OECD Ülkelerinde Pandemi Sırasında Sağlıkta İkilem: Salgını Önlemeye Yönelik Sağlık Harcamalarının Artması, Hemşirelik İstihdamını Artırmada Kesintiye Neden Olacak mı Olmayacak mı?

Öz

Aralık 2021'in başlarında, COVID-19 ile ilgili vakalar 263 milyonu ve ölümler de 5,2 milyonu aşmıştır. COVID-19 ile görülmüştür ki, pandemi döneminde bile virüsle mücadelede sağlık sistemi ve sağlık personeli vazgeçilmezdir. Sağlık personeli özellikle hemşireler dünyada eşit olarak dağılmamaktadır. Güçlü ve dayanıklı bir sağlık sistemi için, COVID-19'un çok hızlı yayılmasıyla hemşirelere duyulan ihtiyaç ortaya çıkmıştır. Dünya Sağlık Örgütü'ne göre 27,9 milyon olan küresel iş gücünün 19,3 milyonu ve sağlık personelinin de %59'u profesyonel hemşireler oluşturmaktadır. OECD ülkelerinde 13.4 milyon hemşire mevcut olup, 100.000 nüfusa 987 hemşire düşmektedir. Tedavi ve aşı için sağlık harcamaları yapılırken başta hemşireler olmak üzere sağlık personelinin yetiştirilmesi de ihmal edilmemelidir. Pandemiye karşı artan sağlık harcamaları daha çok korunma, aşı ve tıbbi tedaviye gitmekte ve hemşirelik hizmetlerinde istihdamın artırılmasında bir kesintiye (dışlanmaya) neden olabilmektedir.

Anahtar Kelimeler

• hemşirler
• kamu sağlığı
• COVID-19
• Pandemi
• sağlık harcamaları

Dilemma in Health During Pandemic in OECD Countries: Increasing Health Expenditures for Preventing Against the Pandemic Will Cause a Crowding-out in Increasing the Employment in Nursing Service or not?

Abstract

In the early of December 2021, the COVID-19 related cases has exceeded 263 million and deaths 5.2 million. With COVID-19, it has been seen that the health system and health personnel are indispensable in the fight against the virus, even during the pandemic period. For a strong a resilient healthcare system need for nurses has emerged as the COVID-19 spreads very fast. According to WHO 19.3 million of the global nursing workforce which is 27.9 million, and 59% of the health professions are professional nurses. In OECD countries, there are 13.4 million nurses, and 987 nurses per 100,000 population. While health expenditures are made for treatment and vaccination, it should not be neglected to train health personnel, especially nurses. Increasing health expenditures against pandemic may mostly go to for preventing, vaccines and medical treatment and cause a crowding-out in increasing the employment in nursing service.

Keywords

• Nurses
• public health
• COVID-19
• Pandemic
• health expenditure

Kaynakça

1. American Nursing Informatics Association (ANIA). 2021: Year of the Nurse Continues. https://www.ania.org/article/year-of-nurse-2021 (Access: December 15, 2021)
2. Atalan, A. (2021). Effect of Healthcare Expenditure On The Correlation Between The Number of Nurses and Doctors Employed. International Journal of Health Management and Tourism. 10.31201/ijhmt.949500. https://dergipark.org.tr/en/download/article-file/1898476 (Access: December 19, 2021)
3. Demirbaş D & Bozkurt V (2020). Introduction. In Demirbaş D (Editor), Bozkurt V (Editor), Yorğun S (Editor) (Eds), The Covıd-19 Pandemıc And Its Economıc, Socıal, And Polıtıcal Impacts (p. Vii).İstanbul: İstanbul University Press. 10.26650/B/SS46.2020.006 https://iupress.istanbul.edu.tr/en/book/the-covid-19-pandemic-and-its-economic-social-and-political-impacts/home (Access: December 15, 2021)
4. Eurostat (2021). Health statistics. https://ec.europa.eu/eurostat/web/health/overview (Access: December 20, 2021)
5. EViews. 2021. Innovative Solutions for econometric analysis, forecasting & simulation. https://www.eviews.com/home.html (Access: December 19, 2021)
6. Gujarati, D. N. & Porter, D.C. (2009), Basic Econometrics. McGraw-Hill/Irwin, 5th edition, p. 98.& p.888. https://cbpbu.ac.in/userfiles/file/2020/STUDY_MAT/ECO/1.pdf (Access: 19 December, 2021)
7. Gürler M, Özsoy Ö. (2020). Benchmarking the Devastating Effects of COVID-19 on Economies and Social Life in the EU and In Selected Countries Mostly Affected By the Pandemic. Diversity and Equality in Health and Care (2020) 17(4): 136-145. DOI:10.36648/2049-5471.17.4.204 https://diversityhealthcare.imedpub.com/benchmarking-the-devastatng-eects-of-covid19-on-economies-and-social-life-in-the-eu-and-in-selected-countries-mostly-aected-by-the.pdf (Access: December 21, 2021)
8. Gürler M, Özsoy Ö. (2021). The Health System Infrastructure and Economic Effects of COVID-19 in OECD Countries, the Policy Responses of Nations and international Organizations against Pandemic. Diversity and Equality in Health and Care (2021) 18(4): 258-275. https://diversityhealthcare.imedpub.com/the-health-system-infrastructure-and-economic-effects-of-covid19-in-oecd-countries-the-policy-responses-of-nations-and-internation.pdf (Access: December 19, 2021)

