{"id":3695,"date":"2010-03-16T11:10:08","date_gmt":"2010-03-16T09:10:08","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3695"},"modified":"2010-03-16T11:10:08","modified_gmt":"2010-03-16T09:10:08","slug":"ilac-4-tedavi-harcamalari-7ye-katlandi","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3695","title":{"rendered":"\u0130la\u00e7 4, Tedavi Harcamalar\u0131 7’ye Katland\u0131"},"content":{"rendered":"

SGK’n\u0131n a\u00e7\u0131\u011f\u0131 2000 y\u0131l\u0131nda 3.84 milyar dolardan, 2008’de 20 milyar dolara y\u00fckselmi\u015ftir. 2008’de devlet b\u00fct\u00e7esinden SGK’ya aktar\u0131lan kaynak 27 milyar dolar\u0131 ge\u00e7mi\u015ftir. Bu tablo, \u00f6zellikle AKP d\u00f6neminde olu\u015fturulmaya ba\u015flanan sa\u011fl\u0131k piyasas\u0131n\u0131n finansman\u0131n\u0131n \u00f6nemli \u00f6l\u00e7\u00fcde kamu d\u0131\u015f\u0131 kaynaklarca kar\u015f\u0131lanaca\u011f\u0131n\u0131n en net yans\u0131mas\u0131d\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

T\u00fcrkiye \u0130statistik Kurumu (T\u00dc\u0130K), ge\u00e7ti\u011fimiz g\u00fcnlerde 2004-2007 y\u0131llar\u0131na ait sa\u011fl\u0131k harcamalar\u0131\u00a0raporu yay\u0131nlad\u0131. Biz de, bu raporu da veri alarak \u00fclkemizdeki sa\u011fl\u0131k harcamalar\u0131n\u0131 de\u011ferlendirmeye \u00e7al\u0131\u015ft\u0131k.<\/span><\/p>\n

Toplam sa\u011fl\u0131k harcamalar\u0131 1999 y\u0131l\u0131nda GSYH’n\u0131n y\u00fczde 4.8’inden 2007 y\u0131l\u0131nda y\u00fczde 6.0’s\u0131na y\u00fckselmi\u015f.<\/span><\/p>\n

<\/p>\n

\u00a0<\/p>\n<\/p>\n

<\/font><\/span>Tablo 1: Toplam Sa\u011fl\u0131k Harcamalar\u0131n\u0131n GSYH \u0130\u00e7indeki Oran\u0131 (%)<\/span><\/p>\n

\u00a0<\/p>\n<\/p>\n\n\n\n\n
\n

Y\u0131l<\/span><\/p>\n<\/td>\n

\n

1999<\/span><\/p>\n<\/td>\n

\n

2000<\/span><\/p>\n<\/td>\n

\n

2001<\/span><\/p>\n<\/td>\n

\n

2002<\/span><\/p>\n<\/td>\n

\n

2003<\/span><\/p>\n<\/td>\n

\n

2004<\/span><\/p>\n<\/td>\n

\n

2005<\/span><\/p>\n<\/td>\n

\n

2006<\/span><\/p>\n<\/td>\n

\n

2007<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

%<\/span><\/p>\n<\/td>\n

\n

4.8<\/span><\/p>\n<\/td>\n

\n

4.9<\/span><\/p>\n<\/td>\n

\n

5.2<\/span><\/p>\n<\/td>\n

\n

5.4<\/span><\/p>\n<\/td>\n

\n

5.3<\/span><\/p>\n<\/td>\n

\n

5.4<\/span><\/p>\n<\/td>\n

\n

5.4<\/span><\/p>\n<\/td>\n

\n

5.8<\/span><\/p>\n<\/td>\n

\n

6.0<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/span><\/p>\n

(T\u00dc\u0130K, Haber B\u00fclteni, 22.2.2010)<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Toplam sa\u011fl\u0131k harcamalar\u0131n\u0131n y\u0131llar i\u00e7indeki bu y\u00fczdelik art\u0131\u015f\u0131n\u0131n anlam\u0131, 1999’da yakla\u015f\u0131k 12.96 milyar dolar olan miktar\u0131n 2007’de 39.12 milyar dolara ula\u015fmas\u0131d\u0131r. 2008 y\u0131l\u0131nda da -en az\u0131ndan-ayn\u0131\u00a0 e\u011filimin s\u00fcrd\u00fc\u011f\u00fcn\u00fc\u00a0varsayarsak toplam sa\u011fl\u0131k harcamas\u0131 44.76 milyar dolar civar\u0131nda olmaktad\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo 2: Toplam Sa\u011fl\u0131k Harcamalar\u0131n\u0131n Y\u0131llar \u0130\u00e7indeki De\u011fi\u015fimi (ABD Dolar\u0131)<\/span><\/p>\n\n\n\n\n
\n

