An Evaluation of Health Service Utilization of People with Private Health Insurance

Özden Güdük; Emre İşci; Mehveş Tarım

Makale detayları

An Evaluation of Health Service Utilization of People with Private Health Insurance

Yazarlar:

Özden Güdük | Emre İşci | Mehveş Tarım

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Sağlık Yönetimi

Dergi:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 3, pp.541-552

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001300167

pISSN:

2587-2427

Anahtar kelimeler:

Özet:

 Objective: Private health insurance is a type of health insurance in which individuals or employers undertake financing on behalf of their employees without any public contribution, the scope and conditions of which are determined by contracts, generally made in one-year terms. The aim of this study is to evaluate the health service utility of individuals with private health insurance and to examine the factors affecting it. Methods: Data were obtained by applying a questionnaire to 393 individuals with private health insurance in the provinces of Istanbul and Ankara. Health services used by individuals in the last 12 months were examined under five categories; outpatient health care, inpatient health care, surgical procedure, emergency services, and check-up. In addition, the effect of factors such as socioeconomic characteristics, the presence of chronic diseases, and private health insurance on health service utility were evaluated. Results: The average of the health services utility by the participants in the last year is 3.884.13 median: 3, min: 0 - max: 31. Outpatient services utilization was more by women, those aged 36-45 and those with private health insurance for 1-3 years; inpatient services utilization was more by those with chronic diseases; emergency health services utilization was more by those aged 18-25; check-up service utility was more by those living in Ankara, those aged between 36-45 and those with private health insurance for more than ten years. Conclusion: Individuals sociodemographic characteristics, health status, and characteristics of private health insurance may affect the utility of health services.

 Objective: Private health insurance is a type of health insurance in which individuals or employers undertake financing on behalf of their employees without any public contribution, the scope and conditions of which are determined by contracts, generally made in one-year terms. The aim of this study is to evaluate the health service utility of individuals with private health insurance and to examine the factors affecting it. Methods: Data were obtained by applying a questionnaire to 393 individuals with private health insurance in the provinces of Istanbul and Ankara. Health services used by individuals in the last 12 months were examined under five categories; outpatient health care, inpatient health care, surgical procedure, emergency services, and check-up. In addition, the effect of factors such as socioeconomic characteristics, the presence of chronic diseases, and private health insurance on health service utility were evaluated. Results: The average of the health services utility by the participants in the last year is 3.884.13 median: 3, min: 0 - max: 31. Outpatient services utilization was more by women, those aged 36-45 and those with private health insurance for 1-3 years; inpatient services utilization was more by those with chronic diseases; emergency health services utilization was more by those aged 18-25; check-up service utility was more by those living in Ankara, those aged between 36-45 and those with private health insurance for more than ten years. Conclusion: Individuals sociodemographic characteristics, health status, and characteristics of private health insurance may affect the utility of health services.

 Objective: Private health insurance is a type of health insurance in which individuals or employers undertake financing on behalf of their employees without any public contribution, the scope and conditions of which are determined by contracts, generally made in one-year terms. The aim of this study is to evaluate the health service utility of individuals with private health insurance and to examine the factors affecting it. Methods: Data were obtained by applying a questionnaire to 393 individuals with private health insurance in the provinces of Istanbul and Ankara. Health services used by individuals in the last 12 months were examined under five categories; outpatient health care, inpatient health care, surgical procedure, emergency services, and check-up. In addition, the effect of factors such as socioeconomic characteristics, the presence of chronic diseases, and private health insurance on health service utility were evaluated. Results: The average of the health services utility by the participants in the last year is 3.884.13 median: 3, min: 0 - max: 31. Outpatient services utilization was more by women, those aged 36-45 and those with private health insurance for 1-3 years; inpatient services utilization was more by those with chronic diseases; emergency health services utilization was more by those aged 18-25; check-up service utility was more by those living in Ankara, those aged between 36-45 and those with private health insurance for more than ten years. Conclusion: Individuals sociodemographic characteristics, health status, and characteristics of private health insurance may affect the utility of health services.

 Amaç: Özel sağlık sigortası, kamusal bir katkı olmaksızın bireylerin kendisinin ya da işverenlerin çalışanları adına finansmanını üstlendikleri, çoğunlukla bir yıllık dönemler halinde yapılan sözleşmeler ile kapsamının ve şartlarının belirlendiği bir sağlık sigortası çeşididir. Bu çalışmanın amacı; özel sağlık sigortasına sahip bireylerin sağlık hizmeti kullanımlarını değerlendirmek ve etkileyen faktörleri incelemektir. Yöntem: İstanbul ve Ankara illerinde özel sağlık sigortasına sahip 393 bireye anket uygulanarak veri elde edilmiştir. Bireylerin son 12 ay içinde kullandığı sağlık hizmetleri; ayaktan sağlık hizmeti, yatarak sağlık hizmeti, cerrahi işlem ameliyat, acil servis başvurusu ve sağlık kontrolü check-up olmak üzere beş kategori altında incelenmiştir. Bireylerin sosyo-ekonomik özellikleri, kronik hastalık varlığı ve özel sağlık sigortasına dair özelliklerinin sağlık hizmeti üzerine etkisi araştırılmıştır. Bulgular: Katılımcıların son bir yıl içinde kullandığı sağlık hizmeti medyanı 3tür ortalama 3.884.13; min: 0  max: 31. Kadınlar, 36-45 yaş grubundakiler ve 1-3 yıldır özel sağlık sigortasına sahip olanların ayaktan sağlık hizmeti kullanımı; kronik hastalığı olanların yatarak sağlık hizmeti kullanımı; 18- 25 yaş arası gruptakilerin acil sağlık hizmeti kullanımı; Ankarada yaşayanlar, 36-45 yaş arası olanlar ve 10 yıldan uzun süredir özel sağlık sigortasına sahip olanların sağlık kontrolü yaptırma ortalaması daha yüksektir. Sonuç: Bireylerin sosyodemografik özellikleri, sağlık durumları ve özel sağlık sigortasına dair özellikler sağlık hizmeti kullanımını etkileyebilmektedir.

Makale detayları

An Evaluation of Health Service Utilization of People with Private Health Insurance

Yazarlar:

Özden Güdük | Emre İşci | Mehveş Tarım

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Sağlık Yönetimi

Dergi:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 3, pp.541-552

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001300167

pISSN:

2587-2427

Private health insurance

Health care

Outpatient care

Inpatient careÖzel sağlık sigortası

Sağlık hizmeti

Ayaktan tedavi

Yatarak tedavi

Sayı

Makale detayları

Yazarlar: Özden Güdük | Emre İşci | Mehveş Tarım

Yayıncı: Aydin Adnan Menderes University

Ana Başlıklar: Sağlık Yönetimi

Dergi: Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 3, pp.541-552

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001300167

pISSN: 2587-2427

Sayı

Yazarlar:

Özden Güdük | Emre İşci | Mehveş Tarım

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Sağlık Yönetimi

Dergi:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 3, pp.541-552

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001300167

pISSN:

2587-2427