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Yabancı Hastaların Hastane Başvurularının Hasta Yatışı ve Maliyet Yönünden Analizi: Retrospektif Bir Çalışma

Yıl 2025, Cilt: 10 Sayı: 3, 373 - 385, 25.11.2025
https://doi.org/10.31201/ijhmt.1757907

Öz

Amaç: Çalışmamızın amacı, turist sağlığı kapsamında sağlık hizmeti alan hastaların hastaneye yatışlarını ve alınan toplam ücretleri kategorik ve sayısal değişkenler üzerinden analiz etmektir.
Araçlar ve Yöntem: Bu kapsamda 6206 hasta kaydı analiz edildi. İstatistiksel olarak 2021 ve 2022 yıllarının 2023 ve 2024 yıllarına göre daha düşük olması istatistiksel olarak anlamlı bulundu. Klinik tipi ile hastaneye yatış durumu arasında anlamlı bir ilişki bulunamamıştır.
Bulgular: Toplam tahsilat ile yaş arasında pozitif ve çok zayıf anlamlı bir ilişki vardı, toplam tahsilat ile hastanede kalış günleri arasında pozitif ve zayıf anlamlı bir ilişki vardı ve cinsiyete göre anlamlı bir fark yoktu. Ameliyat olanların toplam tahsilat miktarının ameliyat olmayanlara göre daha yüksek olması önemlidir.
Sonuç: Sonuç olarak, çalışmamızda turistlerden alınan ücretler ile yaş, ameliyat durumu, hastanede kalış süresi ve yıl arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur. Turistlerin uyruğu ve cinsiyeti ile toplanan toplam ücretler arasında bir ilişki bulunamamıştır. 2021 yılı verileri ve Covid-19 etkisinden üç yıl sonrası veriler üzerinden gerçekleştirilen bu çalışmanın Covid-19 ve sonrası ile ilgili literatüre önemli katkılar sağlaması beklenmektedir.

