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Cost of Health Care and Utilization of Emergency Departments in Turkey

Yıl 2017, Cilt: 3 Sayı: 2, 161 - 170, 01.06.2017

Öz

The purpose of this study is to understand the relationship between some diseases /accidents and emergency department visits. Turkey implemented a series of healthcare reforms aimed at providing healthcare services less expensive and easily accessible to citizens. I study the impact of providing free emergency care services to the patients in Turkey regardless of their insurance status on utilization of emergency departments at hospitals. Using a Blinder-Oaxaca method, I observe that coefficients explain more than 100 % of the difference and that patients regardless of health concern visit emergency departments. I also find that emergency care visits for all insurance types increased after the policy change in 2008 by about 5 %

Kaynakça

  • Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB. Emergency departments and crowding in United States teaching hospitals. Annals of emergency medicine 1991; 20(9): 980-6.
  • Ataman K, Beril K, Öncü MR, Tuğrul F. Bir devlet hastanesi acil servisine başvuran hastaların profili ve başvurunun uygunluğu. Gaziantep Medical Journal 2011; 17(2): 57-62.
  • Atun R, Aydın S, Chakraborty S, et al. Universal health coverage in Turkey: enhancement of equity. The Lancet 2013; 382(9886): 65-99.
  • Baker LC, Baker LS. Excess cost of emergency department visits for nonurgent care. Health Affairs 1994; 13(5): 162-71.
  • Bianco A, Pileggi C, Angelillo IF. Non-urgent visits to a hospital emergency department in Italy. Public health 2003; 117(4): 250-5.
  • Blinder AS. Wage discrimination: reduced form and structural estimates. Journal of Human resources 1973: 436-55.
  • Davidson SM. Understanding the growth of emergency department utilization. Medical care 1978: 122-32.
  • Daymont TN, Andrisani PJ. Job preferences, college major, and the gender gap in earnings. Journal of Human Resources 1984: 408-28.
  • Ding R, McCarthy ML, Li G, Kirsch TD, Jung JJ, Kelen GD. Patients who leave without being seen: their characteristics and history of emergency department use. Annals of emergency medicine 2006; 48(6): 686-93.
  • Eroglu SE, Toprak SN, Urgan O, et al. Evaluation of non-urgent visits to a busy urban emergency. Saudi Med J 2012; 33(9): 967-72.
  • Gordon JA, Billings J, Asplin BR, Rhodes KV. Safety net research in emergency medicine proceedings of the academic emergency medicine consensus conference on “The Unraveling Safety Net”. Academic Emergency Medicine 2001; 8(11): 1024-9.
  • Grumbach K, Keane D, Bindman A. Primary care and public emergency department overcrowding. American Journal of Public Health 1993; 83(3): 372-8.
  • Hock MOE, Ornato JP, Cosby C, Franck T. Should the emergency department be society's health safety net? Journal of public health policy 2005; 26(3): 269-81.
  • Jann B. The Blinder-Oaxaca decomposition for linear regression models. The Stata Journal 2008; 8(4): 453-79.
  • Jones FL, Kelley J. Decomposing differences between groups: A cautionary note on measuring discrimination. Sociological Methods & Research 1984; 12(3): 323-43.
  • McCaig LF, Nawar EW. National hospital ambulatory medical care survey: 2004 emergency department summary: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2006.
  • Oaxaca R. Male-female wage differentials in urban labor markets. International economic review 1973: 693-709.
  • Oktay C, Cete Y, Eray O, Pekdemir M, Gunerli A. Appropriateness of emergency department visits in a Turkish university hospital. Croatian medical journal 2003; 44(5): 585-91.
  • Rowe BH, Channan P, Bullard M, et al. Characteristics of patients who leave emergency departments without being seen. Academic Emergency Medicine 2006; 13(8): 848-52.
  • Trzeciak S, Rivers E. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emergency medicine journal 2003; 20(5): 402-5.
  • Winsborough H, Dickinson P. Components of negro-white income differences. Age 1971; 25(34): 35-44.

