Equity and healthcare reform in developing economies : the case of Turkey / Songül Çınaroğlu.

Format:

Book

Author/Creator:

Çınaroğlu, Songül, author.

Series:

Routledge international studies in health economics

Language:

English

Subjects (All):

Public health--Turkey.

Public health.

Health care reform--Turkey.

Health care reform.

Physical Description:

1 online resource (175 pages) : illustrations

Edition:

1st ed.

Place of Publication:

Abingdon, Oxon ; New York, NY : Routledge, 2021.

Summary:

"Ensuring equity in healthcare is the main concern of health policy makers in order to provide a sustainable health system. This concern is more prominent in developing countries due to the scarcity of resources. This book provides a comprehensive analysis and discussion on the distributive pattern of out-of-pocket pharmaceutical expenditures under the health reforms in Turkey and makes comparisons with pharmerging countries. Turkey's health reforms began in 2003 to address shortcomings related to financial protection and to improve health outcomes and the quality of healthcare services. The primary motivation was to ensure equity in the distribution of health resources, and this transformation process led to profound changes in how these resources were used, and in health financing in general. However, there is a lack of knowledge regarding the long-term effect of health reforms on the distribution patterns of health expenditures and health service use. This book offers a thorough equity analysis of the health financing system, affected by this health transformation program. Index and curve approaches are used in the equity analysis of pharmaceutical expenditures. The book examines the long-term effects of health system regulations on the health spending characteristics of households and improves the current understanding of equity in this context. It includes extensive international comparisons of healthcare services across a range of developing countries and highlights the significance of ensuring equity for emerging economies. The author explores the existing evidence as well as future research directions and provides policy and planning advice for health policy makers to contribute to establishing a more equal health system design. Additionally, the book will be of interest to scholars and professionals in the fields of health economics, public health management and health financing"-- Provided by publisher.

Contents:

Cover

Half Title

Series Information

Title Page

Copyright Page

Table of contents

Illustrations

Chapter 1 Equity in healthcare services

The meaning and key concepts of equity in healthcare

Globalization, personalized medicines, and an increasing concern for equity in healthcare

Health system differences and equity in health system

Health trends and equity

Social inclusiveness and equity in healthcare

References

Chapter 2 International comparison of equity in healthcare services

International comparison of equity in healthcare services

International differences in the level of health expenditures

International differences regarding the concern for equity

Health reforms and health equity

Current health system problems and increasing need to consider equity in health

Chapter 3 Equity in health services and policy advice for developing countries

Equity in health interventions in developing countries

Maternal and newborn health

Communicable (infectious) diseases

Noncommunicable diseases

Equity in distribution of health financing in developing countries

Catastrophic expenditure and impoverishment expenditure

Policy advice to improve equities in developing countries

Chapter 4 Equity lessons learned from pharmerging countries

Characteristics of pharmerging countries

Brazil

China

India

Russia

Mexico

Thailand

Chapter 5 Equity in health services in emerging markets similar to Turkey

Healthcare financing and affordability in the N-11 emerging markets

Healthcare financing and affordability for Turkey's neighbors

Recommendations to build strong health systems in Southeastern Europe and Turkey

Chapter 6 Health reform in Turkey and inclusive policies.

Historical background of Turkish health reform

A brief overview of Turkish neoliberal economy policies

Historical overview of health reforms in Turkey

Historical overview of the pharmaceutical industry in Turkey

AKP's health reform

Main tenets of AKP's health reform

Effects of AKP's health reform on different functions of healthcare services

Healthcare becomes focused policymaking area of AKP government

The changing direction of Turkish economy and need for equity analysis of redistributive policies

Chapter 7 Measurement of the level of equity in healthcare services

Equity measurement in healthcare services

Index approaches

Traditional ways of measuring inequalities

Entropy indices

Atkinson index

Measurement of progressivity of distribution of OOP health expenditure

Kakwani index

Curve approaches

Lorenz curve

Concentration curve

Visualization of Lorenz and concentration curves

Chapter 8 Equity in pharmaceutical expenditures under health reform in Turkey

An overview of the level of OOP health expenditures and international comparison

Consumption of drugs (million boxes) and international comparison

Growth potential of pharmaceutical market and international comparison

Equity analysis of households' pharmaceutical expenditures in Turkey for the years 2005-2015

The results of inequality index measures 2005-2015

Progressivity analysis of the burden of pharmaceutical expenses, 2005-2015

Lorenz and concentration curves for 2005, 2010, and 2015

Chapter 9 Advice for health policymakers to consider equity in the distribution of pharmaceutical expenditures and pharmaceutic

Pharmaceutical market as an interactive policymaking area in healthcare

Turkey's pharmaceutical policy reform and equity expenses.

Turkey's pharmaceutical policy reform

The effect of Turkey's pharmaceutical policy reform on equity in the burden of pharmaceutical expenses

Advice for Turkish health policymakers to consider equity in pharmaceutical market design and price controls

The need to put inclusive policies on a rational basis

Health policymakers need to consider that populist policies have negative poverty effect on welfare state of individuals

Generic drug market design and the need for high-priced industrial policy strategy

Index.

Notes:

Includes bibliographical references and index.

Description based on print version record.

ISBN:

1-00-309598-4

1-003-09598-4

1-000-21447-8

1-000-21463-X

9781003095989

OCLC:

1159660205