Kaynakça

  • Aslanova, K. (2013). Türkiye’de Sağlik Turizmi ve Sağlik Turizmi Hukuku. Avrasya Uluslararası Araştırmalar Dergisi, 3(3), 129-145.
  • Bakanlığı, T. C. İ. (2021). Bazı faaliyetler için PCR testi zorunluluğu genelgesi gönderildi. Retrieved from https://www.icisleri.gov.tr/bazi-faaliyetler-icin-pcr-testi-zorunlulugu-genelgesi-gonderildi
  • Bakanlığı, T. C. İ. (2022). 81 İl Valiliğine PCR Testi ve HES Koduna İlişkin Genelge Gönderildi. Retrieved from https://www.icisleri.gov.tr/81-il-valiligine-pcr-testi-ve-hes-koduna-iliskin-genelge-gonderildi
  • Bertakis, K. D., & Azari, R. (2010). Patient gender differences in the prediction of medical expenditures. Journal of Women's Health, 19(10), 1925-1932.
  • Birkmeyer, J. D., Barnato, A., Birkmeyer, N., Bessler, R., & Skinner, J. (2020). The impact of the COVID-19 pandemic on hospital admissions in the United States: study examines trends in US hospital admissions during the COVID-19 pandemic. Health Affairs, 39(11), 2010-2017.
  • Chima, C. S., Barco, K., Dewitt, M. L. A., Maeda, M., Teran, J. C., & Mullen, K. D. (1997). Relationship of Nutritional Status to Length of Stay, Hospital Costs, and Discharge Status of Patients Hospitalized in the Medicine Service. Journal of the American Dietetic Association, 97(9), 975-978. doi:https://doi.org/10.1016/S0002-8223(97)00235-6
  • D'Agostino, F., Vellone, E., Cocchieri, A., Welton, J., Maurici, M., Polistena, B., . . . Sanson, G. (2019). Nursing diagnoses as predictors of hospital length of stay: A prospective observational study. Journal of Nursing Scholarship, 51(1), 96-105.
  • De Waure, C., Bruno, S., Furia, G., Di Sciullo, L., Carovillano, S., Specchia, M. L., . . . Ricciardi, W. (2015). Health inequalities: an analysis of hospitalizations with respect to migrant status, gender and geographical area. BMC international health and human rights, 15, 1-10.
  • Fistera, D., Kikull, K., Risse, J., Herrmann, A., Brachmann, M., & Kill, C. (2023). Point-of-care PCR testing of SARS-CoV-2 in the emergency department: Influence on workflow and efficiency. PloS one, 18(8), e0288906. doi:10.1371/journal.pone.0288906
  • Khosravizadeh, O., Vatankhah, S., Bastani, P., Kalhor, R., Alirezaei, S., & Doosty, F. (2016). Factors affecting length of stay in teaching hospitals of a middle-income country. Electronic physician, 8(10), 3042.
  • Li, J., Liu, H., Chen, J., Xue, Q., & Bao, Y. (2011). Travel health and health tourism: A perspective of the subject of tourism. Paper presented at the Applied Economics, Business and Development: International Symposium, ISAEBD 2011, Dalian, China, August 6-7, 2011, Proceedings, Part I.
  • Mazzaferro, D. M., Patel, V., Asport, N., Stetson, R. L., Rose, D., Plana, N., . . . Wu, L. C. (2022). The financial impact of COVID-19 on a surgical department: The effects of surgical shutdowns and the impact on a health system. Surgery, 172(6), 1642-1650. doi:10.1016/j.surg.2022.08.014
  • Miethke-Morais, A., Cassenote, A., Piva, H., Tokunaga, E., Cobello, V., Gonçalves, F. A. R., . . . Haddad, L. (2021). COVID-19-related hospital cost-outcome analysis: the impact of clinical and demographic factors. The Brazilian Journal of Infectious Diseases, 25(4), 101609.
  • Ohsfeldt, R. L., Choong, C. K.-C., Mc Collam, P. L., Abedtash, H., Kelton, K. A., & Burge, R. (2021). Inpatient hospital costs for COVID-19 patients in the United States. Advances in therapy, 38, 5557-5595.
  • Organization, W. H. (2007). International travel and health: situation as on 1 january 2007: World Health Organization.
  • Oruç, M. A., Caner, Ş., & Vatansever, K. (2024). The investigation of health tourism potential: The case of Samsun province. International Journal of Health Management and Tourism, 9(2), 180-193.
  • Ramos, J. M., Navarrete-Muñoz, E. M., Pinargote, H., Sastre, J., Seguí, J. M., & Rugero, M. J. (2013). Hospital admissions in Alicante (Spain): a comparative analysis of foreign citizens from high-income countries, immigrants from low-income countries, and Spanish citizens. BMC health services research, 13, 1-10.
  • Rennert-May, E., Leal, J., Thanh, N. X., Lang, E., Dowling, S., Manns, B., . . . Ronksley, P. E. (2021). The impact of COVID-19 on hospital admissions and emergency department visits: a population-based study. PloS one, 16(6), e0252441.
  • Spitz, E. M., Hong, Y. K., Sensenig, R., Daniyal, S. A., Mukkamalla, S., Amundson, A., . . . Rao, S. (2021). COVID-19 Impact on Elective Surgery and Hospital Finances. Journal of the American College of Surgeons, 233(5), e59.
  • Taheri, P. A., Butz, D. A., & Greenfield, L. J. (2000). Length of stay has minimal impact on the cost of hospital admission. Journal of the American College of Surgeons, 191(2), 123-130.
  • Turizmi, U. S., & Yönetmelik, T. S. H. (2017). Resmi Gazete (Sayı: 30123). Erişim adresi: https://www. resmigazete. gov. tr/eskiler/2017/07/20170713-3.htm.