Cost of Health Care and Utilization of Emergency Departments in Turkey

Yıl 2017, Cilt: 3 Sayı: 2, 161 - 170, 01.06.2017

Öz

Kaynakça

  • Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB. Emergency departments and crowding in United States teaching hospitals. Annals of emergency medicine 1991; 20(9): 980-6.
  • Ataman K, Beril K, Öncü MR, Tuğrul F. Bir devlet hastanesi acil servisine başvuran hastaların profili ve başvurunun uygunluğu. Gaziantep Medical Journal 2011; 17(2): 57-62.
  • Atun R, Aydın S, Chakraborty S, et al. Universal health coverage in Turkey: enhancement of equity. The Lancet 2013; 382(9886): 65-99.
  • Baker LC, Baker LS. Excess cost of emergency department visits for nonurgent care. Health Affairs 1994; 13(5): 162-71.
  • Bianco A, Pileggi C, Angelillo IF. Non-urgent visits to a hospital emergency department in Italy. Public health 2003; 117(4): 250-5.
  • Blinder AS. Wage discrimination: reduced form and structural estimates. Journal of Human resources 1973: 436-55.
  • Davidson SM. Understanding the growth of emergency department utilization. Medical care 1978: 122-32.
  • Daymont TN, Andrisani PJ. Job preferences, college major, and the gender gap in earnings. Journal of Human Resources 1984: 408-28.
  • Ding R, McCarthy ML, Li G, Kirsch TD, Jung JJ, Kelen GD. Patients who leave without being seen: their characteristics and history of emergency department use. Annals of emergency medicine 2006; 48(6): 686-93.
  • Eroglu SE, Toprak SN, Urgan O, et al. Evaluation of non-urgent visits to a busy urban emergency. Saudi Med J 2012; 33(9): 967-72.
  • Gordon JA, Billings J, Asplin BR, Rhodes KV. Safety net research in emergency medicine proceedings of the academic emergency medicine consensus conference on “The Unraveling Safety Net”. Academic Emergency Medicine 2001; 8(11): 1024-9.
  • Grumbach K, Keane D, Bindman A. Primary care and public emergency department overcrowding. American Journal of Public Health 1993; 83(3): 372-8.
  • Hock MOE, Ornato JP, Cosby C, Franck T. Should the emergency department be society's health safety net? Journal of public health policy 2005; 26(3): 269-81.
  • Jann B. The Blinder-Oaxaca decomposition for linear regression models. The Stata Journal 2008; 8(4): 453-79.
  • Jones FL, Kelley J. Decomposing differences between groups: A cautionary note on measuring discrimination. Sociological Methods & Research 1984; 12(3): 323-43.
  • McCaig LF, Nawar EW. National hospital ambulatory medical care survey: 2004 emergency department summary: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2006.
  • Oaxaca R. Male-female wage differentials in urban labor markets. International economic review 1973: 693-709.
  • Oktay C, Cete Y, Eray O, Pekdemir M, Gunerli A. Appropriateness of emergency department visits in a Turkish university hospital. Croatian medical journal 2003; 44(5): 585-91.
  • Rowe BH, Channan P, Bullard M, et al. Characteristics of patients who leave emergency departments without being seen. Academic Emergency Medicine 2006; 13(8): 848-52.
  • Trzeciak S, Rivers E. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emergency medicine journal 2003; 20(5): 402-5.
  • Winsborough H, Dickinson P. Components of negro-white income differences. Age 1971; 25(34): 35-44.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Research Article
Yazarlar

Abdullah Tırgıl Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 3 Sayı: 2

Kaynak Göster

APA Tırgıl, A. (2017). Cost of Health Care and Utilization of Emergency Departments in Turkey. Uluslararası Ekonomik Araştırmalar Dergisi, 3(2), 161-170.
AMA Tırgıl A. Cost of Health Care and Utilization of Emergency Departments in Turkey. UEAD. Haziran 2017;3(2):161-170.
Chicago Tırgıl, Abdullah. “Cost of Health Care and Utilization of Emergency Departments in Turkey”. Uluslararası Ekonomik Araştırmalar Dergisi 3, sy. 2 (Haziran 2017): 161-70.
EndNote Tırgıl A (01 Haziran 2017) Cost of Health Care and Utilization of Emergency Departments in Turkey. Uluslararası Ekonomik Araştırmalar Dergisi 3 2 161–170.
IEEE A. Tırgıl, “Cost of Health Care and Utilization of Emergency Departments in Turkey”, UEAD, c. 3, sy. 2, ss. 161–170, 2017.
ISNAD Tırgıl, Abdullah. “Cost of Health Care and Utilization of Emergency Departments in Turkey”. Uluslararası Ekonomik Araştırmalar Dergisi 3/2 (Haziran 2017), 161-170.
JAMA Tırgıl A. Cost of Health Care and Utilization of Emergency Departments in Turkey. UEAD. 2017;3:161–170.
MLA Tırgıl, Abdullah. “Cost of Health Care and Utilization of Emergency Departments in Turkey”. Uluslararası Ekonomik Araştırmalar Dergisi, c. 3, sy. 2, 2017, ss. 161-70.
Vancouver Tırgıl A. Cost of Health Care and Utilization of Emergency Departments in Turkey. UEAD. 2017;3(2):161-70.