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    Cost-of-disease in heart failure in Turkey: a Delphi panel based analysis of direct costs
    (ELSEVIER, 2022) Cavusoglu, Y.; Altay, H.; Aras, D.; Celik, A.; Dinc, M.; Aktas, F. S.; Kilicaslan, B.; Nalbantgil, S.; Ozdemir, O.; Ozsoy, A.; Temizhan, A.; Yildirimturk, O.; Yilmaz, M. B.; Ural, Dilek; Faculty Member; N/A; School of Medicine; N/A; 1057
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    Health-related quality of life and perceived health status of Turkish population
    (Springer, 2019) Horasan, Gönül Dinç; Selçuk, Kevser Tarı; Sözmen, Kaan; Ergör, Gül; Yardım, Nazan; Sarıoğlu, Gülay; Soylu, Meltem; Keskinkılıç, Bekir; Buzgan, Turan; Hülür, Ünal; Ekinci, Halil; Ekinci, Banu; Ünal, Belgin; N/A; Sakarya, Sibel; Faculty Member; School of Medicine; 172028
    Purpose: This study was conducted to assess the health-related quality of life (HRQOL) and perceived health status of the Turkish population. Methods: The data came from a nationwide survey, which was conducted by Ministry of Health on prevalence and risk factors for chronic diseases in Turkey, with a representative random sample of 18,477 people aged >= 15 years from Turkey. Each family physician invited two individuals selected from their registered population to the Family Health Center, conducted the survey by face to face interviews using an electronic form. HRQOL was determined using EQ-5D-3L scale. Results: In Turkish population, each four women out of 10, two men out of 10 have problems in pain/discomfort and anxiety/depression dimensions of the scale; three women out of 10, one man out of 10 have some or severe problems in mobility. Proportion of people without health problems (health state 11,111) were 64,1% in men, 40,7% in women. The mean VAS score for males was 71.50.2 (95% CI 70.9-72.1), 66.4 +/- 0.2 (95% CI 65.8-66.9) for females (p < 0.05).The most important determinants of having a problem in any of the five dimensions are age, gender, education, diabetes mellitus, coronary heart disease, stroke, alzheimer, cancer, renal failure. The OR of having some or severe problems in any dimensions was 4.6 (95% CI 38-5.4) for over 65-74 and 7.5 (95% CI 5.8-9.6) for over 75 compared to 15-24 age group. Conclusions: The perceived health level and HRQOL is worse in women, in older age groups, in people from lower socioeconomical status.
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    Impact of health policies on catastrophic health expenditures in Turkey
    (Elsevier Science Inc, 2017) Koçkaya, Güvenç; Aygün, Abidin; Yıldırım, Jülide; Department of Economics; Alpanda, Berna Tuncay; Teaching Faculty; Department of Economics; College of Administrative Sciences and Economics; 258769
    Objectives: Turkish Health Transformation Program has been launched in 2003, to improve the availability, quality, and the use of primary health care services. The program aimed to rebuild Turkish health system and establish a national based health insurance coverage. According to TURKSTAT figures, the proportion of households with catastrophic health expenditure decreased from 0.81 in 2002 to 0.14 in 2012. However, the ratio increased to 0.31 in 2014. The aim of the study is to investigate the determinants of catastrophic health expenditure and investigate the impact of health policies and factors on catastrophic health expenditure in Turkey. Methods: Catastrophic health expenditure is calculated from a national representative data derived from TURKSTAT, Household Budget Survey, belonging to the time period 2010 - 2015. Proportion of households facing catastrophic health expenditure are calculated by using the methodology proposed by Ke Xu (Xu 2005). Results: The average spending values of household with positive health expenditure have been decreased on pharmacy-related products(-36%), medical services (doctors)(-71%), hospital services(-84%), dentistry, and laboratory services. However, there was an increase in the average spending value on other medical products(+76%), medical aids(+79%) and other services. The average spending values of household with catastrophic health expenditure have been decreased on pharmacy-related products(-64%), medical services (doctors)(-57%), dentistry, and laboratory services. However, there was an increase in the average spending value on other medical products(+79%), medical aids(+193%) and hospital services(+93%). Conclusions: As a result, the increase in the number of households with catastrophic health expenditure could be the result of changes in health policy may impact on medical products, tools and equipment for treatment, other medicinal products, medical aids, other services and hospital services. Further studies should be done to investigate this effect.