MALİYE POLİTİKASI UYGULAMALARININ KORUYUCU SAĞLIK HIZMETLERİ ÜZERINDEKİ ETKİSİ: TÜRKİYE-AVRUPA BİRLİĞİ ÜLKELERİ ÜZERİNE BİR DEĞERLENDİRME
Yıl 2025,
Cilt: 12 Sayı: 1, 15 - 33, 30.06.2025
Rabia Selinay Gürbüz
,
Eda Yeşil
Öz
Dünya Sağlık Örgütü (DSÖ), sağlığı yalnızca hastalık veya engellilik hâlinin yokluğu değil; fiziksel, ruhsal ve sosyal açıdan tam bir iyilik durumu olarak tanımlar. Bu anlayış, sağlık hizmetlerinde tedavinin yanı sıra koruyucu uygulamaların da önemini ortaya koymaktadır. Aşılama, erken tanı taramaları, halk sağlığı eğitimi ve çevresel sağlık hizmetleri gibi koruyucu sağlık hizmetleri, bireyler hastalanmadan önce toplum sağlığını güvence altına almayı hedefler. Bu hizmetlerin çoğu, devlet tarafından ücretsiz olarak sunulmaktadır. Ekonomik açıdan sağlık yarı kamusal bir mal olarak değerlendirilse de, koruyucu sağlık hizmetlerinin eşit ve ücretsiz sunumu, onu saf kamusal mal niteliğine yaklaştırır. Bu çalışma, Türkiye ve AB ülkelerinde maliye politikalarının koruyucu sağlık hizmetlerine etkisini dinamik panel veri yöntemiyle analiz etmekte ve kamu maliyesinin toplumsal refah üzerindeki belirleyici rolünü ortaya koymaktadır.
Etik Beyan
Bu makale, Kırıkkale Üniversitesi, Sosyal Bilimler Enstitüsü, Maliye Anabilim Dalında yürütülen ve henüz
savunması gerçekleşmemiş olan “Maliye Politikasi Uygulamalarının Koruyucu Sağlık Hizmetleri Üzerindeki
Etkisi: Seçili Ab Ülkeleri Üzerine Bir Değerlendirme’’ konulu tezden yararlanılarak üretilmiştir. Etik kurul izni
gerektirmeyen çalışmalardandır.
Kaynakça
-
Akdağ, R. (2011). Sağlıkta Dönüşüm Programı: Türkiye Deneyimi. TC Sağlık Bakanlığı Yayınları.
Arellano, M., & Bond, S. (1991). ome tests of specification for panel data: Monte Carlo evidence and an application to employment equations. The Review of Economic Studies, 58(2), s. 277-297.
-
Baltagi, B. (2008). Econometric Analysis of Panel Data (4th ed.). John Wiley & Sons. https://scispace.com/papers/econometric-analysis-of-panel-data-46ld72a5p1 adresinden alındı
-
Belgian Healthcare Knowledge Centre (KCE). (2023). Healthcare System in Belgium. https://kce.fgov.be/ adresinden alındı
-
Blundell, R., & Bond, S. (1998). Initial conditions and moment restrictions in dynamic panel data models. Journal of Econometrics, 87(1), s. 115-143.
-
Centers for Disease Control and Prevention (CDC). (2022). Infectious disease prevention strategies and pandemic response policies.
-
Christopher, A., Zheng, Z., & Wadhera, R. (2024). Changes in Health Care Access and Preventive Health Screenings by Race and Ethnicity.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10837752/#:~:text=In%20this%20cross,experiencing%20the%20most%20pronounced%20declines adresinden alındı
-
European Commission, 2022. (2022). France: Social and Health Policies. https://ec.europa.eu/health/ adresinden alındı
-
European Environment Agency. (2022). Environmental health and public health measures in Europe. https://www.eea.europa.eu/ adresinden alındı
-
European Observatory on Health Systems and Policies. (2021). France: Health System Overview. https://eurohealthobservatory.who.int/countries/france adresinden alındı
-
Eurostat. (2023). Preventive health care expenditure statistics. : https://ec.europa.eu/eurostat/statistics-explained/index.php?oldid=485146 adresinden alındı
-
Felman, A. (2023, April). What Is Good Health? May 2023 tarihinde Medical News Today: https://www.medicalnewstoday.com/articles/150999 adresinden alındı
-
Ferlay, j., Colombet, M., & Soerjomataram, I. (2021). Cancer screening and prevention in Europe: GLOBOCAN statistics. International Agency for Research on Cancer. Retrieved. https://gco.iarc.fr/ adresinden alındı
-
Global Burden of Disease. (2019). Institute for Health Metrics and Evaluation.
