The prevalence and determinants of unmet health care needs in Turkey

• Published in: Health policy (Amsterdam) 2021-06, Vol.125 (6), p.786-792
• Main Authors: Başar, Dilek, Dikmen, Fatih Hakan, Öztürk, Selcen
• Format: Article
• Language: English
• Subjects: Affordability; Age groups; Chronic illnesses; Health administration; Health care; Health care access; Health care expenditures; Health services; Health survey; Health surveys; Low income groups; Probit model; Unmet health care needs
• ISSN: 0168-8510; 1872-6054
• DOI: 10.1016/j.healthpol.2021.04.006

•Approximately 25% of participants reported an unmet health care need in Turkey.•Age and chronic illness are crucial factors affecting unmet health care needs.•It seems necessary to reorganize the health-system favouring individuals with chronic diseases. This study aims to examine the prevalence and determinants of unmet health care needs in Turkey. The nationally representative “Health Survey” data for the latest available year, 2016, is used in the analysis. The reasons for unmet health care needs are divided into three categories which are waiting time, affordability (cost), and the distance to health facilities. The probit methodology is employed to investigate the factors affecting unmet health care needs. Approximately 25% of participants (4392 of 17242) reported an unmet need for health care. Overall, females, individuals in lower income groups, those with chronic illness, those with lower education levels and those in younger age groups are more likely to report unmet health care needs. Estimation results point out that age and having a chronic illness have more influence on the reporting of unmet health care needs as compared to other variables included in the model. Therefore, it seems necessary to reorganize the health care system in Turkey to target the needs of individuals with chronic diseases.