Contact us
![]() |
customer@davidpublishing.com |
![]() |
3275638434 |
![]() |
![]() |
| Paper Publishing WeChat |
Useful Links
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Article
Comparison Member and Candidate Countries to the European Union by Means of Main Health Indicators
Author(s)
Fatma Lorcu, Bilge Acar Bolat
Full-Text PDF
XML 2088 Views
DOI:10.17265/1537-1514/2012.04.010
Affiliation(s)
Fatma Lorcu, Ph.D., Assistant Professor, Faculty of Economics and Administrative Sciences, Trakya University.
Bilge Acar Bolat, Ph.D., Research Assistant, School of Business, Istanbul University.
ABSTRACT
Throughout history, health policies and the institutionalization of health care have taken shape according to political and economic conditions, social structures and value systems of societies, as well as to their needs and changes in health conditions. Today, economic development is addressed from a different approach in which the issue of health plays an important part. With a focus on the health sector’s role in development, this new approach has increased the importance of this sector of government and of life, allowing data on health to be included in many countries’ development indicators. The aim of this study is to identify the differences between EU former member states, member states, and candidate countries (including Turkey) in terms of health indicators that have become the key indicators of social and economic development. In this study, discriminant analysis will be used in order to analyse the differences between the European Union (EU) countries, and candidate countries in terms of main health indicators. Under-five mortality rate (‰), health expenditure per capita (PPP US$), total expenditure on health as percent of gross domestic product expenditure (percentage of GDP), immunization coverage among one-year-olds with one dose of measles (%), prevalence of current tobacco use among adults (≥ 15 years) (%), per capita recorded alcohol consumption (litres of pure alcohol) among adults, total fertility rate (%), hospital beds (per 1,000 population), physicians (per 1,000 population) and life expectancy are all included in the analysis as main health indicators of a country’s fitness for acceptance into the EU. As a result of the analysis, the discriminant variables that determine the statuses of former member, member, and candidate countries in terms of health indicators are identified “health expenditures per capita” and “life expectancy”. Another striking result is that Romania and Bulgaria, which became full member states in 2007, had similar health indicators to Turkey’s in 2004.
KEYWORDS
health indicators, discriminant analysis, European Union, Turkey
Cite this paper
References
Anderson, B. A., Romani, J. H., Phillips H. E., & Zyl, V. J. A. (2002). Environment, access to health care, and other factors affecting infant and child survival among the African and colored populations of South Africa, 1989-1994. Population and Environment, 23(4), 349-364.
Anderson, G., & Hussey, P. S. (2001). Comparing health system performance in OECD Countries. Health Affairs, 20(3), 219-232.
Ay, E. (2007). OECD raporlarında ülkemizin enleri. AR&GE Bülten, İzmir Ticaret Odası. Retrieved from http://www.izto.org.tr/NR/rdonlyres/7475BDA1-95B7-4855-B351-9ADCE4362AFE/7897/OECDrapor_elif.pdf
Bal, H., & Orkcu, H. H. (2005). Combining the discriminant analysis and the data envelopment analysis in view of multiple criteria decision making: a new model. G.Ü. Fen Bilimleri Dergisi, 18(3), 355-364.
Block, M. A. G. (1997). Comparative research and analysis methods for shared learning from health system reforms. Health Policy, 42(3), 187-209.
Children’s Institute. (2006). Under five mortality rate. Retrieved July 01, 2009 from http://www.childrencount.ci.org.za/uploads/brief_child-deaths.pdf
Chung, H., & Muntaner, C. (2006). Political and welfare state determinants of infant and child health indicators: An analysis of wealthy countries. Social Science and Medicine, 63, 829-842.
Denizli Valiliği. (2007). Öncelikli yaşam kalitesi göstergeleri. Retrieved November 23, 2007, from http://www.denizli.gov.tr/valilik/oncelikliyasam/gosterge.doc
DPT. (2006). Ekonomik ve sosyal sektörlerdeki gelişmeler. VIII. Beş Yıllık Kalkınma Planı (2001-2005) 2005 Yılı Programı Destek Çalışmaları. Retrieved June 1, 2009 from http://ekutup.dpt.gov.tr/program/2004/destek04.pdf
Garson, D. (2009). Discriminant function analysis. Retrieved July 7, 2009 from http://faculty.chass.ncsu.edu/garson/PA765/discrim.htm
Gauld, R., Ikegami, N., Barr, M. D., Chiang, T. L., Gould, D., & Kwon, S. (2006). Advanced Asia’s health systems in comparison. Health Policy, 79(3), 325-336.