Hansen, L. (1982). arge sample properties of generalized method of moments estimators. Econometrica, s. 1029-1054.
-
Karabulut, U. (2015). Türkiye’de Sağlık Politikalarının Gelişimi ve Sağlıkta Dönüşüm Programı Üzerine Bir Değerlendirme. Ankara Üniversitesi Siyasal Bilgiler Fakültesi Dergisi, 70(1), s. 21-45.
-
Koç, M., & Kırılmaz, H. (2016). Türkiye’de Sağlık Sisteminin Tarihsel Gelişimi ve Günümüzdeki Durumu. Hacettepe Sağlık İdaresi Dergisi, 19(2), s. 77-98.
-
National Institute for Health and Disability Insurance (INAMI-RIZIV). (2023). Social Security and Health in Belgium. https://www.inami.fgov.be/ adresinden alındı
-
OECD. (2022). Health at a Glance – Belgium. https://www.oecd.org/belgium/ adresinden alındı
-
OECD. (2022). Health at a Glance – France. https://www.oecd.org/france/ adresinden alındı
-
OECD. (2022). OECD Health at a Glance – Italy. https://www.oecd.org/italy/ adresinden alındı
-
Roodman, D. (2009). How to do xtabond2: An introduction to difference and system GMM in Stata. Stata Journal, 9(1), s. 86-136.
-
Santé Publique France. (2023). Prévention et promotion de la santé. https://www.santepubliquefrance.fr/ adresinden alındı
-
Sosiç, Z., & Donço, D. (2007). A Handbook For Teachers, Researches, Health Professionals and Decision Maker. 15 08, 2023 tarihinde https://www.researchgate.net/publication/37683785_Contemporary_Concept_and_Definition_of_Health_Care adresinden alındı
-
Torey, T. (2022, October 02). Differences Between Primary, Secondary, Tertiary, and Quaternary Care. Temmuz 28, 2023 tarihinde Verywell Health: https://www.verywellhealth.com/primary-secondary-tertiary-and-quaternary-care-2615354#:~:text=Primary%20care%20is%20when%20you,advanced%20level%20of%20specialized%20care. adresinden alındı
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Vliet, N., Sujikerbuijk, A., & Blaeij, A. (2020). Ranking Preventive Interventions from Different Policy Domains: What Are the Most Cost-Effective Ways to Improve Public Health? https://pmc.ncbi.nlm.nih.gov/articles/PMC7142580/#:~:text=match%20at%20L1047%20remarkable%20that,including%20tobacco%2C%20alcohol%2C%20and%20nutrition adresinden alındı
-
WHO. (2021). European Observatory on Health Systems and Policies. Belgium: Health System Overview. https://eurohealthobservatory.who.int/countries/belgium adresinden alındı
-
WHO. (2023). France: Health System Review. https://www.who.int/france/ adresinden alındı
-
WHO. (2023). Global Health Achievements 2023. https://www.who.int/news-room/spotlight/global-health-achievements-2023#:~:text=The%20year%202023%20was%20a,countries%20and%20health%20partners%20worldwide adresinden alındı
-
WHO. (2023). Italy: Health System Review.
