HEALTH STATISTICS YEARBOOK 2014
GENERAL DIRECTORATE of HEALTH RESEARCH THE MINISTRY of HEALTH of TURKEY HEALTH STATISTICS YEARBOOK 2014
Ankara 2015 THE MINISTRY of HEALTH of TURKEY HEALTH STATISTICS YEARBOOK 2014
&RS\U൴JKW+ROGHU
5HSXEO൴FRI7XUNH\0൴Q൴VWU\RI+HDOWK*HQHUDO'൴UHFWRUDWHRI+HDOWK5HVHDUFK 2015 $OOU൴JKWVUHVHUYHGWR5HSXEO൴FRI7XUNH\0൴Q൴VWU\RI+HDOWK*HQHUDO'൴UHFWRUDWH RI+HDOWK5HVHDUFK&DQQRWEHTXRWHGZ൴WKRXWJ൴Y൴QJUHIHUHQFH:KHQTXRWHG J൴YHWKHUHIHUHQFHDV ³QDPHRIWKHHG൴WRUDXWKRU*HQHUDO'൴UHFWRUDWHRI+HDOWK 5HVHDUFK0൴Q൴VWU\RI+HDOWKSODFHRISXEO൴FDW൴RQSXEO൴FDW൴RQ\HDU´$FFRUG൴QJ WRWKH/DZ1R FDQQRWEHFRS൴HGSDUW൴DOO\RUZKROO\Z൴WKRXWSHUP൴VV൴RQRI WKH*HQHUDO'൴UHFWRUDWHRI+HDOWK5HVHDUFK
7HDP/HDGHU 'U0HKPHW5൴IDW.g6(
(G൴WRUV 'U%HUUDN%25$%$ù$5$ &HP൴O*h/(5 *|NDOS.DGU൴<(17h5
&RQWU൴EXWRUV $V൴\H$<*h1 'U$\IHU3(.(5ød/ø %൴UVHQ%ø5*(.$<,ù øUHP62<787$1 6HOHQ%HJP8=81 7X÷FDQ$GHPg='(0ø5
,6%1 0൴Q൴VWU\RI+HDOWK3XEO൴FDW൴RQ1R 7KH*HQHUDO'൴UHFWRUDWHRI+HDOWK 5HVHDUFK3XEO൴FDW൴RQ1R 6%6$*(0
(G൴W൴RQ 6HQWH]0DWEDDFÕOÕNYH 120(1&/$785(RI7(55,725,$/81,76)2567$7,67,&6DQG3529,1&(6.. ,9 $&521<06...... 9 &KDSWHU *HQHUDO'HPRJUDSK൴F,QG൴FDWRUV ...... &KDSWHU 0RUWDO൴W\ ...... &KDSWHU 0RUE൴G൴W\ ...... &KDSWHU 5൴VN)DFWRUV ...... &KDSWHU 3UHYHQW൴RQRI'൴VHDVHVDQG3URWHFW൴RQRI+HDOWK...... &KDSWHU +HDOWK&DUH)DF൴O൴W൴HVDQG,QIUDVWUXFWXUHV...... &KDSWHU 8W൴O൴]DW൴RQRI+HDOWK&DUH6HUY൴FHV ...... &KDSWHU +XPDQ5HVRXUFHVIRU+HDOWK...... &KDSWHU +HDOWK(FRQRP൴FVDQG)൴QDQF൴QJ ...... THE MINISTRY of HEALTH of TURKEY III 120(1&/$785(RI7(55,725,$/81,76)2567$7,67,&6DQG3529,1&(6 0HG൴WHUUHQHDQ $QWDO\D $HJHDQ ø]P൴U %XUGXU $\GÕQ ,VSDUWD 'HQ൴]O൴ $GDQD 0X÷OD øoHO $I\RQNDUDK൴VDU +DWD\ .WDK\D .DKUDPDQPDUDú 0DQ൴VD 2VPDQ൴\H 8úDN :HVWHUQ$QDWRO൴D $QNDUD 6RXWKHDVWHUQ$QDWRO൴D $GÕ\DPDQ .DUDPDQ *D]൴DQWHS .RQ\D .൴O൴V :HVWHUQ%ODFNVHD %DUWÕQ '൴\DUEDNÕU .DUDEN ùDQOÕXUID =RQJXOGDN %DWPDQ dDQNÕUÕ 0DUG൴Q .DVWDPRQX 6൴൴UW 6൴QRS ùÕUQDN $PDV\D ,VWDQEXO ,VWDQEXO dRUXP 1RUWKHDVWHUQ$QDWRO൴D %D\EXUW 6DPVXQ (U]൴QFDQ 7RNDW (U]XUXP :HVWHUQ0DUPDUD (G൴UQH $÷UÕ .ÕUNODUHO൴ $UGDKDQ 7HN൴UGD÷ ,÷GÕU %DOÕNHV൴U .DUV dDQDNNDOH 0൴GHDVWHUQ$QDWRO൴D %൴QJ|O (DVWHUQ%ODFNVHD $UWY൴Q (OD]Õ÷ *൴UHVXQ 0DODW\D *PúKDQH 7XQFHO൴ 2UGX %൴WO൴V 5൴]H +DNNkU൴ 7UDE]RQ 0Xú (DVWHUQ0DUPDUD %൴OHF൴N 9DQ %XUVD &HQWUDO$QDWRO൴D $NVDUD\ (VN൴úHK൴U .ÕUÕNNDOH %ROX .ÕUúHK൴U ']FH 1HYúHK൴U .RFDHO൴ 1൴÷GH 6DNDU\D .D\VHU൴ IV THE MINISTRY of HEALTH of TURKEY ACRONYMS $%356 $GGUHVV%DVHG3RSXODW൴RQ5HJ൴VWUDW൴RQ6\VWHP %&* %DF൴OOXV&DOPHWWH*XHU൴Q9DFF൴QDW൴RQ BHSM %DV൴F+HDOWK6WDW൴VW൴FV0RGXOH BMI %RG\0DVV,QGH[ &P &HQW൴PHWHU &3, &RQVXPHU3U൴FH,QGH[ &39 &RQMXJDWHG3QHXPRFRFFDO9DFF൴QDW൴RQ CT &RPSXWHU൴]HG7RPRJUDSK\ 'D37 '൴SKWKHU൴DDFHOXOHU3HUWXVV൴V7HWDQXV9DFF൴QDW൴RQ ECHO (FKRFDUG൴RJUDSK\ (63& (YXODW൴RQ6HOHFW൴RQDQG3ODFHPHQW&HQWHU EU (XURSHDQ8Q൴RQ EUROSTAT 2I൴FFHRI(XURSHDQ6WDW൴VW൴FV *'0&+)3 *HQHUDO'൴UHFWRUDWHRI0RWKHU&K൴OG+HDOWKDQG)DP൴O\3ODQQ൴QJ *'3 *URVV'RPHVW൴F3URGXFW +%9 +HSDW൴W൴V%9DFF൴QDW൴RQ HFA +HDOWKIRU$OO +൴E +DHPRSK൴OXV,QÀXHQ]D7\SH%9DFF൴QDW൴RQ ,&' ,QWHUQDW൴RQDO&ODVV൴I൴FDW൴RQRI'൴VHDVHV ,39 ,QDFW൴YH3RO൴R9DFF൴QDW൴RQ KETEM &DQFHU(DUO\'൴DJQRV൴V6FUHHQ൴QJDQG7UDQ൴QJ&HQWHUV .J .൴ORJUDP MMR 0HDVOHV0XPSV5XEHOOD9DFF൴QDW൴RQ 0R1' 0൴Q൴VWU\RI1DW൴RQDO'HIHQVH MoH 0൴Q൴VWU\RI+HDOWK MRI 0DJQHW൴F5HVRQDQFH,PDJ൴QJ NUTS 1RPHQFODWXUHRI7HUU൴WRU൴DO8Q൴WVIRU6WDW൴VW൴FV 2(&' 7KH2UJDQ൴VDW൴RQIRU(FRQRP൴F&RRSHUDW൴RQDQG'HYHORSPHQW 333 3XUFKDV൴QJ3RZHU3DU൴W\ 663& 6WXGHQW6HOHFW൴RQDQG3ODFHPHQW&HQWHU SSI 6RF൴DO6HFXU൴W\,QVW൴WXW൴RQ 7'+6 7XUNH\'HPRJUDSK൴FDQG+HDOWK6XUYH\ ¨ 7XUN൴VK/൴UD TURKSTAT 7XUN൴VK6WDW൴VW൴FDO,QVW൴WXWH :+2 :RUOG+HDOWK2UJDQ൴]DW൴RQ THE MINISTRY of HEALTH of TURKEY V . /൴VWRI7DEOHV &KDSWHU*HQHUDO'HPRJUDSK൴F,QG൴FDWRUV 7DEOH *HQHUDO'HPRJUDSK൴F,QG൴FDWRUV7XUNH\ ...... 7DEOH 6RPH*HQHUDO'HPRJUDSK൴F,QG൴FDWRUVE\3URY൴QFHV...... &KDSWHU0RUWDO൴W\ 7DEOH '൴VWU൴EXW൴RQRI&DXVHVRI'HDWKE\WKH,&' 0D൴Q'൴DJQRV൴V&RGHVDQG6H[ 7XUNH\...... &KDSWHU0RUE൴G൴W\ 7DEOH 1XPEHURI&DVHVRIWKH,QIHFW൴RXV'൴VHDVHVE\ THE MINISTRY of HEALTH of TURKEY VII 7DEOH 3HUFHQWDJHRI0DMRU'൴VHDVHV6HHQ൴Q,QG൴Y൴GXDOV൴QWKH 3DVW0RQWKVE\6H[>,QG൴Y൴GXDOV൴QRUPRUHDJHV@...... &KDSWHU5൴VN)DFWRUV 7DEOH '൴VWU൴EXW൴RQRI,QG൴Y൴GXDOV8V൴QJ7REDFFR3URGXFWE\ 6H[DQG5HV൴GHQFH...... 7DEOH &XUUHQW7REDFFR3URGXFW&RQVXPHUV¶)൴UVW7REDFFR 3URGXFW&RQVXPSW൴RQ$JHE\6H[ ...... 7DEOH '൴VWU൴EXW൴RQRIDQG2YHU$JHG,QG൴Y൴GXDOV¶$OFRKRO&RQVXPSW൴RQE\ 6H[DQG5HV൴GHQFH ...... 7DEOH &XUUHQW$OFRKRO൴F'U൴QN&RQVXPHUV¶)൴UVW$OFRKRO൴F 'U൴QN&RQVXPSW൴RQ$JHE\6H[ ...... 7DEOH '൴VWU൴EXW൴RQRI%RG\0DVV,QGH[RIDQG2YHU$JHG,QG൴Y൴GXDOV¶E\ 6H[ 6HOI5HSRUWHG ...... 7DEOH '൴VWU൴EXW൴RQRI+H൴JKWDQG:H൴JKW$YHUDJHRIDQG2YHU$JHG ,QG൴Y൴GXDOVE\$JH*URXSVDQG6H[ 6HOI5HSRUWHG ...... 7DEOH '൴VWU൴EXW൴RQRI:H൴JKW+H൴JKWDQG%RG\0DVV,QGH[=6FRUHVRI &K൴OGUHQ $JH E\5HV൴GHQFH ...... 7DEOH '൴VWU൴EXW൴RQRIWKH2S൴Q൴RQVRIWKH,QG൴Y൴GXDOVDQG2YHU$JHG$ERXW :KDW3UHYHQWV7KH൴U%HKDY൴RUVWR%H+HDOWK\ ...... 7DEOH 5HFH൴Y൴QJ,QIRUPDW൴RQ6WDWXVDERXW+HDOWKRI,QG൴Y൴GXDOVDQG2YHU $JHGDQGWKH'൴VWU൴EXW൴RQRIWKH,QIRUPDW൴RQ5HVRXUFHV ...... 7DEOH 7KH6WDWXVRIWKHDQG2YHU$JHG,QG൴Y൴GXDOV+DY൴QJ 5HJXODU%UHDNIDVW ...... 7DEOH 7KH'൴VWU൴EXW൴RQRIWKH+DE൴WVRI(DW൴QJ)UHVK)UX൴WDQG9HJHWDEOHRIWKH ,QG൴Y൴GXDOVDQG2YHU$JHG ...... 7DEOH '൴VWU൴EXW൴RQRIWKH+DE൴WVDQG5HDVRQVRI6N൴SS൴QJD0HDORIWKH ,QG൴Y൴GXDOVDQG2YHU$JHG ...... 7DEOH '൴VWU൴EXW൴RQRIWKH&RQVXPSW൴RQ)UHTXHQF൴HVRI6RPH)RRGVDQG'U൴QNVE\ &K൴OGUHQ $JH $FFRUG൴QJWRWKH6WDWHPHQWVRI3DUHQWV ...... 7DEOH '൴VWU൴EXW൴RQRIWKH,VVXHVWKDWWKH,QG൴Y൴GXDOVDQG2YHU$JHG 3D\$WWHQW൴RQWR൴Q7KH൴U6KRSS൴QJIRU)RRG ...... 7DEOH +DQG:DVK൴QJ+DE൴WRIWKHDQG2YHU$JHG,QG൴Y൴GXDOV ...... 7DEOH '൴VWU൴EXW൴RQRIWKH5HDVRQVQRWWR:DVK7KH൴U+DQGVRIWKH ,QG൴Y൴GXDOVDQG2YHU$JHG ...... 7DEOH $YHUDJH6OHHS'XUDW൴RQVRIWKH,QG൴Y൴GXDOV DQG2YHU$JHG%\6H[ +RXU'D\ ...... 7DEOH 6WDWXVRI6OHHS3UREOHPRIWKH,QG൴Y൴GXDOVDQG2YHU $JHGDQG7KH൴U6ROXW൴RQVIRU7K൴V3UREOHP ...... 7DEOH +DE൴WRI)DVWHQ൴QJ6HDW%HOWRIWKHDQG2YHU$JHG ,QG൴Y൴GXDOV ...... VIII THE MINISTRY of HEALTH of TURKEY 7DEOH 7KH6WDWXVRI3HRSOH+DY൴QJ7KH൴U&K൴OGUHQ8QGHU$JH7HQ6൴WRQWKH &K൴OG6HDWDQG%XFNOH8S:K൴OH7UDYHOO൴QJ൴Q$XWRPRE൴OHV ...... 7DEOH 7KH6WDWXVRIDQG2YHU$JHG,QG൴Y൴GXDOV8V൴QJ&HOO 3KRQHV:K൴OH'U൴Y൴QJ ...... 7DEOH 7KH6WDWXVRIWKH/HYHOVRI'R൴QJ3K\V൴FDO$FW൴Y൴W൴HVRIWKH DQG2YHU$JHG,QG൴Y൴GXDOV ...... 7DEOH 7KH'൴VWU൴EXW൴RQRIWKH6WDWXVRIWKHDQG2YHU$JHG,QG൴Y൴GXDOVZ൴WK :DON൴QJ2SSRUWXQ൴W൴HV൴QWKH:DON൴QJ'൴VWDQFHWR7KH൴U+RXVHV .... 7DEOH '൴VWU൴EXW൴RQRIWKHDQG2YHU$JHG,QG൴Y൴GXDOV¶6WDWXVRI+DY൴QJ%ORRG 3UHVVXUH%ORRG&KROHVWHURODQG%ORRG6XJDU0HDVXUHPHQWVE\*HQGHUDQG 5HV൴GHQFH ...... &KDSWHU 3UHYHQW൴RQRI'൴VHDVHVDQG3URWHFW൴RQRI+HDOWK 7DEOH ,PPXQ൴]DW൴RQ&RYHUDJHE\ &KDSWHU+HDOWK&DUH)DF൴O൴W൴HVDQG,QIUDVWUXFWXUHV 7DEOH 1XPEHURI+RVS൴WDOVDQG%HGVE\%UDQFKHV7XUNH\...... 7DEOH 1XPEHURI,QWHQV൴YH&DUH8Q൴W%HGVE\7\SHVDQG6HFWRUV7XUNH\ ...... 7DEOH ,QIUDVWUXFWXUHRI2SHUDW൴QJ5RRP6HUY൴FHV൴QWKH,QSDW൴HQW 7UHDWPHQW)DF൴O൴W൴HVE\6HFWRUV7XUNH\...... 7DEOH $FW൴YHO\8VHG+HPRG൴DO\V൴V(TX൴SPHQWVSHU 3RSXODW൴RQE\1876DQG6HFWRUV ...... 7DEOH 1XPEHURI(TX൴SPHQWVRI,QSDW൴HQW7UHDWPHQW,QVW൴WXW൴RQVE\ THE MINISTRY of HEALTH of TURKEY IX 7DEOH 1XPEHURI6SHF൴DOW\0HG൴FDO&HQWHUVDQG3U൴YDWH2XWSDW൴HQW &O൴Q൴FVE\1876...... 7DEOH 1XPEHURIWKH,QVW൴WXW൴RQV3URY൴G൴QJ2UDODQG'HQWDO+HDOWK &DUH6HUY൴FHVE\6HFWRUV ...... 7DEOH 0R+$൵൴O൴DWHG3U൴PDU\+HDOWK&DUH)DF൴O൴W൴HVE\ &KDSWHU8W൴O൴]DW൴RQRI+HDOWK&DUH6HUY൴FHV 7DEOH 7RWDO1XPEHURI9൴V൴WVWRD3K\V൴F൴DQ൴Q+HDOWK&DUH )DF൴O൴W൴HVE\ X THE MINISTRY of HEALTH of TURKEY 7DEOH 1XPEHURI'RSSOHU8OWUDVRXQG([DPV൴Q,QSDW൴HQW+HDOWK&DUH )DF൴O൴W൴HVSHU3RSXODW൴RQE\1876DQG6HFWRUV...... 7DEOH 1XPEHURI(&+2([DPV൴Q,QSDW൴HQW+HDOWK&DUH)DF൴O൴W൴HVSHU 3RSXODW൴RQE\1876DQG6HFWRUV ...... 7DEOH 1XPEHURI0DPPRJUDSK\([DPV൴Q,QSDW൴HQW+HDOWK&DUH )DF൴O൴W൴HVSHU3RSXODW൴RQE\1876DQG6HFWRUV...... 7DEOH &RQVXPSW൴RQRI'UXJVE\ &KDSWHU+XPDQ5HVRXUFHVIRU+HDOWK 7DEOH 1XPEHURI+HDOWK&DUH3URIHVV൴RQDOVE\ &KDSWHU +HDOWK(FRQRP൴FVDQG)൴QDQF൴QJ 7DEOH &XUUHQW,QYHVWPHQWDQG7RWDO+HDOWK([SHQG൴WXUHE\ THE MINISTRY of HEALTH of TURKEY XI . /൴VWRI)൴JXUHVDQG0DSV &KDSWHU*HQHUDO'HPRJUDSK൴F,QG൴FDWRUV )൴JXUH 3RSXODW൴RQ3\UDP൴G7RWDO7XUNH\ ...... )൴JXUH 3RSXODW൴RQ3\UDP൴G7XUNH\ ...... )൴JXUH 8UEDQDQG5XUDO3RSXODW൴RQE\ &KDSWHU0RUWDO൴W\ )൴JXUH /൴IH([SHFWDQF\DW%൴UWKE\ &KDSWHU0RUE൴G൴W\ )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI$,'6,QF൴GHQFHE\ THE MINISTRY of HEALTH of TURKEY XIII )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI0HDVOHV ,QF൴GHQFH E\ &KDSWHU5൴VN)DFWRUV )൴JXUH '൴VWU൴EXW൴RQRI,QG൴Y൴GXDOV8V൴QJ7REDFFR3URGXFW'D൴O\E\ 6H[ ...... )൴JXUH 'D൴O\7REDFFR3URGXFW&RQVXPSW൴RQE\&RXQWU൴HV ...... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI2EHVH %0, ,QG൴Y൴GXDOVE\6H[ ...... &KDSWHU3UHYHQW൴RQRI'൴VHDVHVDQG3URWHFW൴RQRI+HDOWK )൴JXUH 7K൴UG'RVH,PPXQ൴]DW൴RQ&RYHUDJHRI&RPSRQHQW&RPE൴QHG9DFF൴QH 'D37,39+൴E E\1876 ...... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI&RPSRQHQW&RPE൴QHG9DFF൴QH 'D37,39+൴E ,PPXQ൴]DW൴RQ&RYHUDJH ...... )൴JXUH +%9,PPXQ൴]DW൴RQ&RYHUDJHE\1876 ...... )൴JXUH 005,PPXQ൴]DW൴RQ&RYHUDJHE\1876 ...... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI005,PPXQ൴]DW൴RQ&RYHUDJH ...... )൴JXUH 1XPEHURI9DFF൴QH$QW൴JHQVE\ XIV THE MINISTRY of HEALTH of TURKEY )൴JXUH$JH6SHF൴I൴F)HUW൴O൴W\5DWH Å 7XUNH\...... )൴JXUH$YHUDJH1XPEHURI)ROORZ8SVSHU3UHJQDQWE\1876 ...... )൴JXUH$YHUDJH1XPEHURI)ROORZ8SVSHU,QIDQWE\1876...... )൴JXUH $YHUDJH1XPEHURI)ROORZ8SVSHU&K൴OGE\1876...... )൴JXUH $YHUDJH1XPEHURI)ROORZ8SVSHU3XHUSHUDQW:RPHQE\ 1876 ...... &KDSWHU+HDOWK&DUH)DF൴O൴W൴HVDQG,QIUDVWUXFWXUHV )൴JXUH 1XPEHURI+RVS൴WDOVE\ THE MINISTRY of HEALTH of TURKEY XV )൴JXUH3RSXODW൴RQSHU(PHUJHQF\$PEXODQFHE\ &KDSWHU8W൴O൴]DW൴RQRI+HDOWK&DUH6HUY൴FHV )൴JXUH 7RWDO1XPEHURI3HU&DS൴WD9൴V൴WVWRD3K\V൴F൴DQ൴Q +HDOWK$JHQF൴HVDQG,QVW൴WXW൴RQVE\ XVI THE MINISTRY of HEALTH of TURKEY )൴JXUH%HG7XUQRYHU5DWH൴Q+RVS൴WDOVE\1876 3DW൴HQW 0R+ ..... )൴JXUH%HG7XUQRYHU,QWHUYDO൴Q+RVS൴WDOVE\ &KDSWHU+XPDQ5HVRXUFHVIRU+HDOWK )൴JXUH 1XPEHURI7RWDO3K\V൴F൴DQVSHU3RSXODW൴RQE\ THE MINISTRY of HEALTH of TURKEY XVII )൴JXUH 1XPEHURI6SHF൴DO൴VW3K\V൴F൴DQVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV...... )൴JXUH '൴VWU൴EXW൴RQRI6SHF൴DO൴VW3K\V൴F൴DQV0HG൴FDO5HV൴GHQWVDQG *HQHUDO3UDFW൴W൴RQHUVE\1876$OO6HFWRUV ...... )൴JXUH 1XPEHURI'HQW൴VWVSHU3RSXODW൴RQE\ XVIII THE MINISTRY of HEALTH of TURKEY )൴JXUH1XPEHURI6WXGHQWVSHU$FDGHP൴F6WD൵0HPEHU൴Q )DFXOW൴HVRI3KDUPDF\E\(GXFDW൴RQ7HUPV7XUNH\...... )൴JXUH1XPEHURI6WXGHQWVSHU/HFWXUHU൴Q%DFKHORU'HJUHH &KDSWHU +HDOWK(FRQRP൴FVDQG)൴QDQF൴QJ )൴JXUH 3XEO൴FDQG3U൴YDWH+HDOWK([SHQG൴WXUHDVD6KDUHRI*'3E\ THE MINISTRY of HEALTH of TURKEY XIX . *HQHUDO([SODQDW൴RQV 0HWDGDWD൴QIRUPDW൴RQRQWKH൴QG൴FDWRUVRI+HDOWK6WDW൴VW൴FV :K൴OHWKHYDOXHVRIWKH൴QG൴FDWRUV൴QWKH+HDOWK6WDW൴VW൴FV 7KH൴QWHUQDW൴RQDOGDWDRQDOOSDUW൴W൴RQV H[FHSW7XUNH\ DUHWDNHQIURPWKH IROORZ൴QJIRXUVRXUFHV 2QO൴QHGDWDEDVHRIWKH:RUOG+HDOWK2UJDQ൴]DW൴RQ+HDGTXDUWHUV൴Q*HQHYD ³*OREDO +HDOWK 2EVHUYDWRU\´ KWWS ZZZZKR൴QWJKRHQ ZK൴FK FRQWD൴QV GDWDRQ FRXQWU൴HV8QO൴NHWKHGDWDEDVHRI:+2(XURSHDQ5HJ൴RQ2൵൴FH +HDOWK IRU $OO+)$ KWWS GDWDHXURZKR൴QWKIDGE QRW WKH GDWD GHFODUHG E\ FRXQWU൴HV EXW SURMHFW൴RQV E\ WKH :+2 DUH ൴QFOXGHG ,Q RUGHU WR PDNH FRPSDU൴VRQVEHWZHHQFRXQWU൴HVSURMHFWHGGDWDIRUFRXQWU൴HVDUH൴QFOXGHG 7KH:RUOG+HDOWK2UJDQ൴]DW൴RQ³:RUOG+HDOWK6WDW൴VW൴FV´UHSRUW KWWS ZZZ ZKR൴QWJKRSXEO൴FDW൴RQVZRUOGBKHDOWKBVWDW൴VW൴FVHQ൴QGH[KWPO ൴VG൴VWU൴EXWHG WRWKH:RUOG+HDOWK$VVHPEO\൴Q0D\RIHDFK\HDU7KHGDWD൴QFOXGHG൴QWKH UHSRUWDUHWKHGDWD൴QWKH*OREDO+HDOWK2EVHUYDWRU\GDWDEDVH7KHPRVWUHFHQW GDWD൴QWKHUHSRUWDUHEHORQJWR\HDUVSU൴RUWRWKHSXEO൴FDW൴RQ7KHGDWDIRU FRXQWU൴HVVSHF൴I൴HG൴QWKH³:RUOG+HDOWK6WDW൴VW൴FV³UHSRUWEHORQJWR RUWKHODWHVWDYD൴ODEOHGDWDIRU FRXQWU൴HV 7KH2(&'RQO൴QHGDWDEDVHWKHGDWD൴QFOXGHG൴QWKH³2(&'+HDOWK'DWD´ DUH EDVHG RQ WKH ൴QIRUPDW൴RQ SURY൴GHG E\ FRXQWU൴HV 7KXV WKHUH FDQ EH ൴QFRPSDW൴E൴O൴W൴HV EHWZHHQ 2(&' GDWDEDVH DQG :+2 GDWDEDVH +HDOWK H[SHQG൴WXUHVGDWDDUHREWD൴QHGSDUW൴FXODUO\IURPWKH2(&'+HDOWK'DWD7KH PRVWUHFHQWGDWD൴QWKHGDWDEDVHEHORQJVWRWZR\HDUVDJR1HZHVWDYD൴ODEOH GDWDIRUFRXQWU൴HVVSHF൴I൴HG൴QWKH³2(&'+HDOWK'DWD³EHORQJWR RUWKHODWHVWDYD൴ODEOHGDWDIRUWKHFRXQWU൴HV൴QFOXGHG ³2(&'+HDOWKDWD*ODQFH´൴VDUHSRUWEDVHGRQWKHDQDO\V൴VRIWKHGDWD൴QWKH 2(&'+HDOWK'DWD THE MINISTRY of HEALTH of TURKEY XXI ,QWHUQDW൴RQDOFRPSDU൴VRQRIWKHUHJ൴RQVDQGFRXQWU൴HVWKDWDUH൴QFOXGHGDUH DVIROORZV :+2(XURSH $OEDQ൴D $QGRUUD $UPHQ൴D $XVWU൴D $]HUED൴MDQ %HODUXV %HOJ൴XP%RVQ൴DDQG+HU]HJRY൴QD%XOJDU൴D&URDW൴D&\SUXV&]HFK5HSXEO൴F 'HQPDUN (VWRQ൴D )൴QODQG)UDQFH *HRUJ൴D *HUPDQ\ *UHHFH +XQJDU\ ,FHODQG ,UHODQG ,VUDHO ,WDO\ .D]DNKVWDQ .\UJ\]VWDQ /DWY൴D /൴WKXDQ൴D /X[HPERXUJ 0DOWD 0RQDFR 0RQWHQHJUR 1HWKHUODQGV 1RUZD\ 3RODQG 3RUWXJDO5HSXEO൴FRI0ROGRYD5RPDQ൴D5XVV൴DQ)HGHUDW൴RQ6DQ0DU൴QR 6HUE൴D 6ORYDN൴D 6ORYHQ൴D 6SD൴Q 6ZHGHQ 6Z൴W]HUODQG 7DM൴N൴VWDQ 7KH IRUPHU 8SSHU0൴GGOH,QFRPH&RXQWU൴HV &RXQWU൴HVZ൴WK*'3SHUFDS൴WDEHWZHHQ DQG $OEDQ൴D $OJHU൴D $QJROD $UJHQW൴QD $]HUED൴MDQ %HODUXV%HO൴]H%RVQ൴DDQG+HU]HJRY൴QD%RWVZDQD%UD]൴O%XOJDU൴D&K൴QD &RORPE൴D&RRN,VODQGV&RVWD5൴FD&XED'RP൴Q൴FD'RP൴Q൴FDQ5HSXEO൴F (FXDGRU )൴M൴ *DERQ *UHQDGD +XQJDU\ ,UDQ ,VODP൴F 5HSXEO൴F RI ,UDT -DPD൴FD-RUGDQ.D]DNKVWDQ/HEDQRQ/൴E\D0DOD\V൴D0DOG൴YHV0DUVKDOO ,VODQGV 0DXU൴W൴XV 0H[൴FR 0RQWHQHJUR 1DP൴E൴D 1DXUX 1൴XH 3DODX 3DQDPD3HUX5RPDQ൴D6D൴QW/XF൴D6D൴QW9൴QFHQWDQGWKH*UHQDG൴QHV6HUE൴D 6H\FKHOOHV6RXWK$IU൴FD6XU൴QDPH7KD൴ODQG7KHIRUPHU +൴JK,QFRPH&RXQWU൴HV &RXQWU൴HVZ൴WK*'3SHUFDS൴WDDERYH $QGRUUD $QW൴JXD DQG %DUEXGD $XVWUDO൴D $XVWU൴D %DKDPDV %DKUD൴Q %DUEDGRV %HOJ൴XP %UXQH൴ 'DUXVVDODP &DQDGD &K൴OH &URDW൴D &\SUXV &]HFK 5HSXEO൴F 'HQPDUN (TXDWRU൴DO *X൴QHD (VWRQ൴D )൴QODQG )UDQFH *HUPDQ\ *UHHFH ,FHODQG ,UHODQG ,VUDHO ,WDO\ -DSDQ .XZD൴W /DWY൴D /൴WKXDQ൴D/X[HPERXUJ0DOWD0RQDFR1HWKHUODQGV1HZ=HDODQG1RUZD\ 2PDQ3RODQG3RUWXJDO4DWDU5HSXEO൴FRI.RUHD5XVV൴DQ)HGHUDW൴RQ6D൴QW .൴WWV DQG 1HY൴V 6DQ 0DU൴QR 6DXG൴$UDE൴D 6൴QJDSRUH 6ORYDN൴D 6ORYHQ൴D 6SD൴Q 6ZHGHQ 6Z൴W]HUODQG 7U൴Q൴GDG DQG 7REDJR 8Q൴WHG $UDE (P൴UDWHV 8Q൴WHG.൴QJGRP8Q൴WHG6WDWHVRI$PHU൴FD8UXJXD\ (XURSHDQ8Q൴RQ *HUPDQ\$XVWU൴D%HOJ൴XP8Q൴WHG.൴QJGRP%XOJDU൴DWKH &]HFK5HSXEO൴F'HQPDUN(VWRQ൴D)൴QODQG)UDQFH&\SUXVWKH1HWKHUODQGV &URW൴D,UHODQG6SD൴Q6ZHGHQ,WDO\/DWY൴D/൴WKXDQ൴D/X[HPERXUJ+XQJDU\ 0DOWD3RODQG3RUWXJDO5RPDQ൴D6ORYDN൴D6ORYHQ൴D*UHHFH XXII THE MINISTRY of HEALTH of TURKEY General Indicators Demographic General Chapter 1 Demographic Indicators . 6RXUFH 785.67$7 )LJXUH3RSXODWLRQ3\UDPLG7RWDO7XUNH\ 6RXUFH 785.67$7 )LJXUH3RSXODWLRQ3\UDPLG7XUNH\ .0.0 .0.0 .0.0 4.000.000 2.000.000 0 2.000.000 4.000.000 ϴ͘ϬϬϬ͘ϬϬϬ ϮϬϬϬ ϰ͘ϬϬϬ͘ϬϬϬ Population ŐĞ'ƌŽƵƉƐ ϭϬͲϭϰ ϭϱͲϭϵ ϮϬͲϮϰ ϮϱͲϮϵ ϯϬͲϯϰ ϯϱͲϯϵ ϰϬͲϰϰ ϰϱͲϰϵ ϱϬͲϱϰ ϱϱͲϱϵ ϲϬͲϲϰ ϲϱͲϱϵ ϳϬͲϳϰ ϳϱн ϬͲϰ ϱͲϵ THE MINISTRY ofHEALTH of TURKEY elhSaitc erok2014 Health Statistics Yearbook ϰ͘ϬϬϬ͘ϬϬϬ ϮϬϭϰ 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 + 75 ϴ͘ϬϬϬ͘ϬϬϬ Age Groups Female Male 3 General Demographic Indicators Health Statistics Yearbook 2014 7DEOH*HQHUDO'HPRJUDSKLF,QGLFDWRUV7XUNH\ 1990 2000 2011 2012 2013 2014 Total Population 56.473.035 67.803.927 74.724.269 75.627.384 76.667.864 77.695.904 Rural Population Ratio (%) 48,7 40,8 28,2 27,7 13,3 12,8 Urban Population Ratio (%) 51,3 59,2 71,8 72,3 86,7 87,2 0-14 Aged Population Ratio (%) 35,0 29,8 25,3 24,9 24,6 24,3 65 and 65+ Aged Population Ratio (%) 4,3 5,7 7,3 7,5 7,7 8,0 Youth Dependency Ratio (Age 0-14) (%) 57,6 46,3 37,5 36,9 36,3 35,8 Elderly Dependency Ratio 7,0 8,8 10,9 11,1 11,3 11,8 (Aged 65 and Over) (%) Total Age Dependency Ratio (%) 64,7 55,1 48,4 48,0 47,6 47,6 Annual Population Growth Rate (‰) 21,7 18,3 13,5 12,0 13,7 13,3 Crude Birth Rate (‰) 24,1 21,6 16,8 17,2 17,0 17,3 Crude Death Rate (‰) 7,1 7,3 5,1 5,0 4,9 5,1 Total Fertility Rate (per Woman) 2,9 2,5 2,0 2,1 2,1 2,2 6RXUFH 785.67$7 )LJXUH8UEDQDQG5XUDO3RSXODWLRQE\ Year 1990 48,7 51,3 2000 40,8 59,2 2011 28,2 71,8 2012 27,7 72,3 2013 13,3 86,7 2014 12,8 87,2 050100 Rural Population Ratio Urban Population Ratio % 6RXUFH 785.67$7 4 THE MINISTRY of HEALTH of TURKEY 6RXUFH 785.67$7 6RXUFH 785.67$7 )LJXUH5XUDODQG8UEDQ3RSXODWLRQ5DWLRVE\1876 0DS8UEDQ3RSXODW൴RQ5DW൴RVE\3URY൴QFHV Northeastern Anatolia Northeastern Southeastern Anatolia Mideastern Anatolia Western Marmara Western Blacksea Western Anatolia Eastern Marmara Eastern Blacksea Central Anatolia Central Mediterranean NUTS-1 Istanbul Aegean Turkey 050100 3,6 0,1 6,6 10,1 8,7 10,5 12,8 18,6 33,4 Rural Population Ratio Rural 34,3 29,4 35,9 45,0 99,9 THE MINISTRY ofHEALTH of TURKEY 96,4 93,4 91,3 89,9 89,5 87,2 Urban Population Ratio 81,4 70,6 elhSaitc erok2014 Health Statistics Yearbook 66,6 65,7 64,1 55,0 <46 46- 61 >93 62 -93 % 5 General Demographic Indicators Health Statistics Yearbook 2014 0DS5XUDO3RSXODW൴RQ5DW൴RVE\3URY൴QFHV <5 40 - 51 5 - 39 >51 6RXUFH 785.67$7 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI8UEDQ3RSXODWLRQ5DWLRV % 87,2 80,0 80 71,0 62,0 53,0 40 0 Turkey Upper Income WHO European Upper Middle Global Group Countries Region Income Group Countries 6RXUFH 785.67$7 :+2:RUOG+HDOWK 6WDWLVWLFV Note: Turkey’s data belongs to 2014. 6 THE MINISTRY of HEALTH of TURKEY 6RXUFH 785.67$7 LXH$HQYU$JHG3RSXODWLRQ5DWLRVE\ General Demographic Indicators Health Statistics Yearbook 2014 0DS$JHG3RSXODW൴RQ5DW൴RVE\ < 0 3 - 0 - > 6RXUFH 785.67$7 )LJXUH,QWHUQDWLRQDO&RPSDULVRQ RI $JHG3RSXODWLRQ5DWLRV % 30 26,0 24,3 21,0 18,0 17,0 15 0 Global Turkey Upper Middle WHO European Upper Income Income Group Region Group Countries Countries 6RXUFH 785.67$7 :+2:RUOG+HDOWK 6WDWLVWLFV Note: Turkey’s data belongs to . 8 THE MINISTRY of HEALTH of TURKEY 6RXUFH 785.67$7 LXH DG2H $JHG3RSXODWLRQ5DWLRVE\1876 )LJXUH DQG2YHU 6RXUFH 785.67$7 0DSDQG2YHU$JHG3RSXODW൴RQ5DW൴RVE\3URY൴QFHV Northeastern Anatolia Northeastern Southeastern Anatolia Mideastern Anatolia Western Marmara Western Blacksea Western Anatolia Eastern Marmara Eastern Blacksea Central Anatolia Central Mediterranean NUTS-1 Istanbul Aegean Turkey 0714 4,5 5,9 5,9 THE MINISTRY ofHEALTH of TURKEY 7,4 7,4 7,7 8,0 elhSaitc erok2014 Health Statistics Yearbook 8,4 9,5 10,3 -9 < 11,7 12,2 12,6 >11 10- 11 % 9 General Demographic Indicators Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQ RI DQG2YHU $JHG3RSXODWLRQ5DWLRV % 25 22,0 21,0 20 15 13,0 12,0 11,7 10 5 0 Upper Income WHO European Upper Middle Global Turkey Group Countries Region Income Group Countries 6RXUFH 785.67$7 :+2:RUOG+HDOWK 6WDWLVWLFV Note: Turkey’s data belongs to . )LJXUH7RWDO$JH'HSHQGHQF\5DWLRVE\1876 NUTS-1 Southeastern Anatolia 68,6 Northeastern Anatolia 59,6 Mideastern Anatolia 58,8 Central Anatolia 50,3 Mediterranean 49,0 Eastern Blacksea 47,8 Western Blacksea 47,8 Turkey 47,6 Western Anatolia 43,5 Eastern Marmara 43,2 Aegean 43,1 Western Marmara 41,9 Istanbul 40,4 0 1530456075 6RXUFH 785.67$7 10 THE MINISTRY of HEALTH of TURKEY Source: TURKSTAT Map 1.5.Total Ratios by Age Provinces, Dependency (%),2014 THE MINISTRY ofHEALTH of TURKEY elhSaitc erok2014 Health Statistics Yearbook 44 -49 <44 >54 50 -53 11 General Demographic Indicators Health Statistics Yearbook 2014 7DEOH6RPH*HQHUDO'HPRJUDSKLF,QGLFDWRUVE\ 3URYLQFHV Elderly 65 and Over Youth Rural Urban 0-14 Aged Dependency Total Age Aged Dependency Total Population Population Population Ratio Dependency City Population Ratio Population Ratio Ratio Ratio (Aged 65 and Radio Ratio (Age 0-14) (%) (%) (%) Over) (%) (%) (%) (%) $GDQD $GÕ\DPDQ $I\RQNDUDKLVDU $÷UÕ $PDV\D $QNDUD $QWDO\D $UWYLQ $\GÕQ %DOÕNHVLU %LOHFLN %LQJ|O %LWOLV %ROX %XUGXU %XUVD dDQDNNDOH dDQNÕUÕ dRUXP 'HQL]OL 'L\DUEDNÕU (GLUQH (OD]Õ÷ (U]LQFDQ (U]XUXP (VNLúHKLU *D]LDQWHS *LUHVXQ *PúKDQH +DNNDUL +DWD\ ,VSDUWD 0HUVLQ øVWDQEXO ø]PLU .DUV .DVWDPRQX .D\VHUL .ÕUNODUHOL .ÕUúHKLU .RFDHOL 6RXUFH 785.67$7 12 THE MINISTRY of HEALTH of TURKEY 6RXUFH 785.67$7 3URYLQFHV 7DEOH6RPH*HQHUDO'HPRJUDSKLF,QGLFDWRUVE\ General Demographic Indicators Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; 3RSXODWLRQGDWDIRU DQGZHUH tDNHQIURm the “*HQHUDO &HQVXV´ rHVXOWV DQG WKH DQG SRSXODWLRQ GDWD IURP the $GGUHVV %DVHG 3RSXODWLRQ RHJLVWUDWLRQ6\VWHP $%356 . ; 7KH YDOXH RI the SURYLQFHV ZDV rRXQGHG XS WR WKH FORVHVW ZKROH QXPEHU ZKLOH PDNLQJ the PDSVLQWKH6HFWLRQ. 