9. IBM. 2021a. IBM SPSS Statistics. https://www.ibm.com/products/spss-statistics (Access: December 19, 2021)
10. IBM. 2021b. IBM Db2 Warehouse on Cloud/Statistics-parametric and nonparametric. https://www.ibm.com/docs/vi/db2woc?topic=procedures-statistics-parametric-nonparametric (Access: December 19, 2021)
11. International Council of Nurses (INC) (2021). International Nurses Day. https://www.icn.ch/what-we-do/campaigns/international-nurses-day (Access: December 15, 2021)
12. Jackson, D., Bradbury-Jones, C., Baptiste, D., Gelling, L., Morin, K., Neville, S., & Smith, G. D. (2020). Life in the pandemic: Some reflections on nursing in the context of COVID-19. Journal of clinical nursing, 29(13-14), 2041–2043. https://doi.org/10.1111/jocn.15257 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228254/ (Access: December 15, 2021)
13. Minitab. 2015. Choosing Between a Nonparametric Test and a Parametric Test. https://blog.minitab.com/en/adventures-in-statistics-2/choosing-between-a-nonparametric-test-and-a-parametric-test (Access: December 19, 2021)
14. Mishra, P., C. M. Pandey, U. Singh, A. Gupta, C. Sahu, and A. Keshri. 2019. Descriptive statistics and normality tests for statistical data. Annals of cardiac anaesthesia. 22/1: 67–72. https://doi.org/10.4103/aca.ACA_157_18 (Access: December 19, 2021)
15. Organisation for Economic Co-operation and Development (OECD) (2021). https://stats.oecd.org/ (Access: 20 December, 2021)
16. Our World in Data (2021). Dataset. https://covid.ourworldindata.org/data/owid-covid-data.csv (Access: December 4, 2021)
17. Özsoy, Ö. and Gürler, M. (2021) Poverty and social exclusion of older people in ageing European Union and Turkey. J Public Health (Berl.). https://doi.org/10.1007/s10389-021-01525-x (Access: 20 December, 2021)
18. Özsoy, Ö. & Gürler, M. (2022). The Negative Effects of COVID-19 on the Sustainable Development Goals, Economic Growth, Foreign Trade, and Social Life. In K. Kahime, M. Zahir, M. Hadach, M. El Hidan, & B. Bougadir (Ed.), Public Health and Economic Resiliency in the Post-COVID-19 Era (pp. 105-155). IGI Global. http://doi:10.4018/978-1-7998-8202-2.ch007
19. Pınar, R. & Sert, H. (2009). Türkiye'nin Ulusal Bakım Politikasi Nasıl Olmalıdır?. Hemşirelikte Araştırma Geliştirme Dergisi, 11 (2) 46-55 . https://dergipark.org.tr/tr/pub/hemarge/issue/52704/695059 (Access: December 20, 2201)
20. T.C. Sağlık Bakanlığı, Sağlık Bilgi Sistemleri Genel Müdürlüğü (2021). Sağlık İstatistikleri Yıllığı 2020 Haber Bülteni. https://sbsgm.saglik.gov.tr/Eklenti/41611/0/haber-bulteni-2020pdf.pdf (Access: December 20, 2021)
21. The World Bank. Data. https://data.worldbank.org/ (Access: December 20, 2201)
22. U.S. Centers for Medicare & Medicaid Services (CMS) (2021). National Health Expenditure Data. https://www.cms.gov/files/zip/national-health-expenditures-type-service-and-source-funds-cy-1960-2020.zip (Access: 20 December, 2021)
23. WHO (2020). State of the world's nursing 2020: investing in education, jobs and leadership. https://apps.who.int/iris/rest/bitstreams/1274201/retrieve (Access: December 15, 2021)
24. WHO (2021a). NUTRITION LANDSCAPE INFORMATION SYSTEM (NLIS)/Nutrition and nutrition-related health and development data/Health expenditure. https://www.who.int/data/nutrition/nlis/info/health-expenditure (Access: December 15, 2021)
25. WHO (2021b). The Global Health Observatory Data: Health workforce: Medical doctors. https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/medical-doctors (Access: December 21, 2021)
26. WHO (2021c). Home/ Campaigns/ Annual theme/ Year of the Nurse and the Midwife 2020. https://www.who.int/campaigns/annual-theme/year-of-the-nurse-and-the-midwife-2020#:~:text=The%20world%20needs%209%20million,the%20Nurse%20and%20the%20Midwife. (Access: December 14, 2021)
27. WHO (2021d). Home/ Campaigns/ Annual theme/ Year of Health and Care Workers 2021. https://www.who.int/campaigns/annual-theme/year-of-health-and-care-workers-2021 (Access: December 14, 2021)
28. WHO (2021e). The Global Health Observatory. Data. https://www.who.int/data/gho/data/indicators (Access: December 20, 2021)
29. WHO (2021f). European Health Information Gateway/Total health expenditure as % of GDP. https://gateway.euro.who.int/en/indicators/hfa_566-6711-total-health-expenditure-as-of-gdp/ (Access: December 20, 2021)