SAĞLIK HİZMETLERİNDE EKONOMİK DEĞERLENDİRME TEKNİKLERİ ÜZERİNE BİR İNCELEME

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SAĞLIK HİZMETLERİNDE EKONOMİK DEĞERLENDİRME TEKNİKLERİ ÜZERİNE BİR İNCELEME

Journal Title: Mehmet Akif Ersoy Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi - Year 2019, Vol 6, Issue 2

Abstract

Günümüzde sağlık harcamaları pek çok sebebe bağlı olarak hızlı bir şekilde artış göstermektedir. Bu artışın arkasında yatan temel nedenlerin başında teknolojik gelişmeler, hizmet kalitesindeki iyileşmeler ve doğumda beklenen yaşam yılının artması gelmektedir. Bu durum sağlık alanında kullanılacak sınırlı kaynakların tahsisinin büyük önem arz etmesine yol açmaktadır. Sağlık sektöründeki plan/proje ve uygulamalara ilişkin olarak kullanılabilecek ekonomik değerlendirme teknikleri önceliklerin ne olacağı ve fırsat maliyetlerinin görülebilmesi açısından önemli bilgiler sunmaktadır. Buna karşın, her bir ekonomik değerlendirme tekniğinin üstünlükleri yanında zayıf yönleri de bulunmaktadır. Bu çalışma çerçevesinde sağlık hizmetlerinde uygulanan ekonomik değerlendirme teknikleri tanıtılmakla birlikte, bu tekniklerin üstün ve zayıf yönleri konusunda değerlendirmeler yapılmıştır. EXTENDED SUMMARY Background Today, when economic terms become a part of our lives, people make economic decisions continuously in their daily activities, either knowingly or not. The main reason for this is the fact that the resources available are limited in meeting the unlimited needs which actually brings about the science of economics. This fact brings about the problem of production and distribution of goods and services in meeting the unlimited demands and needs. As in all other areas, some decisions must be made in the field of production and distribution in health services inevitably. Therefore, economic evaluation of health care programs has become an important issue in practice. Purpose In this study, it has been mentioned how economic evaluation techniques that gain importance with the increasing demand for health services will be used to evaluate alternative health care programs. For this purpose, the differences between these techniques used in evaluating alternative health care programs or interventions are stated and it is explained which technique is more appropriate to use in different situations. By this means, it is aimed to contribute to the decision makers and researchers on issues such as pricing of health programs or treatments and which services will be covered in reimbursement. Method In this study, the available literature has been benefited from in order to give the methodological developments related to the economic evaluation techniques and the limitations and differences of these techniques. Accordingly, the economic evaluation techniques are mainly classified in terms of two characteristics. The first is the comparison of two or more alternative health programs or interventions, and the second is the consideration of both inputs (costs) and outcomes (benefits) of alternatives. As a result of the classification made within the framework of these features, it is possible to group these techniques as full economic evaluation techniques that deal with both costs and benefits of alternative health interventions and other methods as partial economic evaluation techniques. Cost minimization analysis, in which costs are compared when the outcomes of alternative health care interventions are similar, and cost of illness or burden of illness studies in which the economic burden of a specific disease in the society is estimated have been considered as partial economic evaluation techniques. On the other hand, in the full economic evaluation techniques that define, measure and evaluate the consequences as well as the costs of alternative health programs, stages of determining the costs are the same while ways of determining the consequences differ. Conclusions As a result, the increase in health expenditures worldwide has led to a wider expansion of the use of economic evaluation techniques in health services. Accordingly, although any of these techniques cannot be defined as fully appropriate for each condition, there have been significant improvements in the methodology of these techniques in recent years. In the context of these developments, the use of these techniques by policy planners and decision-makers in political decisions such as pricing health care programs and including them into reimbursement will make significant contributions to economic efficiency.

Authors and Affiliations

Faruk YILMAZ, Özgür Arslan

Keywords

Ekonomik Değerlendirme Maliyet Etkililik Analizi Maliyet Fayda Analizi Maliyet Kazanç Analizi Maliyet Minimizasyon Analizi Maliyet Sonuç Analizi Economic Evaluation Cost Effectiveness Analysis Cost Utility Analysis Cost Benefit Analysis Cost Minimisation Analysis Cost Consequence Analysis

KİŞİLİK ÖZELLİKLERİ İLE GİRİŞİMCİLİK EĞİLİMİ ARASINDAKİ İLİŞKİ: SÜLEYMAN DEMİREL ÜNİVERSİTESİ ÖĞRENCİLERİ ÜZERİNE BİR ARAŞTIRMA

EXTENDED SUMMARY Research Problem: The purpose of the study was to explore the relationship between personality traits and their entrepreneurial tendency of students who has been participating entrepreneurship course at...

EP ID EP637773
DOI 10.30798/makuiibf.525953
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