-
WHO. (2023). Working together for Health for All. https://www.who.int/news-room/spotlight/global-health-achievements-2023#:~:text=In%20March%2C%20WHO%20certified%20Azerbaijan,future%20can%20become%20a%20reality adresinden alındı
-
WHO. (2023). World Health Statistics 2023. https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/2023/world-health-statistics-2023_20230519_.pdf#:~:text=SDGs%20cdn,quality%20to%20be%20effective adresinden alındı
-
Wisner, W. (2023, 02 07). What Is Preventive Health and Why Is It Important? 08 16, 2023 tarihinde Healthline: https://www.healthline.com/health/what-is-preventive-health-and-why-is-it-important#bottom-line adresinden alındı
-
World Health Organization. (2018). Primary Health Care: Closing The Gap Between Public Health and Primary Care Through Integration. Technical Series On Primary Health Care: https://www.who.int/docs/default-source/primary-health-care-conference/public-health.pdf adresinden alındı
-
World Health Organization. (2023, 01 30). Rehabilitation. 09 10, 2023 tarihinde https://www.who.int/news-room/fact-sheets/detail/rehabilitation adresinden alındı
THE EFFECT OF FISCAL POLICY IMPLEMENTATIONS ON PREVENTIVE HEALTH SERVICES: AN EVALUATION ON TURKEY-EUROPEAN UNION COUNTRIES
Yıl 2025,
Cilt: 12 Sayı: 1, 15 - 33, 30.06.2025
Rabia Selinay Gürbüz
,
Eda Yeşil
Öz
The World Health Organization defines health as a complete state of physical, mental, and social well-being. This emphasizes the importance of prevention alongside treatment. Preventive services—such as vaccination, early screenings, public health education, and environmental measures—aim to protect health before disease occurs and are often offered free by the state. Although health is generally seen as a quasi-public good, when preventive services are provided equally and freely, they resemble a pure public good. This study examines how fiscal policy influences preventive health services in Turkey and EU countries, using a dynamic panel data approach. Findings suggest that fiscal policies play a key role in strengthening prevention-based health systems and promoting public welfare by supporting access, equity, and efficiency in health service delivery.
.
Kaynakça
-
Akdağ, R. (2011). Sağlıkta Dönüşüm Programı: Türkiye Deneyimi. TC Sağlık Bakanlığı Yayınları.
Arellano, M., & Bond, S. (1991). ome tests of specification for panel data: Monte Carlo evidence and an application to employment equations. The Review of Economic Studies, 58(2), s. 277-297.
-
Baltagi, B. (2008). Econometric Analysis of Panel Data (4th ed.). John Wiley & Sons. https://scispace.com/papers/econometric-analysis-of-panel-data-46ld72a5p1 adresinden alındı
-
Belgian Healthcare Knowledge Centre (KCE). (2023). Healthcare System in Belgium. https://kce.fgov.be/ adresinden alındı
-
Blundell, R., & Bond, S. (1998). Initial conditions and moment restrictions in dynamic panel data models. Journal of Econometrics, 87(1), s. 115-143.
-
Centers for Disease Control and Prevention (CDC). (2022). Infectious disease prevention strategies and pandemic response policies.
-
Christopher, A., Zheng, Z., & Wadhera, R. (2024). Changes in Health Care Access and Preventive Health Screenings by Race and Ethnicity.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10837752/#:~:text=In%20this%20cross,experiencing%20the%20most%20pronounced%20declines adresinden alındı
-
European Commission, 2022. (2022). France: Social and Health Policies. https://ec.europa.eu/health/ adresinden alındı
-
European Environment Agency. (2022). Environmental health and public health measures in Europe. https://www.eea.europa.eu/ adresinden alındı
-
European Observatory on Health Systems and Policies. (2021). France: Health System Overview. https://eurohealthobservatory.who.int/countries/france adresinden alındı
-
Eurostat. (2023). Preventive health care expenditure statistics. : https://ec.europa.eu/eurostat/statistics-explained/index.php?oldid=485146 adresinden alındı
-
Felman, A. (2023, April). What Is Good Health? May 2023 tarihinde Medical News Today: https://www.medicalnewstoday.com/articles/150999 adresinden alındı
-
Ferlay, j., Colombet, M., & Soerjomataram, I. (2021). Cancer screening and prevention in Europe: GLOBOCAN statistics. International Agency for Research on Cancer. Retrieved. https://gco.iarc.fr/ adresinden alındı
-
Global Burden of Disease. (2019). Institute for Health Metrics and Evaluation.
Hansen, L. (1982). arge sample properties of generalized method of moments estimators. Econometrica, s. 1029-1054.