7KHVHZKROH QXPEHUV ZHUH WDNHQ LQWRDFFRXQW ZKLOHPDNLQJ tKHOLNHUWVFDOHV ; ,W hDV VHHQ LQFUHDVH LQ XUEDQ SRSXODWLRQ UDWLR GXH tR HVWDEOLVKLQJ PHWURSROLWDQ PXQLFLSDOLWLHVLQSURYLQFHV DQG PHUJLQJRIVPDOOWRZQVDQG YLOODJHVWRGLVWULFWVDV QHLJKERUKRRG LQSURYLQFHVKDYLQJPHWURSROLWDQPXQLFLSDOLWLHVVWDWXV 7KHGHILQLWLRQVRIWKHLQGLFDWRUVLQ6HFWLRQDUHDVIROORZV 5XUDO3RSXODWLRQ5DWLR 7KH UDWLR RI WKH SRSXODWLRQ OLYLQJ LQ VHWWOHPHQWV ZLWKDSRSXODWLRQRIDQGEHORZWRWKHWRWDO SRSXODWLRQ 8UEDQ3RSXODWLRQ5DWLR 7KH UDWLR RI WKH SRSXODWLRQ OLYLQJ LQ VHWWOHPHQWV ZLWKDSRSXODWLRQRIDQGDERYHWRWKHWRWDO SRSXODWLRQ 0$JHG3RSXODWLRQ5DWLR ,W LV WKH UDWLR RI WKH DJHG SRSXODWLRQ WR WKH WRWDOSRSXODWLRQ DQG2YHU $JHG3RSXODWLRQ5DWLR ,W LV WKH UDWLR RI WKH DJHG SRSXODWLRQ WR WKH WRWDOSRSXODWLRQ (OGHUO\ 'HSHQGHQF\5DWLR ,WLVWKHUDWLRRIROGDJH GHSHQGHQWV DJHGDQG $JHG DQG2YHU RYHU WR WKH ZRUNLQJDJH SRSXODWLRQ IURP WR . 7RWDO $JH 'HSHQGHQF\5DWLR ,WLV WKHUDWLRRIWRWDOGHSHQGHQWV DJHGDQG DJHG DQG RYHU WR WKH ZRUNLQJDJH SRSXODWLRQ IURPWR . &UXGH%LUWK5DWH Å ,W LQGLFDWHV WKH QXPEHU RI OLYH ELUWKV RFFXUULQJ GXULQJWKH\HDUSHUSRSXODWLRQHVWLPDWHG. &UXGH'HDWK5DWH Å ,W LQGLFDWHVWKHQXPEHURIGHDWKVRFFXUULQJGXULQJ WKH\HDUSHUSRSXODWLRQHVWLPDWHG. 7RWDO)HUWLOLW\5DWH ,WUHSUHVHQWVWKHQXPEHURIFKLOGUHQWKDWZRXOGEH SHU:RPDQ ERUQWRDZRPDQLIVKHZHUHWROLYHWRWKHHQGRI KHU FKLOGEHDULQJ \HDUV IURP WR DQG EHDU FKLOGUHQ LQ DFFRUGDQFH ZLWK FXUUHQW DJHVSHFLILF IHUWLOLW\UDWHV 14 THE MINISTRY of HEALTH of TURKEY Chapter 2 Mortality Mortality . LXHLH(SFDFW%UK \ Mortality Health Statistics Yearbook 2014 )LJXUH. ,QIDQW0RUWDOLW\5DWHE\1876 SHU /LYH%LUWKV NUTS-1 Southeastern Anatolia 11,6 Mideastern Anatolia 10,6 Northeastern Anatolia 10,2 Turkey 7,6 Mediterranean 7,4 Central Anatolia 7,1 Western Blacksea 6,5 Istanbul 5,9 Aegean 5,9 Eastern Blacksea 5,8 Western Anatolia 5,6 Western Marmara 5,6 Eastern Marmara 5,4 036912Rate 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI,QIDQW0RUWDOLW\5DWH SHU /LYH%LUWKV Rate 40 33,6 30 20 15,6 10,5 10 7,6 5,3 0 Global Upper Middle WHO European Turkey Upper Income Income Group Region Group Countries Countries 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ :+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. 18 THE MINISTRY of HEALTH of TURKEY 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH )LJXUH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ Northeastern Anatolia Northeastern Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern Mideastern Anatolia Mideastern Western Marmara Western Marmara Western Blacksea Western Blacksea Western Anatolia Western Western Anatolia Western Eastern Marmara Eastern Marmara Eastern Blacksea Eastern Eastern Blacksea Eastern Central Anatolia Central Central Anatolia Central Mediterranean Mediterranean NUTS-1 . . HQWO0UDL\5W\17 H /LYH%LUWKV 1HRQDWDO0RUWDOLW\5DWHE\1876 SHU 3HULQDWDO0RUWDOLW\5DWHE\1876 SHU%LUWKV NUTS-1 Istanbul Istanbul Aegean Aegean Turkey Turkey 036912 036 2,9 2,9 3,1 3,2 3,3 3,5 3,7 THE MINISTRY ofHEALTH of TURKEY 6,6 4,1 6,8 4,2 6,9 4,2 7,0 7,0 7,2 7,3 4,8 7,8 7,8 elhSaitc erok2014 Health Statistics Yearbook 8,1 5,8 9,6 9,7 6,5 10,9 Rate Rate 19 Mortality Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQ RI1HRQDWDO 0RUWDOLW\5DWH SHU /LYH%LUWKV Rate 20 20,0 15 10 9,7 6,1 5 4,2 3,5 0 Global Upper Middle WHO European Turkey Upper Income Income Group Region Group Countries Contries 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. )LJXUH. 3RVWQHRQDWDO0RUWDOLW\5DWHE\1876 SHU /LYH%LUWKV NUTS-1 Northeastern Anatolia 5,4 Southeastern Anatolia 5,1 Mideastern Anatolia 4,8 Turkey 3,4 Mediterranean 3,2 Central Anatolia 3,0 Eastern Blacksea 3,0 Western Blacksea 2,8 Western Anatolia 2,8 Istanbul 2,7 Western Marmara 2,5 Aegean 2,4 Eastern Marmara 2,2 0246 Rate 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 20 THE MINISTRY of HEALTH of TURKEY oe ukysdata belongs to the year 2014. Turkey’s Note: LXH,WUDLQO&PDLRI8GU0UDL\5W 5DWH 0RUWDOLW\ )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI8QGHU 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6 )LJXUH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Rate Mideastern Anatolia Mideastern 20 40 0 Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Mediterranean . QHRWOWDHE86SU/LYH%LUWKV 8QGHU0RUWDOLW\5DWHE\1876 SHU NUTS-1 Istanbul lblUpper Middle Global Aegean Turkey 45,6 015 10 5 0 Income Group Income Countries 19,6 WHO European Region 12,2 6,8 7,0 7,3 7,6 THE MINISTRY ofHEALTH of TURKEY 7,6 7,7 8,2 WDWLVWLFV H LH%UK /LYH%LUWKV SHU 9,3 Turkey Upper Income Upper Turkey 9,6 9,7 9,7 elhSaitc erok2014 Health Statistics Yearbook Group Countries 13,4 6,3 13,9 14,6 Rate 21 Mortality Health Statistics Yearbook 2014 )LJXUH. 0DWHUQDO0RUWDOLW\5DWLR E\1876 SHU/LYH%LUWKV NUTS-1 Mideastern Anatolia 33,8 Mediterranean 21,6 Southeastern Anatolia 18,1 Eastern Blacksea 15,4 Turkey 15,2 Western Marmara 15,0 Aegean 14,7 Central Anatolia 14,4 Western Blacksea 14,1 Northeastern Anatolia 12,2 Western Anatolia 10,3 Istanbul 8,3 East Marmara 7,2 0 5 10 15 20 25 30 35 Ratio 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI0DWHUQDO0RUWDOLW\5DWLR SHU/LYH%LUWKV Ratio 210,0 200 150 100 57,0 50 17,0 17,0 15,2 0 Global Upper Middle WHO European Upper Income Turkey Income Group Region Group Countries Countries 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. 22 THE MINISTRY of HEALTH of TURKEY DO 'VUEWRR&XHR'DK \ K,' DQ 'LDJ 0DLQ ,&' WKH E\ 'HDWK RI &DXVHV RI 'LVWULEXWLRQ 7DEOH RUH8.77&XHI'DK6DLWF 6RXUFH 785.67$7&DXVHVRI'HDWK6WDWLVWLFV XN\ 7XUNH\ mortality mortality External causes ofmorbidity and Classified Elsewhere Not Clinical andLaboratory Findings, SignsSymptoms, and Abnormal Abnormalities Deformations and Chromosomal Malformations, Congenital the Perinatal Period in Originating Conditions Certain Puerperium Pregnancy, Childbirth andthe System oftheGenitourinaryDiseases andConnectiveSystem Tissue Diseases of the Musculoskeletal Subcutaneous Tissue and oftheSkin Diseases System oftheDigestive Diseases System oftheRespiratory Diseases System oftheCirculatory Diseases and Sense Organs Diseases of the Nervous System Mental andBehavioural Disorders Diseases Metabolic and Nutritional Endocrine, Mechanism Disorders Involving the Immune Bloodforming Organs andCertain oftheBloodand Diseases Neoplasms Diseases Certain Infectious and Parasitic ICD-10 Diagnosis Codes M00-M99 Q00-Q99 O00-O99 N00-N99 G00-H95 G00-H95 D50-D89 C00-D48 A00-B99 A00-B99 R00-R99 V01-Y89 P00-P96 K00-K93 E00-E90 F00-F99 L00-L99 L00-L99 J00-J99 I00-I99 Code 10,67 34,41 25,53 Male 1,15 1,77 3,10 0,29 0,05 2,52 3,60 0,20 4,65 0,36 1,61 5,32 4,76 - Female 16,79 42,21 2012 5,13 0,19 7,65 0,51 1,75 2,63 4,75 1,30 1,73 0,04 3,52 0,59 0,09 2,70 8,44 21,58 37,93 Total 4,29 0,20 6,00 0,43 1,67 4,10 4,76 1,22 1,75 0,02 3,29 0,42 0,07 2,60 9,67 THE MINISTRY ofHEALTH of TURKEY 25,09 10,66 35,71 Male 3,41 0,14 4,30 0,34 1,73 7,49 2,28 1,28 1,96 2,79 0,20 0,05 2,55 - Female 16,45 44,50 2013 4,89 0,17 7,13 0,50 1,80 3,40 2,42 1,44 1,83 0,19 3,25 0,46 0,10 2,74 8,75 elhSaitc erok2014 Health Statistics Yearbook RL&GV Q6[ 6H[ DQG &RGHV QRVLV 21,21 39,65 Total 4,08 0,16 5,57 0,41 1,77 5,66 2,35 1,36 1,90 0,08 2,99 0,31 0,07 2,63 9,80 24,87 11,59 36,60 Male 3,73 0,12 4,04 0,32 1,79 5,52 2,11 1,39 2,19 2,95 0,19 0,06 2,53 - Female 15,74 44,94 2014 5,20 0,17 6,44 0,40 1,83 2,80 2,51 1,41 1,99 0,15 3,43 0,43 0,11 2,75 9,72 20,67 10,73 40,42 Total 4,40 0,14 5,14 0,36 1,80 4,27 2,29 1,41 2,10 0,07 3,17 0,30 0,08 2,63 23 Mortality Health Statistics Yearbook 2014 &KDSWHU([SODQDWLRQV ; :KLOH FDOFXODWLQJ ,QIDQW 3HULQDWDO 1HRQDWDO 3RVWQHRQDWDO DQG 8QGHUILYH FKLOG mRUWDOLW\ UDWHVRYHU ZHHNVDQGRYHU RUJDQGPRUHGHDWKVDUHWDNHQLQWRDFFRXQW ; ,QIDQW 0RUWDOLW\ 5DWH ,W LV FDOFXODWHG DV LQ D VRFLHW\ QXPEHU RI LQIDQWV ZKR GLH EHIRUH FRPSOHWLQJRQH\HDU LQOLYe ELUWKVPXOWLSO\LQJE\ WRWKHUDWLR RIWKHQXPEHU RI OLYH ERUQ LQIDQWV LQ the VDPH\HDULQ WKHVDPHVRFLHW\ ; 3HULQDWDO 0RUWDOLW\ 5DWH ,W LV DFTXLUHG E\DGGLQJthe QXPEHURIthe EDELHVZKRDUH ERUQ DOLYHDQGGLe LQGD\V (DUO\ 1HRQDWDO LQ D\HDULQ D VRFLHW\ tR thHQXPEHURI WKHGHDGELUWKV LQ theVDPH\HDU DQG LW LVGLYLGHG E\ theQXPEHURIWRWDOELUWKV OLYHGHDG LQ the VDPH\HDUDQG PXOWLSOLHGE\ ; 1HRQDWDO 0RUWDOLW\ 5DWH ,W LV FDOFXODWHGDVLQ DVRFLHW\LQ D \HDU the QXPEHU RIQHZERUQ GHDWKV RFFXULQJ LQ GD\VWR the QXPEHU RI OLYH ERUQ LQIDQWV PXOWLSO\LQJE\LQWKHVDPH VRFLHW\ LQ tKHVDPH\HDU ; 3RVWQHRQDWDO PRUWDOLW\ UDWH ,WLVFDOFXODWHG DV LQ DVRFLHW\LQ D\HDUWKHQXPEHU RIQHZERUQ GHDWKV RFFXULQJ LQ GD\VDQG GD\VWR WKHQXPEHURI OLYH ERUQ LQIDQWV PXOWLSO\LQJ E\LQ tKHVDPHVRFLHW\ LQ tKHVDPH\HDU ; 8QGHU)LYH 0RUWDOLW\5DWH ,Q DVRFLHW\LQ D\HDU QXPEHURIFKLOGUHQ ZKRGLHGZLWKRXW FRPSOHWLQJ ILYe \HDUV WR the UDWLR RI the QXPEHURIOLYH ELUWKV PXOWLSO\LQJ E\LQWKHVDPH VRFLHW\ LQ tKHVDPH\HDU ; 0DWHUQDO 0RUWDOLW\ RaWLR 7KH QXPEHU RIPRWKHUVZKR GLH GXHWRSUHJQDQF\ LQ D\HDULQ D VRFLHW\PXOWLSO\LQJE\WRWKHUDWLRRIWKHQXPEHU RIOLYHERUQ EDELHVLQ WKHVDPHVRFLHW\LQ tKHVDPH\HDU 785.67$70RUWDOLW\5HDVRQ6WDWLVWLFV 'HILQLWLRQ 7KHUHDVRQVFDXVLQJPRUWDOLW\DUHWKHVWDWLVWLFVEHORQJLQJWRWKH XQGHUO\LQJUHDVRQ RIPRUWDOLW\ &ODVVLILFDWLRQ ³,QWHUQDWLRQDO&ODVVLILFDWLRQRI'LVHDVHV ,&' ´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tKHGDWDHQWU\RIWKHRWKHUSDUWVLQWKH PRUWDOLW\ FHUWLILFDWH LV PDGH DW WKH 785.67$7 5HJLRQDO 'LUHFWRUDWHV7KHPRUWDOLW\FHUWLILFDWHVWKHGDWDHQWU\RIZKLFKLV PDGHDUHVHQWWRWKH785.67$7FHQWUH$OORIWKHGLVHDVHVWKDW FDXVH PRUWDOLW\ DQG UHODWHG WR PRUWDOLW\ LQ WKH PRUWDOLW\ FHUWLILFDWHDUHFRGHGE\WKHHQFRGHUWHDPDWWKHFHQWUHDFFRUGLQJ WRWKH,QWHUQDWLRQDO&ODVVLILFDWLRQRI'LVHDVHV ,&' DQGWKH XQGHUO\LQJFDXVHRIPRUWDOLW\LVIRXQGDFFRUGLQJWRWKHUXOHVRI WKH:RUOG+HDOWK2UJDQL]DWLRQ7KHQWKHGDWDHQWU\RIWKHQDPHV RI WKH GLVHDVHV FRGHV RI WKH GLVHDVHV DQG WKH FRGH RI WKH XQGHUO\LQJGLVHDVHLQWKHVHFHUWLILFDWHVLVPDGH 24 THE MINISTRY of HEALTH of TURKEY Chapter 3 Morbidity Morbidity . DO 1XPEHURI&DVHVRI 7DEOH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2*OREDO+HDOWK 3R ,QIHFWLRXV'LVHDVHV,QFLGHQFHE\ Imported Case Imported Case Imported Case Imported Case 2002 2002 15,4 11,8 0,07 Local Case Local Case Local Case Local Case 33 Total Case Total Case Total Case Total Case the ,QIHFWLRXV'LVHDVHVE\ Morbidity Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI$,'6,QFLGHQFHE\ /ŶĐŝĚĞŶĐĞ Ϯ͕Ϭϱ Ϯ͕Ϭ ϭ͕ϱ ϭ͕Ϯϳ ϭ͕ϰϰ ϭ͕Ϭ Ϭ͕ϴϲ Ϭ͕ϱ Ϭ͕Ϭϳ Ϭ͕ϭϮ Ϭ͕Ϭ ϮϬϬϮ ϮϬϬϯ ϮϬϬϰ ϮϬϬϱ ϮϬϬϲ ϮϬϬϳ ϮϬϬϴ ϮϬϬϵ ϮϬϭϬ ϮϬϭϭ ϮϬϭϮ ƵƌŽƉĞĂŶhŶŝŽŶ Ϯ͕Ϭϱ ϭ͕ϵϳ ϭ͕ϴϴ ϭ͕ϳϵ ϭ͕ϲϱ ϭ͕ϱϯ ϭ͕ϱϬ ϭ͕ϯϯ ϭ͕Ϯϲ ϭ͕ϭϬ Ϭ͕ϴϲ t,K ƵƌŽƉĞĂŶZĞŐŝŽŶ ϭ͕ϰϰ ϭ͕ϰϳ ϭ͕ϱϯ ϭ͕ϲϲ ϭ͕ϲϬ ϭ͕ϱϴ ϭ͕ϱϲ ϭ͕ϱϬ ϭ͕ϱϮ ϭ͕ϰϱ ϭ͕Ϯϳ dƵƌŬĞLJ Ϭ͕Ϭϳ Ϭ͕Ϭϴ Ϭ͕Ϭϳ Ϭ͕Ϭϱ Ϭ͕Ϭϱ Ϭ͕Ϭϯ Ϭ͕Ϭϳ Ϭ͕ϭϬ Ϭ͕Ϭϵ Ϭ͕ϭϭ Ϭ͕ϭϮ 6RXUFH :+2+)$'DWDEDVH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI0HDVOHV,QFLGHQFHE\ ϭϭ͕ϴ ϳ ϲ͕ϰ ϱ͕ϯ ϱ͕ϵ ϰ͕ϳ Ϭ͕ϱ Ϭ ϮϬϬϮ ϮϬϬϯ ϮϬϬϰ ϮϬϬϱ ϮϬϬϲ ϮϬϬϳ ϮϬϬϴ ϮϬϬϵ ϮϬϭϬ ϮϬϭϭ ϮϬϭϮ ƵƌŽƉĞĂŶhŶŝŽŶ ϱ͕ϵ ϰ͕ϵ ϭ͕Ϯ ϭ͕ϯ ϭ͕ϱ Ϭ͕ϳ ϭ͕Ϯ ϭ͕ϯ ϱ͕ϵ ϲ͕ϰ ϱ͕ϯ t,K ƵƌŽƉĞĂŶZĞŐŝŽŶ ϲ͕ϰ ϰ͕ϱ ϯ͕ϰ ϰ͕ϯ ϲ͕Ϯ ϯ͕Ϯ ϭ͕Ϭ Ϭ͕ϵ ϯ͕ϰ ϰ͕ϭ ϰ͕ϳ dƵƌŬĞLJ ϭϭ͕ϴ ϴ͕ϯ ϭϮ͕ϵ ϭ͕ϲ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕ϭ Ϭ͕ϱ 6RXUFH :+2+)$'DWDEDVH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 28 THE MINISTRY of HEALTH of TURKEY 6RXUFH :+2*OREDO+HDOWK2EVHUYDWRU\'DWDEDVH )LJXUH )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI7XEHUFXORVLV,QFLGHQFH RUH+) DDDH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 'DWDEDVH 6RXUFH :+2+)$ Incidence Incidence High Income Group Countries Turkey WHO European Region Upper Middle Income Group Global . Turkey WHO European Region European Union QHQWRDRSUVQRDDL QLHF\ Morbidity Health Statistics Yearbook 2014 7DEOH. 'LVWULEXWLRQRI+RVSLWDO'LVFKDUJHVE\WKH0DLQ'LDJQRVLV*URXSV RI,&' DQG6H[ 7XUNH\ 2012 2013 2014 ICD-10 Diagnosis Groups Code Male Female Total Male Female Total Male Female Total Certain Infectious and Parasitic Diseases A00-B99 3,8 2,6 3,1 3,7 2,6 3,1 3,4 2,4 2,9 Neoplasms C00-D48 4,8 3,5 4,1 4,5 3,4 3,9 4,3 3,2 3,7 Diseases of the Blood and Bloodforming Organs and Certain Disorders Involving the D50-D89 1,4 1,7 1,6 1,5 2,0 1,7 1,5 2,2 1,9 Immune Mechanism Endocrine, Nutritional and Metabolic E00-E90 2,2 3,3 2,8 2,1 3,2 2,7 2,1 3,1 2,7 Diseases Mental and Behavioural Disorders F00-F99 2,3 1,3 1,7 1,8 1,0 1,4 1,6 0,8 1,2 Diseases of the Nervous System G00-G99 1,8 1,7 1,8 1,9 1,7 1,8 1,9 1,7 1,8 Diseases of the Eye and Adnexa H00-H59 4,2 3,6 3,9 4,6 4,0 4,3 4,9 4,2 4,5 Diseases of the Ear and Mastoid Process H60-H95 0,7 0,6 0,6 0,6 0,5 0,6 0,8 0,6 0,7 Diseases of the Circulatory System I00-I99 9,2 6,4 7,7 9,5 6,6 7,9 10,1 6,8 8,3 Diseases of the Respiratory System J00-J99 17,0 9,7 12,9 16,8 9,6 12,8 16,5 9,6 12,7 Diseases of the Digestive System K00-K93 11,5 9,1 10,2 12,1 10,1 11,0 11,7 9,7 10,6 Diseases of the Skin and Subcutaneous Tissue L00-L99 3,9 2,1 2,9 4,0 2,2 3,0 3,8 2,1 2,9 Diseases of the Musculoskeletal System and M00-M99 3,9 5,0 4,5 3,7 4,9 4,4 3,9 5,1 4,6 Connective Tissue Diseases of the Genitourinary System N00-N99 6,9 8,4 7,7 7,8 8,3 8,1 7,7 8,1 7,9 Pregnancy, Childbirth and the Puerperium O00-O99 - 21,8 12,1 - 21,6 11,9 - 22,2 12,3 Certain Conditions Originating in the P00-P96 2,9 2,0 2,4 2,7 1,9 2,3 2,6 1,8 2,1 Perinatal Period Congenital Malformations, Deformations and Q00-Q99 1,1 0,5 0,7 1,1 0,5 0,7 1,0 0,5 0,7 Chromosomal Abnormalities Symptoms, Signs and Abnormal Clinical and R00-R99 4,6 3,8 4,2 3,8 3,2 3,4 4,1 3,4 3,7 Laboratory Findings, Not Elsewhere Classified Injury, Poisoning and Certain other S00-T98 8,1 4,3 5,9 7,3 3,9 5,4 6,6 3,5 4,9 Consequences of External Causes Factors Influencing Health Status and Contact Z00-Z99 9,6 8,6 9,1 10,7 8,8 9,7 11,5 8,9 10,1 With Health Services Total 100 100 100 100 100 100 100 100 100 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 'LDJQRVLV5HODWHG*URXSV 'DWDEDVH 7DEOH 7RWDO &DQFHU ,QFLGHQFH E\ Male 154,2 168,7 236,3 246,5 256,4 279,0 280,5 269,7 261,4 Female 113,0 127,9 142,9 149,7 158,1 165,1 172,0 173,3 168,7 Total 133,5 148,3 189,6 198,1 207,3 222,0 226,3 221,5 215,1 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 30 THE MINISTRY of HEALTH of TURKEY :RUOG6WDQGDUG3RSXODWLRQ 7XUNH\ 7DEO 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 7\SHV &DQFHU &RPPRQ &DQFHU 7XUNH\ 0RVW WKH RI 'LVWULEXWLRQ 7KH )LJXUH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ Uterine Cervix System(ONS) Brain, Other Nervous Lymphoma Non-Hodgkin Ovarium Stomach andBronchTrachea Lung Uterine Corpus Colorectal Thyroid Breast Brain, Other Nervous System(ONS) e . Trachea Lung and Bronch Non-Hodgkin Lymphoma QLHFRWH RW RPQ \HR&QH$RJ:PQE Morbidity Health Statistics Yearbook 2014 7DEOe . ,QFLGHQFHRIthe 0RVW&RPPRQ7\SHVRI&DQFHU$PRQJ 0HQ E\ Prostate 11,5 14,0 24,9 28,6 28,9 32,3 37,6 36,1 33,8 U. Bladder 12,4 13,7 19,3 20,6 21,0 22,5 21,7 21,4 20,7 Colorectal 11,8 13,8 16,5 16,2 18,2 19,1 20,8 21,0 20,7 Stomach 11,6 12,0 14,1 14,9 14,8 17,3 18,0 16,2 16,1 Larynx 6,9 8,4 10,0 8,9 9,7 9,3 9,1 8,1 7,7 Non-Hodgkin Lymphoma 1,4 2,5 6,3 5,9 6,9 7,6 6,9 7,2 7,0 Pancreas 3,1 3,1 4,0 4,4 5,2 6,3 6,1 5,4 5,7 Brain, Other Nervous 5,3 4,7 4,7 5,7 5,4 5,8 6,1 5,4 5,7 System(ONS) Kidney 3,0 3,2 4,1 4,1 5,5 5,2 5,8 6,3 5,5 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH 7KH'LVWULEXWLRQRIWKH0RVW&RPPRQ&DQFHU7\SHV$PRQJ0HQLQWKH7RWDO&DQFHU 7XUNH\ Trachea Lung and Bronch 23,3 Prostate 12,9 U. Bladder 7,9 Colorectal 7,9 Stomach 6,2 Larynx 2,9 Non-Hodgkin Lymphoma 2,7 Brain, Other Nervous System(ONS) 2,2 Pancreas 2,2 Kidney 2,1 0 5 10 15 20 25 % 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 32 THE MINISTRY of HEALTH of TURKEY DO &DQFHU,QFLGHQFH 7DEOH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ C39,C48,C76,C77,C80 C95 C92-C94 C91 C90 C88 C82-C85;C96 C81 C81-85,88,90-96 C75 C74 C74-75 C73 C70-C72 C69 C68 C67 C66 C65 C64 C64-68 C63 C62 C61 C60 C60-63 C50 C47;C49 C46 C45 C44 C43 C40-C41 C37-C38 C33-C34 C32 C30-C31 C30-34,C37-C38 C26 C25 C23-C24 C22 C21 C19-C20 C18 C17 C16 C15 C15-26 C14 C12-C13 C11 C10 C09 C07-C08 C03-C06 C01-C02 C00 C00-14 C00-96 ICD-10 Other&Unspecified Other&Unspecified unspecifiedLeukemia, Myeloid Leukemia LeukemiaLymphoid Myeloma Multiple Immunoproliferative diseases lymphomaNon-Hodgkin diseaseHodgkin’s Lymphoid and hematopoietic EndocrineOther gland Adrenal Other Endocrine Glands Thyroid Brain, nervous system Eye Other Urinary Organs Bladder Ureter Pelvis Renal Kidney Urinary Organs male genital Other Testicle Prostate Penis Organs Genital Male Breast Connective, Softtissue Kaposi's sarcoma Mesothelioma Other Skin Melanoma Bone Other Thoracic Organs Bronchus, LungTrachea, Larynx Nose, sinuses etc. Respiratory Organs DigestionOther Organs Pancreas Gall bladder etc. Liver Anus Rectum Colon Intestine Small Stomach Esophagus Digestion Organs Pharynx, unspecified Hypopharynx Nasopharynx OropharynxOther Tonsil Glands Salivary Mouth Tongue Lip Mouth, Pharynx All Cancers E\ H H:RUOG6WDQGDUG3RSXODWLRQ 7XUNH\ 6H[ SHU Male 261,4 61,0 69,8 12,0 16,1 51,8 19,3 20,7 26,6 33,8 37,2 27,0 7,7 0,4 0,2 5,7 1,6 4,4 0,2 8,7 0,6 2,3 0,0 0,3 1,3 0,1 0,3 0,7 0,6 0,6 1,7 5,6 5,5 0,4 2,9 3,9 2,9 0,0 7,0 2,2 0,1 0,4 0,5 4,7 5,7 0,5 0,1 0,1 0,2 5,5 0,0 3,4 0,0 0,6 2,0 0,6 0,9 1,8 1,0 0,7 C33-C34 C32 C30-C31 C30-34,C37-C38 C26 C25 C23-C24 C22 C21 C19-C20 C18 C17 C16 C15 C15-26 C14 C12-C13 C11 C10 C09 C07-C08 C03-C06 C01-C02 C00 C00-14 C00-96 ICD-10 C39,C48,C76,C77,C80 C95 C92-C94 C91 C90 C88 C82-C85;C96 C81 C81-85,88,90-96 C75 C74 C74-75 C73 C70-C72 C69 C68 C67 C66 C65 C64 C64-68 C58 C57 C56 C55 C54 C53 C52 C51 C51-58 C50 C47;C49 C46 C45 C44 C43 C40-C41 C37-C38 THE MINISTRY ofHEALTH of TURKEY elhSaitc erok2014 Health Statistics Yearbook Trachea, Bronchus, Lung Bronchus, Trachea, Larynx Nose, sinuses etc. Respiratory Organs Other Digestion Organs Pancreas Gall bladder etc. Liver Anus Rectum Colon Intestine Small Stomach Esophagus Digestion Organs Pharynx, unspecified Hypopharynx Nasopharynx OropharynxOther Tonsil Glands Salivary Mouth Tongue Lip Mouth, Pharynx All Cancers Other&Unspecified Other&Unspecified unspecifiedLeukemia, Myeloid Leukemia LeukemiaLymphoid Myeloma Multiple Immunoproliferative diseases lymphomaNon-Hodgkin diseaseHodgkin’s Lymphoid and hematopoietic EndocrineOther gland Adrenal Other Endocrine Glands Thyroid Brain, nervous system Eye Other Urinary Organs Bladder Ureter Pelvis Renal Kidney Urinary Organs Placenta FemaleOther Genital Ovary unspec.Uterus Corpus uteri uteri Cervix Vagina Vulva Organs Genital Female Breast Connective, Softtissue Kaposi's sarcoma Mesothelioma Other Skin Melanoma Bone Other Thoracic Organs Female 168,7 28,6 13,1 18,1 21,6 38,6 17,7 8,0 0,4 0,2 8,9 0,2 3,1 1,4 1,8 0,2 4,9 8,2 0,3 7,2 1,3 0,0 0,1 0,5 0,0 0,1 0,5 0,3 0,5 0,4 2,4 3,4 0,3 2,2 2,3 1,8 0,0 5,3 1,2 0,2 0,3 0,5 4,4 0,5 0,1 3,0 0,0 0,1 3,0 6,2 0,0 0,3 6,6 0,5 9,6 4,0 0,2 0,4 1,6 0,3 0,6 1,3 0,8 0,3 33 Morbidity Health Statistics Yearbook 2014 7DEOH 7KH 6WDWXV RIWKH DQG 2YHU $JHG ,QGLYLGXDOVUHJDUGLQJ 0DNLQJ6HOI([DPLQDWLRQ RI %UHDVW % I Have Never Made Self-Examination of Breast until Today 65,1 I Make Self-Examination of Breast Once in a While 19,4 (Less Frequently than Once in 3 Months) I Make Self-Examination of Breast Once in 2-3 Months 5,4 I Make Self-Examination of Breast every Month Regularly 10,1 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH 'LVWULEXWLRQ RI WKH 6WDWXV RI DQG 2YHU $JHG ,QGLYLGXDOV UHJDUGLQJ +DYLQJ 3URVWDWH ([DPLQDWLRQE\5HVLGHQFH Rural Urban Turkey I Had Prostate Examination within the Last 12 Months 5,4 4,6 4,9 I Had Prostate Examination before the Last 12 6,3 4,9 5,3 Months I did not Have Prostate