Department of Economics, Faculty of Administrative Sciences, Hacettepe University, Turkey.
Department of Economics, Faculty of Administrative Sciences, Ankara Hacı Bayram Veli University, Turkey.
Health Policy. 2021 Jun;125(6):786-792. doi: 10.1016/j.healthpol.2021.04.006. Epub 2021 Apr 20.
This study aims to examine the prevalence and determinants of unmet health care needs in Turkey. The nationally representative "Health Survey" data for the latest available year, 2016, is used in the analysis. The reasons for unmet health care needs are divided into three categories which are waiting time, affordability (cost), and the distance to health facilities. The probit methodology is employed to investigate the factors affecting unmet health care needs. Approximately 25% of participants (4392 of 17242) reported an unmet need for health care. Overall, females, individuals in lower income groups, those with chronic illness, those with lower education levels and those in younger age groups are more likely to report unmet health care needs. Estimation results point out that age and having a chronic illness have more influence on the reporting of unmet health care needs as compared to other variables included in the model. Therefore, it seems necessary to reorganize the health care system in Turkey to target the needs of individuals with chronic diseases.
本研究旨在考察土耳其未满足的医疗保健需求的流行程度和决定因素。分析中使用了最新的全国代表性“健康调查”数据(2016 年)。未满足的医疗保健需求的原因分为等待时间、负担能力(成本)和医疗设施的距离三个类别。采用概率单位法研究影响未满足的医疗保健需求的因素。大约 25%的参与者(17242 人中的 4392 人)报告未满足医疗保健需求。总体而言,女性、收入较低群体的个体、患有慢性病的个体、教育程度较低的个体以及年龄较小的群体更有可能报告未满足的医疗保健需求。估计结果指出,与模型中包含的其他变量相比,年龄和患有慢性病对报告未满足的医疗保健需求的影响更大。因此,似乎有必要对土耳其的医疗保健系统进行重新组织,以满足慢性病患者的需求。