HEALTH STATISTICS YEARBOOK 2014
Transcription
HEALTH STATISTICS YEARBOOK 2014
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 $OOU൴JKWVUHVHUYHGWR5HSXEO൴FRI7XUNH\0൴Q൴VWU\RI+HDOWK*HQHUDO'൴UHFWRUDWH RI+HDOWK5HVHDUFK&DQQRWEHTXRWHGZ൴WKRXWJ൴Y൴QJUHIHUHQFH:KHQTXRWHG J൴YHWKHUHIHUHQFHDV³QDPHRIWKHHG൴WRUDXWKRU*HQHUDO'൴UHFWRUDWHRI+HDOWK 5HVHDUFK0൴Q൴VWU\RI+HDOWKSODFHRISXEO൴FDW൴RQSXEO൴FDW൴RQ\HDU´$FFRUG൴QJ WRWKH/DZ1RFDQQRWEHFRS൴HGSDUW൴DOO\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<D\ÕQFÕOÕN øVWDQEXO&DGøVWDQEXOdDUúÕVÕ1R øVN൴WOHU$1.$5$ 7DEOHRI&RQWHQWV 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 .......................................................................... 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THE MINISTRY of HEALTH of TURKEY 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 1XPEHURI'RSSOHU8OWUDVRXQG([DPV൴Q,QSDW൴HQW+HDOWK&DUH )DF൴O൴W൴HVSHU3RSXODW൴RQE\1876DQG6HFWRUV...................... 1XPEHURI(&+2([DPV൴Q,QSDW൴HQW+HDOWK&DUH)DF൴O൴W൴HVSHU 3RSXODW൴RQE\1876DQG6HFWRUV ........................................... 1XPEHURI0DPPRJUDSK\([DPV൴Q,QSDW൴HQW+HDOWK&DUH )DF൴O൴W൴HVSHU3RSXODW൴RQE\1876DQG6HFWRUV...................... &RQVXPSW൴RQRI'UXJVE\<HDUV0൴OO൴RQ%R[HV7XUNH\.............................. 6RPH+HDOWK,QG൴FDWRUVE\3URY൴QFHV7XUNH\........................................ &KDSWHU+XPDQ5HVRXUFHVIRU+HDOWK 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 7DEOH 1XPEHURI+HDOWK&DUH3URIHVV൴RQDOVE\<HDUV$OO6HFWRUV7XUNH\ .............. '൴VWU൴EXW൴RQRI+HDOWK&DUH3URIHVV൴RQDOVE\6HFWRUVDQG7൴WOHV ........... 1XPEHURI+HDOWK&DUH3URIHVV൴RQDOVE\<HDUV0൴Q൴VWU\RI+HDOWK................ 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THE MINISTRY of HEALTH of TURKEY XI . /൴VWRI)൴JXUHVDQG0DSV &KDSWHU*HQHUDO'HPRJUDSK൴F,QG൴FDWRUV )൴JXUH 3RSXODW൴RQ3\UDP൴G7RWDO7XUNH\ ................................................... )൴JXUH 3RSXODW൴RQ3\UDP൴G7XUNH\ ....................................................................... )൴JXUH 8UEDQDQG5XUDO3RSXODW൴RQE\<HDUV7XUNH\ ............................................. )൴JXUH 5XUDODQG8UEDQ3RSXODW൴RQ5DW൴RVE\1876 ................................ 0DS 8UEDQ3RSXODW൴RQ5DW൴RVE\3URY൴QFHV............................................... 0DS 5XUDO3RSXODW൴RQ5DW൴RVE\3URY൴QFHV................................................ )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI8UEDQ3RSXODW൴RQ5DW൴RV ...................... )൴JXUH $JHGDQG2YHU$JHG3RSXODW൴RQ5DW൴RVE\<HDUV7XUNH\ ............ )൴JXUH $JHG3RSXODW൴RQ5DW൴RVE\1876 ......................................... 0DS $JHG3RSXODW൴RQ5DW൴RVE\<HDUV ............................................... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI$JHG3RSXODW൴RQ5DW൴RV ............... )൴JXUH DQG2YHU$JHG3RSXODW൴RQ5DW൴RVE\1876.............................. 0DS DQG2YHU$JHG3RSXODW൴RQ5DW൴RVE\3URY൴QFHV............................ )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRIDQG2YHU$JHG 3RSXODW൴RQ5DW൴RV.............................................................................. )൴JXUH7RWDO$JH'HSHQGHQF\5DW൴RVE\1876....................................... 0DS 7RWDO$JH'HSHQGHQF\5DW൴RVE\3URY൴QFHV..................................... &KDSWHU0RUWDO൴W\ )൴JXUH /൴IH([SHFWDQF\DW%൴UWKE\<HDUVDQG6H[$JH7XUNH\ .............................. )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI/൴IH([SHFWDQF\DW%൴UWK ............................ )൴JXUH ,QIDQW0RUWDO൴W\5DWHE\1876SHU/൴YH%൴UWKV ..................... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI,QIDQW0RUWDO൴W\5DWH SHU/൴YH%൴UWKV ............................................................................. )൴JXUH 3HU൴QDWDO0RUWDO൴W\5DWHE\1876SHU%൴UWKV ......................... )൴JXUH 1HRQDWDO0RUWDO൴W\5DWHE\1876SHU/൴YH%൴UWKV................. )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI1HRQDWDO0RUWDO൴W\5DWH SHU/൴YH%൴UWKV............................................................................... )൴JXUH 3RVWQHRQDWDO0RUWDO൴W\5DWHE\1876SHU/൴YH%൴UWKV........... )൴JXUH 8QGHU0RUWDO൴W\5DWHE\1876SHU/൴YH%൴UWKV.................. )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI8QGHU0RUWDO൴W\5DWH SHU/൴YH%൴UWKV ............................................................................. )൴JXUH0DWHUQDO0RUWDO൴W\5DW൴RE\1876SHU/൴YH%൴UWKV ........... )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI0DWHUQDO0RUWDO൴W\5DW൴R SHU/൴YH%൴UWKV ......................................................................... &KDSWHU0RUE൴G൴W\ )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI$,'6,QF൴GHQFHE\ <HDUVSHU3RSXODW൴RQ ......................................................................... 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XIV THE MINISTRY of HEALTH of TURKEY )൴JXUH$JH6SHF൴I൴F)HUW൴O൴W\5DWHÅ7XUNH\................................................. )൴JXUH$YHUDJH1XPEHURI)ROORZ8SVSHU3UHJQDQWE\1876 ........... )൴JXUH$YHUDJH1XPEHURI)ROORZ8SVSHU,QIDQWE\1876................ )൴JXUH $YHUDJH1XPEHURI)ROORZ8SVSHU&K൴OGE\1876................. )൴JXUH $YHUDJH1XPEHURI)ROORZ8SVSHU3XHUSHUDQW:RPHQE\ 1876 .......................................................................................... &KDSWHU+HDOWK&DUH)DF൴O൴W൴HVDQG,QIUDVWUXFWXUHV )൴JXUH 1XPEHURI+RVS൴WDOVE\<HDUVDQG6HFWRUV7XUNH\........................................... )൴JXUH 1XPEHURI+RVS൴WDO%HGVE\<HDUVDQG6HFWRUV7XUNH\ ................................... )൴JXUH 1XPEHURI4XDO൴I൴HG%HGVE\<HDUVDQG6HFWRUV7XUNH\.................................. )൴JXUH '൴VWU൴EXW൴RQRI4XDO൴I൴HG%HGVE\<HDUVDQG6HFWRUV7XUNH\.................... )൴JXUH 1XPEHURI+RVS൴WDO%HGVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV....................................................................... )൴JXUH 1XPEHURI+RVS൴WDO%HGVSHU3RSXODW൴RQE\ 18760൴Q൴VWU\RI+HDOWK........................................................... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI1XPEHURI+RVS൴WDO %HGVSHU3RSXODW൴RQ...................................................................... )൴JXUH 7RWDO1XPEHURI,QWHQV൴YH&DUH8Q൴W%HGVE\<HDUVDQG6HFWRUV7XUNH\......... )൴JXUH '൴VWU൴EXW൴RQRI,QWHQV൴YH&DUH8Q൴W%HGVE\<HDUVDQG6HFWRUV7XUNH\ ... )൴JXUH1XPEHURI,QWHQV൴YH&DUH8Q൴W%HGVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV................................................................................. )൴JXUH1XPEHURI,QWHQV൴YH&DUH8Q൴W%HGVSHU3RSXODW൴RQE\ 18760൴Q൴VWU\RI+HDOWK..................................................................... )൴JXUH3URSRUW൴RQRI,QWHQV൴YH&DUH8Q൴W%HGVWR$OO%HGVE\ 1876$OO6HFWRUV......................................................................... )൴JXUH1XPEHURI+HPRG൴DO\V൴V&HQWHUVE\<HDUVDQG6HFWRUV7XUNH\....................... )൴JXUH1XPEHURI$FW൴YHO\8VHG+HPRG൴DO\V൴V(TX൴SPHQWVE\ <HDUVDQG6HFWRUV7XUNH\ ................................................................................... )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI1XPEHURI05,'HY൴FHV൴Q,QSDW൴HQW +HDOWK&DUH)DF൴O൴W൴HVSHU3RSXODW൴RQ...................................... )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI1XPEHURI&7'HY൴FHV൴Q,QSDW൴HQW +HDOWK&DUH)DF൴O൴W൴HVSHU3RSXODW൴RQ...................................... )൴JXUH3RSXODW൴RQSHU'HQWDO8Q൴WE\<HDUV0൴Q൴VWU\RI+HDOWK .................................. )൴JXUH1XPEHURI)DP൴O\+HDOWK&HQWHU0HG൴FDO([DP൴QDW൴RQ 5RRPVE\<HDUV7XUNH\..................................................................................... )൴JXUH3RSXODW൴RQSHU$FW൴YHO\:RUN൴QJ)DP൴O\0HG൴F൴QHE\1876 ............. )൴JXUH3RSXODW൴RQSHU(PHUJHQF\$൴G6WDW൴RQE\<HDUV0൴Q൴VWU\RI+HDOWK ......... )൴JXUH3RSXODW൴RQSHU(PHUJHQF\$൴G6WDW൴RQE\1876 0൴Q൴VWU\RI+HDOWK .................................................................................... )൴JXUH1XPEHURI$PEXODQFHVE\<HDUV0൴Q൴VWU\RI+HDOWK ....................................... THE MINISTRY of HEALTH of TURKEY XV )൴JXUH3RSXODW൴RQSHU(PHUJHQF\$PEXODQFHE\<HDUV0൴Q൴VWU\RI+HDOWK......... )൴JXUH3RSXODW൴RQSHU(PHUJHQF\$PEXODQFHE\1876 0൴Q൴VWU\RI+HDOWK .................................................................................... &KDSWHU8W൴O൴]DW൴RQRI+HDOWK&DUH6HUY൴FHV )൴JXUH 7RWDO1XPEHURI3HU&DS൴WD9൴V൴WVWRD3K\V൴F൴DQ൴Q +HDOWK$JHQF൴HVDQG,QVW൴WXW൴RQVE\<HDUV$OO6HFWRUV7XUNH\ ...................... )൴JXUH 3HU&DS൴WD9൴V൴WVWRD3K\V൴F൴DQ൴Q+HDOWK&DUH)DF൴O൴W൴HV E\1876$OO6HFWRUV................................................................ )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI3HU&DS൴WD9൴V൴WVWRD3K\V൴F൴DQ ............... )൴JXUH 5DW൴RRI7RWDO1XPEHURI9൴V൴WVWRD3K\V൴F൴DQ൴Q+HDOWK$JHQF൴HVDQG ,QVW൴WXW൴RQVE\<HDUV$OO6HFWRUV7XUNH\ ................................................ )൴JXUH 1XPEHURI9൴V൴WVWRD3K\V൴F൴DQDW3U൴PDU\+HDOWK&DUH )DF൴O൴W൴HVE\<HDUV$OO6HFWRUV7XUNH\............................................................ )൴JXUH 3HU&DS൴WD9൴V൴WVWRD3K\V൴F൴DQDW3U൴PDU\+HDOWK&DUH)DF൴O൴W൴HVE\ 1876$OO6HFWRUV..................................................................... )൴JXUH 5HIHUUDOVIURPWKH3U൴PDU\+HDOWK&DUH)DF൴O൴W൴HVE\<HDUV 0൴Q൴VWU\RI+HDOWK ............................................................................................ )൴JXUH 3HU&DS൴WD9൴V൴WVWRD3K\V൴F൴DQDW6HFRQGDU\DQG7HUW൴DU\ +HDOWK&DUH)DF൴O൴W൴HVE\1876$OO6HFWRUV............................ )൴JXUH 3HU&DS൴WD9൴V൴WVWR+RVS൴WDOVE\1876$OO6HFWRUV ............... )൴JXUH3URSRUW൴RQRI9൴V൴WVWR0R++RVS൴WDOVWR$OO6HFWRUVE\ 1876 .......................................................................................... )൴JXUH1XPEHURI9൴V൴WVWR2UDODQG'HQWDO&DUH6HUY൴FHVE\<HDUV $OO6HFWRUV7XUNH\........................................................................................... )൴JXUH3HU&DS൴WD9൴V൴WVWRD'HQW൴VWE\18767XUNH\................................. )൴JXUH%HG2FFXSDQF\5DWHE\<HDUVDQG6HFWRUV7XUNH\................................. )൴JXUH%HG2FFXSDQF\5DWH൴Q+RVS൴WDOVE\<HDUV$OO6HFWRUV7XUNH\ ............ )൴JXUH%HG2FFXSDQF\5DWH൴Q+RVS൴WDOVE\1876 0൴Q൴VWU\RI+HDOWK ................................................................ )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI$FXWH%HG2FFXSDQF\ 5DWH൴Q+RVS൴WDOV..................................................................................... )൴JXUH$YHUDJH/HQJWKRI6WD\൴Q+RVS൴WDOVE\<HDUVDQG6HFWRUV 'D\V7XUNH\.................................................................................................. )൴JXUH$YHUDJH/HQJWKRI6WD\൴Q+RVS൴WDOVE\<HDUV$OO6HFWRUV 'D\V7XUNH\.................................................................................................. )൴JXUH$YHUDJH/HQJWKRI6WD\൴Q+RVS൴WDOVE\18760R+ 'D\V ........................................................................................... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI$YHUDJH/HQJWKRI6WD\൴Q +RVS൴WDOV'D\V .................................................................................... )൴JXUH%HG7XUQRYHU5DWH൴Q+RVS൴WDOVE\<HDUVDQG6HFWRUV3DW൴HQW7XUNH\ ........ )൴JXUH%HG7XUQRYHU5DWH൴Q+RVS൴WDOVE\<HDUV3DW൴HQW$OO6HFWRUV7XUNH\......... XVI THE MINISTRY of HEALTH of TURKEY )൴JXUH%HG7XUQRYHU5DWH൴Q+RVS൴WDOVE\18763DW൴HQW0R+ ..... )൴JXUH%HG7XUQRYHU,QWHUYDO൴Q+RVS൴WDOVE\<HDUVDQG6HFWRUV'D\V7XUNH\...... )൴JXUH%HG7XUQRYHU,QWHUYDO൴Q+RVS൴WDOVE\<HDUV'D\V$OO6HFWRUV7XUNH\...... )൴JXUH%HG7XUQRYHU,QWHUYDO൴Q+RVS൴WDOVE\1876 'D\V0R+................................................................................. )൴JXUH&UXGH'HDWK5DWH൴Q+RVS൴WDOVE\<HDUVDQG6HFWRUVÅ7XUNH\................. )൴JXUH&UXGH'HDWK5DWH൴Q+RVS൴WDOVE\<HDUV$OO6HFWRUVÅ7XUNH\................. )൴JXUH&UXGH'HDWK5DWH൴Q+RVS൴WDOVE\18760R+Å .............. )൴JXUH1XPEHURI&DVHVSHU(PHUJHQF\&DUH6WDW൴RQE\<HDUV7XUNH\ ............. )൴JXUH1XPEHURI&DVHVSHU(PHUJHQF\&DUH6WDW൴RQE\ 1876 ........................................................................................ )൴JXUH7RWDO1XPEHURI&DVHVSHU(PHUJHQF\ &DUH$PEXODQFHE\<HDUV7XUNH\ ................................................................... )൴JXUH7RWDO1XPEHURI&DVHVSHU(PHUJHQF\&DUH$PEXODQFHE\ 1876 ........................................................................................ )൴JXUH'൴VWU൴EXW൴RQRI'UXJ&RQVXPSW൴RQVE\<HDUV DQG7\SHVRI5HIHUHQFH7XUNH\ ............................................................... )൴JXUH'൴VWU൴EXW൴RQRI'UXJ([SHQG൴WXUHVE\<HDUV DQG7\SHVRI5HIHUHQFH7XUNH\ ............................................................... )൴JXUH'൴VWU൴EXW൴RQRI'UXJ&RQVXPSW൴RQVE\ <HDUVDQG/RFDO,PSRUWHG6WDWXV7XUNH\ ................................................ )൴JXUH'൴VWU൴EXW൴RQRI'UXJ([SHQG൴WXUHVE\ <HDUVDQG/RFDO,PSRUWHG6WDWXV7XUNH\ ................................................ )൴JXUH'൴VWU൴EXW൴RQRI'UXJ&RQVXPSW൴RQVE\ <HDUVDQG5H൴PEXUVHPHQW6WDWXV7XUNH\ ................................................ )൴JXUH'൴VWU൴EXW൴RQRI'UXJ([SHQG൴WXUHVE\<HDUV DQG5H൴PEXUVHPHQW6WDWXV7XUNH\.......................................................... )൴JXUH6DW൴VIDFW൴RQ5DW൴RZ൴WK+HDOWKFDUH6HUY൴FHVE\<HDUV.............................. )൴JXUH6DW൴VIDFW൴RQZ൴WK+HDOWK&DUH6HUY൴FHV൴Q(8DQG7XUNH\E\<HDUV ........ )൴JXUH6DW൴VIDFW൴RQZ൴WK+HDOWK&DUH6HUY൴FHVDQG 3HU&DS൴WD3XEO൴F+HDOWK([SHQG൴WXUH33386................................ )൴JXUH6DW൴VIDFW൴RQZ൴WK+HDOWK&DUH6HUY൴FHVDQG 3HU&DS൴WD7RWDO+HDOWK([SHQG൴WXUH33386.................................. &KDSWHU+XPDQ5HVRXUFHVIRU+HDOWK )൴JXUH )൴JXUH )൴JXUH )൴JXUH 1XPEHURI7RWDO3K\V൴F൴DQVSHU3RSXODW൴RQE\<HDUV$OO6HFWRUV..... 1XPEHURI7RWDO3K\V൴F൴DQVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV..................................................................... ,QWHUQDW൴RQDO&RPSDU൴VRQRI7RWDO1XPEHURI3K\V൴F൴DQVSHU 3RSXODW൴RQ................................................................................. 1XPEHURI*HQHUDO3UDFW൴W൴RQHUVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV..................................................................... THE MINISTRY of HEALTH of TURKEY XVII )൴JXUH 1XPEHURI6SHF൴DO൴VW3K\V൴F൴DQVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV..................................................................... )൴JXUH '൴VWU൴EXW൴RQRI6SHF൴DO൴VW3K\V൴F൴DQV0HG൴FDO5HV൴GHQWVDQG *HQHUDO3UDFW൴W൴RQHUVE\1876$OO6HFWRUV............................... )൴JXUH 1XPEHURI'HQW൴VWVSHU3RSXODW൴RQE\<HDUV$OO6HFWRUV.................. )൴JXUH 1XPEHURI'HQW൴VWVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV..................................................................... )൴JXUH ,QWHUQDW൴RQDO&RPSDU൴VRQRI1XPEHURI 'HQW൴VWVSHU3RSXODW൴RQ............................................................. )൴JXUH1XPEHURI3KDUPDF൴VWVSHU3RSXODW൴RQE\<HDUV$OO6HFWRUV ........... )൴JXUH1XPEHURI3KDUPDF൴VWVSHU3RSXODW൴RQE\ 1876$OO6HFWRUV..................................................................... )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI1XPEHURI 3KDUPDF൴VWVSHU3RSXODW൴RQ ...................................................... )൴JXUH1XPEHURI1XUVHVDQG0൴GZ൴YHVSHU 3RSXODW൴RQE\<HDUV$OO6HFWRUV ...................................................................... )൴JXUH1XPEHURI1XUVHVDQG0൴GZ൴YHVSHU 3RSXODW൴RQE\1876$OO6HFWRUV ............................................. )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI1XPEHURI1XUVHVDQG 0൴GZ൴YHVSHU3RSXODW൴RQ.......................................................... )൴JXUH1XPEHURI7RWDO3K\V൴F൴DQVSHU3RSXODW൴RQE\ 18760R+.............................................................................. )൴JXUH1XPEHURI*HQHUDO3UDFW൴W൴RQHUVSHU 3RSXODW൴RQE\18760R+....................................................... )൴JXUH1XPEHURI6SHF൴DO൴VW3K\V൴F൴DQVSHU 3RSXODW൴RQE\18760R+....................................................... )൴JXUH'൴VWU൴EXW൴RQRI6SHF൴DO൴VW3K\V൴F൴DQV0HG൴FDO5HV൴GHQWVDQG *HQHUDO3UDFW൴W൴RQHUVE\18760R+ ........................................ )൴JXUH1XPEHURI1XUVHVDQG0൴GZ൴YHVSHU 3RSXODW൴RQE\18760R+....................................................... )൴JXUH'൴VWU൴EXW൴RQRI7RWDO3K\V൴F൴DQVE\<HDUVDQG6HFWRUV7XUNH\................ )൴JXUH'൴VWU൴EXW൴RQRI*HQHUDO3UDFW൴W൴RQHUVE\<HDUVDQG6HFWRUV7XUNH\........ )൴JXUH'൴VWU൴EXW൴RQRI6SHF൴DO൴VW3K\V൴F൴DQVE\<HDUVDQG6HFWRUV7XUNH\ ........ )൴JXUH'൴VWU൴EXW൴RQRI'HQW൴VWVE\<HDUVDQG6HFWRUV7XUNH\............................. )൴JXUH'൴VWU൴EXW൴RQRI3KDUPDF൴VWVE\<HDUVDQG6HFWRUV7XUNH\ ...................... )൴JXUH'൴VWU൴EXW൴RQRI1XUVHVDQG0൴GZ൴YHVE\<HDUVDQG6HFWRUV7XUNH\....... )൴JXUH'൴VWU൴EXW൴RQRI0R+3HUVRQQHOE\6HUY൴FH8Q൴WV0R+ ................ )൴JXUH1XPEHURI6WXGHQWVSHU$FDGHP൴F6WD൵0HPEHU൴Q )DFXOW൴HVRI0HG൴F൴QHE\(GXFDW൴RQ7HUPV7XUNH\......................................... )൴JXUH1XPEHURI6WXGHQWVSHU$FDGHP൴F6WD൵൴Q )DFXOW൴HVRI'HQW൴VWU\E\(GXFDW൴RQ7HUPV7XUNH\ ......................................... XVIII THE MINISTRY of HEALTH of TURKEY )൴JXUH1XPEHURI6WXGHQWVSHU$FDGHP൴F6WD൵0HPEHU൴Q )DFXOW൴HVRI3KDUPDF\E\(GXFDW൴RQ7HUPV7XUNH\........................................ )൴JXUH1XPEHURI6WXGHQWVSHU/HFWXUHU൴Q%DFKHORU'HJUHH<HDU )DFXOW൴HVRI1XUV൴QJE\(GXFDW൴RQ7HUPV7XUNH\ ........................................... )൴JXUH1XPEHURI6WXGHQWVSHU/HFWXUHU൴Q%DFKHORU'HJUHH<HDU )DFXOW൴HVRI0൴GZ൴IHU\E\(GXFDW൴RQ7HUPV7XUNH\....................................... &KDSWHU+HDOWK(FRQRP൴FVDQG)൴QDQF൴QJ )൴JXUH 3XEO൴FDQG3U൴YDWH+HDOWK([SHQG൴WXUHDVD6KDUHRI*'3E\ <HDUV7XUNH\............................................................................................ )൴JXUH +HDOWK([SHQG൴WXUHDVD6KDUHRI*'3൴QWKH2(&'&RXQWU൴HV .... )൴JXUH 3XEO൴FDQG3U൴YDWH+HDOWK([SHQG൴WXUHSHU&DS൴WDE\<HDUV 1RP൴QDO൴Q¨7XUNH\ ...................................................................................... )൴JXUH 3XEO൴FDQG3U൴YDWH+HDOWK([SHQG൴WXUHSHU&DS൴WDDW 3U൴FH/HYHOE\<HDUV൴Q¨7XUNH\ ................................................................... )൴JXUH 3XEO൴FDQG3U൴YDWH+HDOWK([SHQG൴WXUHSHU&DS൴WDE\ <HDUV൴Q867XUNH\...................................................................................... )൴JXUH 3XEO൴FDQG3U൴YDWH+HDOWK([SHQG൴WXUHSHU&DS൴WDE\ <HDUV333867XUNH\ .................................................................................. )൴JXUH 3XEO൴FDQG3U൴YDWH+HDOWK([SHQG൴WXUHSHU&DS൴WD൴Q 2(&'&RXQWU൴HV33386 ................................................................... )൴JXUH 2XWRI3RFNHW+HDOWK([SHQG൴WXUHSHU&DS൴WDE\<HDUV 1RP൴QDO൴Q¨7XUNH\ ...................................................................................... )൴JXUH 2XWRI3RFNHW+HDOWK([SHQG൴WXUHSHU&DS൴WDDW3U൴FH /HYHO൴Q¨7XUNH\ ........................................................................................... )൴JXUH2XWRI3RFNHW([SHQG൴WXUHSHU&DS൴WDE\<HDUV൴Q867XUNH\................... )൴JXUH2XWRI3RFNHW([SHQG൴WXUHSHU&DS൴WDE\<HDUV333867XUNH\ ............... )൴JXUH2XWRI3RFNHW([SHQG൴WXUHDVD6KDUHRI7RWDO +HDOWK([SHQG൴WXUHE\<HDUV7XUNH\....................................................... )൴JXUH2XWRI3RFNHW([SHQG൴WXUHDVD6KDUHRI 7RWDO+HDOWK([SHQG൴WXUHV൴Q2(&'&RXQWU൴HV...................................... )൴JXUH+HDOWK([SHQG൴WXUHE\)൴QDQF൴QJ7\SH൴QWKH2(&'&RXQWU൴HV............ )൴JXUH1RQ,QWHUHVW([SHQG൴WXUHVDQG3XEO൴F+HDOWK([SHQG൴WXUHVE\ <HDUV൴Q0൴OO൴RQ¨7XUNH\ .............................................................................. )൴JXUH,QWHUQDW൴RQDO&RPSDU൴VRQRI5DW൴RRI2XWRI3RFNHW+HDOWK ([SHQG൴WXUH൴Q+RXVHKROG)൴QDO&RQVXPSW൴RQ([SHQG൴WXUH.................. 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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 (Aged 65 and Over) (%) 7,0 8,8 10,9 11,1 11,3 11,8 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 6RXUFH785.67$7 )LJXUH8UEDQDQG5XUDO3RSXODWLRQE\<HDUV7XUNH\ Year 1990 51,3 48,7 2000 59,2 40,8 2011 28,2 71,8 2012 27,7 72,3 2013 13,3 86,7 2014 12,8 87,2 0 50 Rural Population Ratio 6RXUFH785.67$7 4 THE MINISTRY of HEALTH of TURKEY 100 Urban Population Ratio % )LJXUH5XUDODQG8UEDQ3RSXODWLRQ5DWLRVE\1876 NUTS-1 Northeastern Anatolia 45,0 Western Blacksea 55,0 35,9 64,1 Eastern Blacksea 34,3 65,7 Central Anatolia 33,4 66,6 Mideastern Anatolia 29,4 Western Marmara 70,6 18,6 Turkey 81,4 12,8 87,2 Southeastern Anatolia 10,5 Aegean 10,1 89,9 8,7 91,3 Eastern Marmara Mediterranean 89,5 6,6 93,4 Western Anatolia 3,6 Istanbul 96,4 0,1 99,9 0 50 Rural Population Ratio 100 Urban Population Ratio % 6RXUFH785.67$7 0DS8UEDQ3RSXODW൴RQ5DW൴RVE\3URY൴QFHV <46 46- 61 62 - 93 >93 6RXUFH785.67$7 THE MINISTRY of HEALTH of TURKEY 5 General Demographic Indicators Health Statistics Yearbook 2014 Health Statistics Yearbook 2014 0DS5XUDO3RSXODW൴RQ5DW൴RVE\3URY൴QFHV <5 40 - 51 >51 5 - 39 6RXUFH785.67$7 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI8UEDQ3RSXODWLRQ5DWLRV % 87,2 80,0 80 71,0 62,0 53,0 40 0 Turkey Upper Income Group Countries WHO European Region 6RXUFH785.67$7 :+2:RUOG+HDOWK 6WDWLVWLFV Note: Turkey’s data belongs to 2014. 6 THE MINISTRY of HEALTH of TURKEY Upper Middle Income Group Countries Global )LJXUH$JHGDQG2YHU $JHG3RSXODWLRQ5DWLRVE\<HDUV7XUNH\ Year 40 35,0 29,8 30 25,3 24,9 24,6 24,3 7,3 7,5 7,7 8,0 2011 2012 2013 2014 20 10 5,7 4,3 0 1990 2000 0-14 Aged Population Ratio 65 and Over Aged Population Ratio % 6RXUFH785.67$7 )LJXUH$JHG3RSXODWLRQ5DWLRVE\1876 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Mediterranean 7,4 Mideastern Anatolia 5,9 Istanbul 5,9 Southeastern Anatolia 4,5 0 7 14 % 6RXUFH785.67$7 0DSDQG2YHU$JHG3RSXODW൴RQ5DW൴RVE\3URY൴QFHV < -9 10- 11 >11 6RXUFH785.67$7 THE MINISTRY of HEALTH of TURKEY 9 General Demographic Indicators Health Statistics Yearbook 2014 Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQ RI DQG2YHU $JHG3RSXODWLRQ5DWLRV % 25 22,0 21,0 20 15 13,0 12,0 11,7 Global Turkey 10 5 0 Upper Income Group Countries WHO European Region Upper Middle Income Group Countries 6RXUFH785.67$7 :+2:RUOG+HDOWK 6WDWLVWLFV Note: Turkey’s data belongs to . )LJXUH7RWDO$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 15 6RXUFH785.67$7 10 THE MINISTRY of HEALTH of TURKEY 30 45 60 75 Map 1. 5. Total Age Dependency Ratios by Provinces, (%), 2014 < 44 44 - 49 50 - 53 > 54 Source: TURKSTAT THE MINISTRY of HEALTH of TURKEY 11 General Demographic Indicators Health Statistics Yearbook 2014 Health Statistics Yearbook 2014 7DEOH6RPH*HQHUDO'HPRJUDSKLF,QGLFDWRUVE\ 3URYLQFHV City $GDQD Total Population Rural Population Ratio (%) Urban Population Ratio (%) 0-14 Aged Population Ratio (%) 65 and Over Aged Population Ratio (%) Youth Dependency Ratio (Age 0-14) (%) Elderly Dependency Ratio (Aged 65 and Over) (%) Total Age Dependency Radio (%) $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 (GLUQH (OD]Õ÷ (U]LQFDQ (U]XUXP (VNLúHKLU *D]LDQWHS *LUHVXQ *PúKDQH +DNNDUL +DWD\ ,VSDUWD 0HUVLQ øVWDQEXO ø]PLU .DUV .DVWDPRQX .ÕUNODUHOL .ÕUúHKLU .RFDHOL 'L\DUEDNÕU .D\VHUL 6RXUFH785.67$7 12 THE MINISTRY of HEALTH of TURKEY 7DEOH6RPH*HQHUDO'HPRJUDSKLF,QGLFDWRUVE\ 3URYLQFHV &RQWLQXHG City .RQ\D Total Population Rural Population Ratio (%) Urban Population Ratio (%) 0-14 Aged Population Ratio (%) 65 and Over Aged Population Ratio (%) Youth Dependency Ratio (Age 0-14) (%) Elderly Dependency Ratio (Aged 65 and Over) (%) Total Age Dependency Radio (%) .WDK\D 0DODW\D 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 <R]JDW =RQJXOGDN $NVDUD\ %D\EXUW .DUDPDQ .ÕUÕNNDOH %DWPDQ ùÕUQDN %DUWÕQ $UGDKDQ ,÷GÕU <DORYD .DUDEN .LOLV 2VPDQL\H ']FH 7XUNH\ 6RXUFH785.67$7 THE MINISTRY of HEALTH of TURKEY 13 General Demographic Indicators Health Statistics Yearbook 2014 Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; 3RSXODWLRQ GDWD IRU DQG ZHUH tDNHQ IURm 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 PDSV LQ WKH 6HFWLRQ. 