Household disability costs and living standards in Turkey: evidence from a health reform

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dc.authoridGiovanis, Eleftherios / 0000-0002-7492-7461
dc.authorscopusid57095616200
dc.authorscopusid36805916300
dc.authorscopusid57202336457
dc.authorwosidGiovanis, Eleftherios/AAX-5634-2020
dc.contributor.authorÖzdamar, Öznur
dc.contributor.authorGiovanis, Eleftherios
dc.contributor.authorSamuk, Sahizer
dc.date.accessioned2022-02-15T16:58:15Z
dc.date.available2022-02-15T16:58:15Z
dc.date.issued2021
dc.departmentBakırçay Üniversitesien_US
dc.description.abstractPurpose In this study, we attempt to estimate the disability costs of households employing the Standard of Livings (SoL) approach and evaluate the impact of the Universal health system reform implemented in Turkey in 2008. Design/methodology/approach We apply a Structural Equation Modelling (SEM), which simultaneously estimates the disability and living standard equations, including unobserved latent variables. Moreover, we apply a difference-in-differences (DiD) framework to investigate the impact of the universal health insurance (UHI) system and the Green Card programme on living standards. The empirical analysis relies on data derived from the cross-sectional Household Budget Surveys (HBS) during the period 2002-2013. Findings Our findings suggest a negative and significant impact of disability on SoL, where disability costs reach the 23% of the household income, which is equivalent almost to $2,600 (USD). Furthermore, the disability costs are reduced from $4,450 to $2,260 due to the UHI and the Green Card programme. Research limitations/implications A major limitation of the study is the data structure, which is based on repeated cross-sectional surveys. By using panel data, it is possible to follow the same individual across time and to implement panel data models to control for unobserved heterogeneity and omitted-variable bias. Social implications Disability has adverse effects on living standards. The estimation of the disability-related costs may provide a useful guide on policy planning and the design of social benefits. Originality/value The contribution of this paper is that it is the first study estimating the disability-related costs in Turkey. Furthermore, the contribution lies in the investigation of the 2008 health reform and the Green Card programme and its impact on disability costs.en_US
dc.description.sponsorshipEconomic Research Forum (ERF); call ERF-GDN 16 RRC call on Economics of Healthcare in the MENA Regionen_US
dc.description.sponsorshipThis work is sponsored by the Economic Research Forum (ERF) and the grant received under the call ERF-GDN 16 RRC call on Economics of Healthcare in the MENA Region. It has benefited from both financial and intellectual support. The contents and recommendations do not necessarily reflect ERF's views. The authors are grateful to ERF for the financial support received.en_US
dc.identifier.doi10.1108/IJSE-01-2020-0015
dc.identifier.endpage333en_US
dc.identifier.issn0306-8293
dc.identifier.issn1758-6712
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85097944202en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage318en_US
dc.identifier.urihttps://doi.org/10.1108/IJSE-01-2020-0015
dc.identifier.urihttps://hdl.handle.net/20.500.14034/375
dc.identifier.volume48en_US
dc.identifier.wosWOS:000601328000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherEmerald Group Publishing Ltden_US
dc.relation.journalInternational Journal Of Social Economicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCosts of disabilityen_US
dc.subjectProgramme and reform evaluationen_US
dc.subjectStandard of living approachen_US
dc.subjectStructural equation modellingen_US
dc.titleHousehold disability costs and living standards in Turkey: evidence from a health reformen_US
dc.typeArticleen_US

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