y\u0131l<\/span><\/p>\n<\/td>\n

\n

99<\/span><\/p>\n<\/td>\n

\n

00<\/span><\/p>\n<\/td>\n

\n

01<\/span><\/p>\n<\/td>\n

\n

02<\/span><\/p>\n<\/td>\n

\n

03<\/span><\/p>\n<\/td>\n

\n

04<\/span><\/p>\n<\/td>\n

\n

05<\/span><\/p>\n<\/td>\n

\n

06<\/span><\/p>\n<\/td>\n

\n

07<\/span><\/p>\n<\/td>\n

\n

08*<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Milyar dolar<\/span><\/p>\n<\/td>\n

\n

12.96<\/span><\/p>\n<\/td>\n

\n

13.72<\/span><\/p>\n<\/td>\n

\n

10.71<\/span><\/p>\n<\/td>\n

\n

12.96<\/span><\/p>\n<\/td>\n

\n

16.70<\/span><\/p>\n<\/td>\n

\n

21.60<\/span><\/p>\n<\/td>\n

\n

26.46<\/span><\/p>\n<\/td>\n

\n

30.86<\/span><\/p>\n<\/td>\n

\n

39.12<\/span><\/p>\n<\/td>\n

\n

44.76<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*Projeksiyon<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Bu rakamlara bak\u0131p, \u015funlar\u0131 s\u00f6yleyebiliriz; 1999-2008 aras\u0131ndaki 10 y\u0131lda sa\u011fl\u0131\u011fa toplam akan para 230 milyar dolar civar\u0131ndad\u0131r ve bunun 179.50 milyar dolar\u0131 AKP H\u00fck\u00fcmeti d\u00f6neminde ger\u00e7ekle\u015fmi\u015ftir. Ba\u015fka bir deyi\u015fle, toplam sa\u011fl\u0131k harcamalar\u0131 1999-2008 aras\u0131nda 3.45 kat artm\u0131\u015ft\u0131r.<\/span><\/p>\n

Toplam sa\u011fl\u0131k harcamalar\u0131 i\u00e7inde, aslan pay\u0131 kamunundur. 1999’da 7.91 milyar dolar olan kamu sa\u011fl\u0131k harcamalar\u0131, 2007’de 26.52 milyar dolara ula\u015fm\u0131\u015ft\u0131r. 2008’de bu miktar\u0131n 30 milyar dolar\u0131 a\u015ft\u0131\u011f\u0131 varsay\u0131labilir.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo 3: Kamu Sa\u011fl\u0131k Harcamalar\u0131n\u0131n Y\u0131llar \u0130\u00e7indeki De\u011fi\u015fimi (ABD Dolar\u0131)<\/span><\/p>\n\n\n\n\n
\n

y\u0131l<\/span><\/p>\n<\/td>\n

\n

99<\/span><\/p>\n<\/td>\n

\n

00<\/span><\/p>\n<\/td>\n

\n

01<\/span><\/p>\n<\/td>\n

\n

02<\/span><\/p>\n<\/td>\n

\n

03<\/span><\/p>\n<\/td>\n

\n

04<\/span><\/p>\n<\/td>\n

\n

05<\/span><\/p>\n<\/td>\n

\n

06<\/span><\/p>\n<\/td>\n

\n

07<\/span><\/p>\n<\/td>\n

\n

08*<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Milyar dolar<\/span><\/p>\n<\/td>\n

