{"title":"健康指标与人的发展：以<s:1>基耶病为例制定新的健康治理指数。","authors":"Bircan Kara","doi":"10.1186/s12913-025-13007-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Economic development is influenced by GDP, educational attainment, production capacity, and health service indicators. The sustainability of human capital and production capacity depends on high-quality healthcare services supported by efficient governance. This study aims to construct a health governance index by analyzing the relationship between health indicators and the Human Development Index (HDI) in Türkiye.</p><p><strong>Method: </strong>This study utilizes a logarithmic differencing model to analyze quarterly data from Q1 2002 to Q4 2020. Annual health expenditure data is transformed into quarterly data. The methodology includes assessing data properties, testing for nonlinearity using the BDS (Brock, Dechert, and Scheinkman) test, and exploring quantile-based relationships using Quantile-on-Quantile Regression (QQR). To further confirm the results, Quantile Regression (QR) is applied to analyze the differential effects across various quantiles.</p><p><strong>Variables: </strong>Key variables include the Medical Service Quality Index (MDSQI), the Medical Service Capacity Index (MDSCI), and the Human Development Index (HDI). The study also considers the Health Economic Performance Capacity (HEPC) as an additional indicator to assess the broader health governance impact.</p><p><strong>Results: </strong>The analysis reveals that the majority of data exhibits non-normal distribution characteristics. Significant improvements in the MDSQI and MDSCI positively influence both the HDI and HEPC in Türkiye. The findings suggest that better management of healthcare services correlates with higher human development outcomes. Robustness checks confirm the consistency and reliability of the results.</p><p><strong>Conclusion: </strong>Efficient management of healthcare services and capacity significantly impacts HDI and HEPC in Türkiye. Increased healthcare expenditures enhance service quality and capacity, contributing to overall human development. Policy recommendations include investment in preventive healthcare, ensuring equal access, integrating health technology, enhancing human resource training, implementing inclusive health insurance, and securing sustainable funding to improve healthcare quality and ensure comprehensive coverage.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"920"},"PeriodicalIF":3.0000,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225160/pdf/","citationCount":"0","resultStr":"{\"title\":\"Health indicators and human development: developing a new health governance index with the case of Türkiye.\",\"authors\":\"Bircan Kara\",\"doi\":\"10.1186/s12913-025-13007-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Economic development is influenced by GDP, educational attainment, production capacity, and health service indicators. The sustainability of human capital and production capacity depends on high-quality healthcare services supported by efficient governance. This study aims to construct a health governance index by analyzing the relationship between health indicators and the Human Development Index (HDI) in Türkiye.</p><p><strong>Method: </strong>This study utilizes a logarithmic differencing model to analyze quarterly data from Q1 2002 to Q4 2020. Annual health expenditure data is transformed into quarterly data. The methodology includes assessing data properties, testing for nonlinearity using the BDS (Brock, Dechert, and Scheinkman) test, and exploring quantile-based relationships using Quantile-on-Quantile Regression (QQR). To further confirm the results, Quantile Regression (QR) is applied to analyze the differential effects across various quantiles.</p><p><strong>Variables: </strong>Key variables include the Medical Service Quality Index (MDSQI), the Medical Service Capacity Index (MDSCI), and the Human Development Index (HDI). The study also considers the Health Economic Performance Capacity (HEPC) as an additional indicator to assess the broader health governance impact.</p><p><strong>Results: </strong>The analysis reveals that the majority of data exhibits non-normal distribution characteristics. Significant improvements in the MDSQI and MDSCI positively influence both the HDI and HEPC in Türkiye. The findings suggest that better management of healthcare services correlates with higher human development outcomes. Robustness checks confirm the consistency and reliability of the results.</p><p><strong>Conclusion: </strong>Efficient management of healthcare services and capacity significantly impacts HDI and HEPC in Türkiye. Increased healthcare expenditures enhance service quality and capacity, contributing to overall human development. Policy recommendations include investment in preventive healthcare, ensuring equal access, integrating health technology, enhancing human resource training, implementing inclusive health insurance, and securing sustainable funding to improve healthcare quality and ensure comprehensive coverage.</p>\",\"PeriodicalId\":9012,\"journal\":{\"name\":\"BMC Health Services Research\",\"volume\":\"25 1\",\"pages\":\"920\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225160/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Health Services Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12913-025-13007-x\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Health Services Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12913-025-13007-x","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Health indicators and human development: developing a new health governance index with the case of Türkiye.
Introduction: Economic development is influenced by GDP, educational attainment, production capacity, and health service indicators. The sustainability of human capital and production capacity depends on high-quality healthcare services supported by efficient governance. This study aims to construct a health governance index by analyzing the relationship between health indicators and the Human Development Index (HDI) in Türkiye.
Method: This study utilizes a logarithmic differencing model to analyze quarterly data from Q1 2002 to Q4 2020. Annual health expenditure data is transformed into quarterly data. The methodology includes assessing data properties, testing for nonlinearity using the BDS (Brock, Dechert, and Scheinkman) test, and exploring quantile-based relationships using Quantile-on-Quantile Regression (QQR). To further confirm the results, Quantile Regression (QR) is applied to analyze the differential effects across various quantiles.
Variables: Key variables include the Medical Service Quality Index (MDSQI), the Medical Service Capacity Index (MDSCI), and the Human Development Index (HDI). The study also considers the Health Economic Performance Capacity (HEPC) as an additional indicator to assess the broader health governance impact.
Results: The analysis reveals that the majority of data exhibits non-normal distribution characteristics. Significant improvements in the MDSQI and MDSCI positively influence both the HDI and HEPC in Türkiye. The findings suggest that better management of healthcare services correlates with higher human development outcomes. Robustness checks confirm the consistency and reliability of the results.
Conclusion: Efficient management of healthcare services and capacity significantly impacts HDI and HEPC in Türkiye. Increased healthcare expenditures enhance service quality and capacity, contributing to overall human development. Policy recommendations include investment in preventive healthcare, ensuring equal access, integrating health technology, enhancing human resource training, implementing inclusive health insurance, and securing sustainable funding to improve healthcare quality and ensure comprehensive coverage.
期刊介绍：
BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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