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            <front>

                <journal-meta>
                                                                <journal-id>jepr</journal-id>
            <journal-title-group>
                                                                                    <journal-title>İktisat Politikası Araştırmaları Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2148-3876</issn>
                                                                                            <publisher>
                    <publisher-name>İstanbul Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.26650/JEPR1780035</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Macroeconomics (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Makro İktisat (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                                                            <article-title>Potential Effects of the Financial Dimension of Legal Regulations on the Turkish Health System: A Trend and Scenario Analysis Approach</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-1451-6388</contrib-id>
                                                                <name>
                                    <surname>Sonsuz</surname>
                                    <given-names>Aliye Aslı</given-names>
                                </name>
                                                                    <aff>ISTANBUL MEDIPOL UNIVERSITY</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-6374-817X</contrib-id>
                                                                <name>
                                    <surname>Aydın</surname>
                                    <given-names>Sabahattin</given-names>
                                </name>
                                                                    <aff>ISTANBUL MEDIPOL UNIVERSITY</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20260219">
                    <day>02</day>
                    <month>19</month>
                    <year>2026</year>
                </pub-date>
                                        <volume>13</volume>
                                        <issue>1</issue>
                                        <fpage>236</fpage>
                                        <lpage>250</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20250908">
                        <day>09</day>
                        <month>08</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20251130">
                        <day>11</day>
                        <month>30</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2014, İktisat Politikası Araştırmaları Dergisi</copyright-statement>
                    <copyright-year>2014</copyright-year>
                    <copyright-holder>İktisat Politikası Araştırmaları Dergisi</copyright-holder>
                </permissions>
            
                                                                                                                        <abstract><p>This research aims to address the potential financial impacts of legal regulations related to health and social security on the Turkish healthcare system within the framework of health policy and focuses on the end of 2024 and the first quarter of 2025. Calculations regarding the current status of the system were performed using the MS Excel programme, key indicators were evaluated using trend analysis, and premium amnesties and possible situations regarding participation fees were evaluated using scenario analysis. According to the findings, general health insurance covers 99.3% of the population. Bağ-kur member’s quantity is exhibiting a fluctuating trend, necessitating the monitoring of premium debts. Over the past decade, the number of physician visits per capita has surged from 8.3 to 11.4, with a nearly 