7KHVH ZKROH QXPEHUV ZHUH WDNHQ LQWR DFFRXQW ZKLOH PDNLQJ tKHOLNHUWVFDOHV ; ,W hDV VHHQ LQFUHDVH LQ XUEDQ SRSXODWLRQ UDWLR GXH tR HVWDEOLVKLQJ PHWURSROLWDQ PXQLFLSDOLWLHVLQSURYLQFHV DQG PHUJLQJRIVPDOOWRZQVDQG YLOODJHVWRGLVWULFWVDV QHLJKERUKRRG LQSURYLQFHVKDYLQJPHWURSROLWDQPXQLFLSDOLWLHVVWDWXV 7KHGHILQLWLRQVRIWKHLQGLFDWRUVLQ6HFWLRQDUHDVIROORZV 7KH UDWLR RI WKH SRSXODWLRQ OLYLQJ LQ VHWWOHPHQWV 5XUDO3RSXODWLRQ5DWLR ZLWK D SRSXODWLRQ RI DQG EHOR Z WR WKH WRWDO SRSXODWLRQ 8UEDQ3RSXODWLRQ5DWLR 7KH UDWLR RI WKH SRSXODWLRQ OLYLQJ LQ VHWWOHPHQWV ZLWK D SRSXODWLRQ RI DQG DERYH WR WKH WRWDO 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 <RXWK'HSHQGHQF\5DWLR 14 $JH ,W LV WKH UDWLR RI \RXQJHU GHSHQGHQWV DJHG (OGHUO\ 'HSHQGHQF\5DWLR $JHG DQG2YHU ,W LV WKH UDWLR RI ROG DJH GHSHQGHQWV DJHG DQG 7RWDO $JH 'HSHQGHQF\5DWLR ,W LV WKH UDWLR RI WRWDO GHSHQGHQWV DJHG DQG WRWKHZRUNLQJDJHSRSXODWLRQIURPWR RYHU WR WKH ZRUNLQJDJH SRSXODWLRQ IURP WR . 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Health Statistics Yearbook 2014 )LJXUH/LIH([SHFWDQF\DW%LUWK E\<HDUVDQG6H[ $JH 7XUNH\ 79,3 78,0 77,0 76,0 74,7 74,0 74,8 72,5 72,0 70,5 70,0 68,0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Male 70,5 71,1 71,7 72,2 72,7 73,2 73,6 73,9 74,2 74,4 74,6 74,7 74,8 Total 72,5 73,2 73,8 74,4 74,9 75,3 75,7 76,1 76,4 76,6 76,8 76,9 77,0 Female 74,7 75,4 76,0 76,6 77,1 77,6 78,0 78,4 78,7 78,9 79,1 79,2 79,3 6RXUFH785.67$73RSXODWLRQ 3URMHFWLRQV )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI/LIH([SHFWDQF\DW%LUWK Age 80 80,5 79,0 77,0 76,0 74,0 71,0 40 0 OECD Upper Income Group Countries Turkey WHO European Upper Middle Region Income Group Countries Global 6RXUFH785.67$7 :+2:RUOG+HDOWK6WDWLVWLFV 2(&'+HDOWK'DWD Note: Turkey’s data belongs to the year 2014. THE MINISTRY of HEALTH of TURKEY 17 Mortality 80,0 Age Health Statistics Yearbook 2014 )LJXUH. ,QIDQW0RUWDOLW\5DWHE\1876SHU /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 0 3 6 9 12 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI,QIDQW0RUWDOLW\5DWHSHU /LYH%LUWKV Rate 40 33,6 30 20 15,6 10,5 10 7,6 5,3 0 Global Upper Middle Income Group Countries WHO European Region Turkey 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ :+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. 18 THE MINISTRY of HEALTH of TURKEY Upper Income Group Countries Rate Health Statistics Yearbook 2014 )LJXUH. 3HULQDWDO0RUWDOLW\5DWHE\1876SHU%LUWKV Mortality NUTS-1 10,9 Southeastern Anatolia Northeastern Anatolia 9,7 Mideastern Anatolia 9,6 Turkey 8,1 Mediterranean 7,8 Central Anatolia 7,8 Western Blacksea 7,3 Aegean 7,2 Western Marmara 7,0 Eastern Marmara 7,0 Istanbul 6,9 Western Anatolia 6,8 Eastern Blacksea 6,6 0 3 6 9 12 Rate 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH. 1HRQDWDO0RUWDOLW\5DWHE\1876SHU /LYH%LUWKV NUTS-1 Southeastern Anatolia 6,5 Mideastern Anatolia 5,8 Northeastern Anatolia 4,8 Mediterranean 4,2 Turkey 4,2 Central Anatolia 4,1 Western Blacksea 3,7 Aegean 3,5 Istanbul 3,3 Eastern Marmara 3,2 Western Marmara 3,1 Eastern Blacksea 2,9 Western Anatolia 2,9 0 3 6 Rate 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 19 Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQ RI1HRQDWDO 0RUWDOLW\5DWH SHU /LYH%LUWKV Rate 20 20,0 15 9,7 10 6,1 5 4,2 3,5 Turkey Upper Income Group Countries 0 Global Upper Middle Income Group Contries WHO European Region 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. )LJXUH. 3RVWQHRQDWDO0RUWDOLW\5DWHE\1876SHU /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 0 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 20 THE MINISTRY of HEALTH of TURKEY 2 4 6 Rate Health Statistics Yearbook 2014 )LJXUH. 8QGHU0RUWDOLW\5DWHE\1876SHU /LYH%LUWKV Mortality NUTS-1 Southeastern Anatolia 14,6 Mideastern Anatolia 13,9 Northeastern Anatolia 13,4 Turkey 9,7 Mediterranean 9,6 Central Anatolia 9,3 Western Blacksea 8,2 Eastern Blacksea 7,7 Aegean 7,6 Istanbul 7,6 Western Anatolia 7,3 Western Marmara 7,0 Eastern Marmara 6,8 0 5 10 15 Rate 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI8QGHU 0RUWDOLW\ 5DWH SHU /LYH%LUWKV Rate 45,6 40 19,6 20 12,2 9,7 6,3 0 Global Upper Middle Income Group Countries WHO European Region Turkey Upper Income Group Countries 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. THE MINISTRY of HEALTH of TURKEY 21 Health Statistics Yearbook 2014 )LJXUH. 0DWHUQDO0RUWDOLW\5DWLR E\1876SHU/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 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI0DWHUQDO0RUWDOLW\5DWLRSHU/LYH%LUWKV Ratio 210,0 200 150 100 57,0 50 17,0 17,0 15,2 WHO European Region Upper Income Group Countries Turkey 0 Global Upper Middle Income Group Countries 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. 22 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 2012 ICD-10 Diagnosis Codes 2013 2014 Code Male Female Total Male Female Total Male Female Total Certain Infectious and Parasitic Diseases A00-B99 1,61 1,75 1,67 1,73 1,80 1,77 1,79 1,83 1,80 Neoplasms C00-D48 25,53 16,79 21,58 25,09 16,45 21,21 24,87 15,74 20,67 Diseases of the Blood and Bloodforming Organs and Certain Disorders Involving the Immune Mechanism D50-D89 0,36 0,51 0,43 0,34 0,50 0,41 0,32 0,40 0,36 Endocrine, Nutritional and Metabolic Diseases E00-E90 4,65 7,65 6,00 4,30 7,13 5,57 4,04 6,44 5,14 Mental and Behavioural Disorders F00-F99 0,20 0,19 0,20 0,14 0,17 0,16 0,12 0,17 0,14 Diseases of the Nervous System and Sense Organs G00-H95 3,60 5,13 4,29 3,41 4,89 4,08 3,73 5,20 4,40 Diseases of the Circulatory System I00-I99 34,41 42,21 37,93 35,71 44,50 39,65 36,60 44,94 40,42 Diseases of the Respiratory System J00-J99 10,67 8,44 9,67 10,66 8,75 9,80 11,59 9,72 10,73 Diseases of the Digestive System K00-K93 2,52 2,70 2,60 2,55 2,74 2,63 2,53 2,75 2,63 Diseases of the Skin and Subcutaneous Tissue L00-L99 0,05 0,09 0,07 0,05 0,10 0,07 0,06 0,11 0,08 Diseases of the Musculoskeletal System and Connective Tissue M00-M99 0,29 0,59 0,42 0,20 0,46 0,31 0,19 0,43 0,30 Diseases of the Genitourinary System N00-N99 3,10 3,52 3,29 2,79 3,25 2,99 2,95 3,43 3,17 Pregnancy, Childbirth and the Puerperium O00-O99 - 0,04 0,02 - 0,19 0,08 - 0,15 0,07 Certain Conditions Originating in the Perinatal Period P00-P96 1,77 1,73 1,75 1,96 1,83 1,90 2,19 1,99 2,10 Congenital Malformations, Deformations and Chromosomal Abnormalities Q00-Q99 1,15 1,30 1,22 1,28 1,44 1,36 1,39 1,41 1,41 Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified R00-R99 4,76 4,75 4,76 2,28 2,42 2,35 2,11 2,51 2,29 External causes of morbidity and mortality V01-Y89 5,32 2,63 4,10 7,49 3,40 5,66 5,52 2,80 4,27 6RXUFH785.67$7&DXVHVRI'HDWK6WDWLVWLFV THE MINISTRY of HEALTH of TURKEY 23 Mortality 7DEOH 'LVWULEXWLRQ RI &DXVHV RI 'HDWK E\ WKH ,&' 0DLQ 'LDJQRVLV &RGHV DQG 6H[ 7XUNH\ 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\ DGGLQJ the QXPEHU RI the EDELHV ZKR DUH ERUQ DOLYHDQGGLe LQGD\V(DUO\ 1HRQDWDO LQ D\HDULQ D VRFLHW\ tR thHQXPEHURI WKHGHDGELUWKV LQ theVDPH\HDU DQG LW LVGLYLGHG E\ theQXPEHURIWRWDOELUWKVOLYHGHDG LQ the VDPH\HDU DQG 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 D VRFLHW\ LQ D \HDU QXPEHU RI FKLOGUHQ ZKR GLHG ZLWKRXW 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$70RUWDOLW\5HDVRQ6WDWLVWLFV 7KH UHDVRQV FDXVLQJ PRUWDOLW\ DUHWKH VWDWLVWLFVEHORQJLQJ WR WKH XQGHUO\LQJUHDVRQ RIPRUWDOLW\ ³,QWHUQDWLRQDO&ODVVLILFDWLRQRI'LVHDVHV,&'´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t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of HEALTH of TURKEY Morbidity Chapter 3 Morbidity . Health Statistics Yearbook 2014 AIDS Measles Tuberculosis Malaria 2002 2010 2011 2012 2013 2014 Local Case 42 64 66 79 80 98 Imported Case 6 6 14 10 13 28 Total Case 48 70 80 89 93 126 Local Case 7.810 0 0 318 6.731 451 Imported Case 0 7 111 31 674 114 Total Case 7.810 7 111 349 7.405 565 Local Case 18.043 15.700 14.852 13.878 12.679 - Imported Case 0 179 202 261 491 - Total Case 18.043 15.879 15.054 14.139 13.170 - Local Case 10.184 9* 4* 1* 34* 0 Imported Case 40 78 128 375 251 249 Total Case 10.224 87 132 376 285 249 Morbidity 7DEOH 1XPEHURI&DVHVRI the ,QIHFWLRXV'LVHDVHVE\<HDUV7XUNH\ 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ *2010, 2011, 2012 and 2013 all local malaria cases are “Relapsing malaria case” and local new case number is “0” (zero) 7DEOH ,QIHFWLRXV'LVHDVHV,QFLGHQFHE\<HDUVSHU 3RSXODWLRQ7XUNH\ 2002 2010 2011 2012 2013 2014 AIDS 0,07 0,09 0,11 0,12 0,12 0,16 Measles 11,8 0,0 0,1 0,5 9,7 0,7 33 26 24 22 20 - 15,4 0,1 0,2 0,5 0,4 0,3 Tuberculosis Malaria 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2*OREDO+HDOWK2EVHUYDWRU\'DWDEDVH THE MINISTRY of HEALTH of TURKEY 27 Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI$,'6,QFLGHQFHE\<HDUVSHU3RSXODWLRQ Ϯ͕Ϭϱ /ŶĐŝĚĞŶĐĞ Ϯ͕Ϭ ϭ͕ϱ ϭ͕Ϯϳ ϭ͕ϰϰ ϭ͕Ϭ Ϭ͕ϴϲ Ϭ͕ϱ Ϭ͕ϭϮ Ϭ͕Ϭϳ 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,KƵƌŽƉĞĂŶZĞŐŝŽŶ ϭ͕ϰϰ ϭ͕ϰϳ ϭ͕ϱϯ ϭ͕ϲϲ ϭ͕ϲϬ ϭ͕ϱϴ ϭ͕ϱϲ ϭ͕ϱϬ ϭ͕ϱϮ ϭ͕ϰϱ ϭ͕Ϯϳ dƵƌŬĞLJ Ϭ͕Ϭϴ Ϭ͕Ϭϳ Ϭ͕Ϭϱ Ϭ͕Ϭϱ Ϭ͕Ϭϯ Ϭ͕Ϭϳ Ϭ͕ϭϬ Ϭ͕Ϭϵ Ϭ͕ϭϭ Ϭ͕ϭϮ Ϭ͕Ϭϳ 6RXUFH:+2+)$'DWDEDVH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI0HDVOHV,QFLGHQFHE\<HDUVSHU3RSXODWLRQ ϭϰ /ŶĐŝĚĞŶĐĞ ϭϭ͕ϴ ϳ ϲ͕ϰ ϱ͕ϯ ϱ͕ϵ ϰ͕ϳ Ϭ͕ϱ Ϭ ϮϬϬϮ ϮϬϬϯ ϮϬϬϰ ϮϬϬϱ ϮϬϬϲ ϮϬϬϳ ϮϬϬϴ ϮϬϬϵ ϮϬϭϬ ϮϬϭϭ ϮϬϭϮ ƵƌŽƉĞĂŶhŶŝŽŶ ϱ͕ϵ ϰ͕ϵ ϭ͕Ϯ ϭ͕ϯ ϭ͕ϱ Ϭ͕ϳ ϭ͕Ϯ ϭ͕ϯ ϱ͕ϵ ϲ͕ϰ ϱ͕ϯ t,KƵƌŽƉĞĂŶZĞŐŝŽŶ ϲ͕ϰ ϰ͕ϱ ϯ͕ϰ ϰ͕ϯ ϲ͕Ϯ ϯ͕Ϯ ϭ͕Ϭ Ϭ͕ϵ ϯ͕ϰ ϰ͕ϭ ϰ͕ϳ dƵƌŬĞLJ ϭϭ͕ϴ ϴ͕ϯ ϭϮ͕ϵ ϭ͕ϲ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕Ϭ Ϭ͕ϭ Ϭ͕ϱ 6RXUFH:+2+)$'DWDEDVH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 28 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI7XEHUFXORVLV,QFLGHQFHE\<HDUV SHU 3RSXODWLRQ Incidence 150 151 126 107 100 82 50 39 33 22 32 20 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Global 151 150 148 146 144 142 139 136 133 131 128 126 Upper Middle Income Group Countries 107 105 104 101 99 97 95 92 90 87 84 82 WHO European Region 67 66 63 61 58 56 53 50 47 44 42 39 Turkey 33 33 32 31 31 30 29 28 26 24 22 20 High Income Group Countries 32 32 31 31 30 29 28 27 25 24 23 22 6RXUFH:+2*OREDO+HDOWK2EVHUYDWRU\'DWDEDVH )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI0DODULD ,QFLGHQFHE\<HDUV SHU 3RSXODWLRQ Incidence 15,4 15 10 5 3,9 2,5 0 1,2 0,8 0,5 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 European Union 2,5 2,3 2,2 2,0 2,0 1,7 1,2 1,2 1,4 1,3 WHO European Region 3,9 3,3 2,5 1,8 1,5 1,2 0,8 0,8 0,9 0,8 0,8 Turkey 15,4 13,7 7,8 3,0 1,1 0,5 0,3 0,1 0,1 0,2 0,5 1,2 6RXUFH:+2+)$ 'DWDEDVH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 29 Morbidity 67 Health Statistics Yearbook 2014 7DEOH. 