-
Karabulut, U. (2015). Türkiye’de Sağlık Politikalarının Gelişimi ve Sağlıkta Dönüşüm Programı Üzerine Bir Değerlendirme. Ankara Üniversitesi Siyasal Bilgiler Fakültesi Dergisi, 70(1), s. 21-45.
-
Koç, M., & Kırılmaz, H. (2016). Türkiye’de Sağlık Sisteminin Tarihsel Gelişimi ve Günümüzdeki Durumu. Hacettepe Sağlık İdaresi Dergisi, 19(2), s. 77-98.
-
National Institute for Health and Disability Insurance (INAMI-RIZIV). (2023). Social Security and Health in Belgium. https://www.inami.fgov.be/ adresinden alındı
-
OECD. (2022). Health at a Glance – Belgium. https://www.oecd.org/belgium/ adresinden alındı
-
OECD. (2022). Health at a Glance – France. https://www.oecd.org/france/ adresinden alındı
-
OECD. (2022). OECD Health at a Glance – Italy. https://www.oecd.org/italy/ adresinden alındı
-
Roodman, D. (2009). How to do xtabond2: An introduction to difference and system GMM in Stata. Stata Journal, 9(1), s. 86-136.
-
Santé Publique France. (2023). Prévention et promotion de la santé. https://www.santepubliquefrance.fr/ adresinden alındı
-
Sosiç, Z., & Donço, D. (2007). A Handbook For Teachers, Researches, Health Professionals and Decision Maker. 15 08, 2023 tarihinde https://www.researchgate.net/publication/37683785_Contemporary_Concept_and_Definition_of_Health_Care adresinden alındı
-
Torey, T. (2022, October 02). Differences Between Primary, Secondary, Tertiary, and Quaternary Care. Temmuz 28, 2023 tarihinde Verywell Health: https://www.verywellhealth.com/primary-secondary-tertiary-and-quaternary-care-2615354#:~:text=Primary%20care%20is%20when%20you,advanced%20level%20of%20specialized%20care. adresinden alındı
-
Vliet, N., Sujikerbuijk, A., & Blaeij, A. (2020). Ranking Preventive Interventions from Different Policy Domains: What Are the Most Cost-Effective Ways to Improve Public Health? https://pmc.ncbi.nlm.nih.gov/articles/PMC7142580/#:~:text=match%20at%20L1047%20remarkable%20that,including%20tobacco%2C%20alcohol%2C%20and%20nutrition adresinden alındı
-
WHO. (2021). European Observatory on Health Systems and Policies. Belgium: Health System Overview. https://eurohealthobservatory.who.int/countries/belgium adresinden alındı
-
WHO. (2023). France: Health System Review. https://www.who.int/france/ adresinden alındı
-
WHO. (2023). Global Health Achievements 2023. https://www.who.int/news-room/spotlight/global-health-achievements-2023#:~:text=The%20year%202023%20was%20a,countries%20and%20health%20partners%20worldwide adresinden alındı
-
WHO. (2023). Italy: Health System Review.
-
WHO. (2023). Working together for Health for All. https://www.who.int/news-room/spotlight/global-health-achievements-2023#:~:text=In%20March%2C%20WHO%20certified%20Azerbaijan,future%20can%20become%20a%20reality adresinden alındı
-
WHO. (2023). World Health Statistics 2023. https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/2023/world-health-statistics-2023_20230519_.pdf#:~:text=SDGs%20cdn,quality%20to%20be%20effective adresinden alındı
-
Wisner, W. (2023, 02 07). What Is Preventive Health and Why Is It Important? 08 16, 2023 tarihinde Healthline: https://www.healthline.com/health/what-is-preventive-health-and-why-is-it-important#bottom-line adresinden alındı
-
World Health Organization. (2018). Primary Health Care: Closing The Gap Between Public Health and Primary Care Through Integration. Technical Series On Primary Health Care: https://www.who.int/docs/default-source/primary-health-care-conference/public-health.pdf adresinden alındı
-
World Health Organization. (2023, 01 30). Rehabilitation. 09 10, 2023 tarihinde https://www.who.int/news-room/fact-sheets/detail/rehabilitation adresinden alındı