Examination 87,1 90,2 89,3 6RXUFH 785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ 7DEOH 'LVWULEXWLRQ RI WKH 6WDWXV RI DQG 2YHU $JHG ,QGLYLGXDOV UHJDUGLQJ +DYLQJ 0DPPRJUDSK\E\5HVLGHQFH Rural Urban Turkey I Had Mammography within the Last 12 Months 4,9 7,7 6,8 I Had Mammography before the Last 12 Months 8,2 12,2 10,9 I did not Have Mammography 84,2 78,6 80,4 6RXUFH 785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ 7DEOH'LVWULEXWLRQRIWKH6WDWXVRIDQG2YHU $JHG,QGLYLGXDOVUHJDUGLQJ+DYLQJ6PHDU7HVW E\5HVLGHQFH Rural Urban Turkey I Had Smear Test within the Last 12 Months 5,4 9,1 7,9 I Had Smear Test before the Last 12 Months 7,7 12,6 11,1 I did not Have Smear Test 82,2 75,9 77,9 6RXUFH 785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ 34 THE MINISTRY of HEALTH of TURKEY 7DEOH 7DEOH RUH8.77 HOK,WULZ6UH 6XUYH\ ,QWHUYLHZ +HDOWK 6RXUFH 785.67$7 6XUYH\ ,QWHUYLHZ +HDOWK 6RXUFH 785.67$7 QHLHF DQG5HVLGHQFH 65-74 55-64 45-54 35-44 25-34 15-24 Total 75+ Age GroupsAge Female Female Good/Good Good/Good Good/Good Good/Good Good/Good Good/Good Good/Good Good/Good Good/Good . . Male Total Bad/Very Bad/Very Bad/Very Bad/Very Bad/Very Bad/Very Bad/Very Bad/Very Bad/Very LWLXLQRDG2H $JHG,QGLYLGXDOV¶*HQHUDO+HDOWK6WD 'LVWULEXWLRQRIDQG2YHU LWLXLQRDG2H $JHG,QGLYLGXDOV¶*HQHUDO+HDOWK6WD 'LVWULEXWLRQRIDQG2YHU Very Very Very Very Very Very Very Very Very Bad Bad Bad Bad Bad Bad Bad Bad Bad Male 70,3 33,6 21,9 18,1 42,4 49,4 67,7 77,7 83,4 93,4 7,4 0,9 6,4 4,2 2,6 1,4 Female Female 13,1 57,1 44,1 13,2 30,3 20,3 22,6 33,2 14,2 41,8 63,3 81,6 91,2 5,5 2,9 1,8 Rural Very Good Good Very Very Good Very Good Very Bad Very Very Bad Very Bad Good Good Good Good Good Bad Bad Bad Total Total 10,4 63,4 39,6 16,9 24,8 30,2 17,1 40,8 10,3 54,9 70,4 82,4 92,2 4,8 2,8 1,6 Male 15,7 45,0 59,1 72,9 80,9 89,6 93,6 80,1 30,2 27,1 9,6 4,7 3,2 1,8 1,3 4,3 Female Female 26,3 23,9 17,8 37,2 53,4 68,8 82,8 91,6 67,9 38,7 14,1 Urban 8,9 4,8 2,1 1,2 7,3 THE MINISTRY ofHEALTH of TURKEY 2008 10,1 63,6 13,2 55,5 71,9 7,0 Total Total 21,5 33,5 13,7 48,2 63,1 74,9 86,2 92,6 74,0 35,5 19,0 6,8 4,0 1,9 1,3 5,8 elhSaitc erok2014 Health Statistics Yearbook Male 16,9 43,7 10,1 55,6 71,2 80,0 88,1 93,5 77,1 32,0 24,3 5,3 3,4 2,0 1,3 5,2 WXVE\6H[$JH*URXSV 2010 X\6[ WXVE\6H[ 10,0 65,0 13,1 56,7 73,5 6,7 Female Female 28,3 22,1 19,7 35,6 10,6 49,7 67,3 82,5 91,5 64,5 41,4 13,6 Turkey Turkey 5,0 2,3 1,4 9,2 2012 70,7 64,5 77,1 7,2 9,2 5,2 Total Total 23,1 31,9 15,0 45,4 60,5 73,7 85,3 92,5 70,7 37,6 17,9 7,9 4,2 2,1 1,4 7,2 35 Morbidity Health Statistics Yearbook 2014 7DEOH3HUFHQWDJHRI,QGLYLGXDOV+DYLQJDLIILFXOW\LQ3HUIRUPLQJ3HUVRQDOCDUHE\6H[> DJH@ Personel Care Activities Male Female Total Feeding Yourself 1,8 3,7 2,8 'ĞƚƚŝŶŐ7ŶŶĚKƵƚŽĨĂĞĚŽƌŚĂŝƌ 2,4 5,2 3,8 Dressing and Undressing 2,2 3,8 3,0 Using Toilets 1,8 3,8 2,8 ĂƚŚŝŶŐŽƌ^ŚŽǁĞƌŝŶŐ 2,1 4,3 3,2 6RXUFH 785.67$7+HDOWK ,QWHUYLHZ 6XUYH\ 7DEOH 3HUFHQWDJH RI 0DMRU 'LVHDVHV 6HHQ LQ ChLOGUHQ LQ the 3DVW 0RQWKV E\ 6H[ >&KLOGUHQLQDJHJURXS@ ŝƐĞĂƐĞͬ,ĞĂůƚŚWƌŽďůĞŵ Male Female Total Upper Respiratory Tract Infection 42,8 40,9 41,9 ;dŽŶƐŝůůŝƚŝƐ͕DŝĚĚůĞ Ăƌ7ŶĨĞĐƚŝŽŶƐ͕WŚĂƌLJŶŐŝƚŝƐ͕ ƚĐ͘Ϳ ŝĂƌƌŚĞĂ 33,7 32,7 33,2 ŽŵŵƵŶŝĐĂďůĞŝƐĞĂƐĞƐ 6,2 9,4 7,8 ;sĂƌŝĐĞůůĂ͕DƵŵƉƐ ƚĐ͘Ϳ Anemia 11,4 10,3 10,8 ;/ƌŽŶĞĨŝĐŝĞŶĐLJŶĞŵŝĂ͕ ƚĐ͘Ϳ KƌĂůĂŶĚĞŶƚĂů,ĞĂůƚŚWƌŽďůĞŵƐ 9,6 9,1 9,3 >ŽǁĞƌZĞƐƉŝƌĂƚŽƌLJdƌĂĐƚ7ŶĨĞĐƚŝŽŶ 10,1 10,1 10,1 ;WŶĞƵŵŽŶŝĂ͕ ƚĐ͘Ϳ hƌŝŶĂƌLJdƌĂĐƚ7ŶĨĞĐƚŝŽŶ 3,2 6,1 4,6 ^ŬŝŶŝƐĞĂƐĞƐ 5,9 4,7 5,3 ŽŶĞĞĨŽƌŵŝƚŝĞƐĂƵƐĞĚďLJsŝƚĂŵŝŶ>ĂĐŬ 2,5 2,0 2,3 6RXUFH 785.67$7+HDOWK ,QWHUYLHZ 6XUYH\ 7DEOH 3HUFHQWDJH RI 0DMRU 'LVHDVHV 6HHQ LQ ChLOGUHQ LQ the 3DVW 0RQWKV E\ 6H[ >&KLOGUHQLQ DJHJURXS@ ŝƐĞĂƐĞͬ,ĞĂůƚŚWƌŽďůĞŵ Male Female Total KƌĂůĂŶĚĞŶƚĂů,ĞĂůƚŚWƌŽďůĞŵƐ 24,6 24,6 24,6 sŝƐƵĂůWƌŽďůĞŵƐ 13,4 14,3 13,8 Infectious Diseases 9,3 9,6 9,4 ^ŬŝŶŝƐĞĂƐĞƐ 4,7 5,1 4,9 ŝƐĞĂƐĞƐZĞůĂƚĞĚǁŝƚŚEƵƚƌŝƚŝŽŶ 3,4 3,6 3,5 ,ĞĂƌŝŶŐWƌŽďůĞŵƐ 3,5 2,3 2,9 DĞŶƚĂů,ĞĂůƚŚWƌŽďůĞŵƐ 2,2 1,9 2,1 DƵƐĐƵůŽƐŬĞůĞƚĂů^LJƐƚĞŵŝƐĞĂƐĞƐ 2,0 2,4 2,2 6RXUFH 785.67$7+HDOWK ,QWHUYLHZ 6XUYH\ 36 THE MINISTRY of HEALTH of TURKEY >QLLXO Q RU LQ >,QGLYLGXDOV Note:Alzheimer was evaluated for individuals in the 65+ age age group. 65+ the in forindividuals evaluated was Note:Alzheimer 6XUYH\ ,QWHUYLHZ 6RXUFH 785.67$7+HDOWK WKH LQ ,QGLYLGXDOV LQ VHHQ 'LVHDVHV 0DMRU RI 3HUFHQWDJH 7DEOH DLJŽĐĂƌĚŝĂů/ŶĨĂƌĐƚŝŽŶ;,ĞĂƌƚƚƚĂĐŬͿ Depression hƌŝŶĂƌLJ/ŶĐŽŶƚŝŶĞŶĐĞ͕WƌŽďůĞŵƐŝŶŽŶƚƌŽůůŝŶŐƚŚĞůĂĚĚĞƌ ;ŚƌŽŶŝĐƌŽŶĐŚŝƚŝƐ͕ ŵƉŚLJƐĞŵĂͿ ŚƌŽŶŝĐKďƐƚƌƵĐƚŝǀĞ ;ŶŐŝŶĂWĞĐƚŽƌŝƐ͕ŚĞƐƚWĂŝŶ͕^ƉĂƐŵͿ Coronary HeartDisease ;ůůĞƌŐŝĐƐƚŚŵĂ/ŶĐůƵĚĞĚͿ ƐƚŚŵĂ ŝĂďĞƚĞƐ ŽƌKƚŚĞƌ;ůůĞƌŐŝĐƐƚŚŵĂ džĐůƵĚĞĚͿ ůůĞƌŐLJ͕^ƵĐŚĂƐZŚŝŶŝƚŝƐ͕ LJĞ7Ŷ ;EĞĐŬWĂŝŶ͕EĞĐŬ,ĞƌŶŝĂ͕KƚŚĞƌEĞĐŬĞĨĞĐƚŝŽŶƐͿ EĞĐŬŝƐŽƌĚĞƌƐ ;,LJƉĞƌƚĞŶƐŝŽŶͿ ,ŝŐŚůŽŽĚWƌĞƐƐƵƌĞ ;>ƵŵďĂŐŽ͕ĂĐŬ,ĞƌŶŝĂ͕KƚŚĞƌĂĐŬĞĨĞĐƚŝŽŶƐͿ >ŽǁĂĐŬŝƐŽƌĚĞƌƐ ŝƐĞĂƐĞͬ,ĞĂůƚŚWƌŽďůĞŵ ůnjŚĞŝŵĞƌ <ŝĚŶĞLJWƌŽďůĞŵƐ ƌƚŚƌŽƐŝƐ ŝƌƌŚŽƐŝƐŽĨƚŚĞ>ŝǀĞƌ͕>ŝǀĞƌLJƐĨƵŶĐƚŝŽŶ ;ĞƌĞďƌĂů,ĂĞŵŽƌƌŚĂŐĞ͕ĞƌĞďƌĂůdŚƌŽŵďŽƐŝƐͿ ^ƚƌŽŬĞ WƵůŵŽŶĂƌLJŝƐĞĂƐĞ m RU e ĨůĂŵŵĂƚŝŽŶ͕ĞƌŵĂƚŝƚŝƐ͕&ŽŽĚů DJHV@ THE MINISTRY ofHEALTH of TURKEY ůĞƌŐLJ elhSaitc erok2014 Health Statistics Yearbook 3 V 0QKE\ 0RQWKV DVW Male Male 14,0 11,2 26,5 5,2 6,8 8,9 6,2 6,2 5,4 1,4 0,9 2,1 7,4 4,8 6,3 7,4 Female Female 10,5 11,1 15,3 28,5 20,9 39,3 10,6 14,5 10,2 9,8 8,7 1,8 0,8 1,9 9,1 9,5 6 H[ Total 37 12,1 21,3 16,1 33,0 11,0 7,9 9,0 8,2 7,5 8,0 1,6 0,8 2,0 7,5 7,7 8,5 Morbidity Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; 7KHUHLVQR rHFRUGIRU the GLVWLQFWLRQ EHWZHHQ tKHORFDODQGLPSRUWHG FDVHVIRU the PHDVOHVDQG WXEHUFXORVLV FDVHVLQ ; 7KH FDVHDQG LQFLGHQFH RI WXEHUFXORVLV LQ ZLOO EH JLYHQ LQWKH*OREDO 7XEHUFXORVLV &RQWURO5HSRUW WREHSXEOLVKHGE\the :RUOG+HDOWK2UJDQL]DWLRQ ; 7KHGDWDUHJDUGLQJFDQFHUZHUHREWDLQHGIURm tKHGDWDRI tKHSURYLQFHVFROOHFWLQJGDWDZLWK $FWLYH&DQFHU 5HJLVWU\ 6\VWHP Active Cancer Registry System;theGDWD VHDUFKHG RQH E\ RQe LQ the SDWLHQWILOHVDQG eOHFWURQLFGDWDEDVHVE\ tKHFDQFHU rHJLVWU\SHUVRQQHODUHWUDQVIHUUHG tR tKHFDQFHU rHJLVWU\IRUPV 7KHVe IRUPVDUHVHQW tR WKH3UHVLGHQF\RI 7XUNLVK3XEOLF+HDOWK,QVWLWXWLRQLQ the HOHFWURQLFHQYLURQPHQWDIWHU theGXSOLFDWLRQFKHFNDQGRther TXDOLW\FRQWURODFWLYLWLHVDUHSHUIRUPHG DIter theIRUPVDUHHQWHUHG WR CDQUHJFRPSXWHUSURJUDPVLQ tKH3URYLQFLDO3XEOLF+HDOWK DLUHFWRUDWH&DQFHU5HJLVWU\ CHQWHUV$VLQ tKHZKROHZRUOGWKH rHJLRQV SURYLQFHV ZKLFKFDQFDUU\ RXWSURIHVVLRQDOFDQFHU UHJLVWU\DFWLYLWLHVDQG rHIOHFWDt OHDVWSRSXODWLRQRI the FRXQWU\ Dre VHOHFWHG LQ RXUFRXQWU\WRR7KHGDWDRIWKHSURYLQFHV$QNDUD$QWDO\D%XUVD(GLUQH(U]XUXP (VNLúHKLUø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t was carried out by the General Directorate of Health Research, Ministry of Health 2EMHFWLYHRIWKH5HVHDUFK; ;,GHQWLILFDWLRQ RI the EHKDYLRXUV DQG ULVNV rHODWHG WR KHDOWK LQ the VRFLHW\ DQG WKH KHDOWKVWDWXVRI WKHVRFLHW\ ;,GHQWLILFDWLRQRI tKHIHDWXUHVRI tKHVRFLHW\¶VXVHRI hHDOWKVHUYLFHV ;'HWHUPLQDWLRQ RI the VRFLRHFRQRPLF GHWHUPLQDQWV RI hHDOWK DQG LQHTXDOLWLHV RI hHDOWK ;$VVHVVPHQWRI tKHW\SHVRI hHDOWKSURPRWLQJEHKDYLRUVLQWKHVRFLHW\ 38 THE MINISTRY of HEALTH of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e YLGHQFHEDVHGLQIRUPDWLRQLQFUHDWLRQRI . KXHRGZWLWH FSRVUH K 7KH VXUYH\ RI VFRSH WKH ZLWKLQ KRXVHKROGV THE MINISTRY ofHEALTH of TURKEY he OKSOFH UHJDUGLQJ DOWKSROLFLHV elhSaitc erok2014 Health Statistics Yearbook KHVFRSHRIWKHVXUYH\ RQSURJUDPVDWWKH QLVWUDWRUVDWWKH PRWLRQSURJUDPV DULHVRI7XUNH\7KH QJW\SH,QWHUYLHZV VUHKV EHHQ KDV VXUYH\ I 6WUDWLILHG H he DOWK 39 . Morbidity . Risk Factors Chapter 4 Risk Factors . 8.77DQG0LQLVWU\RI+HDOWK*OREDO$GXOW7REDFFR6XUYH\ 785.67$7 785.67$7 6XUYH\ 7REDFFR $GXOW *OREDO &RVW 785.67$7 DQG 'LVHDVH 6XUYH\ RI %XUGHQ 1DWLRQDO +HDOWK RI 0LQLVWU\ 6RXUFH LXH )LJXUH RUH8.77DQG0LQLVWU\RI+HDOWK*OREDO$GXOW7REDFFR6X 6RXUFH 785.67$7 7DEOH'LVWULEXWLRQRI,QGLYLGXDOV8VLQJ7REDFFR3URGXFWE\ Daily Smoker(%) Daily Smoker(%) Occasional Smoker SmokerDaily Consumption Tobacco Smoker Smoker Never Non-smoker/ 10 20 30 40 50 60 0 . LWLXLQ I QLLXO8LJ7EFR3RXW'L\E6H[ E\ 'DLO\ 3URGXFW 7REDFFR 8VLQJ ,QGLYLGXDOV RI 'LVWULEXWLRQ 51,1 0320 002012 2010 2008 2003 32,1 17,8 Male Male 62,5 33,3 4,2 Female Female 93,3 Rural 2,0 4,7 43,8 27,4 Male Total 78,0 18,9 3,1 11,6 Male Male 57,0 38,9 Total 4,1 39,0 Female Female THE MINISTRY ofHEALTH of TURKEY 84,5 13,0 Urban Urban 2,6 Female 25,4 6H[DQG5HVLGHQFH 12,3 Total 71,0 25,7 elhSaitc erok2014 Health Statistics Yearbook IHWYQV6X\+RXVHKROG 6WXG\ (IIHFWLYHQHVV 3,3 UYH\ Male Male 58,5 37,3 4,1 HOK XY\ 6XUYH\ +HDOWK 37,3 Female Female Turkey 86,9 10,7 23,8 2,4 10,7 Total 72,9 23,8 3,3 43 Risk Factors Health Statistics Yearbook 2014 )LJXUH. 'DLO\7REDFFR3URGXFW&RQVXPSWLRQE\&RXQWULHV Daily Smoker(%) 45 40 39 35 34 30 30 27 26 24 24 24 24 24 25 22 22 21 21 21 20 20 20 20 19 19 19 20 17 16 16 16 16 15 15 14 15 13 11 11 10 5 0 Italy Chile Israel Spain Japan Korea Latvia Russia France Turkey Poland Greece Iceland Finland Estonia Canada Norway Sweden Belgium Slovenia Hungary Australia Denmark Germany Lithuania Switzerland Netherlands Luxembourg New Zealand New United States Czech Republic Slovak Republic United Kingdom United 6RXUFH 785.67$7 2(&'+HDOWK'DWD Note: Countries’ data belong to 2013 or more recent year. 7DEOH . &XUUHQW 7REDFFR 3URGXFW &RQVXPHUV¶ )LUVW 7REDFFR 3URGXFW &RQVXPSWLRQ $JH E\ 6H[ Age at the First use of Male Female Total Tobacco Products <10 3,6 0,7 2,9 10-14 22,2 13,9 20,0 15-19 52,0 47,7 50,9 20-24 18,5 24,3 20,0 25-29 2,1 7,5 3,5 30-34 0,9 3,2 1,5 35+ 0,7 2,8 1,3 Total 100 100 100 6RXUFH 785.67$7+HDOWK,QWHUYLHZ6XUYH\ 44 THE MINISTRY of HEALTH of TURKEY 5HVLGHQFH DO LWLXLQ I Q2H JG QLLXO¶ $OFRKRO ,QGLYLGXDOV¶ $JHG 2YHU DQG RI 'LVWULEXWLRQ 7DEOH 6RXUFH 785.67$7+HDOWK,QWHUYLHZ6XUYH\ 7DEOH 6RXUFH 785.67$7+HDOWK,QWHUYLHZ6XUYH\ Total Never Consumed Doesn't Consume Consumes Consumption Alcohol Age atFirst of Use . Alcohol Alcohol 30-34 30-34 25-29 20-24 15-19 10-14 &XUUHQW$OFRKROLF'ULQN&RQVXPHUV¶)LUVW$OFRKROLF'ULQN&RQVXP Total Total <10 <10 35+ 35+ Male 69,7 69,7 16,4 13,9 100 100 Female Female Rural 97,1 97,1 100 100 1,7 1,2 Male 26,7 26,7 55,5 100 100 1,1 1,8 6,2 7,6 1,1 Total Total 84,0 84,0 100 100 8,7 7,3 Male 66,4 66,4 14,9 18,7 100 100 Female Female Urban Urban 89,7 89,7 100 100 THE MINISTRY ofHEALTH of TURKEY 5,3 5,0 Female Female 12,4 12,4 34,7 40,9 100 100 2,6 4,0 5,2 0,3 Total Total 78,1 78,1 10,1 11,8 100 100 elhSaitc erok2014 Health Statistics Yearbook RVPWRE6[ DQG 6H[ E\ &RQVXPSWLRQ Male 67,4 67,4 15,4 17,2 100 100 SWLRQ$JHE\6H[ Female Female Turkey Turkey 92,0 92,0 100 100 4,2 3,8 Total Total 28,2 28,2 52,8 100 100 1,4 2,2 7,4 7,1 0,9 Total Total 79,9 79,9 10,4 100 100 9,7 45 Risk Factors Health Statistics Yearbook 2014 7DEOH 'LVWULEXWLRQ RI %RG\ 0DVV ,QGH[ RI DQG 2YHU $JHG ,QGLYLGXDOV¶ E\ 6H[ 6HOI 5HSRUWHG Male Female Total Underweight 2,8 5,5 4,2 Normal 43,7 40,7 42,2 Overweight 38,2 29,3 33,7 Obese 15,3 24,5 19,9 6RXUFH 785.67$7+HDOWK,QWHUYLHZ6XUYH\ )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI2EHVH %0, ,QGLYLGXDOVE\6H[ 30 24,5 24,5 24,3 22,6 21,5 20 15,3 15,8 15,2 10,5 10,7 10 0 WHO European Turkey High Income Group Upper Middle Global Region Countries Group Countries Female Male 6RXUFH 785.67$7+HDOWK,QWHUYLHZ6XUYH\:+2:RUOG+HDOWK6WDWLVWLFV 46 THE MINISTRY of HEALTH of TURKEY DO 7DEOH RUH 0LQLVWU\RI+HDOWK7XUNLVK&KLOGKRRG $JH 2EHVLW\ 6RXUFH 5HVLGHQFH 'LVWULEXWLRQRI:HLJKW+HLJKWDQG%RG\0DVV,QGH[=6 7DEOH 6RXUFH 785.67$7+HDOWK,QWHUYLHZ6XUYH\ *URXSVDQG6H[ 6HOI5HSRUWHG Obesity Obesity Overweight Normal Thinness Severe Thinness %0,=6FRUH Tall Very Tall Normal Stunting Stunting Severe +HLJKW=6FRUH Very Heavy Heavy Normal Underweight Underweight Severe :HLJKW=6FRUH Age Group Group Age Turkey Turkey 55-64 55-64 45-54 35-34 25-34 15-24 65-74 65-74 75+ 75+ . LWLXLQ I HJWDG HJW YUJR Q2H JG ,QGL $JHG 2YHU DQG RI $YHUDJH :HLJKW DQG +HLJKW RI 'LVWULEXWLRQ Male 76,7 76,7 72,2 76,9 79,2 80,4 81,2 77,2 68,4 5XUDO 93,9 93,9 92,9 11,1 11,1 82,8 0,0 0,5 5,4 0,2 1,5 1,5 3,2 1,0 3,7 2,2 0,2 Weights (kg) (kg) Weights Female Female 67,8 67,8 66,7 72,6 75,8 74,9 71,0 64,8 58,1 8UEDQ Boys 95,0 95,0 87,8 11,2 11,2 13,7 72,9 0,3 3,1 1,5 0,1 2,8 7,5 1,8 0,0 1,8 0,3 Total Total 72,3 72,3 69,1 74,6 77,5 77,7 76,2 71,1 63,2 7RWDO 10,0 10,0 13,3 74,5 94,8 88,6 1,9 0,3 0,3 2,7 2,1 0,1 2,6 6,5 2,1 0,2 THE MINISTRY ofHEALTH of TURKEY 5XUDO 10,5 10,5 85,0 93,7 93,7 3,1 1,3 0,0 0,0 0,2 5,6 0,4 0,4 2,5 3,1 0,2 173,1 173,1 168,6 169,9 171,2 171,9 173,5 175,0 173,5 Male 5HVHDUFK &26,785 elhSaitc erok2014 Health Statistics Yearbook FRUHVRI&KLOGUHQ $JH E\ 8UEDQ Girls 16,0 16,0 74,6 96,3 91,5 7,4 1,7 0,2 0,2 1,7 1,7 0,1 1,1 5,4 1,9 0,1 Heights (cm) (cm) Heights Female Female 161,8 161,8 157,5 159,4 160,2 161,4 162,1 162,8 162,8 7RWDO 15,0 15,0 76,5 95,8 91,9 6,6 1,7 0,2 0,2 1,4 2,4 0,2 1,0 4,9 2,1 0,2 LXOE$JH E\ YLGXDOV 167,6 167,6 162,5 164,7 165,9 166,9 168,0 169,1 168,2 Total Total Total Total 14,2 14,2 75,5 95,3 90,2 8,3 8,3 1,8 0,3 0,2 2,0 2,3 0,1 1,8 5,7 2,1 0,2 47 Risk Factors Health Statistics Yearbook 2014 7DEOH. 'LVWULEXWLRQRIWKH2SLQLRQVRIWKH,QGLYLGXDOVDQG2YHU$JHG$ERXW:KDW3UHYHQWV 7KHLU%HKDYLRUVWRBH+HDOWK\ Cause of Prevention % None 25,1 Lack of Financial Opportunities 3,5 Lack of Facilities in the Location of Residence 1,9 Unable to do as a result of family responsibilities 1,7 Not Giving up Habits 1,2 Transportation Problems 1,0 Inadequate Information 0,9 Find it Hard to do 0,9 Lack of Support from Family Members and/or Friends 0,7 Not to Know How to Start 0,5 Being Disabled 0,3 Not to be Allowed by Family/Partner/Neighborhood 0,3 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW Note: A percentage has been taken for every line per the total number of people. 7DEOH . 5HFHLYLQJ ,QIRUPDWLRQ 6WDWXV DERXW +HDOWK RI ,QGLYLGXDOV DQG 2YHU $JHG DQG WKH 'LVWULEXWLRQRIWKH,QIRUPDWLRQ5HVRXUFHV % Receiving Yes 81,9 Information Status No 18,1 Health Workers 85,4 Family Circle 17,9 Information Pharmacist 7,0 Resource (A percentage has been taken for Friends 5,6 From People every line per the total number of Neighbors 1,3 people) School Circle 0,8 Colleagues 0,4 Receiving Yes 70,5 Information Status No 29,5 Television 76,4 Internet 26,8 Newspapers 10,0 Information Mobile Phones, Smart Phones 8,3 Resource Radio 3,2 (A percentage has been taken for every line per the total number of Posters 2,8 people) Brochures 2,5 Magazines 2,4 From Communication Tools Books 2,4 Advertising Boards 1,4 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 48 THE MINISTRY of HEALTH of TURKEY 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV 7DEOH7KH'LVWULEXWLRQRIWKH+DELWVRI(DWLQJ)UHVK)UXL 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV $JHG,QGLYLGXDOV+DYLQ 7DEOH7KH6WDWXVRIWKHDQG2YHU 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV 7DEOH $JHG DQG2YHU $JHG Never Never Week a Twice or Once Days Three Every Once Once Every TwoDays Once aDay I have Breakfast Everyday I have Breakfast Everyday during the Week I sometimes have Breakfast during the Week I have Breakfast only on the Weekends Breakfast have not I do Skipping aMeal Skipping Reasons of Skipping a Meal (A percentage has been taken for every line . per the total number of people) 'LVWULEXWLRQRIWKH+DELWVDQG5HDVRQVRI6NLSSLQJD0HDORIWK Absence of Someone Preparing Meal Financial Opportunities of Lack Weight Lose to Want Hungry Getting Snacking andNot AccustomedNot To Lack ofTime Being Late Wanting Not Yes No Frequency of Eating Fresh Fruit Fruit Fresh Eating of Frequency 14,1 14,6 22,3 44,6 4,4 % THE MINISTRY ofHEALTH of TURKEY WDQG9HJHWDEOHRIWKH,QGLYLGXDOV HDUFK5HSRUW HDUFK5HSRUW HDUFK5HSRUW J5HJXODU%UHDNIDVW The Status of Having Regular Regular ofHaving Status The Frequency of Eating Fresh Vegetable Vegetable Fresh Eating of Frequency elhSaitc erok2014 Health Statistics Yearbook Breakfast (%) H,QGLYLGXDOVDQG2YHU 79,6 4,8 6,3 2,6 6,6 16,6 16,5 23,8 40,6 2,4 % 36,6 63,4 12,2 0,5 1,0 1,3 2,6 4,8 9,3 9,5 % 49 Risk Factors Health Statistics Yearbook 2014 7DEOH 'LVWULEXWLRQRIWKH&RQVXPSWLRQ)UHTXHQFLHVRI6RPH)RRGVDQG'ULQNVE\&KLOGUHQ $JH $FFRUGLQJWRWKH6WDWHPHQWVRI3DUHQWV 4-6 Times A 1-3 Times A Foods Every Day Never Week Week Fresh Fruit 42,8 23,3 32,5 1,4 Vegetables 18,3 26,3 47,2 8,3 100% Canned Fruit Juice 14,2 13,9 50,2 21,7 Freshly Squeezed Fruit Juice 5,8 11,5 47,0 35,6 Carbonated Drinks Including Sugar 4,2 8,5 50,3 37,0 Diet Carbonated Drinks 1,7 2,2 10,7 85,4 Low-Fat/Semi-Skimmed Milk 23,6 15,4 29,0 32,0 Whole Milk 27,9 18,1 30,9 23,1 Flavoured Milk 8,3 8,8 35,6 47,3 Cheese 51,0 16,5 22,1 10,5 Ayran (Drink made of yoghurt and water) 28,7 25,7 41,2 4,3 Yoghurt 36,9 26,9 31,0 5,2 Pudding with Milk 5,9 11,6 59,2 23,3 Red Meat, Chicken, Turkey 9,8 30,1 55,0 5,1 Fish 4,1 9,2 67,0 19,7 Egg 42,4 28,1 25,4 4,1 Dry Legumes 8,8 28,6 56,4 6,2 Dried Nuts 13,8 23,7 56,6 6,1 Grains, Bread 43,1 30,4 25,3 1,2 Chips, Pop Corn 8,7 13,4 59,6 18,3 Candy Bars or Chocolate 14,4 22,0 55,8 7,8 Biscuit, Cake, Cookie, etc. 16,5 26,2 53,6 3,7 Pizza, Turkish Bread with Ground Meat, Fried Potato Chips, 4,2 12,6 66,1 17,2 Burger etc. 6RXUFH 0LQLVWU\RI+HDOWK 7XUNLVK&KLOGKRRG $JH 2EHVLW\5HVHDUFK &26,785 7DEOH. 'LVWULEXWLRQRIWKH,VVXHVWKDWWKH,QGLYLGXDOVDQG2YHU$JHG3D\$WWHQWLRQWRLQ7KHLU 6KRSSLQJIRU)RRG % Fresh Fruit and Vegetable 55,3 Expiry Date 55,2 Price 43,4 Reliable Brands 16,3 Known Brands 14,6 Proper Packaging 12,4 Packaged Product 12,4 Appearance 12,3 Food Safety Standards (Like TSE, HACCP) 11,3 Reliability of the Shopping Place 7,7 Ingredients/Nutritional Value 4,3 The Expression Stating that the Product helps to protect health 3,3 The Expression/Picture over Package 2,1 Publicized Product 1,2 Product Being Sold with Gift 1,0 None 6,9 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW Note: A percentage has been taken for every line per the total number of people. 50 THE MINISTRY of HEALTH of TURKEY DODG:VLJ+EWRKDG2H $JHG,QGLYLGXD 7DEOH+DQG:DVKLQJ+DELWRIWKHDQG2YHU 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV 7DEOH Not: Apercentage has beentaken for every line the number total per of people. 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV 7DEOH 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV Total Male Female Hands my on Have Sanitizers Other and Soap Effects Adverse Difficult Access to Faucet Hands Wash to Environment Unhygienic Sanitizers Hand Other and Soap of Lack Being Very Busy -LackofTime To Need Not Hands Wash to Facility or Faucet/tap of Absence it About Forgetting Hands nottoWash Reasons Always Mostly Sometimes Rarely Never . . 'LVWULEXWLRQRIWKH5HDVRQVQRWWR:DVK7KHLU+DQGVRIWKH,QGL $YHUDJH6OHHS'XUDWLRQVRIWKH,QGLYLGXDOVDQG2YHU$JHG%\ Hands before Hands before the Meal the Meal Washing 71,8 20,5 6,5 0,9 0,2 Washing Hands Washing after theMeal 69,5 21,0 8,1 1,1 0,2 Washing Hands Washing after Using the Toilet Toilet 85,9 12,0 1,8 0,2 0,2 THE MINISTRY ofHEALTH of TURKEY Washing Hands before Handsbefore Washing Eating Anything Anything Eating HDUFK5HSRUW HDUFK5HSRUW HDUFK5HSRUW Average Sleep Duration OV 63,9 19,4 13,8 elhSaitc erok2014 Health Statistics Yearbook 2,5 0,4 7,289 7,296 7,282 LXODG2H $JHG YLGXDOVDQG2YHU 6H[ +RXU'D\ before Preparing the Washing Hands Washing Food Food 75,4 15,9 7,2 1,0 0,4 26,7 35,3 2,2 2,9 4,5 5,3 7,5 8,4 % 51 Risk Factors Health Statistics Yearbook 2014 7DEOH. 6WDWXVRI6OHHS3UREOHPRIWKH,QGLYLGXDOVDQG2YHU $JHGDQG7KHLU6ROXWLRQVIRU7KLV 3UREOHP % I Have a Sleep Yes 23,7 Problem No 76,3 Sleeping Little 50,3 Sleep Problem Having Problems While Falling Asleep 24,3 (A percentage has been taken Not Able to Sleep 16,0 for every line per the total number of people) Want to Sleep Always in Daytime/Excessive Daytime Sleepiness 5,9 Being Told That I Snore While Sleeping 5,0 Taking the Sleeping Pills 27,8 Waking Up and Wandering 21,6 Not Drinking Tea or Coffee 9,7 Solutions for Sleep Drinking Something Warm 8,6 Problem (A percentage has been taken Listening to Music 8,4 for every line per the total Reading Book 8,1 number of people) Having a Hot Shower 5,3 Doing Physical Activities 3,4 Settling the Matters Like Noise Causing Sleep Problems 2,1 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH +DELWRI)DVWHQLQJ6HDW%HOWRIWKHDQG2YHU $JHG,QGLYLGXDOV In the Front Seat of In the Back Seat of In the Front Seat of In the Back Seat of the Car in the Long the Car in the Long the Car in the City the Car in the City Distance Distance Always 34,1 9,8 39,7 12,7 Mostly 21,4 10,4 18,1 10,4 Sometimes 16,2 13,6 12,5 14,4 Rarely 10,5 14,8 7,6 12,8 Never 8,9 41,4 8,7 35,7 I did not have such an 8,9 9,9 13,4 13,9 experience 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 52 THE MINISTRY of HEALTH of TURKEY DO 7DEOH Note: Apercentage was through taken the total for every line. 