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Sağlık Sektöründe Bir Verimlilik Değerlendirme Tekniği Olarak Maliyet-Etkililik Analizi ve Türkiye’de Durum

Cost-Effectiveness Analysis as an Efficiency Evaluation Technique in The Health Sector and the Case of Turkey

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Abstract (2. Language): 
Increasing health care needs and technological advances have faced health care decision makers the issue of providing or financing more health services with scarce resources. Thus, the issue has given rise to the need for rational decisions on how to allocate health care resources among different population groups, diseases and interventions. Cost-effectiveness analysis is an important criterion that should be taken into consideration in the decision-making process of resource allocation. This study provides information regarding cost-effectiveness analysis as an efficiency evaluation technique, its use in the health care sector, and presents the Turkish case. To this end, first a comprehensive theoretical framework is provided followed by the developments in Turkey.
Abstract (Original Language): 
Artan sağlık ihtiyaçları ve gelişen teknoloji, karar vericileri kıt olan kaynaklarla daha fazla sağlık hizmeti sunma veya finanse etme sorunu ile karşı karşıya bırakmıştır. Dolayısıyla bu sorun kaynakların hangi nüfus grupları, hangi hastalıklar ve hangi müdahaleler için tahsis edileceği konularında rasyonel kararlar verilmesinin önemini artırmıştır. Maliyet-etkililik analizi kaynakların verimli tahsisi ile ilgili karar sürecinde dikkate alınması gereken önemli bir kriterdir. Bu makale, bir verimlilik değerlendirme tekniği olarak maliyet-etkililik analizi, sağlık sektöründe kullanımı ve Türkiye’de bu konu ile ilgili gelişmeleri ele almaktadır. İlk olarak konuya ilişkin kapsamlı bir teorik çerçeve ortaya konmuş daha sonra Türkiye’deki gelişmeler incelenmiştir.

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