50% increase at the primary level. Current health expenditure is increasing in line with the trend but is below in the years that include the pandemic period. This situation may be linked to the decline in the high-healthcare expenditure elderly population and a decrease in the use of deferrable healthcare services. According to the scenarios, the Social Security Institution may generate revenues of 5% of its budget, while a 2% reduction in current health expenditures may be achieved. Although premium amnesties offer social security to citizens, their continuity may result in a loss of money value and individuals’ willingness to pay premiums.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Health Financing</kwd>
                                                    <kwd>  Health System</kwd>
                                                    <kwd>  Health Policy</kwd>
                                                    <kwd>  Scenario Analysis</kwd>
                                                    <kwd>  Trend Analysis</kwd>
                                            </kwd-group>
                            
                                                                                                                                                    </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Akgül, I. (1994). Zaman Serisi Analizi ve Öngörü Modelleri. Öneri Dergisi, 1(1), s.52-69. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Atan M, Cam, E., &amp; Yılmaz, E. Türkiye Sağlık Sistemi Performansı Üzerine Trend Analizi. Sosyal Güvenlik Dergisi. 2019;9(1):29-44. doi:10.32331/sgd.582439 google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Bazı Alacakların Yeniden Yapılandırılması ile Bazı Kanunlarda Değişiklik Yapılmasına İlişkin Kanun. (09.06.2021). Resmî Gazete (Sayı: 31506). Kanun No: 7326. [https://resmigazete.gov.tr/eskiler/2021/06/20210609-1.htm](https://resmigazete.gov.tr/eskiler/2021/06/20210609-1.htm) (Erişim tarihi: 04.04.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Cumhurbaşkanlığı Kararı. (17.01.2025). 8/1/2002 Tarihli ve 4736 Sayılı Kanun’un 1 inci Maddesinin Birinci Fıkrası Hükmünden Muaf Tutulacakların Tespitine Dair 28/1/2002 Tarihli ve 2002/3654 Sayılı Bakanlar Kurulu Kararında Değişiklik Yapılmasına İlişkin Karar (Karar Sayısı: 9418). [https://www.resmigazete.gov.tr/eskiler/2025/01/20250117-9.pdf](https://www.resmigazete.gov.tr/eskiler/2025/01/20250117-9.pdf) (Erişim tarihi: 10.04.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Durur, F. ve Akbulut, Y. (2022). Sağlık Sistemlerinde Cevap Verebilirlik Üzerine Sistematik Bir Derleme. Sağlık Bilimleri Dergisi. 31(1), s.86-95. doi:10.34108/eujhs.839141 google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Feachem, R. G. (2000), Health Systems: More Evidence, More Debate. Bulletin of the World Health Organization; 78, s. 715. [https://pmc.ncbi.nlm.nih.gov/articles/instance/2560781/pdf/10916908.pdf](https://pmc.ncbi.nlm.nih.gov/articles/instance/2560781/pdf/10916908.pdf), (Erişim tarihi: 09.04.2025. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Haber M. (2025, 9 Ocak). TBMM Genel Kurulu&#039;ndan Geçti: Sağlıkta O Hizmetin Ücreti 10 Kat Arttı! Cumhuriyet Gazetesi. [https://www.cumhuriyet.com.tr/ekonomi/tbmm-genel-kurulundan-gecti-saglikta-o-hizmetin-ucreti-10-kat-artti-2287556](https://www.cumhuriyet.com.tr/ekonomi/tbmm-genel-kurulundan-gecti-saglikta-o-hizmetin-ucreti-10-kat-artti-2287556) (Erişim tarihi: 01.04.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Işıkhan V. (2024), Çalışma ve Sosyal Güvenlik Bakanlığının 2025 yılı bütçesi TBMM Plan ve Bütçe Komisyonunda. [https://www.saglikaktuel.com/haber/calisma-ve-sosyal-guvenlik-bakanliginin-2025-yili-butcesi-tbmm-plan-ve-butce-ko-100194.htm](https://www.saglikaktuel.com/haber/calisma-ve-sosyal-guvenlik-bakanliginin-2025-yili-butcesi-tbmm-plan-ve-butce-ko-100194.htm) (Erişim tarihi: 29.04.