'LVWULEXWLRQRI+RVSLWDO'LVFKDUJHVE\WKH0DLQ'LDJQRVLV*URXSV RI,&' DQG6H[ 7XUNH\ 2012 ICD-10 Diagnosis Groups 2013 2014 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 D50-D89 1,4 1,7 1,6 1,5 2,0 1,7 1,5 2,2 1,9 E00-E90 2,2 3,3 2,8 2,1 3,2 2,7 2,1 3,1 2,7 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 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 M00-M99 3,9 5,0 4,5 3,7 4,9 4,4 3,9 5,1 4,6 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 Perinatal Period P00-P96 2,9 2,0 2,4 2,7 1,9 2,3 2,6 1,8 2,1 Congenital Malformations, Deformations and Chromosomal Abnormalities Q00-Q99 1,1 0,5 0,7 1,1 0,5 0,7 1,0 0,5 0,7 Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified R00-R99 4,6 3,8 4,2 3,8 3,2 3,4 4,1 3,4 3,7 Injury, Poisoning and Certain other Consequences of External Causes S00-T98 8,1 4,3 5,9 7,3 3,9 5,4 6,6 3,5 4,9 Factors Influencing Health Status and Contact With Health Services Z00-Z99 9,6 8,6 9,1 10,7 8,8 9,7 11,5 8,9 10,1 100 100 100 100 100 100 100 100 100 Diseases of the Blood and Bloodforming Organs and Certain Disorders Involving the Immune Mechanism Endocrine, Nutritional and Metabolic Diseases Diseases of the Circulatory System Diseases of the Musculoskeletal System and Connective Tissue Total 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 'LDJQRVLV5HODWHG*URXSV 'DWDEDVH 7DEOH 7RWDO &DQFHU ,QFLGHQFH E\ <HDUV DQG 6H[ SHU :RUOG 6WDQGDUG 3RSXODWLRQ 7XUNH\ 2002 2003 2004 2005 2006 2007 2008 2009 2010 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 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 30 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 2002 2003 2004 2005 2006 2007 2008 2009 2010 Breast 31,9 33,9 34,7 35,0 37,6 35,9 40,7 40,6 38,6 Thyroid 3,5 5,1 7,3 9,6 10,8 14,4 16,2 18,6 18,1 Colorectal 9,3 10,3 11,3 11,1 12,5 12,3 13,2 13,4 13,1 Uterine Corpus 4,3 5,9 7,6 7,1 8,4 8,7 8,6 9,3 9,6 Trachea Lung and Bronch 5,2 5,8 7,4 7,4 7,7 7,8 8,2 8,1 8,0 Stomach 6,0 6,9 6,4 6,9 7,6 8,4 7,7 8,1 7,2 Ovarium 5,9 6,2 5,8 5,6 5,9 6,5 6,9 6,9 6,6 Non-Hodgkin Lymphoma 1,2 1,4 4,4 4,0 4,9 5,2 5,0 5,3 5,3 Brain, Other Nervous System(ONS) 3,8 4,2 3,6 4,0 4,6 4,6 4,4 5,0 4,4 Uterine Cervix 3,9 4,7 4,5 4,4 4,8 4,3 4,1 4,5 4,0 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH 7KH 'LVWULEXWLRQ RI WKH 0RVW &RPPRQ &DQFHU 7\SHV $PRQJ :RPHQ LQ WKH 7RWDO &DQFHU7XUNH\ Breast 22,9 Thyroid 10,7 Colorectal 7,8 Uterine Corpus 5,7 Trachea Lung and Bronch 4,7 Stomach 4,3 Ovarium 3,9 Non-Hodgkin Lymphoma 3,1 Brain, Other Nervous System(ONS) 2,6 Uterine Cervix 2,4 0,0 5,0 10,0 15,0 20,0 25,0 % 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 31 Morbidity 7DEOe . ,QFLGHQFH RI WKH 0RVW &RPPRQ 7\SHV RI &DQFHU $PRQJ :RPHQ E\ <HDUV SHU :RUOG6WDQGDUG3RSXODWLRQ7XUNH\ Health Statistics Yearbook 2014 7DEOe . ,QFLGHQFHRIthe 0RVW&RPPRQ7\SHVRI&DQFHU$PRQJ 0HQ E\<HDUVSHU :RUOG6WDQGDUG3RSXODWLRQ7XUNH\ 2002 2003 2004 2005 2006 2007 2008 2009 2010 Trachea Lung and Bronch 42,2 43,5 65,1 65,9 68,9 73,0 69,2 66,0 61,0 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 System(ONS) 5,3 4,7 4,7 5,7 5,4 5,8 6,1 5,4 5,7 Kidney 3,0 3,2 4,1 4,1 5,5 5,2 5,8 6,3 5,5 6RXUFH3XEOLF+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 % 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 32 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH &DQFHU,QFLGHQFH E\6H[SHU :RUOG6WDQGDUG3RSXODWLRQ7XUNH\ Male C00-96 C00-14 All Cancers Mouth, Pharynx C00 C01-C02 ICD-10 Female 261,4 5,6 C00-96 C00-14 All Cancers Mouth, Pharynx 168,7 2,4 Lip Tongue 1,7 0,6 C00 C01-C02 Lip Tongue 0,4 0,5 C03-C06 Mouth 0,6 C03-C06 Mouth 0,3 C07-C08 C09 Salivary Glands Tonsil 0,7 0,3 C07-C08 C09 Salivary Glands Tonsil 0,5 0,1 C10 C11 Other Oropharynx Nasopharynx 0,1 1,3 C10 C11 Other Oropharynx Nasopharynx 0,0 0,5 C12-C13 C14 Hypopharynx Pharynx, unspecified 0,3 0,0 C12-C13 C14 Hypopharynx Pharynx, unspecified 0,1 0,0 C15-26 Digestion Organs 51,8 C15-26 Digestion Organs 28,6 C15 Esophagus 2,3 C15 Esophagus 1,3 C16 C17 Stomach Small Intestine 16,1 0,6 C16 C17 Stomach Small Intestine 7,2 0,3 C18 C19-C20 Colon Rectum 12,0 8,7 C18 C19-C20 Colon Rectum 8,2 4,9 C21 C22 Anus Liver 0,2 4,4 C21 C22 Anus Liver 0,2 1,8 C23-C24 Gall bladder etc. 1,6 C23-C24 Gall bladder etc. 1,4 C25 C26 Pancreas Other Digestion Organs 5,7 0,2 C25 C26 Pancreas Other Digestion Organs 3,1 0,2 C30-34,C37-C38 Respiratory Organs 69,8 C30-34,C37-C38 Respiratory Organs 8,9 C30-C31 C32 Nose, sinuses etc. Larynx 0,4 7,7 C30-C31 C32 Nose, sinuses etc. Larynx 0,2 0,4 C33-C34 C37-C38 Trachea, Bronchus, Lung Other Thoracic Organs 61,0 0,7 C33-C34 C37-C38 Trachea, Bronchus, Lung Other Thoracic Organs 8,0 0,3 C40-C41 Bone 1,0 C40-C41 Bone 0,8 C43 Melanoma 1,8 C43 Melanoma 1,3 C44 C45 Other Skin Mesothelioma 27,0 0,9 C44 C45 Other Skin Mesothelioma 17,7 0,6 C46 C47;C49 Kaposi's sarcoma Connective, Soft tissue 0,6 2,0 C46 C47;C49 Kaposi's sarcoma Connective, Soft tissue 0,3 1,6 C50 C60-63 Breast Male Genital Organs 0,6 37,2 C50 C51-58 Breast Female Genital Organs 38,6 21,6 C60 Penis 0,0 C51 Vulva 0,4 C61 C62 Prostate Testicle 33,8 3,4 C52 C53 Vagina Cervix uteri 0,2 4,0 C63 Other male genital 0,0 C54 C55 Corpus uteri Uterus unspec. 9,6 0,5 C56 Ovary 6,6 C57 C58 Other Female Genital Placenta 0,3 0,0 C64-68 Urinary Organs 26,6 C64-68 Urinary Organs 6,2 C64 C65 Kidney Renal Pelvis 5,5 0,2 C64 C65 Kidney Renal Pelvis 3,0 0,1 C66 C67 Ureter Bladder 0,1 20,7 C66 C67 Ureter Bladder 0,0 3,0 C68 Other Urinary Organs 0,1 C68 Other Urinary Organs 0,1 C69 Eye 0,5 C69 Eye 0,5 C70-C72 C73 Brain, nervous system Thyroid 5,7 4,7 C70-C72 C73 Brain, nervous system Thyroid 4,4 18,1 C74-75 C74 Other Endocrine Glands Adrenal gland 0,5 0,4 C74-75 C74 Other Endocrine Glands Adrenal gland 0,5 0,3 C75 Other Endocrine 0,1 C75 Other Endocrine 0,2 C81-85,88,90-96 C81 Lymphoid and hematopoietic Hodgkin’s disease 19,3 2,2 C81-85,88,90-96 C81 Lymphoid and hematopoietic Hodgkin’s disease 13,1 1,2 C82-C85;C96 Non-Hodgkin lymphoma 7,0 C82-C85;C96 Non-Hodgkin lymphoma 5,3 C88 C90 Immunoproliferative diseases Multiple Myeloma 0,0 2,9 C88 C90 Immunoproliferative diseases Multiple Myeloma 0,0 1,8 C91 C92-C94 Lymphoid Leukemia Myeloid Leukemia 3,9 2,9 C91 C92-C94 Lymphoid Leukemia Myeloid Leukemia 2,3 2,2 C95 Leukemia, unspecified 0,4 C95 Leukemia, unspecified 0,3 C39,C48,C76,C77,C80 Other&Unspecified 5,5 C39,C48,C76,C77,C80 Other&Unspecified 3,4 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 33 Morbidity ICD-10 Health Statistics Yearbook 2014 7DEOH 7KH 6WDWXV RI WKH DQG 2YHU $JHG ,QGLYLGXDOV UHJDUGLQJ 0DNLQJ 6HOI([DPLQDWLRQ RI %UHDVW % 65,1 I Have Never Made Self-Examination of Breast until Today I Make Self-Examination of Breast Once in a While (Less Frequently than Once in 3 Months) I Make Self-Examination of Breast Once in 2-3 Months I Make Self-Examination of Breast every Month Regularly 19,4 5,4 10,1 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH 'LVWULEXWLRQ RI WKH 6WDWXV RI DQG 2YHU $JHG ,QGLYLGXDOV UHJDUGLQJ +DYLQJ 3URVWDWH ([DPLQDWLRQE\5HVLGHQFH I Had Prostate Examination within the Last 12 Months I Had Prostate Examination before the Last 12 Months I did not Have Prostate Examination Rural 5,4 Urban 4,6 Turkey 4,9 6,3 4,9 5,3 87,1 90,2 89,3 6RXUFH785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ 7DEOH 'LVWULEXWLRQ RI WKH 6WDWXV RI DQG 2YHU $JHG ,QGLYLGXDOV UHJDUGLQJ +DYLQJ 0DPPRJUDSK\E\5HVLGHQFH I Had Mammography within the Last 12 Months Rural 4,9 Urban 7,7 Turkey 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 6RXUFH785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ 7DEOH'LVWULEXWLRQRIWKH6WDWXVRIDQG2YHU $JHG,QGLYLGXDOVUHJDUGLQJ+DYLQJ6PHDU7HVW E\5HVLGHQFH Urban Turkey I Had Smear Test within the Last 12 Months Rural 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 6RXUFH785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ 34 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH. 'LVWULEXWLRQRIDQG2YHU $JHG,QGLYLGXDOV¶*HQHUDO+HDOWK6WDWXVE\6H[$JH*URXSV DQG5HVLGHQFH Rural Urban Turkey Age Groups 25-34 35-44 45-54 55-64 65-74 75+ Total Male Female Total Male Female Total Male Female Total 93,4 91,2 92,2 93,6 91,6 92,6 93,5 91,5 92,5 1,4 1,8 1,6 1,3 1,2 1,3 1,3 1,4 1,4 83,4 81,6 82,4 89,6 82,8 86,2 88,1 82,5 85,3 2,6 2,9 2,8 1,8 2,1 1,9 2,0 2,3 2,1 77,7 63,3 70,4 80,9 68,8 74,9 80,0 67,3 73,7 4,2 5,5 4,8 3,2 4,8 4,0 3,4 5,0 4,2 67,7 41,8 54,9 72,9 53,4 63,1 71,2 49,7 60,5 6,4 14,2 10,3 4,7 8,9 6,8 5,3 10,6 7,9 49,4 33,2 40,8 59,1 37,2 48,2 55,6 35,6 45,4 0,9 22,6 17,1 9,6 17,8 13,7 10,1 19,7 15,0 42,4 20,3 30,2 45,0 23,9 33,5 43,7 22,1 31,9 18,1 30,3 24,8 15,7 26,3 21,5 16,9 28,3 23,1 21,9 13,2 16,9 27,1 14,1 19,0 24,3 13,6 17,9 33,6 44,1 39,6 30,2 38,7 35,5 32,0 41,4 37,6 70,3 57,1 63,4 80,1 67,9 74,0 77,1 64,5 70,7 7,4 13,1 10,4 4,3 7,3 5,8 5,2 9,2 7,2 Morbidity 15-24 Very Good/Good Bad/Very Bad Very Good/Good Bad/Very Bad Very Good/Good Bad/Very Bad Very Good/Good Bad/Very Bad Very Good/Good Bad/Very Bad Very Good/Good Bad/Very Bad Very Good/Good Bad/Very Bad Very Good/Good Bad/Very Bad 6RXUFH785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ 7DEOH. 'LVWULEXWLRQRIDQG2YHU $JHG,QGLYLGXDOV¶*HQHUDO+HDOWK6WDWXVE\6H[ Male Female Total 2008 2010 2012 Very Good Good 71,9 73,5 77,1 Bad Very Bad 7,0 6,7 5,2 Very Good Good 55,5 56,7 64,5 Bad Very Bad 13,2 13,1 9,2 Very Good Good 63,6 65,0 70,7 Bad Very Bad 10,1 10,0 7,2 6RXUFH785.67$7 +HDOWK ,QWHUYLHZ 6XUYH\ THE MINISTRY of HEALTH of TURKEY 35 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 6RXUFH785.67$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 ;dŽŶƐŝůůŝƚŝƐ͕DŝĚĚůĞĂƌ7ŶĨĞĐƚŝŽŶƐ͕WŚĂƌLJŶŐŝƚŝƐ͕ƚĐ͘Ϳ 42,8 40,9 41,9 ŝĂƌƌŚĞĂ 33,7 32,7 33,2 6,2 9,4 7,8 11,4 10,3 10,8 KƌĂůĂŶĚĞŶƚĂů,ĞĂůƚŚWƌŽďůĞŵƐ 9,6 9,1 9,3 >ŽǁĞƌZĞƐƉŝƌĂƚŽƌLJdƌĂĐƚ7ŶĨĞĐƚŝŽŶ ;WŶĞƵŵŽŶŝĂ͕ƚĐ͘Ϳ 10,1 10,1 10,1 hƌŝŶĂƌLJdƌĂĐƚ7ŶĨĞĐƚŝŽŶ 3,2 6,1 4,6 ^ŬŝŶŝƐĞĂƐĞƐ 5,9 4,7 5,3 ŽŶĞĞĨŽƌŵŝƚŝĞƐĂƵƐĞĚďLJsŝƚĂŵŝŶ>ĂĐŬ 2,5 2,0 2,3 ŽŵŵƵŶŝĐĂďůĞŝƐĞĂƐĞƐ ;sĂƌŝĐĞůůĂ͕DƵŵƉƐƚĐ͘Ϳ Anemia ;/ƌŽŶĞĨŝĐŝĞŶĐLJŶĞŵŝĂ͕ƚĐ͘Ϳ 6RXUFH785.67$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 6RXUFH785.67$7+HDOWK ,QWHUYLHZ 6XUYH\ 36 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 ŝƐĞĂƐĞͬ,ĞĂůƚŚWƌŽďůĞŵ Male Female Total >ŽǁĂĐŬŝƐŽƌĚĞƌƐ ;>ƵŵďĂŐŽ͕ĂĐŬ,ĞƌŶŝĂ͕KƚŚĞƌĂĐŬĞĨĞĐƚŝŽŶƐͿ 26,5 39,3 33,0 ,ŝŐŚůŽŽĚWƌĞƐƐƵƌĞ ;,LJƉĞƌƚĞŶƐŝŽŶͿ 11,2 20,9 16,1 EĞĐŬŝƐŽƌĚĞƌƐ ;EĞĐŬWĂŝŶ͕EĞĐŬ,ĞƌŶŝĂ͕KƚŚĞƌEĞĐŬĞĨĞĐƚŝŽŶƐͿ 14,0 28,5 21,3 ůůĞƌŐLJ͕^ƵĐŚĂƐZŚŝŶŝƚŝƐ͕LJĞ7ŶĨůĂŵŵĂƚŝŽŶ͕ĞƌŵĂƚŝƚŝƐ͕&ŽŽĚůůĞƌŐLJ ŽƌKƚŚĞƌ;ůůĞƌŐŝĐƐƚŚŵĂdžĐůƵĚĞĚͿ 8,9 15,3 12,1 ŝĂďĞƚĞƐ 6,8 11,1 9,0 ƐƚŚŵĂ ;ůůĞƌŐŝĐƐƚŚŵĂ/ŶĐůƵĚĞĚͿ 5,2 10,5 7,9 Coronary Heart Disease ;ŶŐŝŶĂWĞĐƚŽƌŝƐ͕ŚĞƐƚWĂŝŶ͕^ƉĂƐŵͿ 7,4 9,5 8,5 ŚƌŽŶŝĐKďƐƚƌƵĐƚŝǀĞWƵůŵŽŶĂƌLJŝƐĞĂƐĞ ;ŚƌŽŶŝĐƌŽŶĐŚŝƚŝƐ͕ŵƉŚLJƐĞŵĂͿ 6,3 9,1 7,7 hƌŝŶĂƌLJ/ŶĐŽŶƚŝŶĞŶĐĞ͕WƌŽďůĞŵƐŝŶŽŶƚƌŽůůŝŶŐƚŚĞůĂĚĚĞƌ 4,8 10,2 7,5 Depression 7,4 14,5 11,0 DLJŽĐĂƌĚŝĂů/ŶĨĂƌĐƚŝŽŶ;,ĞĂƌƚƚƚĂĐŬͿ 2,1 1,9 2,0 ^ƚƌŽŬĞ ;ĞƌĞďƌĂů,ĂĞŵŽƌƌŚĂŐĞ͕ĞƌĞďƌĂůdŚƌŽŵďŽƐŝƐͿ 0,9 0,8 0,8 ŝƌƌŚŽƐŝƐŽĨƚŚĞ>ŝǀĞƌ͕>ŝǀĞƌLJƐĨƵŶĐƚŝŽŶ 1,4 1,8 1,6 ƌƚŚƌŽƐŝƐ 5,4 10,6 8,0 <ŝĚŶĞLJWƌŽďůĞŵƐ 6,2 8,7 7,5 ůnjŚĞŝŵĞƌ 6,2 9,8 8,2 6RXUFH785.67$7+HDOWK ,QWHUYLHZ 6XUYH\ Note:Alzheimer was evaluated for individuals in the 65+ age group. 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KRXVHKROGV ZLWKLQ WKH VFRSH RI VXUYH\ 7KH SURYLQFHVZLWKLQWKHERXQGDULHVRI7XUNH\DUHLQFOXGHGZLWKLQWKHVFRSHRIWKHVXUYH\. THE MINISTRY of HEALTH of TURKEY 39 Morbidity 3RSXODWLRQDQG6DPSOH . Risk Factors Chapter 4 Risk Factors . Health Statistics Yearbook 2014 7DEOH'LVWULEXWLRQRI,QGLYLGXDOV8VLQJ7REDFFR3URGXFWE\6H[DQG5HVLGHQFH Rural Tobacco Consumption Urban Turkey Male Female Total Male Female Total Male Female Total Daily Smoker 33,3 4,7 18,9 38,9 13,0 25,7 37,3 10,7 23,8 Occasional Smoker 4,2 2,0 3,1 4,1 2,6 3,3 4,1 2,4 3,3 Non-smoker/ Never Smoker 62,5 93,3 78,0 57,0 84,5 71,0 58,5 86,9 72,9 Risk Factors 6RXUFH785.67$7 DQG0LQLVWU\RI+HDOWK*OREDO$GXOW7REDFFR6XUYH\ )LJXUH . 'LVWULEXWLRQ RI ,QGLYLGXDOV 8VLQJ 7REDFFR 3URGXFW 'DLO\ E\ 6H[ Daily Smoker(%) 60 51,1 50 43,8 39,0 40 37,3 32,1 27,4 30 25,4 23,8 17,8 20 12,3 11,6 10,7 10 0 2003 2008 Male 2010 Total 2012 Female 6RXUFH 0LQLVWU\ RI +HDOWK 1DWLRQDO %XUGHQ RI 'LVHDVH DQG &RVW (IIHFWLYHQHVV 6WXG\ +RXVHKROG 6XUYH\ 785.67$7 *OREDO $GXOW 7REDFFR 6XUYH\ 785.67$7 +HDOWK 6XUYH\ 785.67$7 DQG0LQLVWU\RI+HDOWK*OREDO$GXOW7REDFFR6XUYH\ THE MINISTRY of HEALTH of TURKEY 43 Health Statistics Yearbook 2014 )LJXUH. 