Gupta, S., Verhoeven, M., & Tiongson, E. (1999). Does higher government spending buy better results in education and health care. IMF working paper, WP/99/21.
Hair, J., Anderson, R., Tatham, R., & Black, W. (1998). Multivariate data analysis (5th ed.). New Jersey: Prentice Hall.
Junoy, J. P. (1998). Measuring health production performance in the OECD. Applied Economic Letters, 5(4), 255-259.
Kısa, A., Kavuncubaşı, S., & Ersoy, K. (2002). Is the Turkish health care system ready to be a part of the European Union? Journal of Medical Systems, 26(2), 89-95.
Kısa, A., Younis, M. Z., & Kısa S. (2007). A comparative analysis of the European Union’s and Turkey’s health status: How health-care services might affect Turkey’s accession to the EU. Public Health Rep, 122(5), 693-701.
Klauvus, J., & Linna, M. (2004). International comparisons of health expenditure: A serious policy-tool? Global Forum for Health Research Forum, Mexico City.
Kumar, A., & Özdamar, L. (2004). International comparison of health care systems. International Journal of the Computer, The Internet and Management, 12(3), 81-95.
Mirmirani, S., & Mirmirani, T. (2005). Health care delivery in OECD countries, 1990-2000: An efficiency assessment. The Business Review, 3(2), 58-63.
Moğultay, S. (2005). Çocuk sağlığı ve hastalıkları kliniğinde 2004 yılı içinde yatan hastaların retrospektif olarak taranması (Doctoral Dissertation Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, İstanbul).
Moser, K. A., Leon, A. A., & Gwatkin, D. R. (2005). How does progress towards the child mortality millennium development goal affect inequalities between the poorest and least poor? Analysis of demographic and health survey data. BMJ, 331 (7526), 1180-1182.
Nath, B., Singh, J. V., Awasthi, S., Bhushan, V., Kumar, V., & Singh, S. K. (2007). A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district. India, Indian Journal of Medical Sciences, 61(11), 598-606.
Özlü, T. (2008). Hekim sayısı az mı cok mu? Medimagazin, 397. Retrieved January 28, 2010, from http://www.medimagazin.com.tr/authors/tevfik-ozlu/tr-hekim-sayisi-az-mi-cok-mu-72-45-1710.html
Pacifico, I. R. S. (2004). Welfare in the mediterranean countries Republic of Turkey. Retrieved February 10, 2010, from http://unpan1.un.org/intradoc/groups/public/documents/CAIMED/UNPAN018932.pdf
Schieber, G., Poullier, J. J. P., & Greenwald, L. M. (1994). Health system performance in OECD Countries: 1980-1992. Health Affairs, 13(4), 100-112.
Sen, A. (1998). Mortality as an indicator of economic success and failure. The Economic Journal, 108(446), 1-25.
Tabachnick, B., & Fidell, L. (1996). Using multivariate statistics (3rd. ed.). USA: Harper Collins.
Tacq, J. (1999). Multivariate technique in social sciences. Great Britain: Sage Publications.
Vehid, S. (2000). Temel demografik ve sağlık düzeyi ölçütleri açısından Türkiye ile Avrupa Birligi’ne (AB) üye ülkelerin karşılaştırılması. Cerrahpasa Tıp Dergisi, 31(2), 100-106.
World Health Statistics. (2007). Retrieved January 16, 2008, from http://www.who.int/whosis/indicators/compendium/2008/2ptu/en/index.html
Yıldırım, H. H. (2004). Avrupa Birliği sağlık politikaları ve Avrupa Birliği'ne üye ve aday ülke sağlık sistemlerinin karşılaştırılması teknik verimlilik analizi (Doctoral Dissertation, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Sağlık Kurumları Yönetimi, Ankara).