\n

7.91<\/span><\/p>\n<\/td>\n

\n

8.62<\/span><\/p>\n<\/td>\n

\n

7.29<\/span><\/p>\n<\/td>\n

\n

9.16<\/span><\/p>\n<\/td>\n

\n

12.00<\/span><\/p>\n<\/td>\n

\n

15.37<\/span><\/p>\n<\/td>\n

\n

17.93<\/span><\/p>\n<\/td>\n

\n

21.07<\/span><\/p>\n<\/td>\n

\n

26.52<\/span><\/p>\n<\/td>\n

\n

30.34<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

(T\u00dc\u0130K, Haber B\u00fclteni, 22.2.2010)<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Kamu sa\u011fl\u0131k harcamalar\u0131 1999-2008 aras\u0131nda 3.8 kat, AKP d\u00f6neminde ise (2002-2008) 3.3 kat artm\u0131\u015ft\u0131r. Bu art\u0131\u015f, y\u00fczde olarak kamu sa\u011fl\u0131k harcamalar\u0131n\u0131n toplam sa\u011fl\u0131k harcamalar\u0131 i\u00e7indeki pay\u0131n\u0131n AKP d\u00f6nemindeki azal\u0131\u015f\u0131n\u0131 maskelemektedir. 2002 y\u0131l\u0131nda %70.7 olan kamu sa\u011fl\u0131k harcamalar\u0131n\u0131n toplam sa\u011fl\u0131k harcamalar\u0131 i\u00e7indeki pay\u0131, 2003’deki hafif y\u00fckseli\u015finden sonra (%71.2), s\u00fcrekli gerilemi\u015f ve 2007’de %67.8’e d\u00fc\u015fm\u00fc\u015ft\u00fcr.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Kamu sa\u011fl\u0131k harcamalar\u0131n\u0131n kurumsal da\u011f\u0131l\u0131m\u0131 incelendi\u011finde, Genel B\u00fct\u00e7e ve SGK harcamalar\u0131n\u0131n \u00f6ne \u00e7\u0131kt\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. T\u00dc\u0130K’in verdi\u011fi oranlar \u00fczerinden yap\u0131lan de\u011ferlendirmeye g\u00f6re, 1999 y\u0131l\u0131nda 2.9 milyar dolar olan Genel B\u00fct\u00e7e sa\u011fl\u0131k harcamalar\u0131, 2007’de 7.6 milyar dolara \u00e7\u0131karken, SGK sa\u011fl\u0131k harcamalar\u0131 4.2 milyar dolardan 15.5 milyar dolara y\u00fckselmektedir. Ayn\u0131 s\u00fcre zarf\u0131nda, ye\u015fil kart harcamalar\u0131 ise 0.4 milyar dolardan 3 milyar dolara \u00e7\u0131km\u0131\u015ft\u0131r. (T\u00dc\u0130K verileri temelinde hesaplanm\u0131\u015ft\u0131r)<\/span><\/p>\n

Bug\u00fcne kadar hep AKP d\u00f6neminde sa\u011fl\u0131k harcamalar\u0131nda kamunun pay\u0131n\u0131n art\u0131\u015f\u0131ndan dem vurulmu\u015ftu. Oysa, T\u00dc\u0130K’in verileri, AKP d\u00f6neminde cepten sa\u011fl\u0131k harcamalar\u0131n\u0131n hem oran olarak, hem de miktar olarak patlama yapt\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. 1999’da 3.77 milyar dolar civar\u0131nda olan cepten sa\u011fl\u0131k harcamalar\u0131, 2007’de 8.53 milyar dolara ula\u015fm\u0131\u015ft\u0131r. 2008 varsay\u0131m\u0131m\u0131z, en az\u0131ndan 10 milyar dolarl\u0131k bir cepten harcama miktar\u0131d\u0131r. Cepten harcamalar\u0131n toplam sa\u011fl\u0131k harcamalar\u0131 i\u00e7indeki pay\u0131n\u0131n son 10 y\u0131ldaki dip noktas\u0131 2003’de %18.5 olmu\u015ftur. Ancak, AKP d\u00f6neminde bu oran s\u00fcrekli y\u00fckselerek, 2007’de %21.8 olmu\u015ftur. 1999-2008 aras\u0131ndaki cepten harcamalar\u0131 art\u0131\u015f\u0131 ise 3.5 kattan fazlad\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo 4: Cepten Sa\u011fl\u0131k Harcamalar\u0131n\u0131n Y\u0131llar \u0130\u00e7indeki De\u011fi\u015fimi (ABD Dolar\u0131)<\/span><\/p>\n