'DLO\7REDFFR3URGXFW&RQVXPSWLRQE\&RXQWULHV Daily Smoker(%) 34 40 39 45 30 35 27 26 24 24 24 24 24 22 22 21 21 21 20 20 20 20 19 19 19 17 16 16 16 16 15 15 14 13 11 11 30 25 20 15 10 Iceland Sweden Australia Canada United States Norway Luxembourg New Zealand Israel Finland Denmark Netherlands Japan Belgium Korea Slovak Republic United Kingdom Slovenia Switzerland Italy Germany Lithuania Turkey Czech Republic Spain Poland Russia France Estonia Chile Hungary Latvia 0 Greece 5 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 Tobacco Products Male Female Total <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 6RXUFH785.67$7+HDOWK,QWHUYLHZ6XUYH\ 44 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH 'LVWULEXWLRQ RI DQG 2YHU $JHG ,QGLYLGXDOV¶ $OFRKRO &RQVXPSWLRQ E\ 6H[ DQG 5HVLGHQFH Alcohol Consumption Rural Urban Turkey Male Female Total Male Female Total Male Female Total Consumes 13,9 1,2 7,3 18,7 5,0 11,8 17,2 3,8 10,4 Doesn't Consume 16,4 1,7 8,7 14,9 5,3 10,1 15,4 4,2 9,7 Never Consumed 69,7 97,1 84,0 66,4 89,7 78,1 67,4 92,0 79,9 Total 100 100 100 100 100 100 100 100 100 Risk Factors 6RXUFH785.67$7+HDOWK,QWHUYLHZ6XUYH\ 7DEOH. &XUUHQW$OFRKROLF'ULQN&RQVXPHUV¶)LUVW$OFRKROLF'ULQN&RQVXPSWLRQ$JHE\6H[ Age at First Use of Alcohol Male Female Total <10 1,1 0,3 0,9 10-14 7,6 5,2 7,1 15-19 55,5 40,9 52,8 20-24 26,7 34,7 28,2 25-29 6,2 12,4 7,4 30-34 1,8 4,0 2,2 35+ 1,1 2,6 1,4 Total 100 100 100 6RXUFH785.67$7+HDOWK,QWHUYLHZ6XUYH\ THE MINISTRY of HEALTH of TURKEY 45 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 6RXUFH785.67$7+HDOWK,QWHUYLHZ6XUYH\ )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI2EHVH%0,,QGLYLGXDOVE\6H[ 30 24,5 24,5 24,3 22,6 21,5 20 15,8 15,3 15,2 10,7 10,5 10 0 WHO European Region Turkey High Income Group Countries Female Upper Middle Group Countries Global Male 6RXUFH785.67$7+HDOWK,QWHUYLHZ6XUYH\:+2:RUOG+HDOWK6WDWLVWLFV 46 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH . 'LVWULEXWLRQ RI +HLJKW DQG :HLJKW $YHUDJH RI DQG 2YHU $JHG ,QGLYLGXDOV E\ $JH *URXSVDQG6H[6HOI5HSRUWHG Age Group Weights (kg) Heights (cm) Male Female Total Male Female Total 15-24 68,4 58,1 63,2 173,5 162,8 168,2 25-34 77,2 64,8 71,1 175,0 162,8 169,1 35-34 81,2 71,0 76,2 173,5 162,1 168,0 45-54 80,4 74,9 77,7 171,9 161,4 166,9 55-64 79,2 75,8 77,5 171,2 160,2 165,9 65-74 76,9 72,6 74,6 169,9 159,4 164,7 75+ 72,2 66,7 69,1 168,6 157,5 162,5 Turkey 76,7 67,8 72,3 173,1 161,8 167,6 Risk Factors 6RXUFH785.67$7+HDOWK,QWHUYLHZ6XUYH\ 7DEOH 'LVWULEXWLRQRI:HLJKW+HLJKWDQG%RG\0DVV,QGH[=6FRUHVRI&KLOGUHQ$JHE\ 5HVLGHQFH Boys Girls Total 5XUDO 8UEDQ 7RWDO 5XUDO 8UEDQ 7RWDO Severe Underweight 1,0 0,0 0,2 0,2 0,1 0,2 Underweight 3,2 1,8 2,1 3,1 1,9 2,1 2,1 Normal 92,9 87,8 88,6 93,7 91,5 91,9 90,2 Heavy 1,5 7,5 6,5 2,5 5,4 4,9 5,7 Very Heavy 1,5 2,8 2,6 0,4 1,1 1,0 1,8 Severe Stunting 0,2 0,1 0,1 0,4 0,1 0,2 0,1 Stunting 5,4 1,5 2,1 5,6 1,7 2,4 2,3 Normal 93,9 95,0 94,8 93,7 96,3 95,8 95,3 Tall 0,5 3,1 2,7 0,2 1,7 1,4 2,0 Very Tall 0,0 0,3 0,3 0,0 0,2 0,2 0,2 Severe Thinness 0,2 0,3 0,3 0,0 0,2 0,2 0,3 Thinness 2,2 1,8 1,9 1,3 1,7 1,7 1,8 Normal 82,8 72,9 74,5 85,0 74,6 76,5 75,5 Overweight 11,1 13,7 13,3 10,5 16,0 15,0 14,2 Obesity 3,7 11,2 10,0 3,1 7,4 6,6 8,3 :HLJKW=6FRUH 0,2 +HLJKW=6FRUH %0,=6FRUH 6RXUFH 0LQLVWU\RI+HDOWK7XUNLVK&KLOGKRRG$JH2EHVLW\5HVHDUFK&26,785 THE MINISTRY of HEALTH of TURKEY 47 Health Statistics Yearbook 2014 7DEOH . 'LVWULEXWLRQ RI WKH 2SLQLRQV RI WKH ,QGLYLGXDOV DQG 2YHU $JHG $ERXW :KDW 3UHYHQWV 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 6RXUFH0LQLVWU\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 % From People Receiving Information Status Information Resource (A percentage has been taken for every line per the total number of people) From Communication Tools Receiving Information Status Information Resource (A percentage has been taken for every line per the total number of people) Yes No Health Workers Family Circle Pharmacist Friends Neighbors School Circle Colleagues Yes No Television Internet Newspapers Mobile Phones, Smart Phones Radio Posters Brochures Magazines Books Advertising Boards 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 48 THE MINISTRY of HEALTH of TURKEY 81,9 18,1 85,4 17,9 7,0 5,6 1,3 0,8 0,4 70,5 29,5 76,4 26,8 10,0 8,3 3,2 2,8 2,5 2,4 2,4 1,4 Health Statistics Yearbook 2014 7DEOH7KH6WDWXVRIWKHDQG2YHU $JHG,QGLYLGXDOV+DYLQJ5HJXODU%UHDNIDVW The Status of Having Regular Breakfast (%) I do not have Breakfast I have Breakfast only on the Weekends I sometimes have Breakfast during the Week I have Breakfast Everyday during the Week I have Breakfast Everyday 6,6 2,6 6,3 4,8 79,6 7DEOH7KH'LVWULEXWLRQRIWKH+DELWVRI(DWLQJ)UHVK)UXLWDQG9HJHWDEOHRIWKH,QGLYLGXDOV DQG2YHU $JHG Frequency of Eating Fresh Fruit % Frequency of Eating Fresh Vegetable % Once a Day 44,6 40,6 Once Every Two Days 22,3 23,8 Once Every Three Days 14,6 16,5 Once or Twice a Week 14,1 16,6 Never 4,4 2,4 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH. 'LVWULEXWLRQRIWKH+DELWVDQG5HDVRQVRI6NLSSLQJD0HDORIWKH,QGLYLGXDOVDQG2YHU $JHG % Reasons of Skipping a Meal (A percentage has been taken for every line per the total number of people) Skipping a Meal 63,4 36,6 12,2 9,5 9,3 4,8 2,6 1,3 1,0 0,5 No Yes Not Wanting Being Late Lack of Time Not Accustomed To Snacking and Not Getting Hungry Want to Lose Weight Lack of Financial Opportunities Absence of Someone Preparing Meal 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW THE MINISTRY of HEALTH of TURKEY 49 Risk Factors 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW Health Statistics Yearbook 2014 7DEOH 'LVWULEXWLRQRIWKH&RQVXPSWLRQ)UHTXHQFLHVRI6RPH)RRGVDQG'ULQNVE\&KLOGUHQ$JH $FFRUGLQJWRWKH6WDWHPHQWVRI3DUHQWV Every Day 4-6 Times A Week 1-3 Times A Week Never 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. Pizza, Turkish Bread with Ground Meat, Fried Potato Chips, Burger etc. 16,5 26,2 53,6 3,7 4,2 12,6 66,1 17,2 Foods 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 6RXUFH0LQLVWU\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 Health Statistics Yearbook 2014 7DEOH+DQG:DVKLQJ+DELWRIWKHDQG2YHU $JHG,QGLYLGXDOV Washing Hands before the Meal Washing Hands after the Meal Washing Hands after Using the Toilet Washing Hands before Eating Anything Washing Hands before Preparing the Food Never 0,2 0,2 0,2 0,4 0,4 Rarely 0,9 1,1 0,2 2,5 1,0 Sometimes 6,5 8,1 1,8 13,8 7,2 Mostly 20,5 21,0 12,0 19,4 15,9 Always 71,8 69,5 85,9 63,9 75,4 Risk Factors 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH. 'LVWULEXWLRQRIWKH5HDVRQVQRWWR:DVK7KHLU+DQGVRIWKH,QGLYLGXDOVDQG2YHU $JHG Reasons not to Wash Hands % Forgetting About it 35,3 Absence of Faucet/tap or Facility to Wash Hands 26,7 Not Need To 8,4 Being Very Busy - Lack of Time 7,5 Lack of Soap and Other Hand Sanitizers 5,3 Unhygienic Environment to Wash Hands 4,5 Difficult Access to Faucet 2,9 Adverse Effects Soap and Other Sanitizers Have on my Hands 2,2 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW Not: A percentage has been taken for every line per the total number of people. 7DEOH. $YHUDJH6OHHS'XUDWLRQVRIWKH,QGLYLGXDOVDQG2YHU$JHG%\6H[+RXU'D\ Average Sleep Duration Female 7,282 Male 7,296 Total 7,289 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW THE MINISTRY of HEALTH of TURKEY 51 Health Statistics Yearbook 2014 7DEOH. 6WDWXVRI6OHHS3UREOHPRIWKH,QGLYLGXDOVDQG2YHU $JHGDQG7KHLU6ROXWLRQVIRU7KLV 3UREOHP % Yes No Sleeping Little Having Problems While Falling Asleep Sleep Problem (A percentage has been taken Not Able to Sleep for every line per the total number of people) Want to Sleep Always in Daytime/Excessive Daytime Sleepiness Being Told That I Snore While Sleeping Taking the Sleeping Pills Waking Up and Wandering Not Drinking Tea or Coffee Solutions for Sleep Drinking Something Warm Problem Listening to Music (A percentage has been taken for every line per the total Reading Book number of people) Having a Hot Shower Doing Physical Activities Settling the Matters Like Noise Causing Sleep Problems I Have a Sleep Problem 23,7 76,3 50,3 24,3 16,0 5,9 5,0 27,8 21,6 9,7 8,6 8,4 8,1 5,3 3,4 2,1 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH+DELWRI)DVWHQLQJ6HDW%HOWRIWKHDQG2YHU $JHG,QGLYLGXDOV In the Front Seat of the Car in the City In the Back Seat of the Car in the City In the Front Seat of the Car in the Long Distance In the Back Seat of the Car in the Long 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 I did not have such an experience 8,9 41,4 8,7 35,7 8,9 9,9 13,4 13,9 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 52 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH . 7KH 6WDWXV RI 3HRSOH +DYLQJ 7KHLU &KLOGUHQ 8QGHU $JH 7HQ 6LW RQ WKH &KLOG 6HDW DQG %XFNOH8S:KLOH7UDYHOOLQJLQ$XWRPRELOHV Those with Children Aged 6-10 3,7 2,1 1,5 0,9 17,3 7,3 3,3 5,0 In the front seat, sitting on the lap of their mother or an adult 6,1 1,5 Alone in the front seat with being buckled up 0,4 2,2 Alone in the front seat, without being buckled up 0,6 0,8 In the back seat, sitting on the lap of their mother or and adult 48,5 35,3 Alone in the back seat with being buckled up 12,5 20,7 Alone in the back seat without being buckled up 6,5 24,0 In their own special automobile seat, in the front seat without being buckled up In their own special automobile seat, in the front seat with being buckled up In the back seat in their own special automobile seat, with being buckled up In the back seat in their own special automobile seat, without being buckled up Risk Factors Those with Children Aged 0-5 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH7KH6WDWXVRIDQG2YHU$JHG,QGLYLGXDOV8VLQJ&HOO3KRQHV:KLOH'ULYLQJ The Status of Using Cell Phones While Driving % No, I don’t 56,1 I sometimes do 28,2 I mostly do 14,3 I do not have a cell phone 1,4 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW 7DEOH 7KH 6WDWXV RI WKH /HYHOV RI 'RLQJ 3K\VLFDO $FWLYLWLHV RI WKH DQG 2YHU $JHG ,QGLYLGXDOV Light Moderate Female 58,0 20,2 Heavy 6,2 Male 53,0 25,3 15,9 Total 55,5 22,7 11,0 6RXUFH0LQLVWU\RI+HDOWK'HYHORSPHQWRI+HDOWKLQ7XUNH\5HVHDUFK5HSRUW Note: A percentage was taken through the total for every line. THE MINISTRY of HEALTH of TURKEY 53 Health Statistics Yearbook 2014 7DEOH 7KH 'LVWULEXWLRQ RI WKH 6WDWXV RI WKH DQG 2YHU $JHG ,QGLYLGXDOV ZLWK :DONLQJ 2SSRUWXQLWLHVLQWKH:DONLQJ'LVWDQFHWR7KHLU+RXVHV % (A percentage was taken through the total for every line) Available Opportunity Walking Opportunity 59,9 40,1 55,6 48,3 42,8 21,7 20,8 11,9 Available Not available Public Park Walking Path Public Park with Sports Implements Natural Park, Coppice or Forest Astro Turf Pitch Cycle Path 6RXUFH0LQLVWU\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 6RXUFH785.67$7+HDOWK,QWHUYLHZ6XUYH\ 54 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; %RG\ PDVV LQGH[ LV FDOFXODWHG E\ GLYLGLQJ WKH LQGLYLGXDO V ERG\ PDVV NJ E\ WKH VTXDUHRIKHLJKW : : : : BMI< 18,5 ϭϴ͕ϱчD/фϮϱ ϮϱчD/фϮϵ͕ϵ D/шϯϬ ;/LJKW $FWLYLWLHV 7KH\ DUH GHILQHG DV PRYHPHQWH[HUFLVHDWKOHWLF PRYHPHQWV VXFK DV UHJXODU ZDONV VKRSSLQJ FKRUHV GULYLQJ DQG ILVKLQJ ZKLFK DUH DW OHDVW PLQXWHV ORQJDWDWLPHLQWKHODVWGD\V ;0RGHUDWH $FWLYLWLHV 7KH SHRSOH ZKR UHJXODUO\ ELNH FDUU\ D OLJKW ORDG ZDON IDVW PLON D FRZ H[WUDFW ZDWHU IURP D ZHOO ZKLWHZDVK RU SDLQt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the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t was carried out by the General Directorate of Health Research, Ministry of Health. 2EMHFWLYHRIWKH5HVHDUFK; ;,GHQWLILFDWLRQ RI the EHKDYLRXUV DQG ULVNV rHODWHG WR KHDOWK LQ the VRFLHW\ DQG WKH KHDOWKVWDWXVRI tKHVRFLHW\ ;,GHQWLILFDWLRQRI tKHIHDWXUHVRI tKHVRFLHW\¶VXVHRI hHDOWKVHUYLFHV ;'HWHUPLQDWLRQ RI the VRFLRHFRQRPLF GHWHUPLQDQWV RI hHDOWK DQG LQHTXDOLWLHV RI KHDOWK THE MINISTRY of HEALTH of TURKEY 55 Risk Factors Underweight Normal weight KǀĞƌǁĞŝŐŚƚ Obesity Health Statistics Yearbook 2014 ;$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\ COXVWHU 6DPSOLQJ methRG KDV EHHQ XVHG DV the VDPSOLQJ W\SH ,QWHUYLHZV hDYH EHHQ PDGH LQ D tRWDO RI . 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Health Statistics Yearbook 2014 7DEOH ,PPXQL]DWLRQ&RYHUDJHE\<HDUV7XUNH\ 2002 2010 2011 2012 2013 2014 DaPT 1 82 98 98 97 97 97 DaPT 2 80 98 98 97 98 96 DaPT 3 78 97 97 97 98 96 BCG 77 97 95 96 96 95 HBV 3 72 96 96 97 97 95 MMR 82 97 98 96 98 94 CPV 3 - 95 96 97 97 96 Prevention of Diseases and Protection of Health 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH . 7KLUG 'RVH ,PPXQL]DWLRQ &RYHUDJH RI &RPSRQHQW &RPELQHG 9DFFLQH 'D37,39+LEE\1876 NUTS-1 82 Eastern Blacksea 99 81 Western Blacksea 98 85 Western Anatolia 98 81 Western Marmara 98 74 Northeastern Anatolia 97 85 Mediterranean 97 89 Eastern Marmara 97 80 Aegean 97 78 Turkey 96 80 Central Anatolia Mideastern Anatolia 65 Southeastern Anatolia 65 94 75 Istanbul 40 60 2002 91 80 2014 96 95 100 % 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 59 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 Group Countries WHO European Region Upper Middle Income Group Countries Global 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 98 61 Northeastern Anatolia 97 83 Mediterranean Aegean 82 Western Marmara 82 Central Anatolia 82 97 97 97 96 88 Eastern Marmara 96 72 Turkey 95 50 Southeastern Anatolia 94 52 Mideastern Anatolia 94 65 Istanbul 40 60 2002 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 60 99 77 Western Blacksea THE MINISTRY of HEALTH of TURKEY 91 80 2014 100 % Health Statistics Yearbook 2014 )LJXUH. 005,PPXQL]DWLRQ&RYHUDJHE\1876 NUTS-1 90 Western Anatolia 100 87 Eastern Blacksea 97 83 Western Blacksea 97 78 Northeastern Anatolia 96 Western Marmara 84 Central Anatolia 84 96 95 89 Mediterranean 95 92 Eastern Marmara 82 Turkey 85 Aegean 93 68 Southeastern Anatolia 92 66 Mideastern Anatolia 83 Istanbul 40 60 95 94 91 90 80 2002 100 2014 % Prevention of Diseases and Protection of Health 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH ,QWHUQDWLRQDO&RPSDULVRQRI MMR ,PPXQL]DWLRQ&RYHUDJH % 100 95 95 94 94 84 80 60 40 WHO European Region Upper Middle Income Group Countries Turkey Upper Income Group Countries Global 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. THE MINISTRY of HEALTH of TURKEY 61 Health Statistics Yearbook 2014 )LJXUH . 1XPEHURI9DFFLQH$QWLJHQVE\<HDUVDQG9DFFLQH6FKHGXOH0LQLVWU\RI+HDOWK Number of Antigen 15 13 12 11 10 9 7 7 6 6 6 5 3 2011 2012 2013 2014 2006 2008 2002 1998 1981 1970 1963 1960 0 Year 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 7DEOH ,QGLFDWRUVRI0RWKHUDQG&KLOG+HDOWKFDUHDQG)DPLO\3ODQQLQJE\<HDUV7XUNH\ 2002 2010 2011 2012 2013 2014 Births in Health Care Institution (%) 75 92 94 97 98 98 Antenatal Care Coverage (Minimum One Visit) (%) 70 94 95 97 98 97 21,0 45,5 46,6 48,0 50,4 51,1 - 25,7 24,8 24,6 25,9 26,3 Cesarean Sections Among All Births (%) Primary Cesarean Sections Among All Births (%) 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 62 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH 3URSRUWLRQV RI %LUWKV *LYHQ DW +RVSLWDO WR &HVDUHDQ 6HFWLRQ DQG 3ULPDU\ &DHVDUHDQ 6HFWLRQE\<HDUVDQG6HFWRUV7XUNH\ Cesarean Sections Among all Hospital Births (%) Primary Cesarean Sections Among all Hospital Births (%) 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 Ministry of Health 40,2 36,8 35,3 36,0 35,5 22,4 17,6 15,4 15,5 15,0 University 65,2 65,9 62,6 63,0 63,8 38,4 37,4 33,6 32,6 32,4 Private 63,7 66,6 66,2 67,9 69,5 36,3 38,3 37,3 38,4 39,6 Total 49,7 49,7 49,6 51,4 52,4 28,0 26,5 25,4 26,4 27,0 Prevention of Diseases and Protection of Health 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH. 3URSRUWLRQ RI%LUWKVLQ+HDOWK&DUH ,QVWLWXWLRQE\1876 NUTS-1 87 Western Anatolia 100 86 Aegean 100 92 Istanbul 100 75 75 Mediterranean Turkey 100 98 88 Eastern Marmara 98 89 Western Blacksea 97 76 Eastern Blacksea 96 52 Southeastern Anatolia 96 97 Western Marmara 95 78 Central Anatolia 47 Mideastern Anatolia 63 Northeastern Anatolia 40 91 60 2002 95 91 80 2014 100 % 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 63 Health Statistics Yearbook 2014 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI%LUWKVDW+HDOWKFDUH)DFLOLWLHV 98 99 97 98 90 74 60 30 0 Upper Income Group Countries Turkey WHO European Region Upper Middle Income Group Countries Global 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$QWHQDWDO&DUH&RYHUDJH0LQLPXP 9LVLWE\1876 NUTS-1 74 Mediterranean 97 69 Central Anatolia 97 72 Western Blacksea 97 56 Southeastern Anatolia 97 49 Mideastern Anatolia 97 79 Eastern Marmara 97 70 Turkey 97 75 Western Anatolia 97 76 Aegean 97 74 Eastern Blacksea 97 79 Istanbul 49 Northeastern Anatolia 40 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 64 97 80 Western Marmara THE MINISTRY of HEALTH of TURKEY 97 96 60 2002 80 2014 100 % Health Statistics Yearbook 2014 )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI$QWHQDWDO&DUH&RYHUDJH0LQLPXP9LVLW 99 96 97 94 90 83 60 30 0 Turkey WHO European Region Upper Middle Income Group Countries Global 6RXUFH 3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\:+2:RUOG+HDOWK6WDWLVWLFV Note: The data for international regions are the data of the latest year between the years 2006-2014. )LJXUH. 3URSRUWLRQRI&HVDUHDQ6HFWLRQV$PRQJ$OO%LUWKVE\1876 NUTS-1 26 Aegean 62 20 Mediterranean 60 39 Western Marmara 59 33 Istanbul 57 26 Western Blacksea 56 30 Eastern Blacksea Eastern Marmara 21 Turkey 21 56 55 51 20 Western Anatolia 51 16 Central Anatolia 50 9 Southeastern Anatolia 37 7 Mideastern Anatolia 36 10 Northeastern Anatolia 5 33 15 25 2002 35 2014 45 55 65 % 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 65 Prevention of Diseases and Protection of Health Upper Income Group Countries Health Statistics Yearbook 2014 )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI&HVDUHDQ6HFWLRQV$PRQJ$OO%LUWKV % 51 50 40 32 28 30 25 20 17 10 0 Global WHO European Region Upper Income Group Upper Middle Income Countries Group Countries Turkey 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 $ERUWLQ*HVWDWLRQ 7XUNH\ 20,0 18,0 14,5 15,0 11,3 10,0 10,0 4,7 5,0 0,0 1993 1998 6RXUFH7'+6 66 THE MINISTRY of HEALTH of TURKEY 2003 2008 2013 Health Statistics Yearbook 2014 )LJXUH . 3URSRUWLRQ RI WKH %LUWKV $FFRUGLQJ WR WKH $JH *URXS RI WKH 0RWKHU LQ $OO %LUWKV 7XUNH\ % 35 31,14 30 25 24,48 24,41 20 15 10,83 10 5 4,90 2,55 0,02 0 <15 0,19 1,46 15-17 18-19 20-24 25-29 30-34 35-39 40-44 45-49 0,03 50+ Prevention of Diseases and Protection of Health Age Groups 6RXUFH785.67$7%LUWK6WDWLVWLFV )LJXUH. $JH6SHFLILF)HUWLOLW\5DWH Å 7XUNH\ Fertility Rate 160 140 135 120 107 100 101 80 60 50 40 27 20 13 1 0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 Age Groups 6RXUFH785.67$7%LUWK6WDWLVWLFV THE MINISTRY of HEALTH of TURKEY 67 Health Statistics Yearbook 2014 7DEOH 3UHJQDQW,QIDQW &KLOGDQG3XHUSHUDQW)ROORZ8S $FWLYLWLHVE\<HDUV7XUNH\ 2002 2010 2011 2012 2013 2014 Average Number of Follow-Ups per Pregnant 1,7 4,2 4,3 4,1 4,3 4,8 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 Puerperant 0,7 1,5 2,0 2,3 2,9 3,0 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQ RI7XUNH\ )LJXUH. $YHUDJH1XPEHURI)ROORZ8SVSHU3UHJQDQWE\1876 NUTS-1 2,1 Western Blacksea 6,0 3,1 Western Marmara 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 0 3,8 2 2002 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 68 5,8 THE MINISTRY of HEALTH of TURKEY 4 2014 6 % Health Statistics Yearbook 2014 )LJXUH. $YHUDJH1XPEHURI)ROORZ8SVSHU,QIDQWE\1876 NUTS-1 4,5 Eastern Blacksea 10,2 6,4 Aegean 9,2 4,5 Central Anatolia 9,1 3,2 Western Anatolia 8,7 4,1 Western Blacksea 8,4 6,5 Western Marmara 8,3 3,4 Turkey 8,2 4,3 Mediterranean 8,1 5,3 Eastern Marmara 8,1 1,1 Southeastern Anatolia 7,7 0,6 Istanbul 7,6 3,0 Mideastern Anatolia 7,6 2,3 Northeastern Anatolia 0 7,6 3 6 2002 9 2014 % Prevention of Diseases and Protection of Health 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ )LJXUH$YHUDJH1XPEHURI)ROORZ8SVSHU&KLOGE\1876 NUTS-1 1,6 Eastern Blacksea 2,9 1,4 Western Blacksea 2,4 1,3 Central Anatolia 2,4 1,0 Western Anatolia 2,3 1,6 Aegean 2,3 1,0 Turkey 2,2 1,1 Mediterranean 2,2 1,5 Eastern Marmara 2,2 1,9 Western Marmara 0,5 Southeastern Anatolia 1,2 Mideastern Anatolia 2,1 0,9 Northeastern Anatolia 2,1 0,1 Istanbul 2,2 2,1 2,1 0 2 2002 2014 % 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 69 Health Statistics Yearbook 2014 )LJXUH$YHUDJH1XPEHURI)ROORZ8SVSHU3XHUSHUDQW:RPHQE\1876 NUTS-1 0,8 Western Blacksea 3,7 1,9 Western Marmara 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 0 2,4 1 2 2002 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 70 3,6 THE MINISTRY of HEALTH of TURKEY 2014 3 4 % Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; 005YDFFLQHZDVDGPLQLVWHUHGDVPHDVOHVYDFFLQHDORQHEHIRUHWKH\HDU ;7KH'37YDFFLQHZKLFKKDGEHHQDGPLQLVWHUHGXQWLOZDVLQWURGXFHGLQWKHIRUP RI'D%7,39 +LELQRQHYDFFLQH ;&39YDFFLQDWLRQVWDUWHGLQ1RYHPEHU ;7KH SRSXODWLRQ WKDW ZDV XVHG WR FDOFXODWH WKH YDFFLQDWLRQ &RYHUDJH LV WKH WDUJHW SRSXODWLRQWKDWZDVFDOFXODWHGE\WKH0LQLVWU\RI+HDOWK Prevention of Diseases and Protection of Health 7UNL\H+DON6D÷OÕ÷Õ.XUXPX¶QGDQDOÕQGÕ THE MINISTRY of HEALTH of TURKEY 71 . Health Care Facilities and Infrastructures Chapter 6 Health Care Facilities and Infrastructures . Health Statistics Yearbook 2014 )LJXUH1XPEHURI+RVSLWDOVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 774 50 271 61 1.156 2010 843 62 489 2011 840 65 503 2012 832 65 541 2013 854 69 2014 866 69 0 500 Ministry of Health 45 1.439 45 1.453 45 1.483 550 44 1.517 556 37 1.528 1.000 University 1.500 Private Other 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV Health Care Facilities and Infrastructures )LJXUH 1XPEHURI+RVSLWDO%HGVE\<HDUVDQG6HFWRUV7XUNH\ Year 164.471 2010 120.180 35.001 2011 121.297 34.802 2012 122.322 35.150 35.767 2013 121.269 36.056 37.983 2014 123.690 0 50.000 Ministry of Health 28.063 31.648 36.670 100.000 University 16.995 40.509 150.000 Private 200.239 194.504 200.072 202.031 5.967 12.387 18.349 6.757 26.341 6.833 107.394 6.723 2002 206.836 200.000 Other 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 75 Health Statistics Yearbook 2014 7DEOH1XPEHURI+RVSLWDOVDQG%HGVE\%UDQFKHV7XUNH\ Brancher General Hospital Obstetric and Child Hospital Opthalmology Hospital Physical Treatment and Rehabilitation Center Chest Diseases Hospital Psychiatry Hospital Cardiovascular Diseases Centers Child Diseases Hospital Bone Diseases Hospital Oncology Hospital Occupational Diseases Hospital Surgery Hospital Orthopedics and Traumatology Hospital Lepra Hospital Spastic Children's Hospital and Rehab Center Veneral Diseases Hospital Hospital for Children with Leukemia Total Hospital 1.394 41 27 16 15 11 6 5 3 2 2 1 1 1 1 1 1 1.528 Bed 184.522 7.106 617 1.949 3.986 4.259 860 1780 483 830 156 110 29 50 54 31 14 206.836 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH1XPEHURI4XDOLILHG%HGVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 6.839 6.402 5.693 18.934 2010 35.747 2011 11.501 38.272 2012 14.292 41.506 2013 20.000 18.651 40.000 Ministry of Health 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 76 THE MINISTRY of HEALTH of TURKEY 76.106 27.149 16.921 50.587 0 68.483 23.542 15.473 45.241 2014 21.235 60.000 University 84.128 30.380 92.542 29.283 80.000 98.521 100.000 Private Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI4XDOLILHG%HGVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 36,1 2010 33,8 52,2 30,1 16,8 31,0 2011 50,3 2012 49,3 18,4 32,3 2013 48,9 18,3 32,8 2014 18,8 51,3 0 30,9 18,9 25 29,7 50 Ministry of Health 75 University 100 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV Health Care Facilities and Infrastructures )LJXUH1XPEHURI+RVSLWDO%HGVSHU3RSXODWLRQE\1876$OO6HFWRUV NUTS-1 28,9 Western Anatolia Eastern Blacksea 28,5 Western Blacksea 28,3 19,1 Northeastern Anatolia 28,3 19,5 Mideastern Anatolia 28,2 Aegean 23,5 Western Marmara 23,7 27,6 27,0 24,8 Turkey 19,7 Eastern Marmara 19,3 