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV $FWLYLWL 3K\VLFDO 'RLQJ RI /HYHOV WKH ,QGLYLGXDOV RI 6WDWXV 7KH 7DEOH 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV 7DEOH7KH6WDWXVRIDQG2YHU$JHG,QGLYLGXDOV8VLQJ&H 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HV %XFNOH8S:KLOH7UDYHOOLQJLQ$XWRPRELOHV Total Male Female phone cell a have not do I I mostly do do sometimes I don’t I No, Driving While Phones Cell Using of Status The up buckled being without seat back the in Alone up buckled being with seat back the in Alone adult and or theirmother of lap the on sitting seat, theback In up buckled Alone being in the seat, without front up buckled being with seat the front in Alone anadult or theirmother of lap the on sitting seat, In thefront up buckled being In theseat owntheir backin up buckled In theseat owntheir automobile special in back with seat, being up buckled se automobile special In theirown up buckled being automobile special In theirown . KWWVRI3HRSOH+DYLQJ7KHLU&KLOGUHQ8QGHU$JH7HQ6LWRQ 7KH6WDWXV special automobile seat, without without seat, automobile special seat, in the front seat without seatwithout inthefront seat, at, in the seat being front with Light 55,5 53,0 58,0 THE MINISTRY ofHEALTH of TURKEY Those with Children Moderate 22,7 25,3 20,2 Aged 0-5 0-5 Aged OO3KRQHV:KLOH'ULYLQJ HDUFK5HSRUW HDUFK5HSRUW HDUFK5HSRUW 12,5 48,5 17,3 6,5 0,6 0,4 6,1 3,3 1,5 3,7 elhSaitc erok2014 Health Statistics Yearbook V I KDG YU $JHG 2YHU DQG WKH RI HV Those with Children Aged WKH&KLOG6HDWDQG Heavy Heavy 11,0 15,9 14,3 28,2 56,1 6,2 1,4 6-10 24,0 20,7 35,3 % 0,8 2,2 1,5 5,0 7,3 0,9 2,1 53 Risk Factors Health Statistics Yearbook 2014 7DEOH 7KH 'LVWULEXWLRQ RI WKH 6WDWXV RI WKH DQG 2YHU $JHG ,QGLYLGXDOV ZLWK :DONLQJ 2SSRUWXQLWLHVLQWKH:DONLQJ'LVWDQFHWR7KHLU+RXVHV % Available 59,9 Walking Opportunity Not available 40,1 Public Park 55,6 Walking Path 48,3 Public Park with Sports Implements 42,8 line) Natural Park, Coppice or Forest 21,7 Available Opportunity Astro Turf Pitch 20,8 (A percentage was taken through the total for every for every total the through Cycle Path 11,9 6RXUFH 0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH'LVWULEXWLRQRIWKHDQG2YHU $JHG,QGLYLGXDOV¶6WDWXVRI+DYLQJ%ORRG3UHVVXUH %ORRG &KROHVWHURO DQG %ORRG6XJDU 0HDVXUHPHQWV E\*HQGHUDQG5HVLGHQFH Rural Urban Turkey Male Female Total Male Female Total Male Female Total Blood Pressure 40,8 56,6 49,0 39,4 56,8 48,1 39,8 56,8 48,4 Blood Cholesterol 22,1 32,9 27,7 24,8 38,4 31,7 24,0 36,7 30,4 Blood Sugar 22,9 35,1 29,3 27,2 42,2 34,7 25,9 39,9 33,0 6RXUFH 785.67$7+HDOWK,QWHUYLHZ6XUYH\ 54 THE MINISTRY of HEALTH of TURKEY ; ; KHDOWKVWDWXVRI )RUWKLVDLPWKHWRWDOVDPSOHVL]HZDVGHWHUPLQHGDV KRX ; 2EMHFWLYHRIWKH5HVHDUFK Directorat General bythe out wascarried It ; ; ; EHHQLGHQWLILHGDV the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omlwih : Normal weight : Underweight Obesity : Obesity KǀĞƌǁĞŝŐŚƚ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t KHVRFLHW\ t 7HDH HLHDPYPQ[ULHDKHLPYPQV VXFK PRYHPHQWV PRYHPHQWH[HUFLVHDWKOHWLF DV GHILQHG DUH 7KH\ the KXY\ZVFQXWGLSLRQ0D\-XQHIRU 7KHVXUYH\ZDVFRQGXFWHGLQ$SULOIRULQ 7HDH HLHD ZD\PYPQVZWZLK KKHDUW WKH ZKLFK ZLWK PRYHPHQWV VZHDW\ DV GHILQHG DUH 7KH\ ϭϴ͕ϱчD/фϮϱ BMI< 18,5 ϮϱчD/фϮϵ͕ϵ D/шϯϬ the KHIHDWXUHVRI TURKSTAT TURKSTAT . 7KHVXUYH\LVGHVLJQHGWRSURGXFHHVWLPDWRUVIRUWRWDORI7XUNH KRXVHKROGV 7KHSHRSOHZKRUHJXODUO\ELNHFDUU\DOLJKWORDGZDONIDVW ; HDLXV QULVNV DQG EHKDYLRXUV RLFQPFGWULDWRI GHWHUPLQDQWV VRFLRHFRQRPLF ([SODQDWLRQVIRU&KDSWHU KXHRGZUVOFHIU DSLJ QWKH DQG VDPSOLQJ IRU VHOHFWHG ZHUH KRXVHKROGV HOK,WULZ6XUYH\ ,QWHUYLHZ +HDOWK t HOK,WULZ6XUYH\ ,QWHUYLHZ +HDOWK KHVRFLHW\¶VXVHRI e of Health Research, Ministry of Health. of Research,Ministry Health of e r OWG R HOK LQ KHDOWK WR HODWHG THE MINISTRY ofHEALTH of TURKEY h HDOWKVHUYLFHV h elhSaitc erok2014 Health Statistics Yearbook t ZRUNLQWKHJDUGHQIRUDW LQWKHODVWGD\V 2014 DW Q QTDLLV RI LQHTXDOLWLHV DQG HDOWK JELNLQJIDVWVZLPPLQJ LQJVWUXFWXUH7KHVXUYH\ DNLQJPRYHPHQWVGRLQJ KHDOWKLQGLFDWRUZKLFK VHKROGV DUHDWOHDVWPLQXWHV GGLQJOLJKWRQQDWLRQDO LWH RJ SHULRG ORQJ WKH LQ V HGHYHORSPHQWOHYHOV PRQWKV $XJXVW the URGXFHHVWLPDWHVRQ POYOPKDV YROXPH DPSOH PDVV NJ E\WKH FQXWG ZLWK FRQGXFWHG V KHRYHUDOOKHDOWK RLWDG WKH DQG VRFLHW\ SRUW SRSXODWLRQ 55 \ Risk Factors Health Statistics Yearbook 2014 ;$VVHVVPHQW RI WKH W\SHV RI KHDOWKSURPRWLQJ EHKDYLRUV LQ WKH VRFLHW\ ;&UHDWLRQ GDWD LQ RUGHU WR XVH LQ WKH SODQQLQJ RI KHDOWK SURPRWLRQ SURJUDPV DW WKH ORFDO DQG QDWLRQDO VFDOHV ;$VVHVVPHQW RI WKH DZDUHQHVV LQ WKH VRFLHW\ UHJDUGLQJ KHDOWK SURPRWLRQ SURJUDPV ;'HWHUPLQDWLRQ RI the SULRULW\ SUREOHP DUHDV IRU the hHDOWK DGPLQLVWUDWRUV Dt the UHJLRQDOOHYHO ;2EWDLQLQJ eYLGHQFHEDVHGLQIRUPDWLRQLQFUHDWLRQRI heDOWK SROLFLHVUHJDUGLQJ KHDOWK SURPRWLRQ 3RSXODWLRQ DQG6DPSOH ;7KHVXUYH\SRSXODWLRQLV DOORI theKRXVHKROGVZLWKLQWKHERXQGDULHVRI7XUNH\7Ke VDPSOe UHODWHG WR DOO RI the LQWHUYLHZV PDGe ZLWKLQ the VFRSe RI VXUYH\ hDV EHHQ GHWHUPLQHG E\ 785.67$7 LQ D ZD\ tR rHSUHVHQt 1876 0XOWL6WDJH 6WUDWLILHG 3UREDELOLW\ COXVWHU6DPSOLQJ methRGKDVEHHQXVHGDV theVDPSOLQJW\SH ,QWHUYLHZV hDYH EHHQ PDGH LQ D tRWDO RI . KRXVHKROGV ZLWKLQ the VFRSH RI VXUYH\ 7KH SURYLQFHVZLWKLQWKHERXQGDULHVRI7XUNH\ Dre LQFOXGHGZLWKLQWKH VFRSH RI the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of HEALTH of TURKEY Prevention of Diseases and Protection of Health Prevention of Chapter 5 Diseases and Protection of Health . 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ ,PPXQL]DWLRQ&RYHUDJHE\ Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Mediterranean NUTS-1 . Istanbul Aegean Turkey KU'V,PQ]WR&YUJR&PRHW REQG 9DFFLQ &RPELQHG &RPSRQHQW RI &RYHUDJH ,PPXQL]DWLRQ 'RVH 7KLUG 06 0100 80 60 40 2002 82 72 77 78 80 82 - 2010 95 97 96 97 97 98 98 2002 2011 96 98 96 95 97 98 98 65 65 2014 THE MINISTRY ofHEALTH of TURKEY 74 2012 75 97 96 97 96 97 97 97 78 elhSaitc erok2014 Health Statistics Yearbook 80 80 81 81 82 85 85 2013 97 98 97 96 98 98 97 89 91 94 95 96 96 97 97 97 97 98 98 98 2014 99 96 94 95 95 96 96 97 % 59 H Prevention of Diseases and Protection of Health Health Statistics Yearbook 2014 )LJXUH ,QWHUQDWLRQDO &RPSDULVRQ RI &RPSRQHQW &RPELQHG 9DFFLQH 'D37,39+LE ,PPXQL]DWLRQ&RYHUDJH % 100 96 96 96 94 84 80 60 40 Turkey Upper Income WHO European Upper Middle Global Group Countries Region Income Group Countries 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. )LJXUH. +%9,PPXQL]DWLRQ&RYHUDJHE\1876 NUTS-1 76 Eastern Blacksea 99 85 Western Anatolia 99 77 Western Blacksea 98 61 Northeastern Anatolia 97 83 Mediterranean 97 82 Aegean 97 82 Western Marmara 97 82 Central Anatolia 96 88 Eastern Marmara 96 72 Turkey 95 50 Southeastern Anatolia 94 52 Mideastern Anatolia 94 65 Istanbul 91 40 60 80 100 2002 2014 % 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 60 THE MINISTRY of HEALTH of TURKEY oe ukysdata belongs to the year 2014. Turkey’s Note: RUH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6W 6RXUFH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH LXH ,QWHUQDWLRQDO&RPSDULVRQRI )LJXUH Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern 100 Mideastern Anatolia Mideastern 40 60 80 % Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Mediterranean WHO European . NUTS-1 005,PPXQL]DWLRQ&RYHUDJHE\1876 Istanbul Region Aegean Turkey 95 06 0100 80 60 40 Income GroupIncome Upper Middle Countries MMR MMR 2002 PXLDLQ&YUJ ,PPXQL]DWLRQ&RYHUDJH Turkey Upper Income Upper Turkey 94 66 2014 68 THE MINISTRY ofHEALTH of TURKEY Group Countries 78 DWLVWLFV elhSaitc erok2014 Health Statistics Yearbook 82 83 83 84 84 85 87 89 90 90 91 92 92 93 Global 94 95 95 95 84 96 96 97 97 100 % 61 Prevention of Diseases and Protection of Health Health Statistics Yearbook 2014 )LJXUH . 1XPEHURI9DFFLQH$QWLJHQVE\ Number of Antigen 15 13 12 11 10 9 7 7 6 6 6 5 3 0 1960 1963 1970 1981 1998 2002 2006 2008 2011 2012 2013 2014 Year 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 7DEOH ,QGLFDWRUVRI0RWKHUDQG&KLOG+HDOWKFDUHDQG)DPLO\3ODQQLQJE\ 2002 2010 2011 2012 2013 2014 Births in Health Care Institution (%) 75 92 94 97 98 98 Antenatal Care Coverage 70 94 95 97 98 97 (Minimum One Visit) (%) Cesarean Sections Among All Births 21,0 45,5 46,6 48,0 50,4 51,1 (%) Primary Cesarean Sections Among All Births - 25,7 24,8 24,6 25,9 26,3 (%) 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 62 THE MINISTRY of HEALTH of TURKEY )LJXUH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ &HVDUHDQ WR +RVSLWDO DW *LYHQ 6HFWLRQ E\ 96 95 95 96 2013 2013 26,4 26,4 38,4 32,6 15,5 97 97 98 98 100 100 100 100 % 2014 2014 27,0 27,0 39,6 32,4 15,0 63 Prevention of Diseases and Protection of Health Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI%LUWKVDW+HDOWKFDUH)DFLOLWLHV 99 98 98 97 90 74 60 30 0 Upper Income Group Turkey WHO European Upper Middle Income Global Countries Region Group Countries 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: The data for international regions are the data of the latest year between the years 2007-2014. )LJXUH . 3URSRUWLRQRI$QWHQDWDO&DUH&RYHUDJH 0LQLPXP 9LVLW E\1876 NUTS-1 74 Mediterranean 97 69 Central Anatolia 97 72 Western Blacksea 97 56 Southeastern Anatolia 97 49 Mideastern Anatolia 97 79 Eastern Marmara 97 Western Marmara 80 97 70 Turkey 97 75 Western Anatolia 97 76 Aegean 97 74 Eastern Blacksea 97 79 Istanbul 97 49 Northeastern Anatolia 96 40 60 80 100 2002 2014 % 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 64 THE MINISTRY of HEALTH of TURKEY 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ oe h aafritrainlrgosaetedt ftelts erbtenteyas2006-2014. TheNote: data for international regions are datathe of the latest year between the years )LJXUH )LJXUH RUH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6W 6RXUFH Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern 30 60 90 Mideastern Anatolia Mideastern 0 Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Upper Income Group Income Upper Mediterranean . . NUTS-1 Countries 3URSRUWLRQRI&HVDUHDQ6HFWLRQV$PRQJ$OO%LUWKVE\1876 ,QWHUQDWLRQDO&RPSDULVRQRI$QWHQDWDO&DUH&RYHUDJH 0LQLPXP Istanbul Aegean Turkey 99 1525354555655 7 9 10 Turkey WHO European WHO Turkey 97 16 20 20 21 21 2002 Region 26 26 96 2014 30 33 THE MINISTRY ofHEALTH of TURKEY 33 Upper Middle Income Middle Upper 36 37 Group Countries 39 DWLVWLFV elhSaitc erok2014 Health Statistics Yearbook 94 9LVLW 50 51 51 55 Global 56 56 83 57 59 60 % 62 65 Prevention of Diseases and Protection of Health Health Statistics Yearbook 2014 )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI&HVDUHDQ6HFWLRQV$PRQJ$OO%LUWKV % 51 50 40 32 30 28 25 20 17 10 0 Global WHO European Upper Income Group Upper Middle Income Turkey Region Countries Group Countries 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: The data for international regions are the data of the latest year between the years 2007-2014. )LJXUH. 3URSRUWLRQRI,QGXFHG $ERUW LQ*HVWDWLRQ 7XUNH\ 20,0 18,0 15,0 14,5 11,3 10,0 10,0 4,7 5,0 0,0 1993 1998 2003 2008 2013 6RXUFH 7'+6 66 THE MINISTRY of HEALTH of TURKEY 7XUNH\ )LJXUH 6RXUFH 785.67$7%LUWK6WDWLVWLFV )LJXUH 6RXUFH 785.67$7%LUWK6WDWLVWLFV Fertility Rate Rate Fertility % 10 15 20 25 30 35 0 5 100 120 140 160 20 40 60 80 0 . . JSFIF)ULL\5W 7XUNH\ Å $JH6SHFLILF)HUWLOLW\5DWH 3URSRUWLRQRIWKH%LUWKV$FFRUGLQJWRWKH$JH*URXSRIWKH0RWK 1 51 81 02 52 03 53 04 54 50+ 45-49 40-44 35-39 30-34 25-29 20-24 18-19 15-17 <15 0,02 51 02 52 03 53 04 45-49 40-44 35-39 30-34 25-29 20-24 15-19 27 1,46 107 4,90 24,41 135 31,14 101 THE MINISTRY ofHEALTH of TURKEY 24,48 10,83 50 elhSaitc erok2014 Health Statistics Yearbook 2,55 13 U Q O%UK %LUWKV $OO LQ HU 0,19 Age Groups Age Groups 1 0,03 67 Prevention of Diseases and Protection of Health Health Statistics Yearbook 2014 7DEOH 3UHJQDQW,QIDQW &KLOGDQG3XHUSHUDQW)ROORZ8S $FWLYLWLHVE\ 2002 2010 2011 2012 2013 2014 Average Number of Follow-Ups per 1,7 4,2 4,3 4,1 4,3 4,8 Pregnant Average Number of Follow-Ups per Infant 3,4 7,1 8,1 8,6 8,8 8,2 Average Number of Follow-Ups per Child 1,0 1,6 2,0 2,2 2,2 2,2 Average Number of Follow-Ups per 0,7 1,5 2,0 2,3 2,9 3,0 Puerperant 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQ RI7XUNH\ )LJXUH. $YHUDJH1XPEHURI)ROORZ8SVSHU3UHJQDQWE\1876 NUTS-1 2,1 Western Blacksea 6,0 3,1 Western Marmara 5,8 2,7 Eastern Marmara 5,5 1,5 Western Anatolia 5,4 2,3 Mediterranean 5,2 2,1 Eastern Blacksea 5,1 2,4 Central Anatolia 5,1 3,6 Aegean 4,8 1,7 Turkey 4,8 0,2 Istanbul 4,4 0,5 Southeastern Anatolia 4,3 1,5 Mideastern Anatolia 4,1 1,1 Northeastern Anatolia 3,8 0246 2002 2014 % 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 68 THE MINISTRY of HEALTH of TURKEY 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH$YHUDJH1XPEHURI)ROORZ8SVSHU&KLOGE\1876 )LJXUH Northeastern Anatolia Northeastern Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern Mideastern Anatolia Mideastern Western Marmara Western Marmara Western Blacksea Western Blacksea Western Anatolia Western Western Anatolia Western Eastern Marmara Eastern Marmara Eastern Blacksea Eastern Eastern Blacksea Eastern Central Anatolia Central Central Anatolia Central Mediterranean Mediterranean NUTS-1 . NUTS-1 $YHUDJH1XPEHURI)ROORZ8SVSHU,QIDQWE\1876 Istanbul Istanbul Aegean Aegean Turkey Turkey 0369 02 0,1 0,6 1,1 0,5 2,3 3,0 2002 2002 0,9 3,2 3,4 1,0 1,0 1,1 4,1 1,2 4,3 2014 2014 4,5 4,5 1,3 1,4 THE MINISTRY ofHEALTH of TURKEY 5,3 1,5 1,6 1,6 6,4 6,5 elhSaitc erok2014 Health Statistics Yearbook 1,9 2,1 2,1 2,1 2,1 7,6 7,6 7,6 7,7 2,2 2,2 2,2 2,2 8,1 8,1 2,3 2,3 8,2 8,3 8,4 2,4 2,4 8,7 9,1 9,2 10,2 % % 2,9 69 Prevention of Diseases and Protection of Health Health Statistics Yearbook 2014 )LJXUH $YHUDJH1XPEHURI)ROORZ8SVSHU3XHUSHUDQW:RPHQE\1876 NUTS-1 0,8 Western Blacksea 3,7 1,9 Western Marmara 3,6 1,0 Eastern Marmara 3,4 0,6 Western Anatolia 3,3 0,9 Mediterranean 3,2 1,1 Central Anatolia 3,2 0,8 Eastern Blacksea 3,2 1,4 Aegean 3,0 0,7 Turkey 3,0 0,1 Istanbul 2,7 0,2 Southeastern Anatolia 2,6 0,6 Mideastern Anatolia 2,5 0,4 Northeastern Anatolia 2,4 01234 2002 2014 % 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 70 THE MINISTRY of HEALTH of TURKEY ; 7UNL\H+DON6D÷OÕ÷Õ.XUXPX¶QGDQDOÕQGÕ SRSXODWLRQWKDWZDVFDOFXODWHGE\WKH0LQLVWU\RI+HDOWK ; +LE LQRQHYDFFLQH RI'D%7,39 ; ; &39YDFFLQDWLRQVWDUW KSSOWRWDZV VG R DFOWWH DFQWR&RYHU YDFFLQDWLRQ WKH FDOFXODWH WR XVHG ZDV WKDW SRSXODWLRQ 7KH 7KH'37YDFFLQHZKLFKKDGEHHQDGPLQLVWHUHGXQWLOZDVLQWU 005YDFFLQHZDVDGPLQLVWHUHGDVPHDVOHVYDFFLQHDORQHEHIRUHWK HGLQ1RYHPEHU ([SODQDWLRQVIRU&KDSWHU THE MINISTRY ofHEALTH of TURKEY elhSaitc erok2014 Health Statistics Yearbook RGXFHGLQWKHIRUP H\HDU JLWH WDUJHW WKH LV DJH 71 Prevention of Diseases and Protection of Health . Chapter 6 Infrastructures and Facilities Health Care Health Care Facilities and Infrastructures . RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI )LJXUH1XPEHURI+RVSLWDOVE\ 5.967 202.031 1.439 44 206.836 1.453 37 1.483 1.528 1.517 75 Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 7DEOH1XPEHURI+RVSLWDOVDQG%HGVE\%UDQFKHV7XUNH\ Brancher Hospital Bed General Hospital 1.394 184.522 Obstetric and Child Hospital 41 7.106 Opthalmology Hospital 27 617 Physical Treatment and Rehabilitation Center 16 1.949 Chest Diseases Hospital 15 3.986 Psychiatry Hospital 11 4.259 Cardiovascular Diseases Centers 6 860 Child Diseases Hospital 5 1780 Bone Diseases Hospital 3 483 Oncology Hospital 2 830 Occupational Diseases Hospital 2 156 Surgery Hospital 1 110 Orthopedics and Traumatology Hospital 1 29 Lepra Hospital 1 50 Spastic Children's Hospital and Rehab Center 1 54 Veneral Diseases Hospital 1 31 Hospital for Children with Leukemia 1 14 Total 1.528 206.836 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH1XPEHURI4XDOLILHG%HGVE\ Year 2002 6.839 6.402 5.693 18.934 2010 35.747 11.501 21.235 68.483 2011 38.272 14.292 23.542 76.106 2012 41.506 15.473 27.149 84.128 2013 45.241 16.921 30.380 92.542 2014 50.587 18.651 29.283 98.521 0 20.000 40.000 60.000 80.000 100.000 Ministry of Health University Private 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 76 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 'LVWULEXWLRQRI4XDOLILHG%HGVE\ Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 )LJXUH1XPEHURI+RVSLWDO%HGVSHU3RSXODWLRQE\18760LQLVWU\RI+HDOWK NUTS-1 26,1 Eastern Blacksea 25,2 25,8 Western Blacksea 23,1 13,9 Northeastern Anatolia 19,0 19,2 Western Marmara 18,0 14,2 Mideastern Anatolia 17,9 18,0 Aegean 17,5 17,3 Western Anatolia 17,2 18,1 Central Anatolia 17,0 14,7 Eastern Marmara 16,9 16,2 Turkey 15,9 15,1 Mediterranean 14,1 9,8 Southeastern Anatolia 12,9 13,1 Istanbul 11,0 0 102030 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI1XPEHURI+RVSLWDO%HGVSHU3RSXODWLRQ 60 54,0 53,0 50,8 50 40 32,0 30 27,0 26,6 20 10 0 Upper Income WHO European European Upper Middle Global Turkey Group Region Union Income Group Countries Countries 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belong to the year 2014. The data for international regions are the data of the latest year between the years 2006-2012. 