TÜRKİYE’DE İLAÇ TÜKETİMİNİN VERİMLİLİĞİ: VZA YÖNTEMİ İLE OECD ÜLKELERİ KARŞILAŞTIRMASI

1980’lerden sonra, tüketiciler ilaç tüketimi de dahil olmak üzere, daha bilinçli bir şekilde sağlık odaklı davranışlar ve tutumlar geliştirmeye başlamıştır. İlaç tüketimi tutumu bu eğilimin doğal bir sonucudur. Bu araştırmada Türkiye’nin OECD ülkelerine arasında ilaç tüketimi verimliliği açısından karşılaştırmalı konumunun analiz edilmesi amaçlanmaktadır. 15 OECD ülkesinin 5 yıllık (2008-2012) panel verisi çıktı odaklı ve ölçeğe göre değişken getiri yöntemleri ile uygulanmışVZA-Malmquist TFV ile ölçülmüştür. Teknolojik değişim indeksi, Türkiye’nin aynı miktarda hekim, eczacı, sağlık sigorta harcaması (devlet ve özel) ve doktor muayenesi ile hem daha fazla ilaç tüketimi hem de daha uzun bir yaşam süresi beklentisi ortaya koyduğunu göstermektedir. Bu yıllar arasında Türkiye %0.4 verimlilik artışı yaratmıştır. Ancak, Türkiye’nin toplam verimlilik seviyesi yönetsel sınırlılıklardan ötürü düşüktür.

EFFICIENCY OF PHARMACEUTICAL CONSUMPTION IN TURKEY: BENCHMARKING WITH OECD BY DEA

After 1980s, consumers begin to focus more health-conscious behaviours and attitudes including the concept of consuming pharmaceutical products. Pharmaceutical consumption attitude is a natural outcome of this trend. In this research, it is aimed to analyze Turkey’s benchmarking position among OECD countries in terms of pharmaceutical consumption efficiency. 15 OECD countries’ 5 years (2008-2012) analyzed by DEA-Malmquist TFP with the output-oriented and variable returns to scale methods. TC index shows that Turkey had created more pharmaceutical consumption and longer life expectancy by using same amount of number of physicians, number of pharmacists, total public and private health insurance expenditures and number of doctor consultations. By the way, Turkey had embraced efficiency growth with the rate of 0.4 percent. However, total efficiency level of Turkey got damaged by reason of its administrative limitations.

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