jhesp Journal of Health Systems and Policies 2667-4920 2718-0050 İstanbul Medipol Üniversitesi Facing The Challenges of Aging Population in The Turkish Health System Aydın Sabahattin Health Systems and Policies Research Center, Istanbul Medipol University, Istanbul Turkey https://orcid.org/0000-0001-8984-9673 Ataç Ömer Departmenf of Public Health, School of Medicine, Istanbul Medipol University 05 06 2019 1 2 5 19 02 12 2019 04 08 2019 Copyright © 2018, Journal of Health Systems and Policies 2018 Journal of Health Systems and Policies

Health systems are deeply affectedfromdemographic change since the burden of diseases and health expenditures, and thestrugglesinhealthcare deliverysystem arevery much relatedto the age groups ina society. This study aims to analyze the composition of Turkish society's age structure compared to the available global data, mainly focusing on the elderly population. In the light of theagingpopulation and the future demographic assessments, the challenges of the health system and possible new policy requirements are discussed, accordingly.

 demographic changes aging health services health policies elderly Arensberg, M. B. (2018). Population aging: opportunity for business expansion, an invitational paper presented at the Asia-Pasific Economic Cooperation (APEC). Journal of Health, Population and Nutrition, 37(7): https://doi.org/10.1186/s41043-018-0138-0 Cutler, D. M., Meara, E. (1997). The Medical Costs of the Young and Old: A Forty Year Perspective. Prepared by National Bureau of Economic Research. Retrieved from https://www.nber.org/papers/w6114.pdf Detels, R., Gulliford, M., Karim Q. A. and Tan C. C. (Ed.). (2015). Oxford Textbook of Global Public Health (6th ed.). New York, NY: Oxford University Press.Evde Bakım Hizmetleri Sunumu Hakkında Yönetmelik (2005). T.R. Official Gazette (25751, 10 March 2005). European Commission Eurostat. (2017). Summary methodology of the 2015-based population projections Technical note, (March). Retrieved from http://ec.europa.eu/eurostat/data/database Fuchs, V. (1998). Health Care for The Elderly: How Much? Who Will Pay for it? Prepared by National Bureau of Economic Research. Retrieved from https://www.nber.org/papers/w6755.pdf Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. (2014). Türkiye Nüfus ve Sağlık Araştırması 2013. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Kalkınma Bakanlığı ve TÜBİTAK, Ankara, Türkiye. Halter, J. B., Ouslander, J. G., Studenski, S., High, K. P., Asthana, S., Supiano, M. A., Ritchie, C. (Ed.). (2017). Hazzard’s Geriatric Medicine and Gerontology (7th ed.). New York, NY: McGraw-Hill Education Hui, D., De La Cruz, M., Mori, M., Parsons, H. A., Kwon, J. H., Torres-Vigil, I., Kim, S. H., Dev, R., Hutchins, R., Liem, C., Kang, D. H., Bruera, E. (2013). Concepts and definitions for "supportive care," "best supportive care," "palliative care," and "hospice care" in the published literature, dictionaries, and textbooks. Supportive Care in Cancer, 21(3), 659-685. https://doi.org/10.1007/s00520-012-1564-y Kim, K., Antonopoulos, R. (2011). Unpaid and Paid Care: The Effects of Child Care and Elder Care on the Standard of Living. Working Paper No. 691. Retrieved from http://www.levyinstitute.org/pubs/wp_691.pdf Kleinberger T., Becker M., Ras E., Holzinger A., Müller P. (2007) Ambient Intelligence in Assisted Living: Enable Elderly People to Handle Future Interfaces. In: Stephanidis C. (eds) Universal Access in Human-Computer Interaction. Ambient Interaction. UAHCI 2007. Lecture Notes in Computer Science, vol 4555. Heidelberg, Berlin: Springer Kuhlmann E. (2006). Modernising Health Care: Reinventing Professions, The State and The Public. Bristol: The Policy Press Ministry of Health (2010). Sağlık Bakanlığınca Sunulan Evde Sağlık Hizmetlerinin Uygulama Usul ve Esasları Hakkında Yönerge Mirel, L.B., and Carper, K. Trends in Health Care Expenditures for the Elderly, Age 65 and Over: 2001, 2006, and 2011. Statistical Brief #429. January 2014. Agency for Healthcare Research and Quality, Rockville, MD. Retrieved from https://meps.ahrq.gov/data_files/publications/st429/stat429.pdf Poor, B., Poirrier G. P. (2000) End of Life Nursing Care. Sudbury, MA: Jones and Bartlett Publishers. Porta, M. (Ed.). (2014) A Dictionary of epidemiology (6th ed.). New York, NY: Oxford University Press Simmers, L., Nartker, K. S., Kobelak, S., S. (2009) Diversified Health Occupations (7th ed.). Delmar: Cengage Learning Turkish Statistical Institute (2018). Elderly Statistics, 2017 [Press Release]. Retrieved from http://web.turkstat.gov.tr/PreHaberBultenleri.do?id=27595 Turkish Statistical Institute (2018) Life Tables, 2015-2017 [Press Release]. Retrieved from http://web.turkstat.gov.tr/PreHaberBultenleri.do?id=27591 Turkish Statistical Institute (2018). Population by years, age group and sex, 1935-2018. Retrieved from http://web.turkstat.gov.tr/UstMenu.do?metod=temelist Turkish Statistical Institute (2018) Population Projections, 2018-2080 [Press Release]. Retrieved from http://web.turkstat.gov.tr/PreHaberBultenleri.do?id=30567 Turkish Statistical Institute (2018). Statistics on Child, 2017 [Press Release]. Retrieved from http://web.turkstat.gov.tr/PreHaberBultenleri.do?id=27596 Turkish Statistical Institute (2018) The Results of Address Based Population Registration System, 2017 [Press Release]. Retrieved from http://web.turkstat.gov.tr/PreHaberBultenleri.do?id=27587 United Nations, Department of Economic and Social Affairs, Population Division (2017). World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248 World Health Organization (2011). Global Health and Aging Retrieved from https://www.who.int/ageing/publications/global_health/en/ World Health Organization (2015). World report on ageing and health. Retrieved from https://www.who.int/ageing/events/world-report-2015-launch/en/