SOSYAL GÜVENLİK KURUMU SAĞLIK HARCAMALARININ ANALİZİ: ARDL SINIR TESTİ YAKLAŞIMI

SOSYAL GÜVENLİK KURUMU SAĞLIK HARCAMALARININ ANALİZİ: ARDL SINIR TESTİ YAKLAŞIMI Yunus Emre KARATAŞ, Metin DİNÇER Öz Sağlıkta dönüşüm programı ile genel sağlık sigortasına geçildi. Böylece en önemli sağlık hizmeti alıcısı sosyal güvenlik kurumu olmuştur. Hastanelerin sunduğu hizmetler, sosyal güvenlik kurumunun harcamaları içinde önemli bir yer tutmaya başlamıştır. Bu nedenle çalışma, Türkiye'deki sağlık tesislerinin fonksiyonel özelliklerinin Sosyal Güvenlik Kurumu (SGK) sağlık harcamaları üzerindeki etkisini tahmin etmeyi ve modellemeyi amaçlamaktadır. Çalışmada kullanılan veriler toplanırken fonksiyonel özellik olarak hastanenin hizmet düzeyleri dikkate alınmış ve 01/2009 ile 05/2020 tarihleri arasındaki veriler analiz edilmiştir. Değişkenler arasında kısa ve uzun dönemde eşbütünleşme olup olmadığını analiz etmek için Otomatik Regresif Dağıtılmış Gecikme Modeli (ARDL) sınır testi kullanılmıştır. Uzun vadeli tahminler, ikinci basamaktaki devlet hastanelerinin SGK'nın sağlık harcamalarını azaltırken, üçüncü basamaktaki devlet, üniversite ve ikinci basamaktaki özel hastanelerin SGK'nın sağlık harcamalarını artırdığını göstermektedir. Hastanelerin sunduğu hizmetlerin ve hastalara sağladığı faydaların objektif kriterlere göre ölçülmesi sağlık harcamalarının uygunluğunun en önemli göstergesi olacaktır. Anahtar Kelimeler: ARDL Sınır Testi, Geri Ödeme, Sağlık Harcamaları, Sağlık Sigortası, Sosyal Güvenlik Kurumu Jel Kodları: C32, G22, G28, H51, I13

Anahtar Kelimeler:

ARDL Bounds Test, Reimbursement, Health Spending, Health Insurance, Social Security Institution

ANALYSIS OF THE SOCIAL SECURITY INSTITUTION’S HEALTH SPENDING: AN ARDL BOUNDS TEST APPROACH

ANALYSIS OF THE SOCIAL SECURITY INSTITUTION’S HEALTH SPENDING: AN ARDL BOUNDS TEST APPROACH Yunus Emre KARATAŞ, Metin DİNÇER With the health transformation program, universal health insurance was introduced. Thus, it became the most significant health service purchaser social security institution. The services provided by hospitals began to occupy an important place in the expenditures of the social security institution. Thus, the study aims to predict and model the effect of functional characteristics of health facilities on Social Security Institution (SSI) health expenditures in Turkey. While collecting the data used in the study, the hospital’s service levels as functional characteristics were considered, and the data between 01/2009 and 05/2020 were analyzed. Auto-Regressive Distributed Lag Model (ARDL) bounds test was used to analyze the presence of cointegration between variables in the short and long run. Long-run predictions show that while the secondary-level state hospitals reduce the health expenditure of the SSI, the tertiary-level state, university, and secondary-level private hospitals increase the SSI health expenditure. Measuring the services provided by hospitals and the benefits they provide to patients according to objective criteria will be the most significant indicator of the appropriateness of health expenditures. Keywords: ARDL Bounds Test, Reimbursement, Health Spending, Health Insurance, Social Security Institution Jel Codes: C32, G22, G28, H51, I13

Keywords:

ARDL Bounds Test, Reimbursement, Health Spending, Health Insurance, Social Security Institution,

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