\u00a0<\/span><\/p>\n\n\n\n\n
\n

Y\u0131l<\/span><\/p>\n<\/td>\n

\n

99<\/span><\/p>\n<\/td>\n

\n

00<\/span><\/p>\n<\/td>\n

\n

01<\/span><\/p>\n<\/td>\n

\n

02<\/span><\/p>\n<\/td>\n

\n

03<\/span><\/p>\n<\/td>\n

\n

04<\/span><\/p>\n<\/td>\n

\n

05<\/span><\/p>\n<\/td>\n

\n

06<\/span><\/p>\n<\/td>\n

\n

07<\/span><\/p>\n<\/td>\n

\n

08*<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Milyar dolar<\/span><\/p>\n<\/td>\n

\n

3.77<\/span><\/p>\n<\/td>\n

\n

3.81<\/span><\/p>\n<\/td>\n

\n

2.44<\/span><\/p>\n<\/td>\n

\n

2.57<\/span><\/p>\n<\/td>\n

\n

3.09<\/span><\/p>\n<\/td>\n

\n

4.15<\/span><\/p>\n<\/td>\n

\n

6.03<\/span><\/p>\n<\/td>\n

\n

6.79<\/span><\/p>\n<\/td>\n

\n

8.53<\/span><\/p>\n<\/td>\n

\n

9.76<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

(T\u00dc\u0130K, Haber B\u00fclteni, 22.2. 2010 ‘dan hesaplanm\u0131\u015ft\u0131r)<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Cepten sa\u011fl\u0131k harcamalar\u0131n\u0131n 1999-2008 y\u0131llar\u0131ndaki toplam\u0131 yakla\u015f\u0131k 50 milyar dolar\u0131 ge\u00e7mektedir. Cepten harcamalar\u0131n \u00fclke d\u00fczeyindeki da\u011f\u0131l\u0131m\u0131 da, olduk\u00e7a e\u015fitsizdir. \u00d6rne\u011fin, toplam cepten sa\u011fl\u0131k harcamalar\u0131n\u0131n neredeyse 1\/3’\u00fc \u0130stanbul’da ger\u00e7ekle\u015fmektedir.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo 5: Cepten Sa\u011fl\u0131k Harcamalar\u0131n\u0131n\u00a0B\u00f6lgesel Da\u011f\u0131l\u0131m\u0131-2007 (ABD Dolar\u0131)<\/span><\/p>\n

\u00a0<\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

B\u00f6lge<\/span><\/p>\n<\/td>\n

\n

Cepten Sa\u011fl\u0131k Harcamas\u0131\u00a0 Miktar\u0131\u00a0(ABD Dolar\u0131)<\/span><\/p>\n<\/td>\n

\n

Cepten Sa\u011fl\u0131k Harcamas\u0131\u00a0 (%)<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Akdeniz<\/span><\/p>\n<\/td>\n

\n

1.05<\/span><\/p>\n<\/td>\n

\n

12.4<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Bat\u0131\u00a0 Anadolu<\/span><\/p>\n<\/td>\n

\n

0.78<\/span><\/p>\n<\/td>\n

\n

9.2<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Bat\u0131\u00a0 Karadeniz<\/span><\/p>\n<\/td>\n

\n

0.43<\/span><\/p>\n<\/td>\n

\n

5.1<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Bat\u0131\u00a0 Marmara<\/span><\/p>\n<\/td>\n

\n

0.44<\/span><\/p>\n<\/td>\n

\n

5.2<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Do\u011fu Karadeniz<\/span><\/p>\n<\/td>\n

\n

0.39<\/span><\/p>\n<\/td>\n

\n

4.7<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Do\u011fu Marmara<\/span><\/p>\n<\/td>\n

\n

0.73<\/span><\/p>\n<\/td>\n

\n

8.7<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Ege<\/span><\/p>\n<\/td>\n

\n

1.20<\/span><\/p>\n<\/td>\n

\n

14.2<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

G\u00fcneydo\u011fu Anadolu<\/span><\/p>\n<\/td>\n

\n

0.28<\/span><\/p>\n<\/td>\n

\n

3.4<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Kuzeydo\u011fu Anadolu<\/span><\/p>\n<\/td>\n

\n

0.06<\/span><\/p>\n<\/td>\n

\n

0.8<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Orta Anadolu<\/span><\/p>\n<\/td>\n

