IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v34y2019i1pe824-e843.html
   My bibliography  Save this article

Politics and health outcomes: A path analytic approach

Author

Listed:
  • Songul Cinaroglu

Abstract

Social and health policies and political participation are associated with each political tradition related to public health outcomes. However, there is a lack of evidence for the relationship between policy and outcomes. This study seeks to determine the relationship between politics, labour and welfare state indicators, economic inequality, and health outcome indicators. Data to test the model was obtained from the Turkish Statistical Institute (TurkStat) that belongs to the 81 provinces of Turkey. Path analysis was used to model the associations between policy, labour and welfare states, economic inequality, and health outcomes. To test the goodness of fit of the model, multiple criteria of model fit indices were utilised. The fit of the respecified path analytic model data is good (normed fit index [NFI] is 0.91, comparative fit index [CFI] is 0.92, goodness of fit index [GFI] is 0.91, and adjusted goodness of fit index [AGFI] is 0.93). Study results illustrate a strong relationship between voter partisanship, employment rate, satisfaction from both social security and health services, and life expectancy at birth and mortality. These results represent an important step towards understanding the elusive relationship between policy and health outcomes. Designing socially inclusive policies, considering labour market opportunities, and enhancing the population's well‐being are advisable strategies for policymakers who wish to optimise public health outcomes.