Analysis of Hospital Admissions of Foreign Patients in Terms of Hospitalization and Cost: A Retrospective Study

Yıl 2025, Cilt: 10 Sayı: 3, 373 - 385, 25.11.2025
https://doi.org/10.31201/ijhmt.1757907

Öz

Aim: The aim of our study is to analyze the hospitalizations of patients receiving healthcare services within the scope of tourist health and the total fees charged through categorical and numerical variables.
Materials and Methods: In this context, 6206 patient records were analyzed. Statistically, it was found statistically significant that 2021 and 2022 were lower than 2023 and 2024. No significant relationship was found between clinic type and hospitalization status.
Results: There was a positive and very weak significant relationship between total collections and age, a positive and weak significant relationship between total collections and days of hospitalization, and no significant difference according to gender. It is significant that the total collection amount of those who had surgery was higher than those who did not have surgery.
Conclusion: In conclusion, in our study, there was a statistically significant relationship between the fees collected from tourists and age, surgery status, length of hospitalization and year. No relationship was found between the nationality and gender of tourists and the total fees collected. This study, which was conducted on the data of 2021 and three years after the Covid-19 effect, is expected to make significant contributions to the literature on Covid-19 and beyond.

Etik Beyan

The ethics committee was obtained from the Non-Interventional Clinical Research Ethics Committee (Ethics Committee Approval: HNEAH-GOAEK/KK/2025/18) of Haydarpaşa Numune Training and Research Hospital.

Destekleyen Kurum

This study did not receive any financial support from any institution, organization, or funding.

Teşekkür

I would like to thank the staff of Haydarpaşa Numune Training and Research Hospital for providing data, resources and statistical support during this study.

