A Spatial Analysis for the Determinants of Health Status: The Case of Turkey NUTS-3
Makaleler > Tam Makale · 2017
Yazarlar: Gökçe MANAVGAT, Necmettin ÇELİK
Sosyoekonomi, Uluslararası, 2017, cilt 25, ss 53-67
DOI: 10.17233/sosyoekonomi.305978
Özet
Turkey’s health outcomes are far behind the average of OECD countries and there are significant differences between its regions as well, for this reason it is important to identify the determinants of the health status. In this study, considering the externalities in the health care, the possible determinants of health status have been analysed by using Spatial Panel Data method for 2008-2014 and at the level of 81 provinces. According to the Fixed Effects Spatial Lag Panel model estimations, there are positive spillover between provinces on health status. Also the findings reveal that the level of income and proportion of the population covered social security scheme are most important determinants of health status, and also education level, urbanization rate and ease of access to healthcare facilities are among the findings that improve health. On the other hand there are no statistical evidences that the investment incentives for health and technology level of provinces have a positive effect on health status. All these results indicate that reducing of development disparities between regions, expansion of the population covered under social security scheme and facilitating access to health services are important policies for the point of eliminating the differences in health status. The effectiveness of investment incentives for health care should also be closely monitored in Turkey.