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Türkiye’de Katastrofik Sağlık Harcamaları ve Bu Harcamaları Belirleyen Faktörler: 2002-2014 Dönemi

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  • Yağmur TOKATLIOĞLU
  • İbrahim TOKATLIOĞLU

Abstract

When households must pay fees or co-payments for health care, the amount can be so high in relation to their income that it results in “financial catastrophe” for the individual or the household. Such high expenditure can mean that people should cut down on necessities such as food and clothing, or are unable to pay for their children’s education. Catastrophic heath expenditure occurs when a household’s total out-of-pocket health payments equal or exceed 40% of household’s capacity to pay or non-subsistence spending. In this study, it is aimed to find out general situation of catastrophic health expenditures and determine the factors that affect these expenditures of households in the period between 2002 and 2014 in Turkey. By using micro data set of Household Budget Survey, published by Turkish Statistical Institute, it is found that households incur in catastrophe is averagely 0.49% and households became poor after paying for health services is averagely 0.22% in the period between 2002 and 2014. The logistic regression results indicate that probability to make catastrophic health expenditure is determined by these factors: age, marital status, disability status, household size, access to healthcare services, income level, employment situation, educational level, gender, insurance status, and place of residence.Classification-JEL: I13, I18, C83Keywords: Out-of-pocket Health Expenditures, Catastrophic Health Expenditures, Logistic Regression

Suggested Citation

  • Yağmur TOKATLIOĞLU & İbrahim TOKATLIOĞLU, 2018. "Türkiye’de Katastrofik Sağlık Harcamaları ve Bu Harcamaları Belirleyen Faktörler: 2002-2014 Dönemi," Sosyoekonomi Journal, Sosyoekonomi Society, issue 26(35).
    • Handle: RePEc:sos:sosjrn:180104
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    1. Ahmet Burçin YERELİ & Altuğ Murat KÖKTAŞ & Işıl Şirin SELÇUK, 2014. "Türkiye’de Katastrofik Sağlık Harcamalarını Etkileyen Faktörler," Sosyoekonomi Journal, Sosyoekonomi Society, issue 22(22).
    2. Julide Yildirim & Erdogan Yilmaz & Nebile Korucu, 2011. "The determinants of out-of-pocket payments: evidence from selected hospitals in Ankara, Turkey," Applied Economics Letters, Taylor & Francis Journals, vol. 18(12), pages 1159-1162.
    3. Ahmed Rashad & Mesbah Sharaf, 2015. "Catastrophic and Impoverishing Effects of Out-Of-Pocket Health Expenditure: New Evidence from Egypt," Working Papers 974, Economic Research Forum, revised Nov 2015.
    4. Yardim, Mahmut Saadi & Cilingiroglu, Nesrin & Yardim, Nazan, 2010. "Catastrophic health expenditure and impoverishment in Turkey," Health Policy, Elsevier, vol. 94(1), pages 26-33, January.
    5. Xuedan You & Yasuki Kobayashi, 2011. "Determinants of out-of-pocket health expenditure in China," Applied Health Economics and Health Policy, Springer, vol. 9(1), pages 39-49, January.
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    More about this item

    Keywords

    out-of-pocket health expenditures; catastrophic health expenditures; logistic regression;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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