Authors:Elife DİLMAÇ ; Gülcan TECİRLİ , Adile ACAR , Dilek AYDOĞAN KILIÇ, İlker L. SABUNCUOĞLU , Mustafa KİLİC , Olgun SENER , Bilgehan KARADAYI Abstract: Evidence-based healthpolicies are indispensable for the health systems to achieve their objectivesand sustainability. In particular, the importance and necessity of developing evidence-basedhealth policies have increased due to reasons such as aging population, theincrease in the innovation of medical technologies and rapidly increasingcosts. There are different tools used to generate evidence-based healthpolicies, one of the most powerful of which is the health technology assessment(HTA). The method is gaining importance and its usage becomes widespread in theworld. Turkey has also launched some initiatives to institutionalize HTA in2012. The first important step has taken with the establishment of theDepartment of Health Technology Assessment under the General Directorate ofHealth Research (GDHR) of Ministry of Health. However, expectations regardingthe institutionalization of the HTA in Turkey have not fully met. In thisstudy, we aim (1) to share our experience on the activities carried out in theinstitutionalization process of HTA in Ministry of Health of Turkey and (2) tohelp policy makers to establish more powerful HTA structure by identifyingencountered problems and suggested solutions. PubDate: Wed, 25 Dec 2019 00:00:00 +030
Authors:Mustafa KİLİC Abstract: As part of the GermanHealth Modernization Act (GMG), additional payments have been made foroutpatient and inpatient medical services since 01.01.2004. In this study here,the effect of additional payments on the quality of care and efficiency isexamined by considering various literature sources. The study is only limitedto the additional forms of practice fees and prescription drug fees. Theeffects on the health system of contributions and the effects on patientbehavior are investigated. The effects of increasing or decreasing additionalpayments on patient behavior are examined. These changes are examined with themoral hazard problem approach. Since the medical services burden the healthsystem financially, the main goal of relieving the health system has not beenachieved. The current co-payment reforms even lead to increased moral hazardbehavior, since the insured person who pays the co-payment per quarter tends tobenefit more often from medical services in the same quarter. PubDate: Wed, 25 Dec 2019 00:00:00 +030
Authors:Kezban ADAM ; Güvenç KOÇKAYA , Gulpembe OGUZHAN Abstract: In psychiatry, where definitive and clear diagnosis has been and still a major problem and where polypharmacy is common, off-label prescribing is particularly common. This study also informs the extent to which family physicians and non-psychiatrists are prescribing psychotropic medications. We used data from the 2014 IMS Health Turkey Medical Index (TMI). The survey in TMI data base is conducted each quarter in a sample of 705 medical doctors, which is projected to a universe of 62 562 physicians. The TMI is a nationally representative survey of an office-based panel of physicians to examine the diagnoses for which medications are being recommended. Descriptive analysis has been conducted with TMI data. Descriptive analysis has been conducted with TMI data about the consumption of psychotropic medications. Although there are limitations of the study, it is the first time an analysis conducted to understand the usage of psychotropic medications from a survey data in Turkey. Psychotropic medications are one of the most common and costly classes of prescription drugs in the substantial extent of prescription written by family physicians is of great concern, also. In order to improve quality and safety of health care services provided to patients and to ensure rational use of health care resources, it is essential to know the reasons why psychotropic medications are prescribed to patients. PubDate: Wed, 25 Dec 2019 00:00:00 +030
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