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Kato, D., Ryu, H., Matsumoto, T., Abe, K., Kaneko, M., Ko, M., Irving, G., Ramsay, R., Kondo, M. (2019), Building Primary Care in Japan: Literature Review. Journal of General and Family Medicine. 20(5), s.170–179. doi:10.1002/jgf2.2522. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Lagarde, M., Palmer, N. (2011). The impact of user fees on access to health services in low- and middle-income countries. The Cochrane database of systematic reviews. (4), CD009094. doi:10.1002/14651858.CD009094. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Memişoğlu, K. (2024, 1 Kasım), “Sağlıkta Değer Bazlı Yaklaşıma Aile Hekimliği Üzerinden Yeni Bir Başlangıç Yaptık.” T.C. Sağlık Bakanlığı. [https://www.saglik.gov.tr/TR-106196/saglikta-deger-bazli-yaklasima-aile-hekimligi-uzerinden-yeni-bir-](https://www.saglik.gov.tr/TR-106196/saglikta-deger-bazli-yaklasima-aile-hekimligi-uzerinden-yeni-bir-) baslangic-yaptik.html (Erişim tarihi: 09.06.2025).google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Mercer, H., Dal Poz, M., Adams, O., Stilwell, B., Buchan, J., Dreesch, N., Zurn P., Beaglehole, R. (2003), Human Resources for Health: Developing Policy Options for Change. Toward a global health workforce strategy. Geneva: World Health Organization. Draft. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Minitab. Interpret all statistics and graphs for moving average. (2025), [https://support.minitab.com/en-us/minitab/help-and-how-](https://support.minitab.com/en-us/minitab/help-and-how-) to/statistical-modeling/time-series/how-to/moving-average/interpret-the-results/all-statistics-and-graphs/ , (Erişim tarihi: 10.03.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">NHS (2025), Your choices in the NHS, [https://www.nhs.uk/using-the-nhs/about-the-nhs/your-choices-in-the-nhs/](https://www.nhs.uk/using-the-nhs/about-the-nhs/your-choices-in-the-nhs/) (Erişim tarihi: 25.11.2025).google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Özer, Ö., Yıldırım, H.H., Yıldırım, T. (2015), Sağlık Sistemlerinde Finansal Sürdürülebilirlik: Kuram ve Uygulama. ISBN: 978-605-84583-3-8. Ankara: Absam Yayınları. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Rechberger S., Hartner M., Kirchler E., &amp; Hämmerle F. (2010). Tax amnesties, justice perceptions, and filing behavior: a simulation study. Law &amp; Policy, 32(2), 214–225. doi:10.1111/j.1467-9930.2009.00316.x google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Roberts, M. J., Hsiao, W., Berman, P., Reich, M. R. (2008). Getting health reform right: A guide to improving performance and equity. New York. doi: 10.1093/acprof:oso/9780195371505.001.0001 google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Sağlık Bakanlığı Aile Hekimliği Sözleşme ve Ödeme Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik. (30.10.2024). Resmî Gazete (Sayı: 32707). [https://www.resmigazete.gov.tr/eskiler/2024/10/20241030-9.pdf](https://www.resmigazete.gov.tr/eskiler/2024/10/20241030-9.pdf) (Erişim tarihi: 01.05.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Sargutan, A. E. (2005), Sağlık Sektörü ve Sağlık Sistemlerinin Yapısı. Hacettepe Sağlık İdaresi Dergisi. 8(3), s. 400-428. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">SGK. (2020). Prim Ödeme Sürelerinin Ertelenmesi Hakkında Duyuru. [https://www.sgk.gov.tr/Duyuru/Detay/Prim-Odeme-Surelerinin-](https://www.sgk.gov.tr/Duyuru/Detay/Prim-Odeme-Surelerinin-) Ertelenmesi-Hakkinda-Duyuru-2022-11-01-03-17-24#:~:text=%EF%83%BC%202020%2FHaziran%20ay%C4%B1%20sonuna,%2F12%2F2020%20tarihine%20ertelenmi%C5%9Ftir.&amp;text=Erteleme%20nedeniyle%205510%20say%C4%B1l%C4%B1%20Kanunun,cezas%C4%B1%20ve%20gecikme%20zamm%C4%B1%20uygulanmayacakt%C4%B1r, (Erişim tarihi: 30.04.