\n

0.29<\/span><\/p>\n<\/td>\n

\n

3.5<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Ortado\u011fu Anadolu<\/span><\/p>\n<\/td>\n

\n

0.24<\/span><\/p>\n<\/td>\n

\n

2.9<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

\u0130stanbul<\/span><\/p>\n<\/td>\n

\n

2.54<\/span><\/p>\n<\/td>\n

\n

29.9<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Toplam<\/span><\/p>\n<\/td>\n

\n

8.53<\/span><\/p>\n<\/td>\n

\n

100.0<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

(T\u00dc\u0130K, Haber B\u00fclteni, 17.2.2010’dan hesaplanm\u0131\u015ft\u0131r)<\/span><\/p>\n

\u00a0<\/span><\/p>\n

D\u00f6nelim, kamu sa\u011fl\u0131k harcamalar\u0131na. Kamu sa\u011fl\u0131k harcamalar\u0131, iki \u00f6nemli kalemden yap\u0131lmaktad\u0131r; SGK (Sosyal G\u00fcvenlik Kurumu) ve Genel B\u00fct\u00e7e. \u00dc\u00e7 sosyal g\u00fcvenlik kurumunun birle\u015ftirilmesinden sonra, SGK, en b\u00fcy\u00fck sa\u011fl\u0131k harcama kurumu haline gelmi\u015ftir. Bu nedenle, SGK sa\u011fl\u0131k harcamalar\u0131n\u0131 incelemek, kamu sa\u011fl\u0131k harcamalar\u0131n\u0131n y\u00f6n\u00fc hakk\u0131nda bize \u00f6nemli fikir vermektedir. SGK sa\u011fl\u0131k harcamalar\u0131na bak\u0131ld\u0131\u011f\u0131nda, iki ana harcama kalemi \u00f6ne \u00e7\u0131kmaktad\u0131r: \u0130la\u00e7 harcamalar\u0131 ve tedavi harcamalar\u0131. \u0130la\u00e7 harcamalar\u0131, 2001 y\u0131l\u0131nda SGK sa\u011fl\u0131k harcamalar\u0131n\u0131n %53.2’sini te\u015fkil ederken, 2008 y\u0131l\u0131nda %42.3’\u00fcne gerilemi\u015f, buna kar\u015f\u0131n tedavi harcamalar\u0131 ayn\u0131 d\u00f6nemde %39.3’den %55.1’e y\u00fckselmi\u015ftir.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo6: SGK Sa\u011fl\u0131k Harcamalar\u0131n\u0131n Harcama Kalemlerine G\u00f6re Da\u011f\u0131l\u0131m\u0131\u00a02001-2008 (%)<\/span><\/p>\n\n\n\n\n\n\n
\n

Y\u0131l<\/span><\/p>\n<\/td>\n

\n

2001<\/span><\/p>\n<\/td>\n

\n

2002<\/span><\/p>\n<\/td>\n

\n

2003<\/span><\/p>\n<\/td>\n

\n

2004<\/span><\/p>\n<\/td>\n

\n

2005<\/span><\/p>\n<\/td>\n

\n

2006<\/span><\/p>\n<\/td>\n

\n

2007<\/span><\/p>\n<\/td>\n

\n

2008<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

\u0130la\u00e7 harc.<\/span><\/p>\n<\/td>\n

\n

53.2<\/span><\/p>\n<\/td>\n

\n

56.4<\/span><\/p>\n<\/td>\n

\n

52.7<\/span><\/p>\n<\/td>\n

\n

48.7<\/span><\/p>\n<\/td>\n

\n

51.4<\/span><\/p>\n<\/td>\n

\n

47.4<\/span><\/p>\n<\/td>\n

\n

44.3<\/span><\/p>\n<\/td>\n

\n

42.3<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

T\u0131bbi malz.<\/span><\/p>\n<\/td>\n

\n

7.5<\/span><\/p>\n<\/td>\n

\n

6.5<\/span><\/p>\n<\/td>\n

\n

6.4<\/span><\/p>\n<\/td>\n

\n

6.4<\/span><\/p>\n<\/td>\n

\n

7.2<\/span><\/p>\n<\/td>\n

\n

4.6<\/span><\/p>\n<\/td>\n

\n

4.3<\/span><\/p>\n<\/td>\n

\n

2.7<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Tedavi harc.<\/span><\/p>\n<\/td>\n

