Do health care reforms in <scp>Turkey</scp> have a significant effect in equal access to maternal and child health services in <scp>Turkey</scp>: <scp>An</scp> evidence from 20 years

Şantaş, Fatih; Çelik, Yusuf; Eryurt, Mehmet Ali

doi:10.1002/hpm.2482

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…7 In another study that uses province-level data, researchers found that primary health care use for all ages improved following the introduction of FM. 15 Analysis has also been conducted based on comparisons of health services utilization probabilities 16,17 and equity in health care use 18 before and after FM was implemented, referring to the improvements in utilization in the post-FM period.…”

Section: Literature Reviewmentioning

confidence: 99%

Are family medicine centres achieving their target in Turkey: Impact on health care utilization of mothers and infants

Aygün

2020

Health Planning & Management

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The family medicine (FM) system was introduced as the main source of primary care in Turkey as a component of the Health Transformation Program reforms. During a gradual implementation process, provinces switched to the FM system at different points in time between 2005 and 2010. In this paper, we use a micro-level data set to test whether the health care utilization of mothers during pregnancy, childbirth and the postnatal period is affected by the program. Using a difference-indifferences method for estimation, we find that the program is only effective for pregnant women who lived in provinces with a limited availability of specialist doctors. As a result of the FM program, women are likely to have their first prenatal consultancy earlier and their probability of seeing a doctor during their prenatal visit and receiving an ultrasound and blood and urine sample checks increases if they live in a province with a low number of specialists per 10,000 people. We find that the impact of the FM program decreases as the rate of specialists in a province increases, which negates any positive effect of the program on health care use.

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Section: Literature Reviewmentioning

confidence: 99%

Are family medicine centres achieving their target in Turkey: Impact on health care utilization of mothers and infants

Aygün

2020

Health Planning & Management

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“…In addition to improving the health level and efficiency, equality has increasingly become one of the main goals of health reform efforts around the world [ 1 ]. Health service utilization is an interactive point between health care users and the health care system, and its equality is the basis for realizing health equity and one of the important indicators for evaluating the effectiveness of health services.…”

Section: Introductionmentioning

confidence: 99%

Inequality of opportunity in health service utilization among middle-aged and elderly community-dwelling adults in China

et al. 2023

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Background The inequality caused by circumstances is known as "inequality of opportunity" (IOp). Many scholars have studied IOp in the health field, but few studies have quantified contributors to the IOp of health service utilization among middle-aged and elderly people. This study measured the IOp of health service utilization and decomposed the contributors to IOp present among Chinese middle-aged and elderly people. Methods Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS) in 2013, 2015 and 2018. A mean-based regression method was adopted to measure the IOp of health service utilization. Shapley–Shorrocks decomposition was used to analyze the main contributors to IOp seen among the middle-aged and elderly. Results Although the absolute IOp of health service utilization decreased over time, IOp still explains the total inequality to a large extent. The absolute IOp and relative IOp were greatest in the areas of self-treatment and inpatient care utilization, respectively. Shapley decomposition results showed that the out-of-pocket (OOP) ratio contributed most to the IOp of outpatient care utilization; and the residence area highly explains the IOp of inpatient service utilization. Meanwhile, social and economic factors such as work status and income contribute more to the IOp of inpatient care utilization than outpatient and self-treatment. Conclusions Strategies aimed at achieving equal opportunities remain necessary to ensure the fairness of health service utilization. Policies and measures should further adjust the medical insurance compensation policies, and pay more attention to the middle-aged and elderly residents in rural areas, optimize health resource allocation, improve the social security systems, and narrow the socioeconomic gap between urban and rural areas in China.

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“…In children, healthier eating habits can support better academic performance [6,30]. Moreover, child health is shown as an important indicator of the lifespan and life quality, as well as the economic development of a country [6,30,31].…”

Section: Introductionmentioning

confidence: 99%

Traditional Societal Practices Can Avert Poor Dietary Habits and Reduce Obesity Risk in Preschool Children of Mothers with Low Socioeconomic Status and Unemployment

Kristo

Sikalidis

Uzun

2021

Behavioral Sciences

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Healthy nutritional habits are of vital importance for good health and quality of life for all individuals in all life stages. Nutritional habits shaped in early childhood set the foundation for future dietary practices applied through lifespan, hence informing risk towards chronic diseases. A key contributor to child health is maternal impact. A healthy childhood status translates into increased lifespan, health, and life-quality, as well as better family and social interactions and improved academic performance. These conditions can contribute to a healthier and more vibrant workforce, and thus extend positive impact on the economic and overall development of a country. Evidence related to maternal impact on childhood dietary habits is limited in Turkey, an emerging economy with notable disparities and a significant segment (approximately one third) of its 83 million population under the age of 30. Hence, the aim of this study was to investigate the relationship between the socioeconomic status (SES) of mothers on the dietary habits of their preschool children. A pilot cross-sectional observational study was conducted involving the mothers of 109 preschool children aged 4–6 years. Data on the nutritional status of children were collected through a food frequency questionnaire and a 24-h recall interview, while sociodemographic information was also collected, and statistical analyses conducted. An unexpected finding regarding the lack of association between the socioeconomic and employment status of mothers and the nutritional intakes of their children was observed. Interestingly, it appears that more traditional societal and nutritional practices typically undertaken in the case of lower SES, especially in more traditional settings like the case of Turkey, appear to extend a protective effect as per the nutritional habits and ensuing obesity risk in the case of children of women with lower SES. Another way to interpret our finding is that the difference in education and SES is not adequate to produce a significant effect in terms of children dietary intake. This is an interesting finding that warrants further study. Additionally, such studies serve to increase awareness about the importance of healthy nutritional practices in preschool children and the critical role of the mother on their nutritional status, particularly in the Turkish idiosyncratic setting.

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Do health care reforms in Turkey have a significant effect in equal access to maternal and child health services in Turkey: An evidence from 20 years

Cited by 6 publications

References 24 publications

Are family medicine centres achieving their target in Turkey: Impact on health care utilization of mothers and infants

Are family medicine centres achieving their target in Turkey: Impact on health care utilization of mothers and infants

Inequality of opportunity in health service utilization among middle-aged and elderly community-dwelling adults in China

Traditional Societal Practices Can Avert Poor Dietary Habits and Reduce Obesity Risk in Preschool Children of Mothers with Low Socioeconomic Status and Unemployment

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