78 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7RWDO1XPEHURI,QWHQVLYH&DUH8QLW%HGVE\ Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI,QWHQVLYH&DUH8QLW %HGVE\ 2002 39,3 15,9 44,8 2010 45,0 20,4 34,6 2011 45,7 18,5 35,8 2012 43,6 17,9 38,5 2013 42,2 18,9 38,9 2014 41,6 18,0 40,5 0 255075100 Ministry of Health University Private 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH 1XPEHU RI ,QWHQVLYH &DUH 8QLW %HGV SHU 3RSXODWLRQ E\ 1876 $OO 6HFWRUV NUTS-1 Western Anatolia 4,4 Mideastern Anatolia 4,0 Mediterranean 3,9 Istanbul 3,7 Southeastern Anatolia 3,7 Turkey 3,7 Eastern Blacksea 3,6 Aegean 3,5 Eastern Marmara 3,4 Central Anatolia 3,4 Western Blacksea 3,3 Western Marmara 3,0 Northeastern Anatolia 2,7 01234 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 80 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 3RSX SHU +HDOWK %HGV 8QLW &DUH ,QWHQVLYH RI 1XPEHU )LJXUH )LJXUH3URSRUWLRQRI,QWHQVLYH&DUH8QLW%HGVWR$OO%HGV Northeastern Anatolia Northeastern Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern Mideastern Anatolia Mideastern Western Marmara Western Marmara Western Blacksea Western Blacksea Western Anatolia Western Western Anatolia Western Eastern Marmara Eastern Marmara Eastern Blacksea Eastern Eastern Blacksea Eastern NUTS-1 NUTS-1 Central Anatolia Central Central Anatolia Central Mediterranean Mediterranean Istanbul Istanbul Aegean Aegean Turkey Turkey , , , , 2,0 1,5 1,0 0,5 0,0 048121620 1,0 9,3 THE MINISTRY ofHEALTH of TURKEY E\1876 $OO6HFWRUV 1,3 10,9 11,0 11,1 1,4 1,4 12,1 elhSaitc erok2014 Health Statistics Yearbook DLQ \ 860QVURI 0LQLVWU\ 1876 E\ ODWLRQ 1,5 12,6 1,5 12,9 1,5 13,1 1,6 13,8 1,7 1,7 14,3 16,0 16,0 1,9 2,0 2,2 18,3 81 Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 7DEOH,QIUDVWUXFWXUHRI2SHUDWLQJ5RRP6HUYLFHVLQWKH,QSDWLHQW7UHDWPHQW)DFLOLWLHVE\6HFWRUV 7XUNH\ Ministry of Health University Private Total Surgery 812 173 731 1.716 Operating Room 2.877 909 1.896 5.682 Operating Table 3.037 975 1.958 5.970 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH1XPEHURI+HPRGLDO\VLV&HQWHUVE\ 2002 235 39 170 444 2010 399 52 390 841 2011 414 52 388 854 2012 406 64 362 832 2013 426 59 374 859 2014 439 61 349 849 0 300 600 900 Ministry of Health University Private 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 82 THE MINISTRY of HEALTH of TURKEY 6HFWRUV RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI )LJXUH1XPEHURI$FWLYHO\8VHG+HPRGLDO\VLV(TXLSPHQWVE\ RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7DEO Southeastern Anatolia Mideastern Anatolia Northeastern Anatolia Istanbul Turkey Mediterranean Western Marmara Eastern Marmara Anatolia Western Aegean Anatolia Central Blacksea Eastern Blacksea Western NUTS-1 2014 2013 2012 2011 2010 2002 Year Year e .0 .0 20016.000 12.000 8.000 4.000 0 . 1.510 FLH\ VG HRLOVV TLPQV H 3RSXODWLRQ SHU (TXLSPHQWV +HPRGLDO\VLV 8VHG $FWLYHO\ 872 4.247 4.481 4.483 4.746 4.959 Ministry of Health Ministry of 2.509 Ministry of Health Ministry ofHealth 1.067 1.079 1.276 1.133 1.179 4.891 121,9 121,9 164,8 127,1 55,1 55,1 85,5 19,1 63,8 63,4 80,6 66,1 40,4 64,9 78,5 University University University 19,5 19,5 15,2 21,8 12,5 36,3 17,5 16,5 14,5 6,4 9,5 7,9 5,7 5,5 9.469 9.901 THE MINISTRY ofHEALTH of TURKEY 9.877 10.100 9.926 Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 7DEOH1XPEHURI(TXLSPHQWVRI,QSDWLHQW7UHDWPHQW,QVWLWXWLRQVE\ 2002 2008 2009 2010 2011 2012 2013 2014 MRI 58 562 625 678 709 720 751 757 CT 323 759 838 904 974 1.017 1.058 1.071 Ultrasound 1.005 2.117 2.283 2.436 3.775 4.282 4.756 5.286 Doppler 681 1.095 1.251 1.397 2.091 2.480 2.793 3.151 Ultrasonography ECHO 259 689 791 881 1.181 1.379 1.542 1.793 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK 6HUYLFHV 7DEOH1XPEHURI(TXLSPHQWVRI ,QSDWLHQW 7UHDWPHQW ,QVWLWXWLRQVE\6HFWRUV 7XUNH\ Ministry of Health University Private Total MRI 256 98 403 757 CT 466 121 484 1.071 Ultrasound 2.782 639 1.865 5.286 Doppler 1.670 353 1.128 3.151 Ultrasonography ECHO 903 224 666 1.793 Mammography 305 81 517 903 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV 84 THE MINISTRY of HEALTH of TURKEY oe ukysdata belongs to the year 2014. Turkey’s Note: 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV2(&'+HDOWK'DW 7DEOH1XPEHURI05,'HYLFHVLQ,QSDWLHQW+HDOWK&DUH)DFLO SHU3RSXODWLRQ ,QWHUQDWLRQDO&RPSDULVRQRI1XPEHURI05,'HYLFHVL )LJXUH 1876DQG6HFWRUV 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV Southeastern Anatolia Mideastern Anatolia Blacksea Western Blacksea Eastern Anatolia Central Eastern Marmara Turkey Aegean Northeastern Anatolia Mediterranean Istanbul Western Marmara Anatolia Western NUTS-1 18 27 36 45 0 9 Japan 46,9 United States 35,5 Italy 24,6 Korea 24,5 Greece 24,3 Finland 22,1 Iceland 21,8 Swiss 19,9 Ministry ofHealth Austria 19,2 Spain 15,3 2,7 3,2 4,0 5,1 2,8 3,4 3,3 3,3 4,5 2,8 2,9 3,6 4,0 OECD 14,3 Australia 13,4 Ireland 13,3 Luxembourg 12,9 Germany 11,6 University University Netherlands 11,5 1,3 1,3 Estonia 11,4 0,5 1,1 1,3 0,4 1,5 1,2 1,2 3,2 1,3 0,7 1,2 2,9 THE MINISTRY ofHEALTH of TURKEY New Zeland 11,2 Belgium 10,8 Turkey 9,7 D LWLHVSHU3RSXODWLRQE\ France 9,4 Q,QSDWLHQW+HDOWK&DUH)DFLOLWLHV elhSaitc erok2014 Health Statistics Yearbook Canada 8,8 Private 5,2 5,2 Slovenia 8,7 4,6 4,2 3,1 3,9 5,1 4,9 5,3 2,3 6,1 6,7 5,7 4,8 Czech Republic 7,4 Slovakia 6,7 Chile 6,6 Poland 6,4 United Kingdom 6,1 Total Total 10,0 10,0 10,2 10,3 10,4 11,7 9,7 9,7 Israel 3,1 7,8 8,4 8,5 9,4 9,5 9,5 9,8 Hungary 3,0 Mexico 2,1 85 Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 7DEOe . 1XPEHU RI &7 'HYLFHV LQ ,QSDWLHQW +HDOWK &DUH )DFLOLWLHV SHU 3RSXODWLRQ E\ 1876DQG6HFWRUV NUTS-1 Ministry of Health University Private Total Western Anatolia 7,3 3,6 6,7 17,6 Eastern Blacksea 9,7 0,8 5,5 16,0 Western Marmara 7,5 1,8 6,3 15,5 Northeastern Anatolia 8,2 3,6 3,2 15,0 Istanbul 4,5 1,0 8,8 14,3 Mediterranean 5,7 1,5 7,1 14,2 Turkey 6,0 1,6 6,2 13,8 Western Blacksea 8,5 1,3 3,8 13,6 Aegean 6,3 1,7 5,6 13,6 Mideastern Anatolia 5,3 1,1 6,0 12,4 Central Anatolia 5,4 1,8 4,4 11,6 Southeastern Anatolia 5,1 0,8 5,5 11,4 Eastern Marmara 5,2 1,0 5,2 11,3 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH ,QWHUQDWLRQDO&RPSDULVRQRI1XPEHURI&7'HYLFHVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHV SHU3RSXODWLRQ 120 100 101,3 80 60 53,7 43,5 40,5 37,8 37,7 36,6 35,2 40 33,3 29,6 24,6 22,2 22,1 21,7 19,0 18,7 17,8 17,6 17,2 16,6 15,3 15,0 14,7 14,5 13,8 20 12,3 12,1 11,5 8,9 7,9 7,9 5,3 0 Italy Chile Swiss Israel Spain OECD Japan Korea France Turkey Poland Ireland Austria Greece Iceland Mexico Finland Estonia Canada Belgium Slovakia Slovenia Hungary Australia Denmark Germany New Zeland Netherlands Luxembourg United States Czech Republic United Kingdom 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV2(&'+HDOWK'DWD Note: Turkey’s data belongs to the year 2014. 86 THE MINISTRY of HEALTH of TURKEY E\1876DQG6HFWRUV 7DEOH 1XPEHURI8OWUDVRXQG'HYLFHVLQ,QSDWLHQW+HDOWK&DU RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 3RSXODWLRQE\1876DQG6HFWRUV 1XPEHURI'RSSOHU8OWUDVRXQG'HYLFHVLQ,QSDWLHQW+H 7DEOH Mediterranean Blacksea Eastern Istanbul Aegean Northeastern Anatolia Anatolia Western NUTS-1 Mideastern Anatolia Eastern Marmara Southeastern Anatolia Western Marmara Blacksea Western Anatolia Central Turkey Southeastern Anatolia Mediterranean Blacksea Western Mideastern Anatolia Western Marmara Northeastern Anatolia Aegean Turkey Eastern Marmara Blacksea Eastern Istanbul Anatolia Western Anatolia Central NUTS-1 Ministry of Health Ministry ofHealth Ministry of Health Ministry ofHealth 35,2 35,2 31,0 28,2 35,8 43,4 39,1 35,8 32,9 38,2 28,0 39,9 51,7 50,8 21,3 21,3 21,5 24,4 32,3 19,7 26,0 22,4 16,0 16,0 17,8 26,0 19,7 20,6 27,2 University University University University 16,0 16,0 14,1 12,7 13,7 8,2 8,2 5,3 2,2 8,8 6,0 3,3 4,9 9,1 5,1 12,1 12,1 4,5 4,5 3,9 3,4 3,3 2,4 4,8 4,1 4,5 2,6 1,6 4,6 7,6 THE MINISTRY ofHEALTH of TURKEY H)DFLOLWLHVSHU3RSXODWLRQ DOWK&DUH)DFLOLWLHVSHU elhSaitc erok2014 Health Statistics Yearbook Private Private Private Private 13,4 13,4 24,8 21,8 18,2 14,9 23,2 24,0 27,7 15,6 36,8 18,4 25,1 8,6 11,9 11,9 13,5 15,0 12,5 13,7 14,5 13,8 22,5 14,7 14,4 7,3 7,3 7,8 Total Total 53,9 53,9 58,0 58,9 60,0 61,6 67,2 68,0 69,6 69,7 69,8 72,3 73,0 89,6 Total Total 31,8 31,8 34,7 36,7 37,1 37,9 38,5 39,5 40,6 40,8 41,7 46,8 48,3 48,9 87 Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 7DEOH1XPEHURI(&+2'HYLFHVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU3RSXODWLRQE\ 1876DQG6HFWRUV NUTS-1 Ministry of Health University Private Total Western Anatolia 14,9 6,8 10,7 32,4 Istanbul 12,2 2,4 13,7 28,2 Eastern Blacksea 19,9 1,2 5,1 26,1 Central Anatolia 13,4 3,3 8,5 25,2 Western Blacksea 15,6 2,9 5,3 23,8 Turkey 11,6 2,9 8,6 23,1 Eastern Marmara 11,3 2,2 9,4 22,9 Western Marmara 11,3 2,4 6,6 20,3 Aegean 10,6 2,1 7,1 19,8 Mediterranean 8,1 2,8 8,1 19,0 Mideastern Anatolia 10,0 1,8 6,3 18,1 Northeastern Anatolia 12,2 3,2 2,7 18,1 Southeastern Anatolia 8,6 2,8 5,7 17,1 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH 1XPEHU RI 0DPPRJUDSK\ 'HYLFHV LQ ,QSDWLHQW +HDOWK &DUH )DFLOLWLHV SHU 3RSXODWLRQE\1876DQG6HFWRUV NUTS-1 Ministry of Health University Private Total Eastern Blacksea 7,8 0,8 5,5 14,0 Istanbul 2,4 0,7 10,7 13,8 Western Anatolia 5,1 2,3 6,1 13,5 Western Marmara 4,8 1,2 6,9 12,8 Aegean 5,1 1,5 5,8 12,4 Mediterranean 4,0 1,0 7,1 12,1 Turkey 3,9 1,0 6,7 11,6 Western Blacksea 5,8 0,7 4,5 10,9 Eastern Marmara 3,5 1,1 5,6 10,2 Central Anatolia 3,6 1,0 5,1 9,8 Northeastern Anatolia 3,2 0,9 5,0 9,1 Mideastern Anatolia 2,6 0,5 5,3 8,4 Southeastern Anatolia 2,7 0,5 4,8 8,0 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 88 THE MINISTRY of HEALTH of TURKEY hospital exist in Dental Policlinic (Hospital) Dental existin hospital Note: Data related to dental clinic and dental prosthesis center belonging to oral and dental health center and *HQHUDO'LUHFWR 6RXUFH 7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV +HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7DEOH1XPEHURI6SHFLDOW\0HGLFDO 3URYLGLQJ2UDODQG'HQWDO 7DEOH1XPEHURIWKH,QVWLWXWLRQV Southeastern Anatolia Mideastern Anatolia Northeastern Anatolia Blacksea Eastern Blacksea Western Anatolia Central Mediterranean Anatolia Western Eastern Marmara Aegean Western Marmara Istanbul NUTS-1 Total Policlinic Dental (Hospital) Policlinic Dental Hospital Dental Training Dental Hospital Center Oral andDental Health Institution Institution Ministry of Health ofHealth Ministry 756 756 613 137 - 1 5 7.659 7.659 1.941 4.872 Dental 101 101 745 Unit Unit - Institution Institution HWUQUYWXSWHW&LLVE86 &HQWHUVDQG3ULYDWH2XWSDWLHQW&OLQLFVE\1876 46 21 25 - - - University University 3.610 3.610 3.204 Dental 406 406 Unit Unit Specialty Medical Centers Centers Medical Specialty - - - Institution Institution 1.718 1.718 1.382 263 263 69 - 4 Private THE MINISTRY ofHEALTH of TURKEY 831 831 104 125 273 97 17 11 31 12 77 64 15 5 6.615 6.615 5.285 DHR +HDOWK6HUYLFHV UDWHRI Dental 411 411 112 807 Unit Unit - +HDOWK&DUH6HUYLFHVE\6HFWRUV elhSaitc erok2014 Health Statistics Yearbook Institution Institution 35 35 - - - - Other Other Private Outpatient Clinics Clinics Private Outpatient Dental 186 186 186 Unit Unit - - - - 368 368 145 Institution Institution 42 55 24 67 2.555 2.555 1.382 4 3 0 4 8 8 8 932 932 206 26 9 Total 18.070 18.070 Dental Unit 5.285 5.285 2.944 3.305 5.679 857 857 89 Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 )LJXUH3RSXODWLRQSHU'HQWDO8QLWE\ Year 2002 61.632 2010 12.775 2011 12.113 2012 10.730 2013 10.575 2014 10.144 0 10.000 20.000 30.000 40.000 50.000 60.000 70.000 Population 6RXUFH 7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH. 0R+$IILOLDWHG3ULPDU\+HDOWK&DUH)DFLOLWLHVE\ Family Medicine Unit - 20.185 20.216 20.811 21.175 21.384 Family Health Center - 6.367 6.520 6.660 6.756 6.829 Population Health Center - 961 957 957 971 970 Health House 2.899 3.292 4.344 5.691 5.594 5.572 MCHFP Center 298 192 183 189 183 182 Tuberculosis Control Dispensary 277 198 194 179 177 179 Cancer Early Diagnosis, Screening 84 122 124 124 134 132 and Training Centers (KETEM) 112 Emergency Care Station 481 1.375 1.710 1.863 2.072 2.186 Number of Public Health 83 83 Laboratories 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 90 THE MINISTRY of HEALTH of TURKEY 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 1XPEHURI)DPLO\+HDOWK&HQWHU0HGLFDO([DPLQDWLRQ )LJXUH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH 3RSXODWLRQSHU$FWLYHO\:RUNLQJ)DPLO\0HGLFLQHE\ Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern Year Year Western Marmara 2014 2013 2012 2011 2010 2002 Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern NUTS-1 Central Anatolia Central Mediterranean .0 60024.000 16.000 8.000 0 Istanbul Aegean Turkey .0 .0 4.500 3.000 1.500 0 6.076 THE MINISTRY ofHEALTH of TURKEY 17 1876 5RRPVE\ Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 )LJXUH3RSXODWLRQSHU(PHUJHQF\$LG6WDWLRQE\ 2002 137.231 2010 53.617 2011 43.698 2012 40.594 2013 37.002 2014 35.542 0 30.000 60.000 90.000 120.000 150.000 Population 6RXUFH *HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV )LJXUH3RSXODWLRQSHU(PHUJHQF\$LG6WDWLRQE\18760LQLVWU\RI+HDOWK NUTS-1 Istanbul 67.182 Eastern Marmara 41.425 Mediterranean 38.103 Western Anatolia 37.685 Southeastern Anatolia 37.165 Turkey 35.542 Aegean 33.978 Western Marmara 29.660 Mideastern Anatolia 25.863 Northeastern Anatolia 25.072 Central Anatolia 24.753 Western Blacksea 24.030 Eastern Blacksea 20.211 0 20.000 40.000 60.000 80.000 Population 6RXUFH *HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 92 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI(PHUJHQF\+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 3RSXODWLRQSHU(PHUJHQF\$PEXODQFHE\ Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 )LJXUH3RSXODWLRQSHU(PHUJHQF\$PEXODQFHE\18760LQLVWU\RI+HDOWK NUTS-1 Istanbul 49.576 Western Anatolia 27.571 Mediterranean 24.644 Eastern Marmara 22.630 Southeastern Anatolia 21.320 Aegean 21.147 Turkey 20.774 Western Marmara 18.117 Western Blacksea 13.374 Central Anatolia 13.129 Mideastern Anatolia 12.425 Eastern Blacksea 10.785 Northeastern Anatolia 9.593 0 10.000 20.000 30.000 40.000 50.000 60.000 Population 6RXUFH *HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 7DEOe . 1XPEHURI9HKLFOHDQG7UDQVIHUUHG3DWLHQWVE\$PEXODQFH7\SHV0LQLVWU\RI+HDOWK Number of Vehicle Number of Transferred Patients Ambulance Helicopter 17 2.577 Air Ambulance 3 1.753 Snow Track Ambulance 292 611 Sea Ambulance 4 1.575 6RXUFH *HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 94 THE MINISTRY of HEALTH of TURKEY LHWUWI(PHUJHQF\+HDOWK6HUYLFHV 'LUHFWRUDWHRI 7DEO RUH*QUO LHWUWR HOK HYFV3EL+DW,Q +HDOWK 3XEOLF 6HUYLFHV +HDOWK RI 'LUHFWRUDWH *HQHUDO 6RXUFH Manisa Manisa Malatya Kütahya Konya Kocaeli <ŦƌƔĞŚŝƌ <ŦƌŬůĂƌĞůŝ Kayseri Kastamonu Kars 7njŵŝƌ 7ƐƚĂŶďƵů Mersin Isparta Hatay Hakkari 'ƺŵƺƔŚĂŶĞ Giresun Gaziantep ƐŬŝƔĞŚŝƌ Erzurum Erzincan ůĂnjŦŒ Edirne ŝLJĂƌďĂŬŦƌ Denizli Çorum ĂŶŬŦƌŦ Çanakkale Bursa Burdur Bolu Bitlis Bingöl Bilecik ĂůŦŬĞƐŝƌ LJĚŦŶ Artvin Antalya Ankara Amasya ŒƌŦ Afyonkarahisar ĚŦLJĂŵĂŶ Adana City e . 6RPH+HDOWK,QGLFDWRUVE\3URYLQFHV7XUNH\ Hospital 236 236 28 28 20 12 40 27 30 17 59 25 17 21 18 26 17 24 11 12 10 24 22 16 16 41 10 29 22 43 89 11 23 11 30 6 8 7 5 6 9 8 9 8 8 8 7 11.452 33.581 18.641 4.034 4.034 2.544 1.705 6.635 4.156 4.018 1.087 3.511 1.996 2.822 1.373 4.611 3.482 3.542 2.824 1.916 4.502 2.770 1.537 1.338 6.750 1.826 2.965 2.678 5.135 1.973 1.103 6.400 801 801 772 417 328 644 456 682 795 642 355 355 792 817 498 498 Bed Bed Number of Beds per per Beds Hospital 10.000 10.000 29,5 29,5 33,1 29,8 31,5 24,1 22,4 23,3 30,4 29,5 26,0 27,8 23,4 20,3 47,7 18,6 15,1 22,4 31,9 24,4 42,9 46,4 28,8 49,7 47,9 27,5 28,3 29,2 24,8 26,1 24,2 26,5 64,1 23,5 24,1 16,9 24,9 25,7 20,9 23,1 36,2 24,6 14,9 27,9 18,4 29,6 Qualified Qualified 16.932 16.932 1.742 1.742 4.104 1.638 1.336 2.034 1.200 2.094 1.823 1.363 3.433 1.143 1.303 1.608 3.243 7.797 1.382 2.597 1.971 1.971 1.586 2.604 2.489 Beds Beds 698 698 382 299 303 415 941 291 194 741 337 972 670 689 334 442 308 368 224 117 429 572 533 74 74 Care Unit Intensive 2.399 2.399 1.045 1.538 1.538 5.388 Beds Beds 107 107 889 210 344 370 759 210 169 425 425 416 194 852 605 611 622 288 480 173 940 422 355 317 175 860 406 149 72 72 52 47 39 29 64 54 52 52 69 78 79 43 27 50 36 Number of Medicine Medicine Family Family 1357 1357 1148 1148 3663 Unit 136 136 766 332 293 582 100 148 209 179 610 403 403 216 178 591 465 378 104 496 130 410 122 501 225 239 173 115 427 279 171 80 80 87 91 79 63 52 70 70 98 85 64 41 70 49 THE MINISTRY ofHEALTH of TURKEY Population Population per Family Family per Medicine Medicine 3.763 3.763 3.639 3.211 3.273 3.715 3.367 3.332 3.581 3.556 3.263 3.819 3.795 3.219 3.712 3.380 3.340 3.550 3.394 3.394 3.563 3.211 3.568 3.705 3.182 3.507 3.498 3.547 3.488 3.583 3.925 3.482 3.221 3.707 4.317 3.570 3.524 3.771 3.610 3.194 3.195 3.288 3.481 3.829 3.508 3.083 3.746 Unit elhSaitc erok2014 Health Statistics Yearbook Emergency Emergency Number of WWWRR7UH *HQHUDO 7XUNH\ RI VWLWXWLRQ Station Care 130 130 214 214 112 112 23 23 52 19 15 10 14 35 28 19 47 12 15 32 20 46 46 46 31 22 58 34 14 17 29 23 15 87 44 19 36 15 12 22 34 24 25 12 25 16 50 31 25 18 8 Emergency Emergency Population Population per 112 112 per 22.252 22.252 53.607 13.521 18.986 33.802 19.001 26.241 33.973 37.214 47.289 39.616 26.826 36.629 22.074 29.892 47.078 29.737 29.737 24.824 25.980 36.359 50.670 15.908 20.219 45.599 16.039 19.764 47.277 67.182 39.256 22.041 42.218 18.419 12.196 19.545 55.573 33.847 30.533 18.636 22.750 25.018 32.701 31.571 21.089 10.197 Station 8.930 8.930 Care Ambulance Ambulance Emergency Emergency Number of Care 166 166 115 115 290 112 112 34 34 77 28 39 27 31 20 43 50 33 74 27 40 51 33 63 73 73 48 36 81 64 24 37 66 36 30 65 31 54 38 31 38 61 39 66 32 47 33 75 54 42 28 Ambulance Ambulance Emergency Emergency Population Population per 112 112 per 15.053 36.202 12.519 10.496 27.652 20.840 30.035 31.025 11.923 13.736 13.850 18.116 34.375 18.738 16.032 15.877 26.035 26.919 20.036 10.247 35.766 49.576 26.573 13.509 28.145 11.315 30.975 20.829 11.565 12.101 12.130 21.801 18.124 12.553 9.175 9.175 7.302 8.581 5.142 9.279 9.279 9.290 9.882 7.271 4.721 6.989 6.555 Care 95 Health Care Facilities and Infrastructures Health Statistics Yearbook 2014 7DEOH6RPH+HDOWK,QGLFDWRUVE\3URYLQFHV7XUNH\ &RQWLQXHG Number of Population Number of Population Number of Number of Population Intensive 112 per 112 112 per 112 Hospital Qualified Family per Family City Hospital Bed Care Unit Emergency Emergency Emergency Emergency Beds per Beds Medicine Medicine Beds Care Care Care Care 10.000 Unit Unit Station Station Ambulance Ambulance Kahraman- 19 2.597 23,8 1.460 428 310 3.513 30 36.301 60 18.151 ŵĂƌĂƔ Mardin 12 1.018 12,9 448 154 205 3.849 23 34.304 36 21.917 DƵŒůĂ 24 2.086 23,3 892 217 247 3.621 38 23.540 62 14.428 DƵƔ 7 766 18,6 325 58 112 3.672 11 37.383 24 17.134 EĞǀƔĞŚŝƌ 6 618 21,6 438 79 86 3.328 12 23.854 24 11.927 EŝŒĚĞ 7 581 16,9 453 76 103 3.339 19 18.100 28 12.282 Ordu 17 1.868 25,8 527 242 196 3.695 30 24.142 52 13.928 Rize 10 1.081 32,8 826 84 96 3.435 19 17.357 36 9.161 Sakarya 19 1.698 18,2 1.325 196 258 3.615 23 40.552 45 20.727 Samsun 28 4.338 34,2 2.125 571 364 3.489 33 38.485 61 20.819 Siirt 10 850 26,7 618 89 85 3.745 15 21.224 33 9.647 Sinop 7 510 24,9 134 45 58 3.526 15 13.635 27 7.575 Sivas 20 2.491 40,0 900 249 177 3.520 31 20.101 64 9.736 dĞŬŝƌĚĂŒ 20 2.014 22,2 935 298 239 3.794 22 41.215 38 23.861 Tokat 15 1.887 31,6 1.149 216 173 3.456 20 29.896 44 13.589 Trabzon 22 3.298 43,0 1.928 364 233 3.291 25 30.671 48 15.975 Tunceli 5 187 21,6 162 17 25 3.461 12 7.211 28 3.090 bĂŶůŦƵƌĨĂ 20 2.876 15,6 1.032 579 495 3.729 39 47.325 69 26.749 hƔĂŬ 8 977 28,0 574 128 108 3.236 11 31.769 33 10.590 Van 17 2.536 23,4 1.359 577 283 3.836 29 37.432 63 17.231 Yozgat 17 1.018 23,5 241 74 135 3.204 24 18.023 37 11.691 Zonguldak 12 2.042 34,1 742 222 173 3.461 19 31.516 25 23.952 Aksaray 9 677 17,6 169 78 112 3.431 14 27.447 28 13.723 Bayburt 1 150 18,6 150 13 26 3.100 6 13.435 17 4.742 Karaman 5 663 27,6 484 84 76 3.163 11 21.851 25 9.614 <ŦƌŦŬŬĂůĞ 6 1.095 40,4 489 114 85 3.189 14 19.364 25 10.844 Batman 10 1.009 18,1 585 186 153 3.644 19 29.347 25 22.304 bŦƌŶĂŬ 9 716 14,6 473 88 133 3.676 15 32.598 33 14.817 ĂƌƚŦŶ 3 452 23,9 150 37 62 3.055 10 18.941 20 9.470 Ardahan 4 241 23,9 152 21 31 3.252 8 12.601 20 5.040 /ŒĚŦƌ 4 296 15,4 86 28 55 3.492 7 27.437 25 7.682 Yalova 6 382 16,9 205 71 57 3.974 9 25.168 14 16.180 Karabük 5 632 27,3 448 85 69 3.353 12 19.278 26 8.897 Kilis 1 210 16,3 84 21 39 3.302 7 18.397 22 5.854 Osmaniye 9 1.025 20,2 507 182 147 3.448 19 26.674 27 18.771 Düzce 8 690 19,4 191 92 103 3.452 12 29.629 26 13.675 Turkey 1.528 206.836 26,6 98.521 28.572 21384 3.633 2.186 35.542 3.740 20.774 6RXUFH *HQHUDO 'LUHFWRUDWH RI +HDOWK 6HUYLFHV 3XEOLF +HDOWK ,QVWLWXWLRQ RI 7XUNH\ *HQHUDO 'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 96 THE MINISTRY of HEALTH of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h ; H[DPLQDWLRQURRPV +HDOWK&HQWHUV ; DGGHGWRWKHQXPEHURI.