\n

39.3<\/span><\/p>\n<\/td>\n

\n

37.1<\/span><\/p>\n<\/td>\n

\n

40.9<\/span><\/p>\n<\/td>\n

\n

44.9<\/span><\/p>\n<\/td>\n

\n

41.3<\/span><\/p>\n<\/td>\n

\n

48.1<\/span><\/p>\n<\/td>\n

\n

51.4<\/span><\/p>\n<\/td>\n

\n

55.1<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

(SGK Sa\u011fl\u0131k\u00a0\u0130statistikleri, 2009)<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Kamu ila\u00e7\u00a0 harcamalar\u0131, gerek toplam ila\u00e7 harcamalar\u0131 i\u00e7indeki pay\u0131n\u0131n y\u00fcksekli\u011fi, gerekse toplam kamu harcamalar\u0131 i\u00e7indeki pay\u0131n\u0131n giderek artmas\u0131 nedeniyle, son zamanlar\u0131n en \u00f6nemli tart\u0131\u015fma konular\u0131ndan birini olu\u015fturmaktad\u0131r. Kamu ila\u00e7 harcamalar\u0131n\u0131n en b\u00fcy\u00fck kayna\u011f\u0131 SGK’d\u0131r. SGK ila\u00e7 harcamalar\u0131na <\/span><\/p>\n

bak\u0131ld\u0131\u011f\u0131nda, 2001-2008 aras\u0131nda %78.8 oran\u0131nda artt\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcr.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo 7: SGK \u0130la\u00e7\u00a0 Harcamalar\u0131\u00a02001-2008 (ABD Dolar\u0131)<\/span><\/p>\n

\u00a0<\/span><\/p>\n\n\n\n\n
\n

Y\u0131l<\/span><\/p>\n<\/td>\n

\n

2001<\/span><\/p>\n<\/td>\n

\n

2002<\/span><\/p>\n<\/td>\n

\n

2003<\/span><\/p>\n<\/td>\n

\n

2004<\/span><\/p>\n<\/td>\n

\n

2005<\/span><\/p>\n<\/td>\n

\n

2006<\/span><\/p>\n<\/td>\n

\n

2007<\/span><\/p>\n<\/td>\n

\n

2008<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Milyar dolar<\/span><\/p>\n<\/td>\n

\n

2.0<\/span><\/p>\n<\/td>\n

\n

2.9<\/span><\/p>\n<\/td>\n

\n

3.8<\/span><\/p>\n<\/td>\n

\n

4.5<\/span><\/p>\n<\/td>\n

\n

5.2<\/span><\/p>\n<\/td>\n

\n

5.9<\/span><\/p>\n<\/td>\n

\n

6.8<\/span><\/p>\n<\/td>\n

\n

8.3<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

(SGK Sa\u011fl\u0131k\u00a0\u0130statistikleri, 2009)<\/span><\/p>\n

\u00a0<\/span><\/p>\n

SGK tedavi harcamalar\u0131 ise, SGK’n\u0131n hastanelerden ald\u0131\u011f\u0131 hizmetler kar\u015f\u0131l\u0131\u011f\u0131nda, onlara \u00f6demi\u015f oldu\u011fu para anlam\u0131ndad\u0131r. Bilindi\u011fi gibi, SGK devlet, \u00fcniversite ve \u00f6zel hastanelerden hizmet almaktad\u0131r. Bu hastanelere \u00f6denen para, 2001-2008 y\u0131llar\u0131 aras\u0131nda 1.5 milyar dolardan 10.8 milyar dolara s\u0131\u00e7ram\u0131\u015ft\u0131r. Ba\u015fka bir deyi\u015fle, bu d\u00f6nemdeki art\u0131\u015f, 7.2 kat ya da %86’l\u0131k bir art\u0131\u015ft\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo 8: SGK Tedavi Harcamalar\u0131\u00a0 2001-2008 (ABD Dolar\u0131)<\/span><\/p>\n\n\n\n\n
\n

y\u0131l<\/span><\/p>\n<\/td>\n

\n

2001<\/span><\/p>\n<\/td>\n

\n

2002<\/span><\/p>\n<\/td>\n

\n

2003<\/span><\/p>\n<\/td>\n

\n

2004<\/span><\/p>\n<\/td>\n

\n

2005<\/span><\/p>\n<\/td>\n

\n

2006<\/span><\/p>\n<\/td>\n

\n

2007<\/span><\/p>\n<\/td>\n

\n

2008<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Milyar dolar<\/span><\/p>\n<\/td>\n

