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Does family medicine reduce household health expenditures: evidence from Türkiye

Türkiye introduced a family medicine-centered primary healthcare model in 2005 as part of the Health Transformation Program, which aimed to reduce household healthcare expenditures, improve access to health services, and reduce the crowding-out effect in first-stage hospital institutions. We investi...

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Published in:Journal of public health policy 2023-03, Vol.44 (1), p.75-89
Main Authors: Tirgil, Abdullah, Altun, Abdullah, Yanikkaya, Halit
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Yanikkaya, Halit
description Türkiye introduced a family medicine-centered primary healthcare model in 2005 as part of the Health Transformation Program, which aimed to reduce household healthcare expenditures, improve access to health services, and reduce the crowding-out effect in first-stage hospital institutions. We investigate the impact of the family medicine program on household healthcare expenditures in Türkiye, focusing on doctor visits, medication prescriptions, and hospitalization expenditures. Using data from a large representative household survey, we employ a difference-in-differences approach combined with the entropy-balancing matching technique. Our robust findings show that living in a province exposed to the family medicine program reduced household doctor visit expenditures by over 40 percent. We also find a significant negative association between the family medicine program and expenditures regarding doctor visits and medication prescriptions in the long run. Greater efforts are now needed to ensure the quality of services offered by family health centers, such as improving the doctor-to-patient ratio.
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source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Politics Collection; Sociology Collection; PAIS Index; Springer Link
subjects Crowding
Delivery of Health Care
Entropy
Equality and Human Rights
Expenditures
Families & family life
Family Practice
Health care
Health care expenditures
Health care facilities
Health Expenditures
Health facilities
Health services
Hospitalization
Households
Humans
Medical Sociology
Medicine
Original Article
Physicians
Prescription drugs
Primary care
Public Health
Social Justice
Social Policy
Social Sciences
Sociology
Transformation
title Does family medicine reduce household health expenditures: evidence from Türkiye
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