(7(0 ; HUVHWYQPHV I 5DQG 05, RI QXPEHUV UHWURVSHFWLYH ; DQGVHUYLF SURYLGHG XVHGLQWKHWDEOHVJUDSKLFVZKHUHWKHLQIUDVWUXFWXUH ; FHQWHUV WRWDO V D KHDOWK DPEXODQFHV HPHUJHQF\ VHFWRU WKH SULYDWH WKH 7KH GLUHFWRUDWHV RI KHDOWK DW SURYLQFLDO DPEXODQFHV LQMXUHG $PEXODQFHV´ DQG ³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¶V THE MINISTRY ofHEALTH of TURKEY . elhSaitc erok2014 Health Statistics Yearbook EHFRPSDUDEOH V RGQFPDLQ VHDW FRPSDQLRQ IROGLQJ LWKLQWKHPXQLFLSDOLWLHVZHUH ZERUQXQLWV ,QFXEDWRU HVRIWKHKRVSLWDOVDUH H RLFXHLWKH LQ LQFOXGHG QRW UH HV ZHUHLQFOXGHGLQ EHGV SIU KQPHRI QXPEHU WKH IRU HSW FLQVWLWXWLRQV LHQWVIRUPRUHWKDQ LQJWKRVHFORVHG ZHUH HUHLQFOXGHGLQDOOWKH H[DPLQDWLRQURRPV QWLQXRXVPHGLFDOFDUH OLQWHUYHQWLRQLQDQ\ LQWKH³2WKHU´VHFWRU YDWHVHFWRUZKLFKDUH XEOLFLQVWLWXWLRQV XGHGLQWKH0LQLVWU\ KFDH KRVSLWDOV DUH ZKLFK ³2WKHU´LVGHILQHG OXGHKHDOWKFHQWHUV SUHYLRXV\HDUVLV DH 2KULV ³2WKHU´ FDWHG LQ HZHWKH EHWZHHQ WLRQ HH QLWKH LQ DQG FHQH XPEHURI)DPLO\ KVLDV DQG KRVSLWDOV H RH RWKH IRU GRQH UH UZWHFKQLFDO FUHZ G V Q\ WKH RQO\ DV HG WHW EHGV DWLHQW 97 Health Care Facilities and Infrastructures . Chapter 7 Services Health Care Utilization of Utilization of Health Care Services . LXH 7RWDO1XPEHURI3HU&DSLWD9LVLWVWRD3K\VLFLDQLQ )LJXUH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDW &DUH +HDOWK LQ 3K\VLFLDQ 7XUNH\ D WR 9LVLWV RI 1XPEHU 7RWDO 7DEOH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDW Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH3HU&DSLWD9LVLWVWRD3K\VLFLDQLQ+HDOWK&DUH)DFLOLWLHVE\1876$OO6HFWRUV NUTS-1 4,1 Eastern Blacksea 9,2 4,0 Western Marmara 9,0 3,9 Aegean 8,9 3,9 Western Blacksea 8,9 3,2 Eastern Marmara 8,8 3,4 Mediterranean 8,7 3,5 Western Anatolia 8,5 3,1 Turkey 8,3 3,3 Central Anatolia 8,1 2,3 Istanbul 7,8 2,3 Southeastern Anatolia 7,5 2,3 Northeastern Anatolia 7,0 2,5 Mideastern Anatolia 6,8 0246810 2002 2014 Per Capita Visits 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI3HU&DSLWD9LVLWVWRD3K\VLFLDQ 15 14,6 12,9 12 11,7 11,1 11,0 9,9 9 8,2 7,7 7,4 7,4 7,1 7,1 6,8 6,8 6,7 6,5 6,5 6,4 6,4 6,2 6,0 6 4,6 4,2 4,1 4,0 3,9 3,8 3,7 3,3 2,9 2,8 3 2,6 0 Italy Chile Swiss Spain OECD Japan Korea France Turkey Poland Ireland Austria Iceland Mexico Finland Estonia Canada Norway Belgium Slovakia Swedish Slovenia Hungary Portugal Australia Denmark Germany New Zeland Netherlands Luxembourg United States Czech Republic 6RXUFH 2(&'+HDOWK'DWD 102 THE MINISTRY of HEALTH of TURKEY 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDW 7XUNH\ 1XPEHURI9LVLWVWRD3K\VLFLDQDW3ULPDU\+HDOWK&D )LJXUH 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDW + LQ 3K\VLFLDQ D Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH3HU&DSLWD9LVLWVWRD3K\VLFLDQDW3ULPDU\+HDOWK&DUH)DFLOLWLHVE\1876$OO6HFWRUV NUTS-1 1,6 Western Marmara 3,5 1,5 Aegean 3,4 1,3 Eastern Marmara 3,4 1,3 Mediterranean 3,3 1,5 Eastern Blacksea 3,0 1,3 Western Blacksea 2,9 1,1 Turkey 2,8 1,3 Central Anatolia 2,8 1,1 Western Anatolia 2,8 0,6 Istanbul 2,5 0,8 Southeastern Anatolia 2,0 0,9 Northeastern Anatolia 1,9 0,9 Mideastern Anatolia 1,8 01234 2002 2014 Per Capita Visits 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH 5HIHUUDOVIURPWKH3ULPDU\+HDOWK&DUH)DFLOLWLHVE\ % 25 22,0 20 18,2 15 13,2 10,2 10 6,4 5 3,0 2,4 2,1 1,3 1,0 0,4 0,7 0,3 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Year 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 104 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7 DQG 6HFRQGDU\ DW 3K\VLFLDQ D 1876$OO6HFWRUV WR 9LVLWV &DSLWD 3HU )LJXUH RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7DEOH1XPEHURI+RVSLWDO9LVLWVE\ Utilization of Health Care Services Health Statistics Yearbook 2014 7DEOH3HU&DSLWD+RVSLWDO9LVLWVE\ 2002 2010 2011 2012 2013 2014 Ministry of Health 1,7 3,2 3,4 3,5 3,6 3,8 University 0,1 0,3 0,3 0,4 0,4 0,4 Private 0,1 0,6 0,8 0,9 0,9 0,9 Total 1,9 4,1 4,5 4,7 4,9 5,1 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH 3HU&DSLWD9LVLWVWR+RVSLWDOVE\1876$OO6HFWRUV NUTS-1 2,5 Eastern Blacksea 6,1 2,5 Western Blacksea 5,7 2,3 Western Marmara 5,5 2,2 Western Anatolia 5,4 1,7 Eastern Marmara 5,2 2,2 Aegean 5,2 1,8 Central Anatolia 5,2 1,9 Turkey 5,1 1,9 Mediterranean 5,0 1,4 Northeastern Anatolia 4,9 1,5 Mideastern Anatolia 4,9 1,6 Istanbul 4,8 1,3 Southeastern Anatolia 4,5 0246 2002 2014 Per Capita Visits 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 106 THE MINISTRY of HEALTH of TURKEY values of the Universties and Public Sector were also included. nytevle fteMnsr fHat eepbihdbfr 02 n21,21 and 2014, the published before 2012. In 2012, 2013 * Only the values of the Ministry of Health were RUHXNVQWWWRI3ELRSWO*QUO'LUHFWRU *HQHUDO 6RXUFH 7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV )LJXUH3URSRUWLRQRI9LVLWVWR0R++RVSLWDOVWR$OO6HFWR RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI )LJXUH1XPEHURI9LVLWVWR2UDODQG'HQWDO&DUH6HUYLFHV NUTS-1 NUTS-1 Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern 2014 2013 2012 2011 2010 2002 Year Year Mideastern Anatolia Mideastern Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Mediterranean 000002.0.0 0000040.000.000 30.000.000 20.000.000 10.000.000 0 Istanbul Aegean Turkey 5.462.923 2550751000 25.177.013 THE MINISTRY ofHEALTH of TURKEY UVE\1876 E\ Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH3HU&DSLWD9LVLWVWRD'HQWLVWE\18767XUNH\ NUTS-1 Western Anatolia 0,71 Western Blacksea 0,65 Central Anatolia 0,60 Eastern Marmara 0,57 Northeastern Anatolia 0,56 Western Marmara 0,55 Eastern Blacksea 0,49 Turkey 0,49 Mideastern Anatolia 0,48 Aegean 0,48 Mediterranean 0,42 Southeastern Anatolia 0,40 Istanbul 0,34 0,0 0,1 0,2 0,3 0,4 0,5 0,6 0,7 0,8 Per Capita Visits 6RXUFH 7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH1XPEHURI,QSDWLHQWVE\ 2002 2010 2011 2012 2013 2014 Ministry of Health 4.169.779 6.361.116 6.775.154 6.891.857 7.023.313 7.396.239 University 781.990 1.509.484 1.607.462 1.601.878 1.630.464 1.737.627 Private 556.494 2.657.573 3.054.165 3.485.092 3.719.780 3.900.407 Total 5.508.263 10.528.173 11.436.781 11.978.827 12.373.557 13.034.273 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 108 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7DEOH1XPEHURI,QSDWLHQWVLQWKH0R++RVSLWDOVDQG,WV3U RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI DO1XPEHURI6XUJLFDO2SHUDWLRQVE\ Utilization of Health Care Services Health Statistics Yearbook 2014 7DEOH 1XPEHURI6XUJLFDO2SHUDWLRQVE\6XUJLFDO2SHUDWLRQ*URXSVDQG 6HFWRUV A B C Total Ministry of Health 193.783 847.028 1.404.613 2.445.424 University 118.532 299.459 347.558 765.549 Private 170.989 543.622 873.362 1.587.973 Total 483.304 1.690.109 2.625.533 4.798.946 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH 'LVWULEXWLRQRI6XUJLFDO2SHUDWLRQVE\6XUJLFDO2SHUDWLRQ*URXSVE\6HFWRUV A B C Total Ministry of Health 40 50 53 51 University 25 18 13 16 Private 35 32 33 33 Total 100 100 100 100 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 110 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7DEOH 1XPEHURI6XUJLFDO2SHUDWLRQVSHU3RSXODWLRQE RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7DEOH1XPEHURI6XUJLFDO2SHUDWLRQVSHU3RSXODWLRQ Western Marmara Mideastern Anatolia Anatolia Southeastern Western Blacksea Northeastern Anatolia Istanbul Eastern Blacksea Turkey Aegean Eastern Marmara Mediterranean Central Anatolia Western Anatolia NUTS-1 Western Marmara Mideastern Anatolia Anatolia Southeastern Western Blacksea Northeastern Anatolia Istanbul Eastern Blacksea Turkey Aegean Eastern Marmara Mediterranean Central Anatolia Western Anatolia NUTS-1 Ministry of Health Health 30,7 25,1 29,4 34,5 40,7 25,9 38,4 31,5 31,6 33,2 32,8 31,6 37,3 7,6 6,1 6,2 7,1 6,7 6,3 4,8 9,1 4,2 3,4 3,2 5,6 4,1 A University 13,1 14,8 12,6 10,5 13,6 18,4 18,0 16,6 16,5 20,5 16,8 21,7 21,2 21,8 23,4 22,9 22,3 24,8 28,7 7,8 5,5 7,2 5,2 8,1 9,9 8,6 B THE MINISTRY ofHEALTH of TURKEY \1876DQG6HFWRUV \*RS Q 86 1876 DQG E\*URXSV elhSaitc erok2014 Health Statistics Yearbook Private 12,5 13,3 18,9 16,0 29,6 14,8 20,4 18,3 20,8 22,6 23,3 19,6 28,7 31,5 34,1 31,6 37,7 31,4 34,1 33,8 31,9 33,1 37,3 38,9 37,6 3,0 C Total Total 51,0 51,5 53,8 57,6 58,5 60,7 61,4 61,8 62,5 62,7 65,9 68,5 75,3 51,0 51,5 53,8 57,6 58,5 60,7 61,4 61,8 62,5 62,7 65,9 68,5 75,3 111 Utilization of Health Care Services Health Statistics Yearbook 2014 7DEOH3URSRUWLRQRI6XUJLFDO2SHUDWLRQVWRWKH1XPEHURI9LVLWVE\1876DQG6HFWRUV Ministry of NUTS-1 University Private Total Health Western Anatolia 1,0 2,2 2,4 1,4 Mediterranean 0,9 2,6 2,2 1,3 Central Anatolia 0,8 3,1 2,7 1,3 Istanbul 0,8 1,7 2,3 1,3 Turkey 0,8 2,4 2,2 1,2 Aegean 0,8 2,3 2,3 1,2 Southeastern Anatolia 0,9 2,8 2,1 1,2 Eastern Marmara 0,8 2,2 2,3 1,2 Northeastern Anatolia 1,0 3,5 0,7 1,2 Mideastern Anatolia 0,7 3,1 1,6 1,1 Western Blacksea 0,7 2,2 2,4 1,0 Eastern Blacksea 0,8 3,3 1,9 1,0 Western Marmara 0,7 2,4 1,6 0,9 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH%HG2FFXSDQF\5DWH E\ % 90 84,4 79,2 79,7 80,7 76,5 76,7 76,7 72,9 74,7 72,9 73,6 74,1 69,8 69,3 71,1 60 68,2 67,5 66,4 66,4 65,2 64,8 63,8 65,0 64,3 60,6 61,4 56,1 53,6 50,7 50,3 50,8 51,5 50,5 48,0 46,0 42,0 30 35,1 32,0 33,1 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health University Private Year 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 112 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI LQ+RVSLWDOVE\ Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI$FXWH%HG2FFXSDQF\5DWHLQ+RVSLWDOV 94,1 100 93,8 90,9 89,0 84,3 83,6 80,2 79,3 78,4 78,1 77,5 77,3 75,9 75,8 75,6 75,0 74,9 80 73,9 70,6 70,4 69,4 69,2 67,9 67,4 64,8 64,4 60 40 20 0 Italy Chile Swiss Israel Spain OECD Japan France Turkey Ireland Austria Greece Mexico Estonia Canada Norway Belgium Slovakia Slovenia Hungary Portugal Germany Luxembourg United States United Czech Republic Czech United Kingdom United 6RXUFH 2(&'+HDOWKDWD*ODQFH )LJXUH$YHUDJH/HQJWK RI 6WD\LQ+RVSLWDOVE\ 5,7 5,6 5,6 5,2 5,2 4 4,7 4,6 4,5 4,4 4,3 4,3 4,4 4,3 3,1 3,0 2 2,8 2,7 2,4 2,3 2,2 2,4 1,8 1,8 2,0 2,0 2,0 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health University Private Year 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 114 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI DO YUJ/QWR6DL+VLDV \ DQ &' ,&' 0DLQ 7XUNH\ E\ +RVSLWDOV LQ 6WD\ RI /HQJWK $YHUDJH 7DEOH RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 6WD\LQ+RVSLWDOVE\ LJRLHDHUXV'DWDEDVH 'LDJQRVLV5HODWHG*URXSV M00-M99 Q00-Q99 O00-O99 N00-N99 G00-G99 H60-H95 H00-H59 D50-D89 C00-D48 A00-B99 R00-R99 K00-K93 P00-P96 E00-E90 Z00-Z99 Z00-Z99 S00-T98 F00-F99 L00-L99 J00-J99 I00-I99 Code THE MINISTRY ofHEALTH of TURKEY 2011 18,3 3,9 2,5 3,7 2,6 4,5 4,9 1,9 2,8 6,6 2,6 3,2 5,3 5,2 2,6 1,8 5,6 5,3 3,2 4,8 3,8 FWRUV 'D\V 7XUNH\ 3,9 3,9 DQVV UXV$O 6HFWRUV $OO *URXSV LDJQRVLV 4,0 4,0 4,1 4,1 elhSaitc erok2014 Health Statistics Yearbook 4,2 4,4 2012 15,3 4,0 3,0 4,1 2,6 4,4 4,8 2,0 2,9 6,6 2,3 3,0 5,4 5,3 3,3 1,5 5,7 5,2 3,5 4,8 3,7 5,1 2013 5,3 18,4 3,9 3,2 4,6 2,9 4,5 5,0 2,0 2,7 6,6 2,2 2,7 5,5 5,1 3,1 1,3 5,4 5,3 3,1 4,9 3,5 5,7 5,8 5,8 2014 20,2 4,0 3,4 5,0 3,0 4,7 5,2 2,0 2,9 6,2 2,2 2,7 5,5 5,0 2,8 1,5 5,4 5,3 3,0 5,4 3,5 Day 115 Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH $YHUDJH/HQJWK RI 6WD\LQ+RVSLWDOVE\18760R+ 'D\V NUTS-1 Istanbul 8,7 4,9 Western Blacksea 5,7 4,8 Western Anatolia 6,3 4,8 5,5 Eastern Blacksea 4,6 Aegean 5,4 4,5 Eastern Marmara 5,0 4,4 Western Marmara 4,8 4,4 Turkey 5,7 4,3 Northeastern Anatolia 5,5 4,1 5,3 Mediterranean 4,1 Mideastern Anatolia 5,2 3,9 Central Anatolia 4,5 3,9 4,5 Southeastern Anatolia 3,4 0369 Day 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI$YHUDJH/HQJWKRI6WD\LQ+RVSLWDOV 'D\V 20 17,2 16,5 15 10,6 9,5 9,4 10 9,1 8,6 8,5 8,1 7,7 7,6 7,6 7,4 7,3 7,3 7,0 7,0 6,8 6,7 6,6 6,6 6,5 6,0 5,9 5,8 5,7 5,7 5,6 5,6 5,2 4,8 4,6 4,5 4,0 5 3,9 0 Italy Chile Swiss Israel Spain OECD Japan Korea France Turkey Poland Ireland Austria Greece Iceland Mexico Finland Estonia Canada Norway Belgium Slovakia Swedish Slovenia Hungary Portugal Australia Denmark Germany New Zeland Netherlands Luxembourg United States Czech Republic United Kingdom 6RXUFH 2(&'+HDOWK'DWD 116 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI )LJXUH%HG7XUQRYHU5DWHLQ+RVSLWDOVE\ 37,5 38,8 40,8 31,5 39,7 44,8 32,9 46,2 Ministry of Health Ministry of 35,3 57,0 45,8 37,4 74,3 47,9 40,8 93,4 50,7 101,9 46,4 52,1 University 92,1 51,4 48,6 THE MINISTRY ofHEALTH of TURKEY 37,1 38,3 $OO6HFWRUV7XUNH\ V 3DWLHQW 7XUNH\ 43,1 91,1 52,9 42,7 elhSaitc erok2014 Health Statistics Yearbook 45,0 Private 46,2 95,6 55,9 48,5 45,6 81,8 56,3 53,8 57,9 45,2 83,2 57,1 57,3 57,9 59,9 60,8 61,2 59,8 47,4 83,9 63,0 Year Year Patient Patient 117 Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH%HG7XUQRYHU5DWHLQ+RVSLWDOVE\1876 3DWLHQW 0R+ NUTS-1 50,0 Southeastern Anatolia 82,0 44,0 Mediterranean 65,9 32,8 Central Anatolia 59,9 38,8 Turkey 59,8 40,2 Mideastern Anatolia 59,6 44,8 Eastern Marmara 58,8 41,1 Aegean 58,5 31,0 Istanbul 57,4 37,3 Western Anatolia 55,8 39,9 Northeastern Anatolia 55,2 39,7 Western Marmara 54,6 36,1 Eastern Blacksea 51,5 34,8 Western Blacksea 50,7 0306090 2002 2014 Patient 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH%HG7XUQRYHU,QWHUYDOLQ+RVSLWDOVE\ Day 6,6 6 6,0 5,1 4 3,7 3,7 3,5 3,7 2,8 2,8 2,6 2,5 2,5 2,5 2,5 3,1 2,2 2,2 2,2 2,6 2,5 2,1 2,0 1,9 2 1,8 2,3 2,2 2,1 2,1 2,0 2,0 2,0 2,1 1,9 1,8 1,7 1,9 1,8 1,4 1,2 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health University Private Year 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 118 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI )LJXUH%HG7XUQRYHU,QWHUYDOLQ+RVSLWDOVE\ Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH&UXGH'HDWK5DWHLQ+RVSLWDOVE\ ‰ 35 31,5 31,6 33,0 32,5 27,6 28,0 28 26,1 25,8 25,3 24,5 23,5 22,9 21,6 21 15,8 15,7 15,8 14,8 14,1 13,2 13,3 13,9 12,6 13,0 12,3 12,5 12,9 14 15,9 14,7 12,4 9,6 10,1 10,0 7 9,2 8,9 8,7 7,8 7,1 5,0 5,8 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health University Private Year 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH&UXGH'HDWK5DWHLQ+RVSLWDOVE\ Year 2002 16,8 2003 16,1 2004 15,5 2005 15,1 2006 14,4 2007 13,1 2008 12,8 2009 13,2 2010 13,3 2011 14,1 2012 16,2 2013 16,7 2014 17,0 048121620 ‰ 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 120 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI &UXGH'HDWK5DWHLQ+RVSLWDOVE\18760R+ Å )LJXUH RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI 7DEOH1XPEHURI'D\V6WD\HGLQ+RVSLWDOVE\ Utilization of Health Care Services Health Statistics Yearbook 2014 7DEOH. 1XPEHURI'D\V6WD\HGLQWKH+RVSLWDOV E\1876 0R+ NUTS-1 2014 Northeastern Anatolia 940.278 Western Marmara 1.456.182 Central Anatolia 1.519.421 Eastern Blacksea 1.546.957 Mideastern Anatolia 1.596.325 Western Blacksea 2.518.171 Southeastern Anatolia 2.973.514 Eastern Marmara 3.186.967 Western Anatolia 3.471.414 Mediterranean 3.813.100 Istanbul 4.446.110 Aegean 4.610.435 Turkey 32.078.874 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH1XPEHURI2UJDQ7UDQVSODQWDWLRQVE\ Liver 159 695 904 1.001 1.248 1.212 Heart 20 86 93 61 63 78 Heart Valve 15 18 1 5 1 0 Lung 0 3 5 25 32 33 Heart-Lung 0 0 0 2 0 0 Pancreas 0 29 26 6 4 9 Small Intestine 1 3 1 5 2 5 Total 745 3.336 3.953 4.008 4.294 4.261 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 122 THE MINISTRY of HEALTH of TURKEY DQG6HFWRUV DOXEUR5 ([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLW 7DEOH1XPEHURI05, HWU7UH 7XUNH\ 6HFWRUV RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI DO XEU I [PR6P,DLJ HLHL,QSDWLHQ LQ 'HYLFHV ,PDJLQJ 6RPH RI ([DPV RI 1XPEHU 7DEOH 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV NUTS-1 NUTS-1 Total Private University Health of Ministry Mideastern Anatolia Istanbul Western Anatolia Eastern Blacksea Anatolia Southeastern Turkey Anatolia Northeastern Eastern Marmara Mediterranean Aegean Western Marmara Western Blacksea Central Anatolia 10.259.508 2.772.124 1.335.565 6.151.819 MRI Ministry of of Ministry Health Health 21,1 18,9 22,1 18,0 20,5 18,1 18,6 16,4 21,7 28,1 21,7 22,1 18,3 12.407.145 2.111.526 1.851.598 8.444.021 CT 27.151.430 19.459.180 Ultrasound 5.746.185 1.946.065 University University 41,5 61,0 36,2 43,7 48,9 43,1 71,4 35,4 42,9 30,8 48,8 41,1 46,1 THE MINISTRY ofHEALTH of TURKEY Ultrasound 9.418.461 1.906.888 6.836.380 675.193 Doppler HH 3RSXO LHVSHU elhSaitc erok2014 Health Statistics Yearbook Private 38,3 50,9 30,4 34,5 47,5 52,2 43,3 35,0 39,0 38,2 38,8 43,8 39,4 +DW&U)FOWHE\ )DFLOLWLHV &DUH +HDOWK W 6.390.696 1.404.597 4.295.635 690.464 ECHO ECHO DWLRQE\1876 Total 25,9 30,1 29,3 27,0 26,5 26,2 25,6 25,3 24,3 24,2 22,9 22,8 22,8 2.241.893 1.541.083 Mammog- 413.217 287.593 raphy 123 Utilization of Health Care Services Health Statistics Yearbook 2014 7DEOH1XPEHURI&7([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQE\1876 DQG6HFWRUV Ministry of NUTS-1 University Private Total Health Western Marmara 19,7 58,9 30,8 23,7 Central Anatolia 22,3 71,6 21,4 26,3 Western Anatolia 25,4 43,2 28,0 28,5 Eastern Marmara 27,3 56,7 25,0 29,1 Eastern Blacksea 26,7 70,8 36,5 29,8 Aegean 27,5 59,6 28,9 31,1 Turkey 28,9 57,6 29,2 31,3 Western Blacksea 28,8 53,6 40,8 31,6 Mediterranean 27,7 70,0 31,2 31,8 Mideastern Anatolia 26,1 80,1 39,5 33,2 Southeastern Anatolia 29,7 68,6 43,5 34,2 Istanbul 39,7 43,5 21,3 34,9 Northeastern Anatolia 32,0 71,7 29,4 35,2 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH 1XPEHURI8OWUDVRXQG ([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQE\ 1876DQG6HFWRUV Ministry of NUTS-1 University Private Total Health Eastern Blacksea 43,3 65,0 98,1 51,4 Western Marmara 51,1 65,4 60,7 53,3 Eastern Marmara 57,6 40,0 67,2 57,9 Istanbul 61,2 42,4 57,0 58,9 Western Blacksea 55,9 51,8 89,6 59,6 Northeastern Anatolia 63,4 70,9 88,6 66,3 Aegean 64,1 53,9 86,2 66,3 Turkey 66,6 60,5 79,4 68,5 Central Anatolia 59,3 83,1 136,7 74,3 Mideastern Anatolia 69,0 93,0 88,5 74,4 Mediterranean 75,3 77,2 81,6 76,8 Western Anatolia 85,5 53,9 73,6 78,9 Southeastern Anatolia 89,0 95,4 108,1 93,1 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 124 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI +HD ,QSDWLHQW LQ ([DPV 3RSXODWLRQE\1876DQG6HFWRUV 8OWUDVRXQG 'RSSOHU RI 1XPEHU 7DEOH DO XEU I &2 [PL,SWHW HOK DH )DFLO &DUH +HDOWK ,QSDWLHQW 1876DQG6HFWRUV LQ ([DPV (&+2 RI 1XPEHU 7DEOH Northeastern Anatolia Western Blacksea Eastern Blacksea Western Marmara Central Anatolia NUTS-1 Western Anatolia Mideastern Anatolia Northeastern Anatolia Anatolia Southeastern Western Blacksea Aegean Central Anatolia Turkey Western Marmara Mediterranean Eastern Blacksea Istanbul Eastern Marmara NUTS-1 Mideastern Anatolia Eastern Marmara Western Anatolia Anatolia Southeastern Istanbul Mediterranean Turkey Aegean Ministry of Ministry of Health Health 14,7 17,5 18,6 16,8 15,1 14,6 15,1 13,9 15,4 14,6 13,1 13,5 11,5 Health Health 26,7 31,4 24,9 21,8 30,1 25,8 23,4 19,0 22,0 19,3 19,7 12,5 11,0 University University 21,5 20,5 24,4 28,3 39,2 21,9 16,4 33,4 18,5 24,6 27,6 12,8 21,3 27,6 18,7 20,9 21,8 20,6 21,0 27,7 22,4 17,6 19,0 39,2 8,6 7,2 