\n

1.5<\/span><\/p>\n<\/td>\n

\n

1.9<\/span><\/p>\n<\/td>\n

\n

2.9<\/span><\/p>\n<\/td>\n

\n

4.2<\/span><\/p>\n<\/td>\n

\n

4.2<\/span><\/p>\n<\/td>\n

\n

5.9<\/span><\/p>\n<\/td>\n

\n

7.9<\/span><\/p>\n<\/td>\n

\n

10.8<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

(SGK, Sa\u011fl\u0131k\u00a0\u0130statistikleri, 2009)<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Tablo 9: SGK Tedavi Harcamalar\u0131n\u0131n Hastane T\u00fcrlerine G\u00f6re Da\u011f\u0131l\u0131m\u0131\u00a02001-2008 (ABD Dolar\u0131-milyar)<\/span><\/p>\n

Tedavi harcamalar\u0131n\u0131n, hastane t\u00fcrlerine g\u00f6re ayr\u0131m\u0131\u00a0\u00e7arp\u0131c\u0131\u00a0bir tablo sunmaktad\u0131r. Tedavi harcamalar\u0131\u00a0i\u00e7inde aslan pay\u0131\u00a0Devlet Hastanelerine giderken, onu \u00d6zel Hastaneler ve \u00dcniversite Hastaneleri izlemektedir. Devlet Hastanelerinin toplam SGK tedavi harcamalar\u0131 i\u00e7indeki pay\u0131 2001-2008 aras\u0131nda %65.9’dan %52.5’a gerilerken, ayn\u0131 d\u00f6nemde \u00dcniversite Hastanelerinin pay\u0131 %18.3’den %16.1’e d\u00fc\u015fm\u00fc\u015ft\u00fcr. \u0130\u015fin ilginci, 2001-2008 d\u00f6neminin en kazan\u00e7l\u0131s\u0131 \u00d6zel Hastaneler olmu\u015f, pay\u0131 %15.8’den %31.4’e f\u0131rlam\u0131\u015ft\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n\n\n\n\n\n\n
\n

y\u0131l<\/span><\/p>\n<\/td>\n

\n

2001<\/span><\/p>\n<\/td>\n

\n

2002<\/span><\/p>\n<\/td>\n

\n

2003<\/span><\/p>\n<\/td>\n

\n

2004<\/span><\/p>\n<\/td>\n

\n

2005<\/span><\/p>\n<\/td>\n

\n

2006<\/span><\/p>\n<\/td>\n

\n

2007<\/span><\/p>\n<\/td>\n

\n

2008<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Devlet H.<\/span><\/p>\n<\/td>\n

\n

0.97<\/span><\/p>\n<\/td>\n

\n

1.21<\/span><\/p>\n<\/td>\n

\n

2.01<\/span><\/p>\n<\/td>\n

\n

2.87<\/span><\/p>\n<\/td>\n

\n

2.63<\/span><\/p>\n<\/td>\n

\n

3.80<\/span><\/p>\n<\/td>\n

\n

4.92<\/span><\/p>\n<\/td>\n

\n

5.67<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

\u00dcniversite H.<\/span><\/p>\n<\/td>\n

\n

0.27<\/span><\/p>\n<\/td>\n

\n

0.41<\/span><\/p>\n<\/td>\n

\n

0.55<\/span><\/p>\n<\/td>\n

\n

0.76<\/span><\/p>\n<\/td>\n

\n

0.81<\/span><\/p>\n<\/td>\n

\n

0.93<\/span><\/p>\n<\/td>\n

\n

1.17<\/span><\/p>\n<\/td>\n

\n

1.74<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

\u00d6zel H.<\/span><\/p>\n<\/td>\n

\n

0.23<\/span><\/p>\n<\/td>\n

\n

0.26<\/span><\/p>\n<\/td>\n

\n

0.36<\/span><\/p>\n<\/td>\n

\n

0.52<\/span><\/p>\n<\/td>\n

\n

0.76<\/span><\/p>\n<\/td>\n

\n

1.20<\/span><\/p>\n<\/td>\n

\n

1.80<\/span><\/p>\n<\/td>\n

\n

3.39<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/span><\/p>\n

Bu k\u0131sa de\u011ferlendirmeler \u0131\u015f\u0131\u011f\u0131nda T\u00fcrkiye sa\u011fl\u0131k harcamalar\u0131\u00a0ile ilgili \u015fu\u00a0 \u00f6zetlemeyi yapabiliriz:<\/span><\/p>\n

