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

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Özet

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-in-differences 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.

Orijinal dilİngilizce
Sayfa (başlangıç-bitiş)189-208
Sayfa sayısı20
DergiInternational Journal of Health Planning and Management
Hacim36
Basın numarası1
DOI'lar
Yayın durumuYayınlandı - Oca 2021

Bibliyografik not

Publisher Copyright:
© 2020 John Wiley & Sons Ltd.

Finansman

Data in this study are provided by Hacettepe University Institute of Population Studies. I would like to thank William Dickens, Bilge Erten, James Dana and Murat Kırdar for their valuable comments. This research was carried out without funding. The author complies with the International Journal of Health Planning and Management's Ethical Policy.

FinansörlerFinansör numarası
Hacettepe University Institute of Population Studies
William Dickens

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