Out of pocket health expenditures in turkey in the aftermath of the reforms : impact of co-payments on expenditures and use of health services

Author

Erus, Burcay

Source

Economic Research Forum : Working Paper Series

Issue

Vol. 2016, Issue 979-1073 (31 Dec. 2016), pp.1-16, 16 p.

Publisher

Economic Research Forum for the Arab Countries Iran and Turkey

Publication Date

2016-12-31

Country of Publication

Egypt

No. of Pages

16

Main Topic

Economics & Business Administration

Abstract EN

In 2002 Turkey started to implement reforms in health care aiming to ease access and increase efficiency.

Reforms increased insurance coverage and resulted in higher number of outpatient and inpatient treatments at both public and private hospitals.

To reign in consequent increase in health expenditures, a series of co-payments were instituted.

Along with that primary care services were reformed through a family-medicine system that provided free access.

The aim was to channel patients to primary care and hence cut on costs of secondary care.

This work aims to measure the impact of these two measures, introduction of co-payments at secondary care and ease of access to free primary care, on out-of-pocket expenditures and access/use of healthcare services.

We find that while contributory payments resulted in higher OOP health expenditures, especially for lower income households, the impact was small and did not hinder access to healthcare services.

Indeed, possibly due to easier access to primary care, inability to see a doctor became less prevalent.

Adverse effect of the contributory payments have been limited and have largely been countered by the provision of a easily available primary care system.

American Psychological Association (APA)

Erus, Burcay. 2016. Out of pocket health expenditures in turkey in the aftermath of the reforms : impact of co-payments on expenditures and use of health services. Economic Research Forum : Working Paper Series،Vol. 2016, no. 979-1073, pp.1-16.
https://search.emarefa.net/detail/BIM-729535

Modern Language Association (MLA)

Erus, Burcay. Out of pocket health expenditures in turkey in the aftermath of the reforms : impact of co-payments on expenditures and use of health services. Economic Research Forum : Working Paper Series No. 979-1073 (Dec. 2016), pp.1-16.
https://search.emarefa.net/detail/BIM-729535

American Medical Association (AMA)

Erus, Burcay. Out of pocket health expenditures in turkey in the aftermath of the reforms : impact of co-payments on expenditures and use of health services. Economic Research Forum : Working Paper Series. 2016. Vol. 2016, no. 979-1073, pp.1-16.
https://search.emarefa.net/detail/BIM-729535

Data Type

Journal Articles

Language

English

Notes

Includes appendices : p. 9-16

Record ID

BIM-729535