Son 10 y\u0131lda, \u00f6zellikle de 2003 sonras\u0131 AKP d\u00f6neminde toplam sa\u011fl\u0131k harcamalar\u0131 artm\u0131\u015ft\u0131r. Bu art\u0131\u015f\u0131n bir y\u00f6n\u00fc, kamu sa\u011fl\u0131k harcamalar\u0131n\u0131n b\u00fct\u00e7e d\u0131\u015f\u0131 kaynaklardan \u00f6zellikle SGK kaynaklar\u0131ndan artmas\u0131d\u0131r. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Ancak, kamu sa\u011fl\u0131k harcamalar\u0131n\u0131n toplam sa\u011fl\u0131k harcamalar\u0131 i\u00e7indeki pay\u0131 aOKTUyn\u0131 s\u00fcrede giderek azalm\u0131\u015f, buna kar\u015f\u0131n cepten harcamalar hem oran, hem mutlak olarak y\u00fckselmi\u015ftir. \u00dcstelik cepten harcamalar\u0131n \u00fclke da\u011f\u0131l\u0131m\u0131, olduk\u00e7a e\u015fitsiz seyretmi\u015ftir.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Hem kamu, hem cepten sa\u011fl\u0131k harcamalar\u0131n\u0131n art\u0131\u015f\u0131 ile olu\u015fan sa\u011fl\u0131k “paras\u0131”, a\u011f\u0131rl\u0131kl\u0131 olarak ila\u00e7 ve tedavi harcamalar\u0131na y\u00f6nelmi\u015ftir. \u0130la\u00e7 harcamalar\u0131n\u0131n 4, tedavi harcamalar\u0131n\u0131n 7 kattan fazla artt\u0131\u011f\u0131 bu s\u00fcre\u00e7te, devlet hastaneleri toplam tedavi harcamalar\u0131nda aslan pay\u0131n\u0131 almas\u0131na kar\u015f\u0131n, \u00f6zel hastaneler en b\u00fcy\u00fck art\u0131\u015f kaydeden kurum olmu\u015ftur. Bu s\u00fcrecin devam etmesi, \u00f6nemli \u00f6l\u00e7\u00fcde SGK’n\u0131n gelir-gider dengesine ba\u011fl\u0131d\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Oysa, bu denge giderek bozulmakta, SGK ciddi a\u00e7\u0131k vermektedir. SGK’n\u0131n a\u00e7\u0131\u011f\u0131 2000 y\u0131l\u0131nda 3.84 milyar dolardan, 2008’de 20 milyar dolara y\u00fckselmi\u015ftir. 2008’de devlet b\u00fct\u00e7esinden SGK’ya aktar\u0131lan kaynak 27 milyar dolar\u0131 ge\u00e7mi\u015ftir. (SGK \u0130statistikleri, 2009’dan hesaplanm\u0131\u015ft\u0131r) Bu tablo, \u00f6zellikle AKP d\u00f6neminde olu\u015fturulmaya ba\u015flanan sa\u011fl\u0131k piyasas\u0131n\u0131n finansman\u0131n\u0131n \u00f6nemli \u00f6l\u00e7\u00fcde kamu d\u0131\u015f\u0131 kaynaklarca kar\u015f\u0131lanaca\u011f\u0131n\u0131n en net yans\u0131mas\u0131d\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Dr. Ata Soyer<\/span><\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

SGK’n\u0131n a\u00e7\u0131\u011f\u0131 2000 y\u0131l\u0131nda 3.84 milyar dolardan, 2008’de 20 milyar dolara y\u00fckselmi\u015ftir. 2008’de devlet b\u00fct\u00e7esinden SGK’ya aktar\u0131lan kaynak 27 milyar...<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3695","post","type-post","status-publish","format-standard","hentry","category-ced"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3695","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3695"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3695\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3695"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3695"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3695"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}