Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey
Yıl: 2021 Cilt: 39 Sayı: 1 Sayfa Aralığı: 121 - 131 Metin Dili: İngilizce DOI: 10.17065/huniibf.727481 İndeks Tarihi: 18-01-2022
Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey
Öz: Detecting and explaining patient mobility patterns allows us to better understand linkages between socioeconomic facts. This research aims to reveal variables that affect the patient mobility among cities in Turkey. It considers not only the health–related factors but also socioeconomic, demographic, and geographic variables to analyze the patient mobility. The data covers 40 million external patient admission to health facilities between 2010 and 2013. The most common clinics (cardiology, pediatric, obstetric, and internal diseases) selected to focus on branch level differences. The random effects regression model was used due to the presence of time-invariant variables on the basis of gravity model. There are statistically significant positive relationships between migration and patient mobility for all the clinics studied. The distance between two provinces has a negative impact on patient movements. Statistically significant relationships in patient mobility are observed for all clinics when two provinces are contiguous. It is observed that patients are moving from the low-income provinces to those having higher income. As a result, apart from the health-related variables, socioeconomic, demographic and geographical factors also have a substantial effect on patient mobility. While generalizing the results, it should be kept in mind that a limited number of clinics are studied.
Anahtar Kelime: Bir Sağlık Sorununun Ötesinde: Türkiye’deki Hasta Hareketlerinin Sosyoekonomik Belirleyicileri
Öz: Hasta hareketlerinin yapısının anlaşılması, sosyoekonomik olaylar arasındaki ilişkilerin daha iyi anlaşılmasını sağlayacaktır. Bu çalışmanın amacı, Türkiye’de şehirler arasındaki hasta hareketlerini etkileyen değişkenlerin tespit edilmesidir. Hasta hareketleri analiz edilirken sadece sağlık ile ilgili değişkenler değil, aynı zamanda sosyoekonomik, demografik ve coğrafik değişkenler de dikkate alındı. Kullanılan veri seti, 2010- 2013 yılları arasında yaşanan yer dışındaki sağlık merkezlerine başvuru yapan 40 milyondan fazla hastanın bilgilerinden oluşmaktadır. 70’ten fazla klinik arasından en çok başvuru yapılan kardiyoloji, çocuk hastalıkları, kadın doğum ve iç hastalıkları incelenmiştir. Zaman içerisinde değişmeyen değişkenlerin varlığından dolayı, Çekim Modeli temelinde Rassal Etkiler Regresyon Modeli kullanılarak tahminler yapılmıştır. Bütün kliniklerde, göç değişkeni ile hasta hareketleri arasında pozitif yönlü ve istatistiksel olarak anlamlı ilişki tespit edilmiştir. Şehirler arasındaki mesafe ile hasta hareketleri arasında negatif yönlü ilişki görülürken; komşu şehirlerde, bütün klinikler için, pozitif yönlü istatistiksel olarak anlamlı hasta hareketleri gözlemlenmiştir. Düşük gelirli illerden yüksek gelirli illere doğru bir hasta hareketi tespit edilmiştir. Sonuç olarak hasta hareketleri, sağlık ile ilgili değişkenlerin dışında, sosyoekonomik, demografik ve coğrafik değişkenlerden de etkilenmektedir. Çalışmadan elde edilen sonuçlar değerlendirilirken, sınırlı sayıda klinik değişkenlerinin dikkate alındığı da unutulmamalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | SAN S, Delil S (2021). Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. , 121 - 131. 10.17065/huniibf.727481 |
| Chicago | SAN SAYIN,Delil Selman Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. (2021): 121 - 131. 10.17065/huniibf.727481 |
| MLA | SAN SAYIN,Delil Selman Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. , 2021, ss.121 - 131. 10.17065/huniibf.727481 |
| AMA | SAN S,Delil S Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. . 2021; 121 - 131. 10.17065/huniibf.727481 |
| Vancouver | SAN S,Delil S Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. . 2021; 121 - 131. 10.17065/huniibf.727481 |
| IEEE | SAN S,Delil S "Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey." , ss.121 - 131, 2021. 10.17065/huniibf.727481 |
| ISNAD | SAN, SAYIN - Delil, Selman. "Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey". (2021), 121-131. https://doi.org/10.17065/huniibf.727481 |
| APA | SAN S, Delil S (2021). Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 39(1), 121 - 131. 10.17065/huniibf.727481 |
| Chicago | SAN SAYIN,Delil Selman Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi 39, no.1 (2021): 121 - 131. 10.17065/huniibf.727481 |
| MLA | SAN SAYIN,Delil Selman Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, vol.39, no.1, 2021, ss.121 - 131. 10.17065/huniibf.727481 |
| AMA | SAN S,Delil S Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2021; 39(1): 121 - 131. 10.17065/huniibf.727481 |
| Vancouver | SAN S,Delil S Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey. Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2021; 39(1): 121 - 131. 10.17065/huniibf.727481 |
| IEEE | SAN S,Delil S "Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey." Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 39, ss.121 - 131, 2021. 10.17065/huniibf.727481 |
| ISNAD | SAN, SAYIN - Delil, Selman. "Beyond a Health-Related Issue: Socioeconomic Determinants of Patient Mobility in Turkey". Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi 39/1 (2021), 121-131. https://doi.org/10.17065/huniibf.727481 |
