Comparison of Turkey With the European Region Countries of the World Health Organization's Change in Health Indicators Following the Health Transformation Program

Hamdi Nezih Dagdeviren, Serkan Calıs

Keywords: Primary health care ; Preventive health services ; Social health

Aim:

Numerous factors have an impact on national health systems. In tandem with changes in the social and economic framework, Turkey's healthcare system has developed over time. "Health for All" is one of the headings of the 58th Government's "Emergency Action Plan," which was released in 2002. The Health Transformation Program's guiding concepts have been presented and implemented under this name beginning in 2003. Our study's objectives were to assess the Health Transformation Program's outcomes and demonstrate the effectiveness of the initiative.

Method:

The factors from the Sustainable Development Goals program's health sub-heading, whose data we could access, were utilized to create the variables we used for this. The Health Transformation Program was gradually implemented beginning in 2003, and the whole execution was finished in 2010. We have chosen the year 2010 (including 2010) as the cut-off point for the data we will compare in this regard. We examined the data up until the year 2015, taking into account the time before 2010 as the time before the Health Transformation Program and the time after 2011 as the time after the Health Transformation Program.

Results:

The average health indicators for the World Health Organization's European Region were used as the control group, along with the three major nations that are well-known for implementing health financing systems. These countries included Germany (Bismarc System), England (Beveridge System), and the United States (Private Health Insurance System). We also used the "Difference in Differences" approach, which is essentially an econometric estimating method, in our analysis. By using this technique, we hoped to show how the policy change had an impact on the differences or indifferences between the groups.

Conclusions:

Our study showed that after the Health Transformation Program, overall health outcomes significantly improved. In light of this, it may be concluded that the new policy was largely effective.

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