THE MINISTRY ofHEALTH of TURKEY elhSaitc erok2014 Health Statistics Yearbook Private Private WHSU RXDLQ E\ 3RSXODWLRQ SHU LWLHV 19,4 26,4 16,8 19,4 29,0 24,7 18,7 17,1 16,1 23,3 17,1 16,9 W&U)FOWHSU SHU )DFLOLWLHV &DUH OWK 53,6 26,7 34,0 37,5 15,3 19,7 26,4 41,4 14,5 28,0 16,1 31,7 13,8 9,8 Total Total 16,1 31,3 29,6 25,6 25,0 24,7 24,1 23,7 23,3 21,3 20,2 18,8 15,7 13,8 19,3 18,8 17,2 17,0 16,7 16,7 16,3 15,8 15,7 15,0 14,4 13,1 125 Utilization of Health Care Services Health Statistics Yearbook 2014 7DEOH. 1XPEHURI0DPPRJUDSK\([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQ E\1876DQG6HFWRUV Ministry of NUTS-1 University Private Total Health Southeastern Anatolia 1,6 3,2 4,1 2,1 Mideastern Anatolia 2,8 7,5 3,4 3,3 Northeastern Anatolia 3,2 4,6 3,6 3,3 Eastern Blacksea 4,1 20,3 4,2 4,8 Western Marmara 4,7 8,7 4,9 4,9 Turkey 5,3 8,9 5,7 5,7 Western Blacksea 5,4 9,3 6,4 5,8 Eastern Marmara 5,4 10,3 6,0 5,8 Mediterranean 6,3 6,6 5,6 6,2 Istanbul 6,2 6,5 6,3 6,2 Central Anatolia 6,7 8,4 6,1 6,7 Aegean 6,3 8,5 7,3 6,7 Western Anatolia 6,5 13,5 5,4 7,4 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH1XPEHURI&DVHVSHU(PHUJHQF\&DUH6WDWLRQE\ 2002 796 2010 1.507 2011 1.568 2012 1.734 2013 1.769 2014 1.842 0 300 600 900 1.200 1.500 1.800 Number of Cases 6RXUFH *HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 126 THE MINISTRY of HEALTH of TURKEY RUHHHDLHWUWI(PHUJHQF\+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI )LJXUH7RWDO1XPEHURI&DVHVSHU(PHUJHQF\&DUH$PEXO (PHUJHQF\+HDOWK6HUYLFHV 6RXUFH *HQHUDO'LUHFWRUDWHRI )LJXUH1XPEHURI&DVHVSHU(PHUJHQF\&DUH6WDWLRQE\ NUTS-1 Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern 2014 2013 2012 2011 2010 2002 Year Year Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Mediterranean 0 0 0 0 001200 1000 800 600 400 200 0 Istanbul Aegean Turkey 0 0 0 .0 .0 .0 .0 2.400 2.100 1.800 1.500 1.200 900 600 300 0 564 608 608 649 684 726 733 780 2002 786 796 888 979 620 THE MINISTRY ofHEALTH of TURKEY 2014 1.414 1.471 1876 1.487 1.516 DQFHE\ Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH7RWDO1XPEHURI&DVHVSHU(PHUJHQF\&DUH$PEXODQFHE\1876 NUTS-1 1.339 Istanbul 1.558 888 Western Anatolia 1.519 566 Mediterranean 1.378 749 Eastern Marmara 1.237 533 Aegean 1.110 613 Western Marmara 1.079 620 Turkey 1.077 419 Southeastern Anatolia 1.010 511 Central Anatolia 865 509 Western Blacksea 828 508 Eastern Blacksea 785 489 Mideastern Anatolia 728 430 Northeastern Anatolia 638 0 400 800 1.200 1.600 2002 2014 Number of Cases 6RXUFH *HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 128 THE MINISTRY of HEALTH of TURKEY 6RXUFH 3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUN 7DEOH Total Pharmaceutical Consumption Consumption Pharmaceutical Total Various (Other) Parasitology &Immunomodul Antineoplastic Agents Diagnostic Hormones Systemic Organs Sensory Hormones &Sex G.U.System Solutions Hospital Blood & B.Forming Organs Dermatologicals System Cardiovascular System Musculo-Skeletal System Nervous Anti-Infectives Systemic System Respiratory Metabolism T.& Alimentary . &RQVXPSWLRQRI'UXJVE\ 1.669,90 155,8 207,1 211,0 266,0 231,3 243,1 2010 30,3 46,5 56,2 46,4 66,4 87,0 2,2 5,0 6,3 9,1 THE MINISTRY ofHEALTH of TURKEY 1.848,30 H\ 168,9 222,8 234,5 280,8 268,7 268,7 2011 36,5 48,9 63,4 59,2 72,6 97,6 11,1 2,6 5,0 6,9 elhSaitc erok2014 Health Statistics Yearbook 1.889,40 101,6 177,5 233,4 242,6 278,4 257,8 278,8 2012 37,5 50,6 64,4 61,9 77,8 11,7 2,9 4,7 7,6 1.912,20 185,2 216,8 258,5 275,1 263,8 280,6 2013 37,5 55,2 64,1 72,1 77,1 96,5 13,2 3,4 5,1 8,2 1.969,97 191,4 228,0 260,7 270,3 276,5 286,7 2014 41,7 58,2 66,1 75,8 82,7 98,8 14,8 4,0 5,0 9,3 129 Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI'UXJ&RQVXPSWLRQVE\ 2010 52,7 44,4 3,0 2011 52,9 44,2 2,9 2012 53,1 44,0 2,9 2013 53,6 44,0 2,4 2014 54,3 43,3 2,4 0 20406080100 Generic Original Other % 6RXUFH 3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ )LJXUH'LVWULEXWLRQRI'UXJ([SHQGLWXUHVE\ 2010 35,3 61,3 3,4 2011 36,4 59,6 4,0 2012 36,0 59,4 4,6 2013 35,3 60,3 4,4 2014 29,4 66,5 4,1 0 20406080100 Generic Original Other % 6RXUFH 3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ 130 THE MINISTRY of HEALTH of TURKEY )LJXUH'LVWULEXWLRQRI'UXJ&RQVXPSWLRQVE\ Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH'LVWULEXWLRQRI'UXJ&RQVXPSWLRQVE\ 2010 93,9 6,1 2011 94,4 5,6 2012 94,6 5,4 2013 95,2 4,8 2014 94,9 5,1 0 20406080100 Reimbursed Not Reimbursed % 6RXUFH 3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ )LJXUH 'LVWULEXWLRQRI'UXJ([SHQGLWXUHVE\ 2010 92,8 7,2 2011 91,8 8,2 2012 90,6 9,4 2013 90,7 9,3 2014 91,5 8,5 0 20406080100 Reimbursed Not Reimbursed % 6RXUFH 3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ 132 THE MINISTRY of HEALTH of TURKEY &OLPDWH5HSRUW 6RXUFH %XOOHWLQRIWKH:RUOG+HDOWK2UJDQL]DWLRQ )LJXUH6DWLVIDFWLRQZLWK+ 6RXUFH 785.67$7/LIH6DWLVIDFWLRQ6XUYH\ 6DWLVIDFWLRQ5DWLRZLWK+HDOWKFDUH6HUYLFHVE\ Utilization of Health Care Services Health Statistics Yearbook 2014 )LJXUH 6DWLVIDFWLRQ ZLWK +HDOWK &DUH 6HUYLFHV DQG 3HU &DSLWD 3XEOLF +HDOWK ([SHQGLWXUH 33386 6000 100 90 90 91 92 87 81 81 78 79 79 75 4500 69 71 75 61 57 58 55 4.495 51 52 48 3000 43 44 3.841 50 4.126 3.677 40 40 3.608 37 3.469 3.311 3.247 26 24 2.583 1.551 22 2.802 1500 20 2.381 25 2.169 2.099 1.655 2.509 621 10 1.783 1.716 1.639 788 1.198 1.182 659 1.492 1.111 1.081 1.053 1.045 0 793 0 EU Italy Spain Malta Latvia France Turkey Cyprus Poland Ireland Austria Greece Croatia Finland Estonia Belgium Bulgaria Slovakia Swedish Slovenia Hungary Portugal Romania Denmark Germany Lithuanian Netherlands Luxembourg Czech Republic United Kingdom Satisfaction(%) PPP $ 6RXUFH 2(&'+HDOWK'DWD :+2:RUOG+HDOWK6WDWLVWLFV(XURSHDQ&RPPLVVLRQ6RFLDO &OLPDWH5HSRUW785.67$7/LIH6DWLVIDFWLRQ6XUYH\ )LJXUH 6DWLVIDFWLRQ ZLWK +HDOWK &DUH 6HUYLFHV DQG 3HU &DSLWD 7RWDO +HDOWK ([SHQGLWXUH 33386 6000 100 90 90 91 92 87 4.904 81 81 78 79 79 75 4500 69 71 75 5.131 61 4.819 3.663 57 58 4.553 55 4.553 52 4.371 4.256 3.077 51 48 4.124 3000 44 50 40 40 43 3.442 2.366 37 3.235 2.928 2.867 24 26 2.522 2.511 1500 20 22 2.482 25 2.240 10 2.040 1.719 2.010 1.573 1.542 1.530 1.477 982 1.171 1.054 0 1.011 0 EU Italy Spain Malta Latvia France Turkey Cyprus Poland Ireland Austria Greece Croatia Finland Estonia Belgium Bulgaria Slovakia Swedish Slovenia Hungary Portugal Romania Denmark Germany Lithuanian Netherlands Luxembourg Czech Republic United Kingdom Satisfaction(%) PPP $ 6RXUFH 2(&'+HDOWK'DWD :+2:RUOG+HDOWK6WDWLVWLFV(XURSHDQ&RPPLVVLRQ6RFLDO &OLPDWH5HSRUW785.67$7/LIH6DWLVIDFWLRQ6XUYH\ 134 THE MINISTRY of HEALTH of TURKEY RUH3EL+DW,VLXLQ I XN\*QUO 'LUHFWRUDW *HQHUDO 7XUNH\ RI ,QVWLWXWLRQRI3XEOLF+RVSLWDOV ,QVWLWXWLRQ +HDOWK 3XEOLF 6RXUFH 6RPH+HDOWK,QGLFDWRUVE\3URYLQFHV7XUNH\ 7DEOH 0DODW\D .WDK\D .RQ\D .RFDHOL .ÕUúHKLU .ÕUNODUHOL .D\VHUL .DVWDPRQX .DUV ø]PLU øVWDQEXO 0HUVLQ ,VSDUWD +DWD\ +DNNDUL *PúKDQH *LUHVXQ *D]LDQWHS (VNLúHKLU (U]XUXP (U]LQFDQ (OD]Õ÷ (GLUQH 'L\DUEDNÕU 'HQL]OL dRUXP dDQNÕUÕ dDQDNNDOH %XUVD %XUGXU %ROX %LWOLV %LQJ|O %LOHFLN %DOÕNHVLU $\GÕQ $UWYLQ $QWDO\D $QNDUD $PDV\D $÷UÕ $I\RQNDUDKLVDU $GÕ\DPDQ $GDQD &LW\ 3ULPDU\+HDOWK &DUH)DFLOLWLHV RD 9LVLWV 7RWDO DH7WO9LVLWV &DUH7RWDO 7HUWLDU\+HDOWK 6HFRQGDU\DQG 3HU&DSLWD 3K\VLFLDQ 9LVLWV HWV 9LVLWV 'HQWLVW 1XPEHURI 3HU&DSLWD 'HQWLVW 9LVLWV 1XPEHURI ,QSDWLHQWV THE MINISTRY ofHEALTH of TURKEY 'D\V6WD\HG øQ+RVSLWDOV XEURI 1XPEHU R HOK HYFV 7XUNLVK 6HUYLFHV +HDOWK RI H 1XPEHURI 2SHUDWLRQ 6XUJLFDO elhSaitc erok2014 Health Statistics Yearbook 2FFXSD 5DWH %HG QF\ /HQJWKRI +RVSLWDO $YHUDJH 6WD\LQ +RVSLWDO 5DWHLQ 7XUQ RYHU %HG +RVSLWDO ,QWHUYDO 7XUQR %HG YHU LQ +RVSLWDO 135 5DWHLQ &UXGH 'HDWK Utilization of Health Care Services Health Statistics Yearbook 2014 7DEOH6RPH+HDOWK,QGLFDWRUVE\3URYLQFHV7XUNH\ &RQWLQXHG %HG %HG $YHUDJH 7XUQR &UXGH 3ULPDU\+HDOWK 6HFRQGDU\DQG 3HU&DSLWD 3HU&DSLWD 1XPEHURI 1XPEHURI %HG 7XUQ 1XPEHURI 1XPEHURI /HQJWKRI YHU 'HDWK &LW\ &DUH)DFLOLWLHV 7HUWLDU\+HDOWK 3K\VLFLDQ 'HQWLVW 'D\V6WD\HG 6XUJLFDO 2FFXSD RYHU 'HQWLVW 9LVLWV ,QSDWLHQWV 6WD\LQ ,QWHUYDO 5DWHLQ 7RWDO 9LVLWV &DUH7RWDO 9LVLWV 9LVLWV 9LVLWV øQ+RVSLWDOV 2SHUDWLRQ QF\5DWH 5DWHLQ +RVSLWDO LQ +RVSLWDO +RVSLWDO +RVSLWDO 0DQLVD .DKUDPDQPDUDú 0DUGLQ 0X÷OD 0Xú 1HYúHKLU 1L÷GH 2UGX 5L]H 6DNDU\D 6DPVXQ 6LLUW 6LQRS 6LYDV 7HNLUGD÷ 7RNDW 7UDE]RQ 7XQFHOL ùDQOÕXUID 8úDN 9DQ =RQJXOGDN $NVDUD\ %D\EXUW .DUDPDQ .ÕUÕNNDOH %DWPDQ ùÕUQDN %DUWÕQ $UGDKDQ ,÷GÕU .DUDEN .LOLV 2VPDQL\H ']FH 7XUNH\ 6RXUFH 3XEOLF +HDOWK ,QVWLWXWLRQ RI 7XUNH\ *HQHUDO 'LUHFWRUDWH RI +HDOWK 6HUYLFHV 7XUNLVK ,QVWLWXWLRQRI3XEOLF+RVSLWDOV 136 THE MINISTRY of HEALTH of TURKEY VXUJLFDORSHUDWLRQV 2UJDQL]DWLRQ¶V,&+,GLDJQRVWLFDQGPLQRUVXUJLFDOSURFHGXUHVD ,+ 1PHRVULDRHDLQ UX$% Q&ZUF ZHUH & DQG % $ JURXS FODVVLILFDWLRQ WKLV LQ RSHUDWLRQV GHILQLWLRQV WKH ZLWK VXUJLFDO DFFRUGDQFH RI 1XPEHU ,&+, RQWKH:RUOG+HDOWK2UJDQL]DWLRQ¶V,QWHUQDWLRQDO&ODVVLILFDWLRQ ; 0LQLVWU\RI+HDOWKWREHFRPSDUDEOH ; VHUYLFHVEHORQJLQJWRWKHPKDYHEHHQLQFOXGHGLQWKH³3ULYDWH´ ; ; 6HFWRU ; DQG ; ; SKRQH´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´ DQG ³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³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ofHEALTH of TURKEY RIYLVLWVWRDSK\VLFLDQ LFKDUHSUHYLRXVO\XQSUHFHGHQWHG HVDUHFDOOHGHTXLYDOHQWGUXJV HFHDVHG FRGQWWH RO+HDOWK :RUOG WKH WR $FFRUGLQJ WXWLRQVZHUHLQFOXGHGLQWKH3ULYDWH LFLDQVIRUDQ\UHDVRQH[FHSWYLDWKH D HXWR RJ HHUKVDQG UHVHDUFKHV ORQJ RI UHVXOW D V HUHRQO\LQFOXGHGIRU RI%HGV VHFWRU QH[W,WLVFDOFXODWHGDV elhSaitc erok2014 Health Statistics Yearbook RI+HDOWK,QWHUYHQWLRQ KHKRVSLWDOLQWKHVDPH H RLFXHLWKH LQ LQFOXGHG QRW UH 1XPEHURIEHGV[ UHQRWLQFOXGHGLQWKH WLHQWV 'LVFKDUJHG XKUWHDQG DXWKRULWLHV SURGXFWVZKLFKGR FUHZWHFKQLFDODQG HQWV UHWRV Q DQ\ LQ HUYHQWLRQV HQLQFOXGHGLQWKH HH QLWKH LQ DQG FHQH KVLDV DQG KRVSLWDOV D OXDHLQ DOFXODWHG LVFKDUJHG . HHQ the H 137 Utilization of Health Care Services . Human for Health Chapter 8 Resources Human Resources for Health . 7DEOH 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 7DEOH +HDOWK6HUYLFHV*HQHUDO'LUHFWRU 6RXUFH *HQHUDO'LUHFWRUDWHRI TOTAL ProcurementServices of and Personnel Other Health Personnel Other Midwives Nurses Pharmacists Dentists Physicians Total Residents Medical General Practitioners Specialist Physicians TOTAL ProcurementServices of and Personnel Other Health Personnel Other Midwives Nurses Pharmacists Dentists Physicians Total Residents Medical General Practitioners Specialist Physicians . . XEURHOK&UUIVLQO E\ 378.551 91.949 83.964 50.106 41.479 72.393 22.289 16.371 15.592 30.900 45.457 Ministry of 2002 533.911 196.459 107.327 77.876 33.060 36.886 48.103 94.404 Health Health 2.102 7.640 7.930 634.496 198.694 114.772 123.447 99.302 50.343 26.506 21.432 21.066 38.818 63.563 2010 Universitiy 77.987 28.228 12.449 12.488 22.314 13.087 14.941 1.370 828 310 200 670.092 209.126 110.862 124.982 126.029 THE MINISTRY ofHEALTH of TURKEY 51.905 26.089 21.099 20.253 39.712 66.064 2011 UDWHRI0DQDJHPHQW6HUYLFHV DWHRI0DQDJHPHQW6HUYLFHV elhSaitc erok2014 Health Statistics Yearbook 698.518 209.736 122.663 134.906 129.772 140.981 53.466 53.466 26.571 21.404 20.792 38.877 70.103 Private 28.245 17.823 29.499 23.035 24.732 13.801 22.479 3.846 5.766 2012 0 \ 735.159 224.618 134.488 139.544 133.775 53.427 27.012 22.295 21.317 38.572 73.886 2013 Other 7.443 1.267 2.679 2894 302 302 185 303 945 61 55 19 760.322 229.625 149.616 142.432 135.616 760.322 229.625 149.616 142.432 135.616 52.838 27.199 22.996 21.320 39.045 75.251 52.838 27.199 22.996 21.320 39.045 75.251 2014 Total 141 Human Resources for Health Health Statistics Yearbook 2014 7DEOH 1XPEHURI+HDOWK&DUH3URIHVVLRQDOV E\ )LJXUH 1XPEHURI7RWDO3K\VLFLDQVSHU 3RSXODWLRQ E\ 180 174 175 172 169 170 167 164 158 160 154 150 150 146 143 141 138 140 130 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Year 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 142 THE MINISTRY of HEALTH of TURKEY latest yearbetweenlatest years the 2007-2013. The data for international regions arethe data of the Turkey’sNote: data belongs the to year 2014. :RUOG+HDOWK6WDWLVWLFV 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR )LJXUH1XPEHURI7RWDO3K\VLFLDQVSHU3RSXODWLRQE )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI7RWDO1XPEHURI3K\VLFL NUTS-1 Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern 100 150 200 250 300 350 Mideastern Anatolia Mideastern 50 Western Marmara 0 Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Mediterranean WHO European Istanbul Aegean Region Turkey 321 010102020300 250 200 150 100 50 0 Group Countries Upper Income 287 68 87 2002 95 105 Turkey 110 113 175 117 120 122 123 138 139 146 THE MINISTRY ofHEALTH of TURKEY 2014 154 155 156 160 161 162 162 UDWHRI0DQDJHPHQW6HUYLFHV /ŶĐŽŵĞ'ƌŽƵƉ hƉƉĞƌDŝĚĚůĞ DQVSHU3RSXODWLRQ \1876$OO6HFWRUV UDWHRI0DQDJHPHQW6HUYLFHV:+2 ŽŶƵŶƚƌŝĞƐ 175 161 189 elhSaitc erok2014 Health Statistics Yearbook 193 193 228 Global 139 270 143 Human Resources for Health Health Statistics Yearbook 2014 )LJXUH 1XPEHURI*HQHUDO3UDFWLWLRQHUVSHU3RSXODWLRQE\1876$OO6HFWRUV NUTS-1 63 Eastern Blacksea 59 48 Western Marmara 57 56 Aegean 57 62 Western Blacksea 56 45 Northeastern Anatolia 55 65 Central Anatolia 55 49 Mediterranean 55 46 Mideastern Anatolia 54 32 Southeastern Anatolia 52 47 Turkey 50 44 Eastern Marmara 50 49 Western Anatolia 47 30 Istanbul 36 0 204060 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH. 1XPEHURI6SHFLDOLVW3K\VLFLDQVSHU3RSXODWLRQE\1876$OO6HFWRUV NUTS-1 113 Western Anatolia 157 126 Istanbul 114 71 Aegean 109 68 Turkey 97 51 Eastern Marmara 91 56 Mediterranean 88 50 Western Marmara 83 42 Eastern Blacksea 82 51 Western Blacksea 82 42 Central Anatolia 80 30 Northeastern Anatolia 69 34 Mideastern Anatolia 66 29 Southeastern Anatolia 61 050100150 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 144 THE MINISTRY of HEALTH of TURKEY LXH LWLXLQR6HLOV3\LLQ HLD5HVLG 0HGLFDO 3K\VLFLDQV 1876$OO6HFWRUV 6SHFLDOLVW RI 'LVWULEXWLRQ )LJXUH )LJXUH 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 24 26 28 30 Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern NUTS-1 Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern 0220 0420 0620 0820 0021 0221 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 Central Anatolia Central Mediterranean . 25 XEURHWVVSU3SOWR E\ Human Resources for Health Health Statistics Yearbook 2014 )LJXUH1XPEHURI'HQWLVWVSHU3RSXODWLRQE\1876$OO6HFWRUV NUTS-1 37 Western Anatolia 44 42 Istanbul 42 29 Aegean 32 25 Turkey 30 23 Western Marmara 29 25 Eastern Marmara 28 23 Mediterranean 28 16 Eastern Blacksea 26 17 Western Blacksea 24 14 Central Anatolia 22 12 Northeastern Anatolia 16 8 Mideastern Anatolia 16 7 Southeastern Anatolia 13 0 1020304050 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH ,QWHUQDWLRQDO&RPSDULVRQRI1XPEHURI'HQWLVWVSHU3RSXODWLRQ 70 65 60 57 50 40 37 30 30 28 20 10 0 Upper Income WHO European hƉƉĞƌDŝĚĚůĞ Turkey Global Group Countries Region /ŶĐŽŵĞ'ƌŽƵƉ ŽŶƵŶƚƌŝĞƐ 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV:+2 :RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. The data for international regions are the data of the latest year between the years 2007-2013. 146 THE MINISTRY of HEALTH of TURKEY )LJXUH 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR )LJXUH 32 34 36 38 NUTS-1 Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central 0220 0420 0620 0820 0021 0221 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 33,6 Mediterranean . . . 1XPEHURI3KDUPDFLVWVSHU3RSXODWLRQE\1876$OO6HF XEURKUDLWH RXDLQE\ Human Resources for Health Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI1XPEHURI3KDUPDFLVWVSHU3RSXODWLRQ 101 90 68 60 45 35 34 30 0 Upper Income WHO European Global Turkey hƉƉĞƌDŝĚĚůĞ Group Countries Region /ŶĐŽŵĞ'ƌŽƵƉ ŽŶƵŶƚƌŝĞƐ 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV:+2 :RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. The data for international regions are the data of the latest year between the years 2007-2013. )LJXUH1XPEHURI1XUVHVDQG0LGZLYHVSHU3RSXODWLRQE\ 260 252 251 249 245 237 230 224 213 215 206 201 200 182 185 175 177 171 173 170 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Year 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 148 THE MINISTRY of HEALTH of TURKEY 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR latest yearlatest between years the 2007-2013. Turkey’sNote: data belongs the to year 2014.The data for international regions arethe data of the :RUOG+HDOWK6WDWLVWLFV 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR ,QWHUQDWLRQDO&RPSDULVRQRI1XPEHURI1XUVHVDQG0L )LJXUH )LJXUH1XPEHURI1XUVHVDQG0LGZLYHVSHU3RSXODWL NUTS-1 Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern 300 600 900 Mideastern Anatolia Mideastern Western Marmara 0 Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Central Anatolia Central Mediterranean Group Countries Upper Income Istanbul Aegean Turkey 882 0 0 0 400 300 200 100 0 WHO European Region 802 102 110 2002 136 lblTurkey Global 147 286 171 173 176 184 193 195 THE MINISTRY ofHEALTH of TURKEY 2014 203 207 220 /ŶĐŽŵĞ'ƌŽƵƉ hƉƉĞƌDŝĚĚůĞ UDWHRI0DQDJHPHQW6HUYLFHV 226 ŽŶƵŶƚƌŝĞƐ UDWHRI0DQDJHPHQW6HUYLFHV:+2 241 RQE\1876$OO6HFWRUV 263 251 251 252 252 elhSaitc erok2014 Health Statistics Yearbook GZLYHVSHU3RSXODWLRQ 259 281 281 284 299 303 342 251 149 Human Resources for Health Health Statistics Yearbook 2014 )LJXUH .. 1XPEHURI7RWDO3K\VLFLDQVSHU3RSXODWLRQE\1876 0R+ NUTS-1 130 Western Anatolia 131 97 Eastern Blacksea 112 106 Aegean 110 81 Istanbul 102 86 Turkey 100 100 Western Blacksea 99 76 Eastern Marmara 98 62 Northeastern Anatolia 97 92 Central Anatolia 96 87 Western Marmara 93 81 Mediterranean 90 64 Mideastern Anatolia 88 49 Southeastern Anatolia 80 04080120 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH .. 1XPEHURI*HQHUDO3UDFWLWLRQHUVSHU3RSXODWLRQE\18760R+ NUTS-1 63 Eastern Blacksea 54 45 Northeastern Anatolia 53 61 Western Blacksea 51 46 Mideastern Anatolia 50 64 Central Anatolia 49 47 Western Marmara 48 54 Aegean 47 32 Southeastern Anatolia 46 48 Mediterranean 45 44 Eastern Marmara 43 44 Turkey 43 46 Western Anatolia 38 19 Istanbul 27 0 204060 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 150 THE MINISTRY of HEALTH of TURKEY 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 18760R+ LXH )LJXUH 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR )LJXUH NUTS-1 Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Northeastern Anatolia Northeastern Southeastern Anatolia Southeastern Mideastern Anatolia Mideastern Mideastern Anatolia Mideastern NUTS-1 Western Marmara Western Marmara Western Blacksea Western Anatolia Western Eastern Marmara Western Blacksea Western Anatolia Western Eastern Marmara Eastern Blacksea Eastern Eastern Blacksea Eastern Central Anatolia Central Central Anatolia Central Mediterranean Mediterranean . . . 1XPEHURI6SHFLDOLVW3K\VLFLDQVSHU3RSXODWLRQE\1876 LWLXLQ I SFDLW KVFDV0GFO HLHWDG *H DQG 5HVLGHQWV 0HGLFDO 3K\VLFLDQV 6SHFLDOLVW RI 'LVWULEXWLRQ Istanbul Aegean Istanbul Aegean Turkey Turkey 2550750 2550751000 Specialist Physicians Specialist 42,3 42,7 44,1 45,5 46,5 46,7 47,4 47,9 48,0 48,7 48,9 49,8 51,3 17 17 18 2002 28 General Practitioners 31 32 33 34 34 35 THE MINISTRY ofHEALTH of TURKEY 37 2014 39 39 UDWHRI0DQDJHPHQW6HUYLFHV UDWHRI0DQDJHPHQW6HUYLFHV 26,4 42 42 43 44 45 29,0 elhSaitc erok2014 Health Statistics Yearbook 47 48 48 42,5 49 42,9 57,1 51,2 54,3 57,3 49,8 43,9 48,2 52 51,1 51,3 Medical Residents 54 54 0R+ HD3DWWRHV E\ 3UDFWLWLRQHUV QHUDO 27,1 19,7 67 10,2 8,3 6,3 3,9 3,5 3,3 1,6 0,9 0,6 151 Human Resources for Health Health Statistics Yearbook 2014 )LJXUH .. 