Spatial distribution of healthcare access and utilization: do they affect health outcomes in Turkey?

IF 0.9 Q4 DEVELOPMENT STUDIES Middle East Development Journal Pub Date : 2019-01-02 DOI:10.1080/17938120.2019.1583509
B. Karahasan, Fırat Bilgel
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引用次数: 2

Abstract

ABSTRACT This paper examines the link between healthcare access/utilization and health outcomes in Turkey within a spatial framework. Our initial set of findings highlight an overall duality in health indicators which is getting stronger once a spatial dimension is included. Specifically we find wider spatial dichotomy for health outcomes relative to access and utilization measures. Finally once we consider unobserved heterogeneity, spatial spillovers and spatial variability; our results pinpoint a non-robust link between healthcare access/utilization measures and health outcomes which works better among the already developed regions of Turkey. Overall, our combined results indicate an ongoing polarization of health-based human capital development which coincides with local variations of the relationship between healthcare access/utilization and outcomes in Turkey.
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医疗保健获取和利用的空间分布:它们会影响土耳其的健康结果吗?
摘要本文在一个空间框架内研究了土耳其医疗保健的获取/利用与健康结果之间的联系。我们最初的一组发现强调了健康指标的整体双重性,一旦将空间维度包括在内,这种双重性就会变得更强。具体而言,我们发现,相对于获取和利用措施,健康结果存在更广泛的空间二分法。最后,一旦我们考虑了未观察到的异质性、空间溢出和空间变异性;我们的研究结果指出,医疗保健的获取/利用措施与健康结果之间存在着不牢固的联系,这在土耳其已经发达的地区效果更好。总的来说,我们的综合结果表明,基于健康的人力资本发展正在两极分化,这与土耳其医疗保健获得/利用与结果之间关系的局部变化相吻合。
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来源期刊
Middle East Development Journal
Middle East Development Journal DEVELOPMENT STUDIES-
CiteScore
1.20
自引率
20.00%
发文量
10
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