock returns positively impact the revenues. As a global factor, the effect of the uncertainty index is statistically insignificant in both regimes. The empirical findings highlight Turkey’s dependence on price competition in the health tourism market and underline the need for sustainable public incentives to enhance the long-term viability of the sector.
Etik Beyan
The study does not require ethics committee approval.
Kaynakça
-
Agazade, S., and Ergun, A. (2022). Health Tourism Revenues and Real Exchange Rate Relationship in Türkiye. Journal of Quality Assurance in Hospitality & Tourism, (2022), 1-18.
-
Baharumshah, A. Z., Soon, S. V., and Wohar, M. E. (2017). Markov-Switching Analysis of Exchange Rate Pass-Through: Perspective from Asian Countries. International Review of Economics & Finance, 51, 245-257.
-
Biri, G. (2021). Türkiye’nin Sağlık Turizmi Gelirini Etkileyen Faktörlerin Eşbütünleşme Analizi. Anadolu University Faculty of Economics and Administrative Sciences Journal, 22(2), 73-82.
-
Catık, A. N., and Onder, A. Ö. (2011). Inflationary Effects of Oil Prices in Turkey: A Regime-Switching Approach. Emerging Markets Finance and Trade, 47(5), 125-140.
-
Ceti, B., and Unluonen, K. (2020). Economic Evaluation of Health Tourism in Turkey. Journal of Tourismology, 6(1), 99-109.
-
Connell, J. (2006). Medical Tourism: Sea, Sun, Sand and… Surgery. Tourism Management, 27(6), 1093.
-
Global Healthcare Market (2024). https://www.reportlinker.com (Date accessed: 01.09.2024).
-
Ha, J., Yu, C., and Hwang, Y. (2021). Analyzing the Impact of Relative Push and Pull Factors on Inbound Medical Tourism in South Korea: Focused on BCG Matrix Applied Segment Group Characteristics. Asia Pacific Journal of Tourism Research, 26(7), 768-779.
-
Hamilton, J. D. (1994). Time Series Analysis. New Jersey: Princeton University Press.
-
Isıklı, E., Asan, S. S., and Usta, S. K. (2020). Predicting the Medical Tourism Demand of Turkey. F. Calışır, and O. Korhan (Eds.), Industrial Engineering in the Digital Disruption Era (p. 119-132). Springer.
-
Krolzig, H-M. (1997). Markov-Switching Vector Autoregressions: Modelling, Statistical Inference, and Application to Business Cycle Analysis. Lecture Notes in Economics and Mathematical Systems, 454, Berlin: Springer.
-
Medical Tourism (2024). https://www.medicaltourism.com/destinations/turkey (Date accessed: 13.09.2024).
-
Medical Tourism Destinations (2024). https://www.medicaltourism.com/mti/destinations (Date accessed: 13.09.2024)
-
Peker, S. V., Van Gıersbergen, M. Y., and Biçersoy, G. (2018). Sağlık Bilişimi ve Turkiye’de Hastanelerin Dijitalleşmesi. Health Academy Kastamonu, 3(3), 228-267.
-
Prasetyo, A., Sedianingsih, and Ratnasar, R. T. (2020). Determinants of Health Visit Appeal Based On Medical Tourism. Elementary Education Online, 19(4), 441-449.
-
Smith, M., and Puczkó, L. (2010). Taking Your Life into Your Own Hands? New Trends in European Health Tourism. Tourism Recreation Research, 35(2), 161-172.
-
Turner, L. (2007). First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism. BioSocieties, 2(3), 303-325.
-
Vetitnev, A., Kopyirin, A., and Kiseleva, A. (2016). System Dynamics Modelling and Forecasting Health Tourism Demand: the Case of Russian Resorts. Current Issues in Tourism, 19(7), 618-623.
-
Vogelsang, T. J., and Perron, P. (1998). Additional Tests for a Unit Root Allowing for a Break in the Trend Function at an Unknown Time. International Economic Review, 1073-1100.
-
Yagcıbası, O. F., and Yildirim, M. O. (2019). Estimating Taylor Rules with Markov Switching Regimes for Turkey. Romanian Journal of Economic Forecasting, 22(3), 81-95.
-
Yu, J. Y., and Ko, T. G. (2012). A Cross-Cultural Study of Perceptions of Medical Tourism among Chinese, Japanese and Korean Tourists in Korea. Tourism Management, 33(1), 80-88.