1XPEHURI1XUVHVDQG0LGZLYHVSHU3RSXODWLRQE\18760R+ NUTS-1 227 Eastern Blacksea 291 188 Western Blacksea 249 210 Western Marmara 226 155 Central Anatolia 216 185 Aegean 212 121 Northeastern Anatolia 211 126 Mideastern Anatolia 200 150 Western Anatolia 191 140 Eastern Marmara 189 141 Turkey 183 162 Mediterranean 181 82 Southeastern Anatolia 149 73 Istanbul 111 0 50 100 150 200 250 300 2002 2014 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH 'LVWULEXWLRQRI7RWDO3K\VLFLDQVE\ Year 2002 62,4 21,9 15,7 2010 58,7 20,6 20,7 2011 58,2 20,9 20,8 2012 56,8 20,8 22,4 2013 56,4 21,2 22,4 2014 57,4 20,8 21,8 0 20406080100 Ministry of Health University Private 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 152 THE MINISTRY of HEALTH of TURKEY 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 'LVWULEXWLRQRI6SHFLDOLVW3K\VLFLDQVE\ Human Resources for Health Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI'HQWLVWVE\ Year 2002 19,6 4,2 76,2 2010 33,2 5,7 61,0 2011 34,2 5,4 60,4 2012 34,1 4,7 61,2 2013 35,9 4,3 59,8 2014 33,2 6,0 60,8 0 20406080100 Ministry of Health University Private 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH 'LVWULEXWLRQRI3KDUPDFLVWVE\ Year 2002 7,2 0,6 92,2 2010 7,0 0,8 92,2 2011 7,2 0,9 91,8 2012 7,2 1,0 91,8 2013 7,7 1,1 91,3 2014 7,7 1,1 91,1 0 20406080100 Ministry of Health University Private 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 154 THE MINISTRY of HEALTH of TURKEY 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 7DEOH 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR 'LVWULEXWLRQRI1XUVHVDQG0LGZLYHVE\ Ministry of Health Ministry of Hospitals 395.566 174.848 48.908 67.166 23.833 76.947 34.677 1.599 2.265 7.930 6.301 73,0 73,8 74,5 74,6 77,0 82,4 Medicine Unit University 54.556 21.384 11.788 12.647 20.239 Family Family 1.815 6.922 1.145 0 0 0 THE MINISTRY ofHEALTH of TURKEY UDWHRI0DQDJHPHQW6HUYLFHV UDWHRI0DQDJHPHQW6HUYLFHV FWRUV 7XUNH\ Other FacilitiesOther elhSaitc erok2014 Health Statistics Yearbook 83.789 38.346 38.346 11.623 10.535 9.823 5.375 7.584 6.520 1.064 503 0 11,9 11,4 9,9 11,2 10,3 Private 7,9 15,6 15,2 14,8 14,2 12,7 533.911 196.459 107.327 9,7 77.876 48.103 94.404 33.060 36.886 2.102 7.640 7.930 Total 155 Human Resources for Health Health Statistics Yearbook 2014 )LJXUH.. 'LVWULEXWLRQRI0R+3HUVRQQHOE\6HUYLFH8QLWV 0R+ % Medical Residents 100 Specialist Physicians 94 3 3 Other Personnel and Procurement of Services 89 6 5 Nurses 82 7 11 Pharmacists 76 24 TOTAL 74 10 16 Physicians Total 63 27 10 Other Health Personnel 63 2 36 Midwives 50 26 24 Dentists 30 70 General Practitioners 19 61 20 0255075100 Hospitals Family Medicine Unit Other Facilities 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 156 THE MINISTRY of HEALTH of TURKEY 7DEOH 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV 7HUPV7XUNH\ 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV 7XUNH\ 7HUPV )LJXUH 10 Education Term Education 0 2 4 6 8 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 2007-2008 2002-2003 0220 0720 0820 0921 0021 0121 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 2007-2008 2002-2003 . . 1XPEHURI6WXGHQWVDQG$FDGHPLF6WDII0HPEHULQ)DFXOWLHVRI0H 4,4 . 1XPEHURI6WXGHQWVSHU$FDGHPLF6WDII0HPEHULQ)DFXOWLHVRI0H Number of of Number Faculties 3,7 75 72 69 61 56 49 44 3,9 Recently Enrolled 10.158 9.332 8.438 7.877 6.655 5.253 4.945 Number of Students Students of Number 4,0 Education 51.445 46.383 41.664 38.369 35.454 33.802 31.719 Still in THE MINISTRY ofHEALTH of TURKEY 4,2 Graduates elhSaitc erok2014 Health Statistics Yearbook 4.949 4.981 5.138 5.087 4.753 4.487 - 4,4 GLFLQHE\(GXFDWLRQ GLFLQHE\(GXFDWLRQ Academic Staff Education Term Number of of Number Member 11.741 10.440 9.970 9.479 9.192 9.182 7.172 4,4 157 Human Resources for Health Health Statistics Yearbook 2014 7DEOH. 1XPEHURI6WXGHQWVDQG$FDGHPLF6WDII0HPEHULQ)DFXOWLHVRI'HQWLVWU\E\(GXFDWLRQ 7HUPV7XUNH\ Number of Students Number of Number of Education Term Recently Still in Academic Staff Faculties Graduates Enrolled Education Member 2002-2003 14 975 5.256 856 605 2007-2008 18 1.132 5.926 994 808 2008-2009 19 1.458 6.322 927 823 2009-2010 22 1.700 7.082 950 897 2010-2011 27 1.998 7.528 1.098 945 2011-2012 31 2.347 9.358 1.083 998 2012-2013 35 2.908 11.133 - 1.151 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV )LJXUH 1XPEHURI6WXGHQWVSHU$FDGHPLF6WDIILQ)DFXOWLHVRI'HQWLVWU\E\(GXFDWLRQ7HUPV 7XUNH\ 12 9,7 10 9,4 8,7 8,0 7,7 7,9 8 7,3 6 4 2 0 2002-2003 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 Education Term 6RXUFH 663&+LJKHU (GXFDWLRQ6WDWLVWLFV 158 THE MINISTRY of HEALTH of TURKEY 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV 7HUPV7XUNH\ LXH )LJXUH RUH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV 6RXUFH 7HUPV7XUNH\ 7DEOH 12 16 0 4 8 Education Term Education 2008-2009 2007-2008 2002-2003 2012-2013 2011-2012 2010-2011 2009-2010 0220 0720 0820 0921 0021 0121 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 2007-2008 2002-2003 . 11,6 1XPEHURI6WXGHQWVDQG$FDGHPLF6WDII0HPEHULQ)DFXOWLHVRI3K . 1XPEHURI6WXGHQWVSHU$FDGHPLF6WDII0HPEHULQ)DFXOWLHVRI3K Number of of Number 11,0 Faculties 20 19 15 12 12 12 11 11,4 Recently Enrolled 1.624 1.483 1.421 1.265 1.195 1.020 939 13,0 Number of Students Students of Number Education Still in 7.693 7.069 6.368 5.821 4.896 4.666 4.120 THE MINISTRY ofHEALTH of TURKEY 13,9 elhSaitc erok2014 Health Statistics Yearbook Graduates 1.016 998 815 374 966 792 15,0 - DUPDF\E\(GXFDWLRQ DUPDF\E\(GXFDWLRQ Education Term Staff Member Number of of Number Academic 14,6 526 470 458 448 428 424 354 159 Human Resources for Health Health Statistics Yearbook 2014 7DEOH 1XPEHU RI 6WXGHQWV DQG /HFWXUHU LQ %DFKHORU 'HJUHH Number of Students Number of Education Academic Number of Faculties Recently Still in Term Graduates Staff Enrolled Education Member 2002-2003 76 3.940 16.423 3.002 528 2007-2008 80 5.824 20.442 3.886 762 2008-2009 84 6.570 22.481 4.288 783 2009-2010 89 6.764 25.176 4.082 827 2010-2011 98 7.734 28.791 5.172 628 2011-2012 104 9.267 33.186 6.281 582 2012-2013 109 11.066 38.112 - 574 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV )LJXUH 1XPEHURI6WXGHQWVSHU/HFWXUHULQ%DFKHORU'HJUHH 66,4 60 57,0 40 45,8 31,1 30,4 28,7 26,8 20 0 2002-2003 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 Education Term 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV 160 THE MINISTRY of HEALTH of TURKEY 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV (GXFDWLRQ7HUPV7XUNH\ 7DEOH LXH )LJXUH (GXFDWLRQ7HUPV7XUNH\ 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV 100 150 200 250 50 Education Term Education 0 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 2007-2008 2002-2003 0220 0720 0820 0921 0021 0121 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 2007-2008 2002-2003 . 1XPEHURI6WXGHQWVDQG/HFWXUHULQ%DFKHORU'HJUHH Human Resources for Health Health Statistics Yearbook 2014 7DEOH . 1XPEHU RI *UDGXDWHV RI 9RFDWLRQDO +LJK 6FKRROV IRU +HDOWK E\ (GXFDWLRQ7HUPV DQG 'HSDUWPHQWV7XUNH\ Education Health Environmenta Dental Medical Emergency Nurses Midwives Term Officers l Health Care Secretary Care 2002-2003 0 1 0 753 105 3.341 4.201 2007-2008 2.888 1.330 229 130 81 699 2.094 2008-2009 41 - - 316 136 1.185 3.125 2009-2010 - - - 419 201 1.430 4.285 2010-2011 7.515 - - 234 353 1.224 3.702 2011-2012 8.874 - - 157 422 942 3.966 2012-2013 8.584 - - 101 379 822 3.866 6RXUFH *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH. 1XPEHURI0HGLFDO5HVLGHQWV E\(GXFDWLRQ7HUPV Number of Entrance for Number of Graduated Specialist Education Term Medical Residency Physicians 2002-2003 4.040 2.408 2007-2008 4.644 3.223 2008-2009 3.828 3.721 2009-2010 5.792 5.101 2010-2011 4.295 4.982 2011-2012 4.752 4.228 2012-2013 5.346 - 6RXUFH 663&+LJKHU(GXFDWLRQ6WDWLVWLFV 162 THE MINISTRY of HEALTH of TURKEY DORH+DWQLDRV \3RLFV 7XUNH\ E\3URYLQFHV 7DEOH6RPH+HDOWK,QGLFDWRUV 6RXUFH *HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWR *D]LDQWHS (VNLúHKLU (U]XUXP (U]LQFDQ (OD]Õ÷ (GLUQH 'L\DUEDNÕU 'HQL]OL dRUXP dDQNÕUÕ dDQDNNDOH %XUVD %XUGXU %ROX %LWOLV %LQJ|O %LOHFLN %DOÕNHVLU $\GÕQ $UWYLQ $QWDO\D $QNDUD $PDV\D $÷UÕ $I\RQNDUDKLVDU $GÕ\DPDQ $GDQD 0DODW\D .WDK\D .RQ\D .RFDHOL .ÕUúHKLU .ÕUNODUHOL .D\VHUL .DVWDPRQX .DUV ø]PLU øVWDQEXO 0HUVLQ ,VSDUWD +DWD\ +DNNDUL *PúKDQH *LUHVXQ 3K\VLFLDQV 6SHFLDOLVW 3UDFWLWLRQHUV *HQHUDO 5HVLGHQWV 0HGLFDO 3K\VLFLDQV 7RWDO 'HQWLVWV THE MINISTRY ofHEALTH of TURKEY UDWHRI0DQDJHPHQW6HUYLFHV 3KDUPDFLVWV elhSaitc erok2014 Health Statistics Yearbook 1XUVHV 0LGZLYHV 2WKHU+HDOWK 3HUVRQQHO 163 Human Resources for Health Health Statistics Yearbook 2014 7DEOH6RPH+HDOWK,QGLFDWRUV E\3URYLQFHV 7XUNH\ &RQWLQXHG 6SHFLDOLVW *HQHUDO 0HGLFDO 3K\VLFLDQV 2WKHU+HDOWK 'HQWLVWV 3KDUPDFLVWV 1XUVHV 0LGZLYHV 3K\VLFLDQV 3UDFWLWLRQHUV 5HVLGHQWV 7RWDO 3HUVRQQHO 0DQLVD .DKUDPDQPDUDú 0DUGLQ 0X÷OD 0Xú 1HYúHKLU 1L÷GH 2UGX 5L]H 6DNDU\D 6DPVXQ 6LLUW 6LQRS 6LYDV 7HNLUGD÷ 7RNDW 7UDE]RQ 7XQFHOL ùDQOÕXUID 8úDN 9DQ 164 THE MINISTRY of HEALTH of TURKEY HOK HKLLQ+DW5SLPQ&WSWRRLW6FD:R 6RFLDO &\WRSDWKRORJLVW 5HSDLUPDQ +HDOWK 7HFKQLFLDQ +HDOWK ; SHUVRQQHOEHIRUH ; ; School*Technician:who graduated Person from High *Repairmen: Person who graduated from Vocational High School 6HFUHWDU\0HGLFDO7HFKQRORJLVW3XEOLF+HDOWK7HFKQLFLDQ 5DGLRJU 3V\FKRORJLVW 7HFKQLFLDQ 7HF 3XPS 3HUIXVLRQ 7HFKQLFLDQ $QDWRP\ 3DWKRORJLFDO 7HFKQLFLDQ 7HFKQLFLDQ$XGLRORJLVW$XGLRPHWULF5HSDLUPDQ$XGLRPHWULF7HF 5HSDLUPDQ+HDUW/XQJ3XPS2SHUD KVRKUSV PUHFDG LV$G HKLLQ)UW DQG 7KHUD )LUVW 7HFKQLFLDQ 3K\VLFDO $LG 'LHWLWLDQ )LUVW DQG 7HFKQLFLDQ (PHUJHQF\ 7HFKQLFL 'HQWDO 3K\VLRWKHUDSLVW 6XUJHU\ 7HFKQLFLDQ 3URIHVVLRQDOV 'HQWDO +HDOWKFDUH 7HFKQLFLDQ%LRORJLVW(QYLURQPHQWDO+HDOWK7HFKQLFLDQ&KLOG' ³2WKHU´ RI FDWHJRU\ HVQH LFXH(HJQ\&U &HQWHU7XEHUFXORVLV'LVSHQ &DUH SHUVRQQHO LQFOXGH(PHUJHQF\ 7UNL\H+DON6D÷OÕ÷Õ.XUXPX¶QGDQDOÕQGÕ +DON6D÷OÕ÷Õ.XUXPX¶QGDQDOÕQGÕ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t DVDRVDQGHGXFDWLRQDOSODQQHUVZHUHLQFOXGHGLQWKHQXPEHU UDQVODWRUV ([SODQDWLRQVIRU&KDSWHU XOF HOK DRDR\0&+)3 /DERUDWRU\ +HDOWK 3XEOLF SH HOK KVFV +HDOW 3K\VLFLVW +HDOWK DSKHU DVVDW UIVRVOHFWXUH SURIHVVRUV DVVLVWDQW HVVRUVDQGDVVLVWDQWSURIHVV WLRQ7HFKQLFLDQ/DERUDWRU\5HS THE MINISTRY ofHEALTH of TURKEY T elhSaitc erok2014 Health Statistics Yearbook HVDQG RUVDUHLQFOXGHGLQWKH DWXUN8QLYHUVLW\*D]L WKH0LQLVWU\RI+HDOWK HYHORSPHQW6SHFLDOLVW 2IFU I K:DU WKH RI 2IILFHU K VHSUVUHVHDUFK H[SHUWV UV O KQPHRI QXPEHU 7KH HO\ KQLFLDQ2UWKRSHGLF DOV ROQW EH QRW FRXOG WDEOHV Q QOVDG LQ DQG (QJOLVK LQ LQWKHQXPEHUVRI DLUPDQ/DERUDWRU\ M QFD 3URVWKHWLF KQLFLDQ QRUJDQL]DWLRQV DQG VDU\&DQFHU(DUO\ QOGG Q WKH LQ LQFOXGHG PUHF&DUH (PHUJHQF\ HWU2DDQG 2UDO &HQWHU LGZLIHU\WUDLQLQJ XEU I WKH RI QXPEHU \ 7HFKQLFLDQ S\ Q$QHVWKHVLD DQ NU0HGLFDO UNHU 165 Human Resources for Health . Chapter 9 Financing and Economics Health Health Economics and Financing . 6RXUFH 785.67$7 7DEOH &XUUHQW,QYHVWPHQW 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 Years Years Million PPP USD USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million USD PPP Million Million PPP USD USD PPP Million USD PPP Million Million USD USD Million USD Million USD Million USD Million USD Million USD Million USD Million USD Million USD Million USD Million USD Million USD Million USD Million Million USD USD Million USD Million Million Million Million Million Million Million Million Million Million Million Million Million Million Million Million Million Unit ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ ༥ 1.419.555 1.561.510 1.349.331 1.416.798 1.259.916 1.297.713 1.156.631 1.098.799 1.035.390 1.056.149 820.012 786.283 763.361 732.533 635.039 952.559 731.180 950.534 936.865 648.599 843.178 947.988 541.708 758.391 811.165 499.178 648.932 698.791 399.309 559.033 568.476 303.187 454.781 584.127 233.651 350.476 600.560 200.187 240.224 555.527 277.763 166.658 522.980 261.489 104.596 GDP DQG Expenditure RD HOK([SHQGLWXUH +HDOWK 7RWDO 38.454 65.372 61.708 39.082 58.623 60.102 36.863 55.294 58.133 40.246 52.320 51.661 35.765 46.495 51.186 29.249 40.949 41.615 25.609 33.292 35.770 20.440 28.616 29.595 15.784 23.676 30.552 12.221 18.331 30.215 10.072 12.086 26.293 13.147 23.930 11.965 72.456 41.855 79.702 66.941 39.008 70.288 63.468 Current 7.888 4.786 Health Expenditure to Proportion of the GDP (%) (%) GDP the the Current Health 5,1 5,2 5,2 4,7 4,6 5,1 5,0 5,0 5,3 5,8 5,5 5,5 5,4 5,1 5 Expenditure Investment Investment E\ Health Economics and Financing Health Statistics Yearbook 2014 )LJXUH 3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHDVD6KDUHRI*'3E\ 6RXUFH 785.67$7 )LJXUH +HDOWK([SHQGLWXUHDVD6KDUHRI*'3LQWKH2(&'&RXQWULHV 20 16,4 15 11,1 11,1 11,0 11,0 10,9 10,4 10,2 10,2 10,2 10,1 9,5 9,2 9,0 8,9 8,9 8,9 8,8 8,8 10 8,7 8,7 8,6 8,5 8,1 7,6 7,5 7,4 7,4 7,1 6,9 6,6 6,4 6,2 6,0 5,4 5 0 Italy Chile Swiss Israel Spain OECD Japan Korea France Turkey Poland Ireland Austria Greece Iceland Mexico Finland Estonia Canada Norway Belgium Slovakia Swedish Slovenia Hungary Portugal Australia Denmark Germany New Zeland New Netherlands Luxembourg United States United Czech Republic Czech Public Private Kingdom United 6RXUFH 2(&'+HDOWK'DWD785.67$7 170 THE MINISTRY of HEALTH of TURKEY 6RXUFH 785.67$7 7XUNH\ LXH XOF Q3LDH HOK [HGWUSU DLD DW &DSLWD SHU ([SHQGLWXUH +HDOWK 3ULYDWH DQG 3XEOLF )LJXUH )LJXUH 3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHSHU&DSLWDE\ 6RXUFH 785.67$7 Year Year Year Year 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 0 0 0 0 .0 1.200 1.000 800 600 400 200 0 0 0 0 1.200 900 600 300 0 48 81 130 31 201 47 79 261 316 60 128 350 434 Public Health Expenditure 190 528 491 83 Public Health Expenditure 575 597 637 593 660 102 651 284 664 723 727 738 816 127 782 849 363 901 915 928 166 871 940 948 959 443 201 516 233 341 Private Health Expenditure 635 276 333 219 Private Health Expenditure 263 153 258 181 THE MINISTRY ofHEALTH of TURKEY 724 291 171 ༥ Health Economics and Financing Health Statistics Yearbook 2014 )LJXUH 3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHSHU&DSLWDE\ 0 200 400 600 Public Health Expenditure Private Health Expenditure US $ 6RXUFH 785.67$7 )LJXUH 3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHSHU&DSLWDE\ Year 1999 240 155 395 2000 289 168 457 2001 302 140 442 2002 330 136 466 2003 339 132 471 2004 390 157 547 2005 422 200 622 2006 505 234 738 2007 552 262 813 2008 667 246 913 2009 707 166 874 2010 699 190 889 2011 717 184 901 2012 743 195 937 2013 793 218 1011 0 200 400 600 800 1.000 Public Health Expenditure Private Health Expenditure PPP US $ 6RXUFH 785.67$7 172 THE MINISTRY of HEALTH of TURKEY 6RXUFH 2(&'+HDOWK'DWD785.67$7 )LJXUH 2XWRI3RFNHW+HDOWK([SHQGLWXUHSHU&DSLWDE\ 43 Austria 4.553 Luxembourg 4.371 Canada 4.351 56 Belgium 4.256 France 67 4.124 Australia 3.866 Japan 3.713 Iceland 3.677 85 Ireland 3.663 OECD 3.453 Finland 3.442 New Zeland 3.328 THE MINISTRY ofHEALTH of TURKEY United Kingdom 113 3.235 117 Italy 3.077 2(&'&RXQWULHV33386 V1RPLQDOLQ Spain 2.928 Slovenia 2.511 Portugal 2.482 2014 Health Statistics Yearbook 138 139 141 Israel 2.428 143 Greece 2.366 Korea 2.275 ༥ 156 7XUNH\ 158 Czech Republic 2.040 Slovakia 2.010 Hungary 1.719 Chile 1.623 Estonia 1.542 186 Poland 1.530 Mexico ༥ 1.048 173 Turkey 1.011 Health Economics and Financing Health Statistics Yearbook 2014 )LJXUH 2XWRI3RFNHW+HDOWK([SHQGLWXUHSHU&DSLWDDW 3ULFH/HYHOLQ༥7XUNH\ Year 1999 253 2000 248 2001 198 2002 178 2003 170 2004 194 2005 243 2006 261 2007 273 2008 221 2009 166 2010 187 2011 182 2012 183 2013 202 0 50 100 150 200 250 300 ༥ 6RXUFH 785.67$7 )LJXUH 2XWRI3RFNHW([SHQGLWXUHSHU&DSLWDE\ 04080120 US $ 6RXUFH 785.67$7 174 THE MINISTRY of HEALTH of TURKEY 6RXUFH 785.67$7 )LJXUH 6RXUFH 785.67$7 )LJXUH 2XWRI3RFNHW([SHQGLWXUHSHU&DSLWDE\ Health Economics and Financing Health Statistics Yearbook 2014 )LJXUH 2XWRI3RFNHW([SHQGLWXUHDVD6KDUHRI7RWDO+HDOWK([SHQGLWXUHVLQ2(&'&RXQWULHV 45 44,7 36,9 33,0 30,7 28,1 30 28,0 25,8 25,8 23,6 23,3 22,1 21,8 21,7 19,9 19,5 19,3 17,9 17,8 17,4 16,9 16,8 14,8 14,7 14,6 14,3 14,0 13,7 13,5 12,6 12,6 15 12,3 11,6 9,9 6,7 5,3 0 Italy Chile Swiss Israel Spain OECD Japan Korea France Turkey Poland Ireland Austria Greece Iceland Mexico Estonia Canada Norway Belgium Slovakia Swedish Slovenia Hungary Portugal Australia Denmark Germany Dinlandi to Dinlandi New Zeland Netherlands Luxembourg United States Czech Republic United Kingdom 6RXUFH 2(&'+HDOWK'DWD785.67$7 )LJXUH +HDOWK([SHQGLWXUHE\)LQDQFLQJ7\SHLQWKH2(&'&RXQWULHV 100 0 1 1 1 1 3 2 3 6 5 4 6 2 6 6 4 4 7 8 10 6 8 6 8 7 7 15 15 16 15 15 12 15 5 10 14 15 15 14 18 21 12 17 18 22 13 17 19 23 7 13 19 22 24 28 31 40 14 26 28 75 13 17 20 26 37 45 33 12 50 88 87 85 84 84 84 83 83 81 80 79 78 78 78 77 76 76 75 74 73 72 71 71 71 68 68 66 66 66 65 59 56 51 25 48 46 0 Italy Chile Swiss Israel Spain OECD Japan Korea France Turkey Poland Ireland Austria Greece Iceland Mexico Estonia Canada Norway Belgium Slovakia Swedish Slovenia Hungary Portugal Australia Denmark Germany Dinlandi to New Zeland Netherlands Luxembourg United States United Czech Republic United Kingdom Public Out-of-Pocket Other Private 6RXUFH 2(&'+HDOWK'DWD785.67$7 176 THE MINISTRY of HEALTH of TURKEY )LQDQFH 0LQLVWU\RI'HYHORSPHQW 785.67$71RQ,QWH 6RXUFH 3XEOLF+HDOWK([SHQGLWXUHV 1RWH 7XUNH\¶VGDWDEHORQJVWR 6RXUFH 2(&'+HDOWK'DWD )LQDO&RQVXPSWLRQ([SHQGLWXUH LXH ,WUDLQO &RPSDU ,QWHUQDWLRQDO )LJXUH )LJXUH 1RQ,QWHUHVW([SHQGLWXUHVDQG3XEOLF+HDOWK([SHQG 0 1 2 3 4 5 6 Switzerland 5,14 Public HealthExpenditures Expenditures Non-Interest Korea 5,03 Mexico 4,61 Chile 4,48 Portugal 4,37 100.000 200.000 300.000 400.000 500.000 600.000 Belgium 4,01 Hungary 4,01 Greece 3,83 119.020 1.2 4.1 6.2 0.4 3.5 7.4 2.5 7.6 3.9 8.6 564.272 483.261 434.392 373.269 327.551 277.147 235.157 205.449 165.925 141.012 119.020 7422.8 3973.1 4504.5 6804.8 4895.4 62.447 55.648 54.869 48.482 46.890 42.159 34.530 30.116 23.987 21.389 17.462 Israel 3,52 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 Ireland 3,46 17.462 Spain 3,35 2XWRI3RFNHW RI 5DWLR RI LVRQ . Swedish 3,31 Iceland 3,30 Australia 3,22 Slovakia 3,19 Finland 3,16 OECD 3,04 Austria 3,00 USA 2,95 Norway THE MINISTRY ofHEALTH of TURKEY 2,92 Denmark 2,90 Canada 2,90 LWXUHVE\ Italy 2,72 +RXVHKROG LQ ([SHQGLWXUH +HDOWK Germany 2,68 2014 Health Statistics Yearbook Luxembourg 2,62 UHVW([SHQGLWXUHV 0LQLVWU\RI Poland 2,54 Japan 2,39 483.261 Czech Republic 2,22 55.648 Estonia 2,09 564.272 new Zealand 1,89 Slovenia 1,84 62.447 France 1,55 ༥ Netherlands 1,50 7XUNH\ United Kingdom 1,49 15.000 30.000 45.000 60.000 75.000 177 Turkey 1,15 Health Economics and Financing Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; 7DEOHV DQG JUDSKV RQ KHDOWK H[SHQGLWXUHV ZHUH PDGH DFFRUGLQJ WR WKH 2(&' +HDOWK $FFRXQWV 6\VWHP7KH\ZHUHFDOFXODWHG E\WKH0LQLVWU\RI+HDOWK *HQHUDO'LUHFWRUDWHRI +HDOWK5HVHDUFK LQ DQGE\WKH785.67$7 LQ . ;:KLOHWKHH[SHQGLWXUH ILJXUHV ZHUHEHLQJ FRQYHUWHGLQWR UHDO ILJXUHV&3,PRQWKDYHUDJH FKDQJH UDWHUHOHDVHG E\WKH785.67$7 ZDVXVHG ;DQG+HDOWK([SHQGLWXUHGDWDVKRZVRPHGLIIHUHQFHVFRPSDULQJWRSUHYLRXV \HDUERRNVGXHWRWKHUHYLVLRQRIWKHVHGDWDE\785.67$7 178 THE MINISTRY of HEALTH of TURKEY THE MINISTRY of HEALTH of TURKEY GENERAL DIRECTORATE of HEALTH RESEARCH Cumhuriyet Mah. Sakarya Cad. Bayındır 1 Sokak No: 13 Çankaya / ANKARA Phone: +90 312 585 68 00 ISBN: 978-975-590-578-5 www.sagem.gov.tr