Mediterranean Istanbul 12,6 Southeastern Anatolia 0 10 2002 30,6 29,3 23,4 Central Anatolia 34,6 32,3 26,6 26,4 24,4 24,3 23,4 20,5 20 2014 30 40 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 77 Health Statistics Yearbook 2014 )LJXUH 1XPEHU RI +RVSLWDO %HGV SHU 3RSXODWLRQ E\ 1876 0LQLVWU\ RI +HDOWK NUTS-1 Eastern Blacksea Western Blacksea 23,1 13,9 Northeastern Anatolia 19,0 19,2 18,0 Western Marmara 14,2 Mideastern Anatolia Aegean Western Anatolia Central Anatolia 26,1 25,2 25,8 17,9 18,0 17,5 17,3 17,2 18,1 17,0 14,7 Eastern Marmara 16,9 16,2 15,9 15,1 14,1 Turkey Mediterranean 9,8 Southeastern Anatolia Istanbul 11,0 0 10 2002 12,9 13,1 20 30 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 Global Turkey 20 10 0 Upper Income WHO European Region Group Countries European Union Upper Middle Income Group 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 Health Statistics Yearbook 2014 )LJXUH 7RWDO1XPEHURI,QWHQVLYH&DUH8QLW%HGVE\<HDUVDQG6HFWRUV7XUNH\ 869 353 992 Year 2002 2010 2.214 8.239 3.726 2011 9.581 2012 10.321 2013 6.344 3.890 7.506 4.236 10.953 2014 20.977 9.132 4.917 11.874 0 18.309 10.094 5.129 8.000 25.964 11.569 16.000 Ministry of Health 23.689 28.572 24.000 University Private Total Health Care Facilities and Infrastructures 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH1XPEHURI,QWHQVLYH&DUH 8QLW %HGVE\7\SHVDQG6HFWRUV7XUNH\ Adult Child Ministry of Health University Private Total 7.982 3.498 6.680 18.160 570 480 66 1.116 Neonatal 3.322 1.151 4.823 9.296 Total 11.874 5.129 11.569 28.572 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 79 Health Statistics Yearbook 2014 )LJXUH'LVWULEXWLRQRI,QWHQVLYH&DUH8QLW %HGVE\<HDUVDQG6HFWRUV 7XUNH\ Year 2002 39,3 15,9 44,8 2010 45,0 20,4 34,6 2011 45,7 18,5 35,8 2012 43,6 2013 42,2 2014 41,6 0 17,9 38,5 18,9 38,9 18,0 25 40,5 50 Ministry of Health 75 University 100 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH 1XPEHU RI ,QWHQVLYH &DUH 8QLW %HGV SHU 3RSXODWLRQ E\ 1876 $OO 6HFWRUV NUTS-1 Western Anatolia 4,4 Mideastern Anatolia 4,0 Mediterranean 3,9 Istanbul 3,7 Southeastern Anatolia 3,7 Turkey 3,7 Eastern Blacksea 3,6 Aegean 3,5 Eastern Marmara 3,4 Central Anatolia 3,4 Western Blacksea 3,3 Western Marmara 3,0 Northeastern Anatolia 2,7 0 1 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 80 THE MINISTRY of HEALTH of TURKEY 2 3 4 Health Statistics Yearbook 2014 )LJXUH 1XPEHU RI ,QWHQVLYH &DUH 8QLW %HGV SHU 3RSXODWLRQ E\ 1876 0LQLVWU\ RI +HDOWK NUTS-1 Eastern Blacksea 2,2 Western Anatolia 2,0 Western Blacksea 1,9 Western Marmara 1,7 Eastern Marmara 1,7 Aegean 1,6 Central Anatolia 1,5 Turkey 1,5 Southeastern Anatolia 1,5 Northeastern Anatolia 1,4 Mediterranean 1,4 Mideastern Anatolia 1,3 Istanbul 1,0 0,0 0,5 1,0 1,5 2,0 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV Health Care Facilities and Infrastructures )LJXUH3URSRUWLRQRI,QWHQVLYH&DUH8QLW%HGVWR$OO%HGVE\1876$OO6HFWRUV NUTS-1 Southeastern Anatolia 18,3 Istanbul 16,0 Mediterranean 16,0 Mideastern Anatolia 14,3 Turkey 13,8 Eastern Marmara 13,1 Western Anatolia 12,9 Aegean 12,6 Central Anatolia 12,1 Eastern Blacksea 11,1 Western Marmara 11,0 Western Blacksea 10,9 Northeastern Anatolia 9,3 0 4 8 12 16 20 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 81 Health Statistics Yearbook 2014 7DEOH,QIUDVWUXFWXUHRI2SHUDWLQJ5RRP6HUYLFHVLQWKH,QSDWLHQW7UHDWPHQW)DFLOLWLHVE\6HFWRUV 7XUNH\ Ministry of Health University Private Total 812 173 731 1.716 Operating Room 2.877 909 1.896 5.682 Operating Table 3.037 975 1.958 5.970 Surgery 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH1XPEHURI+HPRGLDO\VLV&HQWHUVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 235 2010 39 170 399 52 390 2011 414 52 2012 406 64 2013 426 2014 439 0 300 THE MINISTRY of HEALTH of TURKEY 854 362 832 374 61 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 841 388 59 Ministry of Health 82 444 859 349 849 600 University 900 Private Health Statistics Yearbook 2014 )LJXUH1XPEHURI$FWLYHO\8VHG+HPRGLDO\VLV(TXLSPHQWVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 1.510 872 2.509 4.891 2010 4.247 2011 4.481 1.079 2012 4.483 1.276 2013 4.746 2014 4.959 0 1.067 9.469 9.901 15.461 9.877 1.133 15.979 9.926 16.064 8.000 Ministry of Health 15.636 10.100 1.179 4.000 14.783 12.000 University 16.000 Private 7DEOe . $FWLYHO\ 8VHG +HPRGLDO\VLV (TXLSPHQWV SHU 3RSXODWLRQ E\ 1876 DQG 6HFWRUV NUTS-1 Western Blacksea Eastern Blacksea Central Anatolia Aegean Western Anatolia Eastern Marmara Western Marmara Mediterranean Turkey Istanbul Northeastern Anatolia Mideastern Anatolia Southeastern Anatolia Ministry of Health 127,1 164,8 78,5 64,9 40,4 66,1 80,6 63,4 63,8 19,1 121,9 85,5 55,1 University 14,5 5,5 16,5 17,5 36,3 12,5 5,7 21,8 15,2 7,9 9,5 19,5 6,4 Private 138,2 91,6 158,5 167,6 159,9 140,2 128,6 128,4 127,8 151,8 30,8 45,0 51,3 Total 279,7 261,8 253,5 250,0 236,6 218,9 214,8 213,6 206,8 178,8 162,3 149,9 112,8 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 83 Health Care Facilities and Infrastructures 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV Health Statistics Yearbook 2014 7DEOH1XPEHURI(TXLSPHQWVRI,QSDWLHQW7UHDWPHQW,QVWLWXWLRQVE\<HDUV7XUNH\ 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 Ultrasonography 681 1.095 1.251 1.397 2.091 2.480 2.793 3.151 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 MRI 256 98 403 757 CT 466 121 484 1.071 Ultrasound Doppler Ultrasonography ECHO 2.782 639 1.865 5.286 1.670 353 1.128 3.151 903 224 666 1.793 Mammography 305 81 517 903 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV 84 THE MINISTRY of HEALTH of TURKEY Total Health Statistics Yearbook 2014 7DEOH 1XPEHU RI 05, 'HYLFHV LQ ,QSDWLHQW +HDOWK &DUH )DFLOLWLHV SHU 3RSXODWLRQ E\ 1876DQG6HFWRUV NUTS-1 Ministry of Health University Private Total Western Anatolia 4,0 2,9 4,8 11,7 Western Marmara 3,6 1,2 5,7 10,4 Istanbul 2,9 0,7 6,7 10,3 Mediterranean 2,8 1,3 6,1 10,2 Northeastern Anatolia 4,5 3,2 2,3 10,0 Aegean 3,3 1,2 5,3 9,8 Turkey 3,3 1,3 5,2 9,7 Eastern Marmara 3,4 1,2 4,9 9,5 Central Anatolia 2,8 1,5 5,1 9,5 Eastern Blacksea 5,1 0,4 3,9 9,4 Western Blacksea 4,0 1,3 3,1 8,5 Mideastern Anatolia 3,2 1,1 4,2 8,4 Southeastern Anatolia 2,7 0,5 4,6 7,8 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV 46,9 Health Care Facilities and Infrastructures )LJXUH ,QWHUQDWLRQDO&RPSDULVRQRI1XPEHURI05,'HYLFHVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHV SHU3RSXODWLRQ 27 18 9 24,6 24,5 24,3 22,1 21,8 19,9 19,2 15,3 14,3 13,4 13,3 12,9 11,6 11,5 11,4 11,2 10,8 9,7 9,4 8,8 8,7 7,4 6,7 6,6 6,4 6,1 3,1 3,0 2,1 36 35,5 45 Japan United States Italy Korea Greece Finland Iceland Swiss Austria Spain OECD Australia Ireland Luxembourg Germany Netherlands Estonia New Zeland Belgium Turkey France Canada Slovenia Czech Republic Slovakia Chile Poland United Kingdom Israel Hungary Mexico 0 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV2(&'+HDOWK'DWD Note: Turkey’s data belongs to the year 2014. THE MINISTRY of HEALTH of TURKEY 85 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 120 100 101,3 )LJXUH ,QWHUQDWLRQDO&RPSDULVRQ RI 1XPEHU RI &7 'HYLFHV LQ ,QSDWLHQW+HDOWK &DUH )DFLOLWLHV SHU3RSXODWLRQ 60 40 20 53,7 43,5 40,5 37,8 37,7 36,6 35,2 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 12,3 12,1 11,5 8,9 7,9 7,9 5,3 80 Japan Australia United States Iceland Denmark Korea Swiss Greece Italy Austria OECD Belgium Luxembourg Finland Estonia Germany Ireland Spain Poland New Zeland Slovakia Czech Republic Canada France Turkey Chile Slovenia Netherlands Israel United Kingdom Hungary Mexico 0 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV2(&'+HDOWK'DWD Note: Turkey’s data belongs to the year 2014. 86 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH1XPEHURI8OWUDVRXQG'HYLFHVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU3RSXODWLRQ E\1876DQG6HFWRUV Ministry of Health University Private Total Western Anatolia NUTS-1 50,8 13,7 25,1 89,6 Northeastern Anatolia 51,7 12,7 8,6 73,0 Aegean 39,9 14,1 18,4 72,3 Istanbul 28,0 5,1 36,8 69,8 Eastern Blacksea 38,2 16,0 15,6 69,7 Mediterranean 32,9 9,1 27,7 69,6 Turkey 35,8 8,2 24,0 68,0 Central Anatolia 39,1 4,9 23,2 67,2 Western Blacksea 43,4 3,3 14,9 61,6 Western Marmara 35,8 6,0 18,2 60,0 Southeastern Anatolia 28,2 8,8 21,8 58,9 Eastern Marmara 31,0 2,2 24,8 58,0 Mideastern Anatolia 35,2 5,3 13,4 53,9 7DEOH 1XPEHURI'RSSOHU8OWUDVRXQG'HYLFHVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQE\1876DQG6HFWRUV Ministry of Health University Private Total Central Anatolia NUTS-1 22,4 12,1 14,4 48,9 Western Anatolia 26,0 7,6 14,7 48,3 Istanbul 19,7 4,6 22,5 46,8 Eastern Blacksea 32,3 1,6 7,8 41,7 Eastern Marmara 24,4 2,6 13,8 40,8 Turkey 21,5 4,5 14,5 40,6 Aegean 21,3 4,5 13,7 39,5 Northeastern Anatolia 27,2 4,1 7,3 38,5 Western Marmara 20,6 4,8 12,5 37,9 Mideastern Anatolia 19,7 2,4 15,0 37,1 Western Blacksea 26,0 3,3 7,3 36,7 Mediterranean 17,8 3,4 13,5 34,7 Southeastern Anatolia 16,0 3,9 11,9 31,8 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 87 Health Care Facilities and Infrastructures 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV Health Statistics Yearbook 2014 7DEOH1XPEHURI(&+2'HYLFHVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU3RSXODWLRQE\ 1876DQG6HFWRUV Ministry of Health University Private Total Western Anatolia NUTS-1 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 Ministry of Health University Private Total Eastern Blacksea NUTS-1 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 Health Statistics Yearbook 2014 7DEOH1XPEHURI6SHFLDOW\0HGLFDO &HQWHUVDQG3ULYDWH2XWSDWLHQW&OLQLFVE\1876 NUTS-1 Specialty Medical Centers Private Outpatient Clinics Istanbul 273 145 Western Marmara 15 8 Aegean 125 67 Eastern Marmara 64 24 Western Anatolia 104 55 Mediterranean 77 42 Central Anatolia 12 8 Western Blacksea 31 8 Eastern Blacksea 11 4 Northeastern Anatolia 5 0 Mideastern Anatolia 17 3 Southeastern Anatolia 97 4 831 368 Health Care Facilities and Infrastructures 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH 1XPEHU RI WKH ,QVWLWXWLRQV 3URYLGLQJ 2UDO DQG 'HQWDO +HDOWK &DUH 6HUYLFHV E\ 6HFWRUV Ministry of Health Oral and Dental Health Center Dental Hospital Dental Training Hospital Dental Policlinic (Hospital) Dental Policlinic Total University Private Other Total Institution Dental Unit Institution Dental Unit Institution Dental Unit Institution Dental Unit Institution Dental Unit 137 4.872 - - 69 807 - - 206 5.679 5 745 - - 4 112 - - 9 857 1 101 25 3.204 - - - - 26 3.305 613 1.941 21 406 263 411 35 186 932 2.944 - - - - 1.382 5.285 - - 1.382 5.285 756 7.659 46 3.610 1.718 6.615 35 186 2.555 18.070 6RXUFH7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV Note: Data related to dental clinic and dental prosthesis center belonging to oral and dental health center and hospital exist in Dental Policlinic (Hospital) THE MINISTRY of HEALTH of TURKEY 89 Health Statistics Yearbook 2014 )LJXUH3RSXODWLRQSHU'HQWDO8QLWE\<HDUV0LQLVWU\RI+HDOWK 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 6RXUFH7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH. 0R+$IILOLDWHG3ULPDU\+HDOWK&DUH)DFLOLWLHVE\<HDUV7XUNH\ 2002 2010 2011 2012 2013 2014 5.055 - - - - - 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 and Training Centers (KETEM) 84 122 124 124 134 132 112 Emergency Care Station 481 1.375 1.710 1.863 2.072 2.186 83 83 Health Center Number of Public Health Laboratories 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 90 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH 1XPEHURI)DPLO\+HDOWK&HQWHU0HGLFDO([DPLQDWLRQ5RRPVE\<HDUV7XUNH\ Year 2002 6.076 2010 20.185 2011 