Türkiye'de Cepten Yapılan Sağlık Harcamalarının Sosyoekonomik Belirleyicileri

Bu makale, Türkiye'de cepten yapılan sağlık harcamalarının sosyoekonomik belirleyicilerini incelemektedir. Geçiş Döneminde Yaşam Araştırması'nın ulusal düzeyde temsili bir Türkiye örneğini kullanıyorum. Bu makale, cepten yapılan sağlık harcamalarına katkıda bulunan faktörleri araştırmak için Türkiye'yi temsil eden yeni bir ulusal anket kullanarak önceki literatürü katkı sağlamaktadır. Ayrıca, kullanılan veri seti sayesinde, bu makale önceki çalışmalarda araştırılamayan anne eğitimi, sağlık durumu ve algılanan göreli gelir değişkenleri gibi açıklayıcı değişkenlerin cepten yapılan sağlık harcamaları üzerindeki etkisini analiz etmektedir. Genel olarak, gelirdeki artışın cepten yapılan sağlık harcamalarını artırdığını, oysa yanıt verenlerin ve annelerinin eğitim düzeyindeki artışın cepten yapılan sağlık harcamalarını azalttığını bulunmaktadır. Ayrıca erkeklerin kadınlara göre cepten sağlık harcaması yapma olasılığının daha yüksek olduğunu da bulunmuştur. Son olarak, kişinin kendi beyan ettiği sağlık durumunun iyi veya mükemmel olması, cepten sağlık harcaması yapma olasılığını azaltmaktadır.

Anahtar Kelimeler:

Türkiye, Cepten Yapılan Sağlık Harcaması, Sağlık, Logit, EKK

Socioeconomic Determinants of Out-Of-Pocket Health Care Expenditures in Turkey

This paper explores socioeconomic determinants of out-of-pocket health care spending in Turkey. I use a nationally representative Turkey sample of the Life in Transition Survey. This paper extends the previous literature by using a new nationally representative survey of Turkey to investigate the factors contributing to out-of-pocket healthcare expenditures. Also, thanks to the data set used, this paper can control maternal education, health status, and perceived relative income variables which cannot be controlled in the previous studies. Overall, I find that growth in income increases out-of-pocket healthcare expenditures whereas an increase in the respondents’ and mothers’ educational attainment drops the out-of-pocket healthcare expenditures. I also find that males are more likely to have out-of-pocket healthcare spending than females. Finally, having good or excellent self-reported health decreases the possibility of making out-of-pocket health care spending.

Keywords:

Turkey, out-of-pocket healthcare expenditure, health, logit, OLS. Türkiye, Cepten Yapılan Sağlık Harcaması, Sağlık, Logit, EKK,

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