Türk Sağlık Sisteminin Finansal Sürdürülebilirliği
Sağlık sistemlerinde sürdürülebilirlik ve sistemlerin finansal gücü ve reform çalışmalarıyla finansal sürdürülebilirliğin nasıl sağlanabileceği, günümüzde politika yapıcılar tarafından tartışılan başlıca konular arasında yer almaktadır. Bu çalışmada sağlık harcamalarının temel makroekonomik değişkenlerle karşılaştırması yapılmış, sürdürülebilirlik problemi araştırılmış ve sağlık sisteminde sürdürülebilirliği etkileyebilecek dışsal faktörlerin ve kamu sağlık harcamalarının gelecek projeksiyonları ile gelecekte Türk sağlık sisteminin karşılaşması muhtemel senaryolar ortaya konmuştur. Çalışmanın sonuçları 1980’lerden günümüze gelen dönemde sağlık harcamalarının ekonomik büyümeden daha fazla arttığını ortaya koymaktadır, fakat 2003 sonrasında yapılan reformlar sonucunda sağlık harcamalarındaki büyümenin hız kesmesi nedeniyle, finansal sürdürülebilirliğin mümkün hale geldiği tespit edilmiştir. Dışsal faktörlerin gelecek projeksiyonları, bu faktörlerdeki gelişmeler nedeniyle sağlık sistemindeki finansal yükün gelecekte artacağını, sağlık politika yapıcılarının bu durumu gözönünde bulundurmaları gerektiğini göstermiştir.
Financial Sustainability of Turkish Health Care System
Sustainability in health care systems, , and financial power of the systemand how to attain financial sustainability through reforms are among the main topicsdiscussed by policy makers today. In this study, health expenditures are compared withfundamental macroeconomic variables, the problem of sustainability was examined andpossible scenarios to be faced by Turkish health care system in the future are presentedthrough future projections of public health expenditures and external factors that couldaffect sustainability in the health care system. The results reveal that health expenditureshave increased further than economic growth since the 1980s; but financialsustainability has become possible because of the slowing down health expenditures inthe consequence of reforms realised after 2003. Future projections of external factorsshow that financial burden on the health care system will increase in the future due tothe progress in these factors, and policy makers in health should take into consideration.
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