Kaynakça

  • Aslanova, K. (2013). Türkiye’de Sağlik Turizmi ve Sağlik Turizmi Hukuku. Avrasya Uluslararası Araştırmalar Dergisi, 3(3), 129-145.
  • Bakanlığı, T. C. İ. (2021). Bazı faaliyetler için PCR testi zorunluluğu genelgesi gönderildi. Retrieved from https://www.icisleri.gov.tr/bazi-faaliyetler-icin-pcr-testi-zorunlulugu-genelgesi-gonderildi
  • Bakanlığı, T. C. İ. (2022). 81 İl Valiliğine PCR Testi ve HES Koduna İlişkin Genelge Gönderildi. Retrieved from https://www.icisleri.gov.tr/81-il-valiligine-pcr-testi-ve-hes-koduna-iliskin-genelge-gonderildi
  • Bertakis, K. D., & Azari, R. (2010). Patient gender differences in the prediction of medical expenditures. Journal of Women's Health, 19(10), 1925-1932.
  • Birkmeyer, J. D., Barnato, A., Birkmeyer, N., Bessler, R., & Skinner, J. (2020). The impact of the COVID-19 pandemic on hospital admissions in the United States: study examines trends in US hospital admissions during the COVID-19 pandemic. Health Affairs, 39(11), 2010-2017.
  • Chima, C. S., Barco, K., Dewitt, M. L. A., Maeda, M., Teran, J. C., & Mullen, K. D. (1997). Relationship of Nutritional Status to Length of Stay, Hospital Costs, and Discharge Status of Patients Hospitalized in the Medicine Service. Journal of the American Dietetic Association, 97(9), 975-978. doi:https://doi.org/10.1016/S0002-8223(97)00235-6
  • D'Agostino, F., Vellone, E., Cocchieri, A., Welton, J., Maurici, M., Polistena, B., . . . Sanson, G. (2019). Nursing diagnoses as predictors of hospital length of stay: A prospective observational study. Journal of Nursing Scholarship, 51(1), 96-105.
  • De Waure, C., Bruno, S., Furia, G., Di Sciullo, L., Carovillano, S., Specchia, M. L., . . . Ricciardi, W. (2015). Health inequalities: an analysis of hospitalizations with respect to migrant status, gender and geographical area. BMC international health and human rights, 15, 1-10.
  • Fistera, D., Kikull, K., Risse, J., Herrmann, A., Brachmann, M., & Kill, C. (2023). Point-of-care PCR testing of SARS-CoV-2 in the emergency department: Influence on workflow and efficiency. PloS one, 18(8), e0288906. doi:10.1371/journal.pone.0288906
  • Khosravizadeh, O., Vatankhah, S., Bastani, P., Kalhor, R., Alirezaei, S., & Doosty, F. (2016). Factors affecting length of stay in teaching hospitals of a middle-income country. Electronic physician, 8(10), 3042.
  • Li, J., Liu, H., Chen, J., Xue, Q., & Bao, Y. (2011). Travel health and health tourism: A perspective of the subject of tourism. Paper presented at the Applied Economics, Business and Development: International Symposium, ISAEBD 2011, Dalian, China, August 6-7, 2011, Proceedings, Part I.
  • Mazzaferro, D. M., Patel, V., Asport, N., Stetson, R. L., Rose, D., Plana, N., . . . Wu, L. C. (2022). The financial impact of COVID-19 on a surgical department: The effects of surgical shutdowns and the impact on a health system. Surgery, 172(6), 1642-1650. doi:10.1016/j.surg.2022.08.014
  • Miethke-Morais, A., Cassenote, A., Piva, H., Tokunaga, E., Cobello, V., Gonçalves, F. A. R., . . . Haddad, L. (2021). COVID-19-related hospital cost-outcome analysis: the impact of clinical and demographic factors. The Brazilian Journal of Infectious Diseases, 25(4), 101609.
  • Ohsfeldt, R. L., Choong, C. K.-C., Mc Collam, P. L., Abedtash, H., Kelton, K. A., & Burge, R. (2021). Inpatient hospital costs for COVID-19 patients in the United States. Advances in therapy, 38, 5557-5595.
  • Organization, W. H. (2007). International travel and health: situation as on 1 january 2007: World Health Organization.
  • Oruç, M. A., Caner, Ş., & Vatansever, K. (2024). The investigation of health tourism potential: The case of Samsun province. International Journal of Health Management and Tourism, 9(2), 180-193.
  • Ramos, J. M., Navarrete-Muñoz, E. M., Pinargote, H., Sastre, J., Seguí, J. M., & Rugero, M. J. (2013). Hospital admissions in Alicante (Spain): a comparative analysis of foreign citizens from high-income countries, immigrants from low-income countries, and Spanish citizens. BMC health services research, 13, 1-10.
  • Rennert-May, E., Leal, J., Thanh, N. X., Lang, E., Dowling, S., Manns, B., . . . Ronksley, P. E. (2021). The impact of COVID-19 on hospital admissions and emergency department visits: a population-based study. PloS one, 16(6), e0252441.
  • Spitz, E. M., Hong, Y. K., Sensenig, R., Daniyal, S. A., Mukkamalla, S., Amundson, A., . . . Rao, S. (2021). COVID-19 Impact on Elective Surgery and Hospital Finances. Journal of the American College of Surgeons, 233(5), e59.
  • Taheri, P. A., Butz, D. A., & Greenfield, L. J. (2000). Length of stay has minimal impact on the cost of hospital admission. Journal of the American College of Surgeons, 191(2), 123-130.
  • Turizmi, U. S., & Yönetmelik, T. S. H. (2017). Resmi Gazete (Sayı: 30123). Erişim adresi: https://www. resmigazete. gov. tr/eskiler/2017/07/20170713-3.htm.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Turizm Politikası, Sağlık Kurumları Yönetimi, Sağlık Yönetimi, Hastane İşletmeciliği
Bölüm Araştırma Makalesi
Yazarlar

Muhammed Esat Çetin 0000-0002-7531-5950

Erken Görünüm Tarihi 22 Kasım 2025
Yayımlanma Tarihi 25 Kasım 2025
Gönderilme Tarihi 4 Ağustos 2025
Kabul Tarihi 30 Ekim 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 10 Sayı: 3

Kaynak Göster

APA Çetin, M. E. (2025). Analysis of Hospital Admissions of Foreign Patients in Terms of Hospitalization and Cost: A Retrospective Study. International Journal of Health Management and Tourism, 10(3), 373-385. https://doi.org/10.31201/ijhmt.1757907