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">SGK Gündem. (Haziran 2021). Sosyal Güvenlik Kurumu Aylık Haber Bülteni: SGK Prim ve Borç Yapılandırması Başladı. [https://www.sgk.gov.tr/cdn/gallery/BASKANLIK_660000/SGK_G%C3%9CNDEM/G%C3%9CNDEM10/9f8207c5-96ba-4d62-b595-c286ee039926.pdf](https://www.sgk.gov.tr/cdn/gallery/BASKANLIK_660000/SGK_G%C3%9CNDEM/G%C3%9CNDEM10/9f8207c5-96ba-4d62-b595-c286ee039926.pdf) (Erişim tarihi: 14.06.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliğinde Değişiklik Yapılmasına Dair Tebliğ. (25.01.2025). Resmî Gazete (Sayı: 32793). [https://www.sgk.gov.tr/Duyuru/Detay/25012025-Tarih-ve-32793-Sayili-Resmi-Gazetede-Yayimlanan-Sosyal-Guvenlik-Kurumu-Saglik-Uygulama-Tebliginde-](https://www.sgk.gov.tr/Duyuru/Detay/25012025-Tarih-ve-32793-Sayili-Resmi-Gazetede-Yayimlanan-Sosyal-Guvenlik-Kurumu-Saglik-Uygulama-Tebliginde-) Degisiklik-Yapilmasina-Dair-Teblig-2025-01-27-04-57-42, (Erişim tarihi: 21.03.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliğinde Değişiklik Yapılmasına Dair Tebliğ. (23.02.2025). Resmî Gazete (Sayı: 32822). [https://www.resmigazete.gov.tr/eskiler/2025/02/20250223-4-1.htm](https://www.resmigazete.gov.tr/eskiler/2025/02/20250223-4-1.htm) (Erişim tarihi: 01.04.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Sosyal Sigortalar ve Genel Sağlık Sigortası Kanunu ile Bazı Kanunlarda Değişiklik Yapılmasına Dair Kanun. (09.01.2025). Resmî Gazete (Sayı: 32783). Kanun No: 7538. [https://www.resmigazete.gov.tr/eskiler/2025/01/20250115-1.htm](https://www.resmigazete.gov.tr/eskiler/2025/01/20250115-1.htm) (Erişim tarihi: 10.06.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Sosyal Sigortalar ve Genel Sağlık Sigortası Kanunu. (31.05.2006). Resmî Gazete. Kanun No: 5510. [https://www.resmigazete.gov.tr/eskiler/2006/06/20060616-1.htm](https://www.resmigazete.gov.tr/eskiler/2006/06/20060616-1.htm) (Erişim tarihi: 20.06.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Uğurluoğlu, Ö. ve Çelik, Y. (2005), Sağlık Sistemleri Performans Ölçümü, Önemi ve Dünya Sağlık Örgütü Yaklaşımı. Hacettepe Sağlık İdaresi Dergisi; 8(1), s.3–29.google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Uğurluoğlu, E. ve Özgen, H. (2008), Sağlık Hizmetleri Finansmanı ve Hakkaniyet. Hacettepe Sağlık İdaresi Dergisi; 11(2), s.133-160. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Yıldırım, H. H. ve Yıldırım, T. (2015), Avrupa Birliği Sağlık Politikaları ve Sağlık Sistemleri. Absam Yayınları. ISBN: 978-605-84583-9-0. Ankara: Absam Yayınları. google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Yücedoğru, R., &amp; Sarisoy, İ. (2019). Are tax amnesties good for us all? Understanding Influence of tax amnesties on benefiters and non- benefiters. CESifo Economic Studies, 66(3), 285–300. doi: 10.1093/cesifo/ifz020 google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Weber F. (1996), The Challenge of Changing Healthcare Systems. Drugs. 52 (Supplement 2), s. 68-77. doi: 10.2165/00003495-199600522-00014 google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">WHO. (2000), Health Systems Governance and Financing. The World Health Report 2000. [https://www.who.int/publications/i/item/924156198X(Erişim](https://www.who.int/publications/i/item/924156198X(Erişim) tarihi: 04.06.2025). google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">Yücel, Y. ve Hayta, S. (2020), Sosyal Güvenlik ve Sağlığın Finansmanı: 2000-2015 Dönemine İlişkin Değerlendirme. Sosyal Politika Çalışmaları Dergisi; 20(48), s.535-568. doi: 10.21560/spcd.vi.531286 google scholar</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">Zanoli, R., Gambelli, D., Vairo, D. (2001), The Future of Organic Farming in Europe: A Scenario Analysis. In Organic Agriculture in the Mediterranean Basin. s.31-46. IAV Hassan II. [https://edepot.wur.nl/115476](https://edepot.wur.nl/115476) (Erişim tarihi: 14.04.2025) google scholar</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
