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Journals / Uluslararası Ekonomi Siyaset İnsan ve Toplum Bilimleri Dergisi / 2025 / Cilt: 8 Sayı: 5

Health for All? A Study on Equity in Health Services Utilization in Turkey

Herkes için Sağlık? Türkiye'de Sağlık Hizmetleri Kullanımında Eşitlik Üzerine Bir Araştırma

Janberk Okan(İSTANBUL GEDİK ÜNİVERSİTESİ, GEDİK MESLEK YÜKSEKOKULU)0000-0001-7325-3306
Hasan Karaduman(YILDIZ TEKNİK ÜNİVERSİTESİ, İKTİSADİ VE İDARİ BİLİMLER FAKÜLTESİ, İKTİSAT BÖLÜMÜ)0000-0003-3629-3047
Pages
494–515
Publication Date
2025-10-15
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It is especially important that health policies are supported by income, wealth, and employment policies..

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Inequities in the utilization of health services may stem from income-related, occupational, or region-based factors.
📊
Key Findings & Data:The Health Transformation Program, initiated in 2003, can be regarded as a policy intervention of this nature.
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Conclusion & Impact:It is especially important that health policies are supported by income, wealth, and employment policies..
🔬Design:Survey & Empirical Study
📍Scope:2003 Verileri
⚙️Variables:Sağlık hizmetleri kullanımı · eşitlik · sağlıkta eşitsizlik

Abstract

Inequities in the utilization of health services may stem from income-related, occupational, or region-based factors. These inequities require intervention by policymakers when they prevent individuals from utilizing health services for avoidable and unjust reasons. The Health Transformation Program, initiated in 2003, can be regarded as a policy intervention of this nature. This program aims to enhance the effectiveness, efficiency, and equity of health services. However, the level of prosperity resulting from this policy change still needs to be analyzed. This study addresses this gap in the literature. It examines whether the principle of equity in health service utilization has been achieved after the Health Transformation Program. For this purpose, data from the Turkey Health Survey were analyzed. The probit model estimates show that, in addition to income-related inequity, region-based inequities exist in health service utilization in Turkey. Furthermore, evidence of inequity was observed among specific occupational groups. In order to address inequities in the utilization of health services in Turkey, it is essential that policies are implemented with greater precision. It is especially important that health policies are supported by income, wealth, and employment policies..

Özet

Sağlık hizmetleri kullanımında eşitsizlikler gelir temelli, mesleki veya bölgesel faktörlerden kaynaklanabilir. Bu eşitsizlikler, önlenebilir ve haksız nedenlerle sağlık hizmetlerinin kullanımını engellediğinde politika yapıcılar tarafından müdahale gerektirir. 2003 yılında başlatılan Sağlıkta Dönüşüm Programı bu nitelikte bir politika müdahalesi olarak kabul edilebilir. Bu program sağlık hizmetlerinin etkinliğini, verimliliğini ve eşitliğini sağlamayı amaçlamaktadır. Ancak bu politika değişikliğinden kaynaklanan refah düzeyinin analiz edilmesi gerekmektedir. Çalışma, literatürdeki bu boşluğa odaklanmayı amaçlamaktadır. Çalışma, Sağlıkta Dönüşüm Programı’ndan sonra sağlık hizmetleri kullanımında eşitlik ilkesinin sağlanıp sağlanamadığını incelemektedir. Çalışmanın bu amacı için Türkiye Sağlık Araştırması veri seti analiz edilecektir. Probit modeli tahminlerinin sonuçları, Türkiye’de gelir temelli eşitsizliğe ek olarak sağlık hizmetleri kullanımında bölgesel eşitsizliğin de olduğunu göstermektedir. Ayrıca, belirli meslek grupları arasında eşitsizlik kanıtları gözlemlenmiştir. Türkiye’de sağlık hizmetlerinin kullanımındaki eşitsizleri gidermek için politikaların daha hassas bir şekilde uygulanması zorunludur. Sağlık politikalarının, özellikle gelir, servet ve istihdam politikaları ile desteklenmesi gerekir.

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Cite This Article

Okan, J., Karaduman, H. (2025). Health for All? A Study on Equity in Health Services Utilization in Turkey. Uluslararası Ekonomi Siyaset İnsan ve Toplum Bilimleri Dergisi, Cilt: 8 Sayı: 5, 494–515. https://doi.org/10.59445/ijephss.1719000

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