Suggested Citation

  • Songul Cinaroglu, 2019. "Politics and health outcomes: A path analytic approach," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 824-843, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e824-e843
    DOI: 10.1002/hpm.2699
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.2699
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.2699?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Burgard, Sarah A. & Brand, Jennie E. & House, James S., 2009. "Perceived job insecurity and worker health in the United States," Social Science & Medicine, Elsevier, vol. 69(5), pages 777-785, September.
    2. Yardim, Mahmut S. & Uner, Sarp, 2018. "Equity in access to care in the era of health system reforms in Turkey," Health Policy, Elsevier, vol. 122(6), pages 645-651.
    3. Persson, Torsten & Roland, Gerard & Tabellini, Guido, 2007. "Electoral Rules and Government Spending in Parliamentary Democracies," Quarterly Journal of Political Science, now publishers, vol. 2(2), pages 155-188, May.
    4. Coburn, David, 2004. "Beyond the income inequality hypothesis: class, neo-liberalism, and health inequalities," Social Science & Medicine, Elsevier, vol. 58(1), pages 41-56, January.
    5. Erus, Burcay & Yakut-Cakar, Burcu & Cali, Sanda & Adaman, Fikret, 2015. "Health policy for the poor: An exploration on the take-up of means-tested health benefits in Turkey," Social Science & Medicine, Elsevier, vol. 130(C), pages 99-106.
    6. Ziya Öniş & İsmail Emre Bayram, 2008. "Temporary Star or Emerging Tiger? Turkey's Recent Economic Performance in a Global Setting," Koç University-TUSIAD Economic Research Forum Working Papers 0805, Koc University-TUSIAD Economic Research Forum.
    7. Luca, Davide, 2016. "Votes and Regional Economic Growth: Evidence from Turkey," World Development, Elsevier, vol. 78(C), pages 477-495.
    8. Aran, Meltem A. & Hentschel, Jesko S., 2012. "Protection in good and bad times ? the Turkish green card health program," Policy Research Working Paper Series 6178, The World Bank.
    9. Simon Wigley & Arzu Akkoyunlu-Wigley, 2011. "Do electoral institutions have an impact on population health?," Public Choice, Springer, vol. 148(3), pages 595-610, September.
    10. Walter Korpi, 2000. "Faces of Inequality: Gender, Class and Patterns of Inequalities in Different Types of Welfare States," LIS Working papers 224, LIS Cross-National Data Center in Luxembourg.
    11. Coburn, David, 2000. "Income inequality, social cohesion and the health status of populations: the role of neo-liberalism," Social Science & Medicine, Elsevier, vol. 51(1), pages 135-146, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Peacock, Marian & Bissell, Paul & Owen, Jenny, 2014. "Dependency denied: Health inequalities in the neo-liberal era," Social Science & Medicine, Elsevier, vol. 118(C), pages 173-180.
    2. Yerramilli, Pooja & Fernández, Óscar & Thomson, Sarah, 2018. "Financial protection in Europe: a systematic review of the literature and mapping of data availability," Health Policy, Elsevier, vol. 122(5), pages 493-508.
    3. Sweet, Elizabeth, 2018. "“Like you failed at life”: Debt, health and neoliberal subjectivity," Social Science & Medicine, Elsevier, vol. 212(C), pages 86-93.
    4. Eikemo, Terje Andreas & Bambra, Clare & Judge, Ken & Ringdal, Kristen, 2008. "Welfare state regimes and differences in self-perceived health in Europe: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(11), pages 2281-2295, June.
    5. Moore, Spencer & Teixeira, Ana C. & Shiell, Alan, 2006. "The health of nations in a global context: Trade, global stratification, and infant mortality rates," Social Science & Medicine, Elsevier, vol. 63(1), pages 165-178, July.
    6. Abdullah TİRGİL & Fatih Cemil ÖZBUĞDAY, 2020. "Does Public Health Insurance Provide Financial Protection Against Out-Of-Pocket Health Payments? Evidence from TurkeyAbstract: Turkey hasinitiated comprehensive reformsto increase equity among its cit," Sosyoekonomi Journal, Sosyoekonomi Society, issue 28(45).
    7. Emrah Konuralp & Sermin Bicer, 2021. "Putting the Neoliberal Transformation of Turkish Healthcare System and Its Problems into a Historical Perspective," Review of Radical Political Economics, Union for Radical Political Economics, vol. 53(4), pages 654-674, December.
    8. J. Masuda & T. Zupancic & E. Crighton & N. Muhajarine & E. Phipps, 2014. "Equity-focused knowledge translation: a framework for “reasonable action” on health inequities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(3), pages 457-464, June.
    9. Erus, Burcay & Hatipoglu, Ozan, 2017. "Physician payment schemes and physician productivity: Analysis of Turkish healthcare reforms," Health Policy, Elsevier, vol. 121(5), pages 553-557.
    10. Burhan, Nik Ahmad Sufian & Sidek, Abdul Halim & Kurniawan, Yohan & Mohamad, Mohd Rosli, 2014. "Has Globalization Triggered Collective Impact of National Intelligence on Economic Growth?," MPRA Paper 77316, University Library of Munich, Germany.
    11. Abdul Karim, Syahirah & Eikemo, Terje A. & Bambra, Clare, 2010. "Welfare state regimes and population health: Integrating the East Asian welfare states," Health Policy, Elsevier, vol. 94(1), pages 45-53, January.
    12. Migheli, Matteo & Ortona, Guido, 2009. "Majority, proportionality, governability and factions," POLIS Working Papers 122, Institute of Public Policy and Public Choice - POLIS.
    13. Iga Magda & Ewa Cukrowska-Torzewska, 2019. "Gender wage gap in the workplace: Does the age of the firm matter?," IBS Working Papers 01/2019, Instytut Badan Strukturalnych.
    14. Svenja G rtner, 2013. "German Stagnation vs. Swedish Progression: Gender Wage Gaps in Comparison, 1960-2006," LIS Working papers 586, LIS Cross-National Data Center in Luxembourg.
    15. Hipp, Lena, 2020. "Feeling secure vs. being secure? Qualitative evidence on the relationship between labour market institutions and employees’ perceived job security from Germany and the U.S," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 15(4), pages 416-429.
    16. Bibek Adhikari & Romain Duval & Bingjie Hu & Prakash Loungani, 2018. "Can Reform Waves Turn the Tide? Some Case Studies using the Synthetic Control Method," Open Economies Review, Springer, vol. 29(4), pages 879-910, September.
    17. Bellelli, Francesco S. & Scarpa, Riccardo & Aftab, Ashar, 2023. "An empirical analysis of participation in international environmental agreements," Journal of Environmental Economics and Management, Elsevier, vol. 118(C).
    18. Konstantinos Matakos & Riikka Savolainen & Orestis Troumpounis & Janne Tukiainen & Dimitrios Xefteris, 2024. "Electoral Institutions and Intraparty Cohesion," Journal of Political Economy Microeconomics, University of Chicago Press, vol. 2(4), pages 883-916.
    19. Julie Vinck & Idunn Brekke, 2019. "Gender and education inequalities in parental employment when having a young child with increased care needs: Belgium and Norway compared," Working Papers 1904, Herman Deleeck Centre for Social Policy, University of Antwerp.
    20. Mahmud Rice, James & Goodin, Robert E. & Parpo, Antti, 2006. "The Temporal Welfare State: A Crossnational Comparison," Journal of Public Policy, Cambridge University Press, vol. 26(3), pages 195-228, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e824-e843. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.