Equity and Healthcare Reform in Developing Economies : The Case of Turkey book cover
1st Edition

Equity and Healthcare Reform in Developing Economies
The Case of Turkey

ISBN 9780367559908
Published May 6, 2022 by Routledge
174 Pages 25 B/W Illustrations

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Book Description

Ensuring equity in healthcare is the main concern of health policymakers 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 policymakers 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.

Table of Contents

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

2 International comparison of equity in healthcare services

International comparison of equity in healthcare services

Health reforms and health equity

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

3 Equity in health services and policy advice for developing countries

Equity in health interventions in developing countries

Equity in distribution of health financing in developing countries

Policy advice to improve equities in developing countries

4 Equity lessons learned from pharmerging countries

Characteristics of pharmerging countries







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

6 Health reform in Turkey and inclusive policies

Historical background of Turkish health reform

AKP’s health reform

Healthcare becomes focused policymaking area of AKP government

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

7 Measurement of the level of equity in healthcare services

Equity measurement in healthcare services

Index approaches

Curve approaches

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

9 Advice for health policymakers to consider equity in the distribution of pharmaceutical expenditures and pharmaceutical market design

Pharmaceutical market as an interactive policymaking area in healthcare

Turkey’s pharmaceutical policy reform and equity expenses

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

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

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Songül Çınaroğlu is a Doctor in Health Administration and Assistant Professor in the Faculty of Economics and Administrative Sciences in the Department of Health Care Management at Hacettepe University, Turkey. She is a former visiting researcher at the University of Michigan (Ann Arbor) and of the University of Alabama (Birmingham). Her main research interest is health economics, policy and outcomes research.