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Are family medicine centres achieving their target in Turkey: Impact on health care utilization of mothers and infants

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  • Aysun Aygün

Abstract

The family medicine (FM) system was introduced as the main source of primary care in Turkey as a component of the Health Transformation Program reforms. During a gradual implementation process, provinces switched to the FM system at different points in time between 2005 and 2010. In this paper, we use a micro‐level data set to test whether the health care utilization of mothers during pregnancy, childbirth and the postnatal period is affected by the program. Using a difference‐in‐differences method for estimation, we find that the program is only effective for pregnant women who lived in provinces with a limited availability of specialist doctors. As a result of the FM program, women are likely to have their first prenatal consultancy earlier and their probability of seeing a doctor during their prenatal visit and receiving an ultrasound and blood and urine sample checks increases if they live in a province with a low number of specialists per 10,000 people. We find that the impact of the FM program decreases as the rate of specialists in a province increases, which negates any positive effect of the program on health care use.

Suggested Citation

  • Aysun Aygün, 2021. "Are family medicine centres achieving their target in Turkey: Impact on health care utilization of mothers and infants," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(1), pages 189-208, January.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:1:p:189-208
    DOI: 10.1002/hpm.3079
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    1. Cesur, Resul & Güneş, Pınar Mine & Tekin, Erdal & Ulker, Aydogan, 2017. "The value of socialized medicine: The impact of universal primary healthcare provision on mortality rates in Turkey," Journal of Public Economics, Elsevier, vol. 150(C), pages 75-93.
    2. Asena Caner & Deniz Karaoğlan & Gülbiye Yaşar, 2018. "Utilization of health‐care services by young children: The aftermath of the Turkish Health Transformation Program," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(3), pages 596-613, July.
    3. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 269-293, July.
    4. Fatih Santas & Yusuf Celik & Mehmet Ali Eryurt, 2018. "Do health care reforms in Turkey have a significant effect in equal access to maternal and child health services in Turkey: An evidence from 20 years," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(1), pages 344-356, January.
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