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Out-of-pocket health care expenditure in Turkey: Analysis of the 2003–2008 Household Budget Surveys

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  • Brown, Sarah
  • Hole, Arne Risa
  • Kilic, Dilek

Abstract

This paper analyses the prevalence of ‘catastrophic’ out-of-pocket health expenditure in Turkey and identifies the factors which are associated with its risk using the Turkish Household Budget Surveys from 2003 to 2008. A sample selection approach based on Sartori (2003) is adopted to allow for the potential selection problem which may arise if poor households choose not to seek health care due to concerns regarding its affordability. The results suggest that poor households are less likely to seek health care as compared to non-poor households and that a negative relationship between poverty and experiencing catastrophic health expenditure remains even after allowing for such selection bias. Our findings, which may assist policy-makers concerned with health care system reforms, also highlight factors such as insurance coverage, which may protect households from the risk of incurring catastrophic health expenditure.

Suggested Citation

  • Brown, Sarah & Hole, Arne Risa & Kilic, Dilek, 2014. "Out-of-pocket health care expenditure in Turkey: Analysis of the 2003–2008 Household Budget Surveys," Economic Modelling, Elsevier, vol. 41(C), pages 211-218.
    • Handle: RePEc:eee:ecmode:v:41:y:2014:i:c:p:211-218
    DOI: 10.1016/j.econmod.2014.05.012
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    References listed on IDEAS

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    Cited by:

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    2. 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).
    3. Eleftherios Giovanis & Oznur Ozdamar, 2016. "Who Pays More: Public, Private, Both or None? The Effects of Health Insurance Schemes and Health Reforms on Out-of-Pocket and Catastrophic Health Expenditures in Turkey," Working Papers 1058, Economic Research Forum, revised 10 2016.
    4. Giovanis, Eleftherios & Ozdamar, Oznur, 2017. "The Effects of the 2008 Health Reform on Out-of-Pocket Health Expenditures in Turkey," MPRA Paper 95837, University Library of Munich, Germany.
    5. Abu-Qarn, Aamer & Lichtman-Sadot, Shirlee, 2022. "Can greater access to secondary health care decrease health inequality? Evidence from bus line introduction to Arab towns in Israel," Economic Modelling, Elsevier, vol. 106(C).
    6. Kyriopoulos, Ilias & Nikoloski, Zlatko & Mossialos, Elias, 2021. "Financial protection in health among the middle-aged and elderly: Evidence from the Greek economic recession," Health Policy, Elsevier, vol. 125(9), pages 1256-1266.
    7. Nikolaos Grigorakis & Christos Floros & Haritini Tsangari & Evangelos Tsoukatos, 2017. "Combined social and private health insurance versus catastrophic out of pocket payments for private hospital care in Greece," International Journal of Health Economics and Management, Springer, vol. 17(3), pages 261-287, September.
    8. Ebaidalla Mahjoub Ebaidalla & Mohammed Elhaj Mustafa Ali, 2017. "Determinants and Impact of Households’s Out-of-Pocket Health Care Expenditure in Sudan: Evidence From Urban and Rural Population," Working Papers 1170, Economic Research Forum, revised 12 2017.
    9. Onur Dogan & Gizem Kaya & Aycan Kaya & Hidayet Beyhan, 2019. "Catastrophic Household Expenditure for Healthcare in Turkey: Clustering Analysis of Categorical Data," Data, MDPI, vol. 4(3), pages 1-10, July.
    10. Zlatko Nikoloski & Alistair McGuire & Elias Mossialos, 2021. "Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis," PLOS Medicine, Public Library of Science, vol. 18(10), pages 1-18, October.
    11. Reham Rizk & Hala Abou-Ali, 2016. "Out of Pocket Health Expenditure and Household Budget: Evidence from Arab Countries," Working Papers 1065, Economic Research Forum, revised 12 Jan 2016.
    12. Cinaroglu, Songul, 2024. "Trends in out-of-pocket health expenditure inequality in Turkey under comprehensive health reforms," World Development Perspectives, Elsevier, vol. 34(C).
    13. Abatemarco, Antonio & Aria, Massimo & Beraldo, Sergio & Collaro, Michela, 2024. "Measuring health care access and its inequality: A decomposition approach," Economic Modelling, Elsevier, vol. 132(C).
    14. 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.
    15. Lim, Kyoung Mook, 2020. "Public provision of health insurance and aggregate saving in an overlapping generations model with endogenous health risk: The South Korean case," Economic Modelling, Elsevier, vol. 91(C), pages 233-246.

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