ArticleBMC health services research2025
Health indicators and human development: developing a new health governance index with the case of Türkiye.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionEconomic development is influenced by GDP, educational attainment, production capacity, and health service indicators. The sustainability of human capital and production capacity depends on high-quality healthcare services supported by efficient governance. This study aims to construct a health governance index by analyzing the relationship between health indicators and the Human Development Index (HDI) in Türkiye.
methodThis study utilizes a logarithmic differencing model to analyze quarterly data from Q1 2002 to Q4 2020. Annual health expenditure data is transformed into quarterly data. The methodology includes assessing data properties, testing for nonlinearity using the BDS (Brock, Dechert, and Scheinkman) test, and exploring quantile-based relationships using Quantile-on-Quantile Regression (QQR). To further confirm the results, Quantile Regression (QR) is applied to analyze the differential effects across various quantiles. VARIABLES: Key variables include the Medical Service Quality Index (MDSQI), the Medical Service Capacity Index (MDSCI), and the Human Development Index (HDI). The study also considers the Health Economic Performance Capacity (HEPC) as an additional indicator to assess the broader health governance impact.
resultsThe analysis reveals that the majority of data exhibits non-normal distribution characteristics. Significant improvements in the MDSQI and MDSCI positively influence both the HDI and HEPC in Türkiye. The findings suggest that better management of healthcare services correlates with higher human development outcomes. Robustness checks confirm the consistency and reliability of the results.
conclusionEfficient management of healthcare services and capacity significantly impacts HDI and HEPC in Türkiye. Increased healthcare expenditures enhance service quality and capacity, contributing to overall human development. Policy recommendations include investment in preventive healthcare, ensuring equal access, integrating health technology, enhancing human resource training, implementing inclusive health insurance, and securing sustainable funding to improve healthcare quality and ensure comprehensive coverage.
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