Financial Impacts of Covid-19 Pandemic for Turkish Public Hospitals

Yıl 2022, Cilt: 13 Sayı: 34, 354 - 363, 20.05.2022

Aziz Küçük

https://doi.org/10.21076/vizyoner.993956

Cited By: 4

Öz

The aim of the study is to assess financial implications of Covid-19 pandemic on Turkish public hospitals and to discuss Turkish government's responses. A comparative analysis is carried out with the medical and financial data of Turkish public hospitals between March-December 2019 and March-December 2020. Outpatient services decreased by approximately 49%, inpatient admissions dropped by %35. Due to this decrease in the number of patients, outpatient revenues decreased by 37.8%, while inpatient revenues increased by 6.3% thanks to reimbursement supports by the Social Security Institution (SSI). On the other hand, total hospital expenses increased by 24% with the impact of Covid-19-related expenses. This increase is largely caused by performance-based supplementary payments, drugs, and operating expenses. Prospective global budget model helps healthcare financing stability for Turkish public hospitals. Public hospitals receive their global budgets to compensate for revenue shortfalls. The SSI also try to compensate the financial losses of public and private hospitals with additional reimbursement supports. However, policymakers and managers should prepare for the change of paradigm in the healthcare system and should concentrate to cost-effective policies (such as tele-health services) in hospitals as a result of Covid-19 demands.

Anahtar Kelimeler

Financial Challenges, Public Hospitals, Cost Control, Global Budget, Covid-19

Covid-19 Pandemisinin Türk Kamu Hastanelerine Finansal Etkileri

Öz

Bu çalışma, Covid-19 salgınının Türk kamu hastaneleri üzerindeki mali etkilerini değerlendirmeyi ve Türk hükümetinin yanıtlarını tartışmayı amaçlamaktadır. Bunun için Mart-Aralık 2019 ile Mart-Aralık 2020 tarihleri arasında Sağlık Bakanlığına bağlı kamu hastanelerinin tıbbi ve finansal göstergeleri karşılaştırmalı bir biçimde analiz edilmiştir. Bu dönemde ayakta hasta başvuruları yaklaşık % 49, yatan hasta sayısı ise % 35 azalmıştır. Hasta sayısındaki bu düşüşe bağlı olarak ayakta hasta tedavi gelirleri % 37,8 azalırken, yatan hasta tedavi gelirleri ise Sosyal Güvenlik Kurumu’nun (SGK) geri ödeme destekleriyle % 6,3 oranında artmıştır. Öte yandan büyük ölçüde Covid-19 ile ilgili performansa dayalı ek ödemeler, ilaçlar ve işletme giderlerinin etkisiyle toplam hastane giderleri % 24 oranında artış göstermiştir. İleriye dönük bir ödeme yöntemi olan global bütçe uygulaması, kamu hastanelerinin gelir kayıplarını telafi ederek sağlık hizmetlerinin finansmanının sürdürülebilirliğini desteklemiştir. Aynı zamanda SGK ilave geri ödeme destekleriyle kamu ve özel hastanelerin finansal kayıplarını telafi etmeye çalışmıştır. Bununla birlikte, Covid-19 sonrası dönemde politika yapıcıların ve yöneticilerin pandeminin sağlık sisteminde yarattığı paradigma değişikliğinin bilincine vararak hastanelerde uygun maliyetli politikalara (telesağlık hizmetleri gibi) yönelmeleri gerektiği önerilmektedir.

Anahtar Kelimeler

Finansal Zorluklar, Kamu Hastaneleri, Maliyet Kontrolü, Global Bütçe, Covid-19

Kaynakça

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