Trends in out-of-pocket health expenditure inequality in Turkey under comprehensive health reforms

IF 2.2 Q2 DEVELOPMENT STUDIES

World Development Perspectives Pub Date : 2024-03-22 DOI:10.1016/j.wdp.2024.100583

Songul Cinaroglu

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引用次数: 0

Abstract

The success of Turkey's inclusive health policies has served as a strategic tool for building progressivity and improving social welfare. The objective of this study is to examine the inequality trend in out of pocket (OOP) health expenditures in Turkey. Data from the Turkish Statistical Institute's Household Budget Survey conducted in 2015 and 2019 were used to measure inequalities in OOP total health, pharmaceutical and hospital expenditure variables across socioeconomic status. Decomposition analysis was conducted to identify the factors contributing to inequalities. The study findings demonstrate that OOP health expenditure is higher among the poor in Turkey. Evidence suggests that in Turkey inequalities in OOP health expenditures continue to persist. The results show that OOP health, pharmaceutical, and hospital expenditures increased from 2015 to 2019. The inequality index and curve approaches reveal that the pro-rich distribution of OOP health expenditures is remarkable from 2015 to 2019. The burden of OOP pharmaceutical and hospital services expenditures stands on the shoulders of poor households. Progressive universalism is essential to achieve poverty alleviation strategies and reduce inequality for egalitarian development.

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全面医疗改革下土耳其自费医疗支出不平等的趋势

土耳其包容性卫生政策的成功，成为促进进步和改善社会福利的战略工具。本研究旨在探讨土耳其自费医疗支出的不平等趋势。土耳其统计研究所在 2015 年和 2019 年进行的家庭预算调查的数据被用来衡量不同社会经济地位的自费医疗总支出、药品和医院支出变量的不平等情况。通过分解分析，确定了造成不平等的因素。研究结果表明，土耳其贫困人口的OOP医疗支出较高。有证据表明，土耳其的非住院医疗支出不平等现象依然存在。研究结果表明，2015 年至 2019 年，OOP 医疗、药品和医院支出有所增加。不平等指数和曲线方法显示，从 2015 年到 2019 年，OOP 医疗支出的亲富分布非常显著。贫困家庭肩负着门诊医药和医院服务支出的重担。渐进普遍主义对于实现减贫战略和减少不平等以促进平等发展至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Development Perspectives Social Sciences-Sociology and Political Science

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

84 days

期刊介绍： World Development Perspectives is a multi-disciplinary journal of international development. It seeks to explore ways of improving human well-being by examining the performance and impact of interventions designed to address issues related to: poverty alleviation, public health and malnutrition, agricultural production, natural resource governance, globalization and transnational processes, technological progress, gender and social discrimination, and participation in economic and political life. Above all, we are particularly interested in the role of historical, legal, social, economic, political, biophysical, and/or ecological contexts in shaping development processes and outcomes.