ASSESSMENT OF HEALTH SYSTEM PERFORMANCE IN TÜRKİYE OVER 2000-2023: A DESCRIPTIVE INTERNATIONAL COMPARATIVE ANALYSIS

İsrafil Boyacı; Rimon Ahmed

Makale detayları

ASSESSMENT OF HEALTH SYSTEM PERFORMANCE IN TÜRKİYE OVER 2000-2023: A DESCRIPTIVE INTERNATIONAL COMPARATIVE ANALYSIS

Yazarlar:

İsrafil Boyacı | Rimon Ahmed

Yayıncı:

Istanbul Ticaret University

Ana Başlıklar:

Makro İktisat (Diğer)

Dergi:

İstanbul Ticaret Üniversitesi Dış Ticaret Dergisi Vol.3 Issue 5, pp.74-94

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350788

pISSN:

2980-2199

Anahtar kelimeler:

Özet:

 This article aims to provide an assessment of the Turkish health system, which has been reformed with the Health Transformation Program 2003-2013 HTP. The comparative performance of the transformed Turkish health system has been descriptively investigated using a sample of country-level data covering the years 2000-2023. The analyses, which contain both developed and emerging countries, reveal the level of progress and trends across the globe in the commonly used indicators about healthcare expenditure, health insurance coverage, healthcare inputs, healthcare utilization, health outcomes, and risk factors. As a result of the evaluations in this article, it has been revealed that despite lower healthcare spending, Türkiye has significantly improved the population health outcomes with relatively less healthcare spending, particularly during the HTP reform period; however, continuity of this progress has not been observed after the reform period. The findings of the article call for more investigations to address the question of whether the Turkish health system has spent less on healthcare over the last twenty years while getting more better health outcomes. Thus, this policy-relevant article points out the importance of continued investment to healthcare as well as the efficiency and productivity issues in Türkiyes healthcare system as topics that need to be researched further.

 This article aims to provide an assessment of the Turkish health system, which has been reformed with the Health Transformation Program 2003-2013 HTP. The comparative performance of the transformed Turkish health system has been descriptively investigated using a sample of country-level data covering the years 2000-2023. The analyses, which contain both developed and emerging countries, reveal the level of progress and trends across the globe in the commonly used indicators about healthcare expenditure, health insurance coverage, healthcare inputs, healthcare utilization, health outcomes, and risk factors. As a result of the evaluations in this article, it has been revealed that despite lower healthcare spending, Türkiye has significantly improved the population health outcomes with relatively less healthcare spending, particularly during the HTP reform period; however, continuity of this progress has not been observed after the reform period. The findings of the article call for more investigations to address the question of whether the Turkish health system has spent less on healthcare over the last twenty years while getting more better health outcomes. Thus, this policy-relevant article points out the importance of continued investment to healthcare as well as the efficiency and productivity issues in Türkiyes healthcare system as topics that need to be researched further.

 This article aims to provide an assessment of the Turkish health system, which has been reformed with the Health Transformation Program 2003-2013 HTP. The comparative performance of the transformed Turkish health system has been descriptively investigated using a sample of country-level data covering the years 2000-2023. The analyses, which contain both developed and emerging countries, reveal the level of progress and trends across the globe in the commonly used indicators about healthcare expenditure, health insurance coverage, healthcare inputs, healthcare utilization, health outcomes, and risk factors. As a result of the evaluations in this article, it has been revealed that despite lower healthcare spending, Türkiye has significantly improved the population health outcomes with relatively less healthcare spending, particularly during the HTP reform period; however, continuity of this progress has not been observed after the reform period. The findings of the article call for more investigations to address the question of whether the Turkish health system has spent less on healthcare over the last twenty years while getting more better health outcomes. Thus, this policy-relevant article points out the importance of continued investment to healthcare as well as the efficiency and productivity issues in Türkiyes healthcare system as topics that need to be researched further.

 Bu makale, Sağlıkta Dönüşüm Programı 2003-2013 SDP ile reform edilen Türkiye sağlık sisteminin bir değerlendirmesini yapmayı amaçlamaktadır. Dönüşen Türkiye sağlık sisteminin karşılaştırmalı performansı, 2000-2023 yıllarını kapsayan ülke düzeyinde veriler yardımıyla betimleyici değerlendirmeler ile incelenmiştir. Gelişmiş ve gelişmekte olan ülkelerin durumuna dair makaledeki analizler, sağlık harcamaları, sağlık sigortası kapsamı, sağlık girdileri, sağlık hizmetlerinin kullanımı, sağlık sonuçları ve sağlık riski faktörleri ile ilgili yaygın olarak kullanılan göstergelerde dünya genelindeki ilerleme düzeyini ve eğilimlerini de ortaya koymaktadır. Makaledeki değerlendirmeler sonucunda, daha düşük sağlık harcamalarına rağmen Türkiyenin özellikle SDP reform döneminde karşılaştırılan ülkelere nispeten daha az ülke sağlık harcamasıyla nüfusun sağlık istatistiklerini önemli ölçüde iyileştirdiği; ancak reform döneminden sonra bu ilerlemenin devamlılığının sağlanamadığı ortaya çıkmıştır. Makalenin bulguları, Türkiye sağlık sisteminin son yirmi yılda sağlık hizmetlerine daha az harcama yaparak daha iyi sağlık sonuçları elde edip etmediği sorusunu ele almak için araştırmaların yapılmasının gerekliliğini işaret etmektedir. Böylece, ülke sağlık politikaları açısından önemli değerlendirmeler içeren bu makale, sağlık hizmetlerine sürekli yatırım yapmanın önemini ve Türkiye sağlık sistemindeki verimlilik ve üretkenlik konularının daha fazla incelenmesi gereken konular olduğunu ortaya koymaktadır.

Makale detayları

ASSESSMENT OF HEALTH SYSTEM PERFORMANCE IN TÜRKİYE OVER 2000-2023: A DESCRIPTIVE INTERNATIONAL COMPARATIVE ANALYSIS

Yazarlar:

İsrafil Boyacı | Rimon Ahmed

Yayıncı:

Istanbul Ticaret University

Ana Başlıklar:

Makro İktisat (Diğer)

Dergi:

İstanbul Ticaret Üniversitesi Dış Ticaret Dergisi Vol.3 Issue 5, pp.74-94

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350788

pISSN:

2980-2199

Healthcare Expenditure

Health Outcomes

Health Transformation Program (HTP)

Health System Performance Assessment

Turkish Health SystemSağlık Harcamaları

Sağlık Çıktıları

Sağlıkta Dönüşüm Programı (SDP)

Sağlık Sistemi Performans Değerlendirmesi

Türkiye Sağlık Sistemi

Sayı

Makale detayları

Yazarlar: İsrafil Boyacı | Rimon Ahmed

Yayıncı: Istanbul Ticaret University

Ana Başlıklar: Makro İktisat (Diğer)

Dergi: İstanbul Ticaret Üniversitesi Dış Ticaret Dergisi Vol.3 Issue 5, pp.74-94

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001350788

pISSN: 2980-2199

Sayı

Yazarlar:

İsrafil Boyacı | Rimon Ahmed

Yayıncı:

Istanbul Ticaret University

Ana Başlıklar:

Makro İktisat (Diğer)

Dergi:

İstanbul Ticaret Üniversitesi Dış Ticaret Dergisi Vol.3 Issue 5, pp.74-94

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350788

pISSN:

2980-2199