20.216 2012 20.811 2013 21.175 2014 21.384 0 8.000 16.000 24.000 Examination Rooms 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ Health Care Facilities and Infrastructures )LJXUH3RSXODWLRQSHU$FWLYHO\:RUNLQJ)DPLO\0HGLFLQHE\1876 NUTS-1 Istanbul 3.925 Southeastern Anatolia 3.722 Western Anatolia 3.705 Mideastern Anatolia 3.645 Western Marmara 3.643 Turkey 3.633 Eastern Marmara 3.623 Mediterranean 3.583 Aegean 3.499 Eastern Blacksea 3.469 Western Blacksea 3.396 Central Anatolia 3.391 Northeastern Anatolia 3.374 0 1.500 3.000 4.500 Population 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 91 Health Statistics Yearbook 2014 )LJXUH3RSXODWLRQSHU(PHUJHQF\$LG6WDWLRQE\<HDUV0LQLVWU\RI+HDOWK Year 137.231 2002 2010 53.617 2011 43.698 2012 40.594 2013 37.002 2014 35.542 0 30.000 60.000 90.000 120.000 150.000 Population 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV )LJXUH3RSXODWLRQSHU(PHUJHQF\$LG6WDWLRQE\18760LQLVWU\RI+HDOWK NUTS-1 Istanbul 67.182 Eastern Marmara 41.425 Mediterranean 38.103 Western Anatolia 37.685 Southeastern Anatolia 37.165 Turkey 35.542 Aegean 33.978 Western Marmara 29.660 Mideastern Anatolia 25.863 Northeastern Anatolia 25.072 Central Anatolia 24.753 Western Blacksea 24.030 Eastern Blacksea 20.211 0 20.000 40.000 60.000 80.000 Population 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 92 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH1XPEHURI$PEXODQFHVE\<HDUV0LQLVWU\RI+HDOWK Year 2002 2.345 618 2010 2.963 2011 4.677 2.130 2.547 3.925 1.159 2.766 2012 3.346 923 2013 3.357 851 2014 1.000 2.000 4.208 904 3.740 0 4.269 3.000 112 Ambulance 4.000 4.644 5.000 Other 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV Health Care Facilities and Infrastructures )LJXUH 3RSXODWLRQSHU(PHUJHQF\$PEXODQFHE\<HDUV0LQLVWU\RI+HDOWK Year 2002 106.809 2010 28.945 2011 27.015 2012 22.602 2013 22.838 2014 20.774 0 25.000 50.000 75.000 100.000 Population 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 93 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 . 1XPEHU RI 9HKLFOH DQG 7UDQVIHUUHG 3DWLHQWV E\ $PEXODQFH 7\SHV 0LQLVWU\ RI +HDOWK Number of Vehicle Number of Transferred Patients 17 2.577 3 1.753 Ambulance Helicopter Air Ambulance Snow Track Ambulance Sea Ambulance 292 611 4 1.575 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 94 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 Hospital Bed Number of Hospital Beds per 10.000 Qualified Beds Intensive Care Unit Beds Number of Family Medicine Unit Population per Family Medicine Unit Number of 112 Emergency Care Station Population per 112 Emergency Care Station Number of 112 Emergency Care Ambulance Population per 112 Emergency Care Ambulance Adana 30 6.400 29,6 2.597 1.045 610 3.550 46 47.078 63 34.375 ĚŦLJĂŵĂŶ 11 1.103 18,4 533 169 179 3.340 20 29.892 33 18.116 Afyonkarahisar 23 1.973 27,9 1.382 210 209 3.380 32 22.074 51 13.850 ŒƌŦ 11 817 14,9 572 54 148 3.712 15 36.629 40 13.736 Amasya 7 792 24,6 429 64 100 3.219 12 26.826 27 11.923 Ankara 89 18.641 36,2 7.797 2.399 1357 3.795 130 39.616 166 31.025 Antalya 43 5.135 23,1 3.243 759 582 3.819 47 47.289 74 30.035 Artvin 8 355 20,9 74 29 52 3.263 19 8.930 33 5.142 LJĚŦŶ 22 2.678 25,7 1.608 370 293 3.556 28 37.214 50 20.840 ĂůŦŬĞƐŝƌ 29 2.965 24,9 1.303 344 332 3.581 35 33.973 43 27.652 Bilecik 8 355 16,9 117 39 63 3.332 8 26.241 20 10.496 Bingöl 8 642 24,1 224 47 79 3.367 14 19.001 31 8.581 Bitlis 9 795 23,5 368 52 91 3.715 10 33.802 27 12.519 Bolu 10 1.826 64,1 1.143 210 87 3.273 15 18.986 39 7.302 Burdur 8 682 26,5 308 72 80 3.211 19 13.521 28 9.175 Bursa 41 6.750 24,2 3.433 889 766 3.639 52 53.607 77 36.202 Çanakkale 16 1.338 26,1 442 107 136 3.763 23 22.252 34 15.053 ĂŶŬŦƌŦ 9 456 24,8 334 36 49 3.746 18 10.197 28 6.555 Çorum 16 1.537 29,2 689 149 171 3.083 25 21.089 42 12.553 Denizli 22 2.770 28,3 1.363 406 279 3.508 31 31.571 54 18.124 ŝLJĂƌďĂŬŦƌ 24 4.502 27,5 1.823 860 427 3.829 50 32.701 75 21.801 Edirne 10 1.916 47,9 670 175 115 3.481 16 25.018 33 12.130 ůĂnjŦŒ 12 2.824 49,7 972 317 173 3.288 25 22.750 47 12.101 Erzincan 11 644 28,8 337 50 70 3.195 12 18.636 32 6.989 Erzurum 24 3.542 46,4 2.094 355 239 3.194 25 30.533 66 11.565 ƐŬŝƔĞŚŝƌ 17 3.482 42,9 1.200 422 225 3.610 24 33.847 39 20.829 Gaziantep 26 4.611 24,4 2.034 940 501 3.771 34 55.573 61 30.975 Giresun 18 1.373 31,9 741 173 122 3.524 22 19.545 38 11.315 'ƺŵƺƔŚĂŶĞ 6 328 22,4 194 27 41 3.570 12 12.196 31 4.721 Hakkari 5 417 15,1 291 43 64 4.317 15 18.419 38 7.271 Hatay 21 2.822 18,6 1.336 480 410 3.707 36 42.218 54 28.145 Isparta 17 1.996 47,7 941 288 130 3.221 19 22.041 31 13.509 Mersin 25 3.511 20,3 1.638 622 496 3.482 44 39.256 65 26.573 7ƐƚĂŶďƵů 236 33.581 23,4 16.932 5.388 3663 3.925 214 67.182 290 49.576 7njŵŝƌ 59 11.452 27,8 4.104 1.538 1148 3.583 87 47.277 115 35.766 Kars 7 772 26,0 415 79 85 3.488 15 19.764 30 9.882 Kastamonu 17 1.087 29,5 303 78 104 3.547 23 16.039 36 10.247 Kayseri 30 4.018 30,4 1.742 611 378 3.498 29 45.599 66 20.036 <ŦƌŬůĂƌĞůŝ 8 801 23,3 299 69 98 3.507 17 20.219 37 9.290 <ŦƌƔĞŚŝƌ 6 498 22,4 382 52 70 3.182 14 15.908 24 9.279 Kocaeli 27 4.156 24,1 2.489 605 465 3.705 34 50.670 64 26.919 Konya 40 6.635 31,5 2.604 852 591 3.568 58 36.359 81 26.035 Kütahya 12 1.705 29,8 698 194 178 3.211 22 25.980 36 15.877 Malatya 20 2.544 33,1 1.586 416 216 3.563 31 24.824 48 16.032 Manisa 28 4.034 29,5 1.971 425 403 3.394 46 29.737 73 18.738 City 6RXUFH *HQHUDO 'LUHFWRUDWH RI +HDOWK 6HUYLFHV 3XEOLF +HDOWK ,QVWLWXWLRQ RI 7XUNH\ *HQHUDO 'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 95 Health Care Facilities and Infrastructures 7DEOe . 6RPH+HDOWK,QGLFDWRUVE\3URYLQFHV7XUNH\ Health Statistics Yearbook 2014 7DEOH6RPH+HDOWK,QGLFDWRUVE\3URYLQFHV7XUNH\ &RQWLQXHG Hospital Bed Number of Hospital Beds per 10.000 Qualified Beds Intensive Care Unit Beds Number of Family Medicine Unit Population per Family Medicine Unit Number of 112 Emergency Care Station Population per 112 Emergency Care Station Number of 112 Emergency Care Ambulance Population per 112 Emergency Care Ambulance KahramanŵĂƌĂƔ 19 2.597 23,8 1.460 428 310 3.513 30 36.301 60 18.151 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 City 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 8 690 19,4 191 92 103 3.452 12 29.629 26 13.675 1.528 206.836 26,6 98.521 28.572 21384 3.633 2.186 35.542 3.740 20.774 Düzce Turkey 6RXUFH *HQHUDO 'LUHFWRUDWH RI +HDOWK 6HUYLFHV 3XEOLF +HDOWK ,QVWLWXWLRQ RI 7XUNH\ *HQHUDO 'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 96 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook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Utilization of Health Care Services Chapter 7 Utilization of Health Care Services . Health Statistics Yearbook 2014 7DEOH 7RWDO 1XPEHU RI 9LVLWV WR D 3K\VLFLDQ LQ +HDOWK &DUH )DFLOLWLHV E\ <HDUV $OO 6HFWRUV 7XUNH\ Health Center 2002 2010 2011 2012 2013 2014 69.103.517 84.629.163 - - - - Family Medicine - 108.976.049 240.298.753 221.672.029 212.318.024 214.120.750 Tuberculosis Control Dispensary 2.012.458 2.378.998 2.219.534 2.143.765 1.815.805 1.643.937 Mother and Child Health and Family Planning Center 2.980.481 3.831.859 944.842 630.583 536.707 660.056 Other Examinations Made by CHCs - - - 10.035.342 4.999.980 2.234.348 Private Outpatient Clinics 731.132 2.497.352 882.973 655.432 582.265 546.514 Primary Care Facilities Total 74.827.588 202.313.421 244.346.102 235.137.151 220.252.781 219.205.605 Specialty Medical Centers 9.824.802 33.788.328 29.040.707 32.012.211 31.256.100 28.208.781 Hospitals 124.313.659 302.984.218 337.849.536 354.636.935 378.812.243 396.577.644 Secondary and Tertiary Health Care Total 134.138.461 336.772.546 366.890.243 386.649.146 410.068.343 424.786.425 Total 208.966.049 539.085.967 611.236.345 621.786.297 630.321.124 643.992.030 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH 7RWDO1XPEHURI3HU&DSLWD9LVLWVWRD3K\VLFLDQLQ+HDOWK$JHQFLHVDQG,QVWLWXWLRQVE\ <HDUV$OO6HFWRUV7XUNH\ Year 2010 3,1 2,0 1,1 2011 3,3 2012 7,3 4,6 2,7 3,1 4,9 8,2 5,1 8,2 2013 2,9 5,3 8,2 2014 2,8 5,5 8,3 0 3 Primary Health Care 6 Secondary and Tertiary Health Care Utilization of Health Care Services 2002 9 Per Capita Visits 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 101 Health Statistics Yearbook 2014 )LJXUH3HU&DSLWD9LVLWVWRD3K\VLFLDQLQ+HDOWK&DUH)DFLOLWLHVE\1876$OO6HFWRUV NUTS-1 4,1 Eastern Blacksea 9,2 4,0 Western Marmara Aegean 3,9 Western Blacksea 3,9 9,0 8,9 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 Istanbul 2,3 Southeastern Anatolia 2,3 8,1 7,8 7,5 2,3 Northeastern Anatolia 7,0 2,5 Mideastern Anatolia 0 2 6,8 4 6 2002 2014 8 10 Per Capita Visits 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 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 9,9 12 12,9 11,7 11,1 11,0 15 14,6 )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI3HU&DSLWD9LVLWVWRD3K\VLFLDQ 4,6 4,2 4,1 4,0 3,9 3,8 3,7 3,3 2,9 2,8 2,6 6 3 Korea Japan Hungary Czech Republic Slovakia Germany Turkey Canada Belgium Spain Australia Poland Austria Italy OECD Luxembourg Slovenia Estonia France Netherlands Iceland Denmark Norway Portugal United States Swiss Ireland New Zeland Chile Swedish Mexico Finland 0 6RXUFH2(&'+HDOWK'DWD 102 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH 5DWLR RI 7RWDO 1XPEHU RI 9LVLWV WR D 3K\VLFLDQ LQ +HDOWK $JHQFLHV DQG ,QVWLWXWLRQV E\ <HDUV$OO6HFWRUV7XUNH\ Year 2002 36 2010 64 38 2011 62 40 2012 60 38 62 2013 35 65 2014 34 66 0 20 40 Primary Health Care 60 80 100 Secondary and Tertiary Health Care % 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH 1XPEHURI9LVLWVWRD3K\VLFLDQDW3ULPDU\+HDOWK&DUH)DFLOLWLHVE\<HDUV$OO6HFWRUV 7XUNH\ Year 2002 74.827.588 2010 2011 244.346.102 2012 235.137.151 2013 220.252.781 2014 219.205.605 0 100.000.000 200.000.000 300.000.000 Number of Visits 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 103 Utilization of Health Care Services 202.313.421 Health Statistics Yearbook 2014 )LJXUH3HU&DSLWD9LVLWVWRD3K\VLFLDQDW3ULPDU\+HDOWK&DUH)DFLOLWLHVE\1876$OO6HFWRUV NUTS-1 1,6 Western Marmara 3,5 1,5 Aegean Eastern Marmara 1,3 Mediterranean 1,3 3,4 3,4 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 0 1,8 1 2 2002 3 4 Per Capita Visits 2014 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH 5HIHUUDOVIURPWKH3ULPDU\+HDOWK&DUH)DFLOLWLHVE\<HDUV0LQLVWU\RI+HDOWK % 25 22,0 20 18,2 15 13,2 10,2 10 6,4 5 2,4 1,3 1,0 2008 2009 2,1 0,4 0,7 2010 2011 3,0 0,3 0 2002 2003 2004 2005 2006 6RXUFH3XEOLF+HDOWK,QVWLWXWLRQRI7XUNH\ 104 THE MINISTRY of HEALTH of TURKEY 2007 2012 2013 2014 Year Health Statistics Yearbook 2014 )LJXUH 3HU &DSLWD 9LVLWV WR D 3K\VLFLDQ DW 6HFRQGDU\ DQG 7HUWLDU\ +HDOWK &DUH )DFLOLWLHV E\ 1876$OO6HFWRUV NUTS-1 Eastern Blacksea 2,5 Western Blacksea 2,6 Western Anatolia 2,4 Western Marmara 2,4 6,2 5,9 5,8 5,6 2,4 Aegean 5,5 1,9 Eastern Marmara 5,5 1,5 Southeastern Anatolia 5,5 2,0 Turkey 5,5 2,1 Mediterranean 5,3 2,0 Central Anatolia 5,3 1,7 Istanbul 5,3 1,4 Northeastern Anatolia 5,1 1,6 Mideastern Anatolia 0 1 5,0 2 3 2002 4 5 2014 6 7 Per Capita Visits Utilization of Health Care Services 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH1XPEHURI+RVSLWDO9LVLWVE\<HDUVDQG6HFWRUV7XUNH\ 2002 Ministry of Health 2010 2011 2012 2013 2014 109.793.128 235.172.924 254.342.943 260.974.401 277.485.135 292.100.331 University 8.823.361 20.098.754 24.437.107 27.080.436 29.985.697 32.143.930 Private 5.697.170 47.712.540 59.069.486 66.582.098 71.341.411 72.333.383 Total 124.313.659 302.984.218 337.849.536 354.636.935 378.812.243 396.577.644 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 105 Health Statistics Yearbook 2014 7DEOH3HU&DSLWD+RVSLWDO9LVLWVE\<HDUVDQG6HFWRUV7XUNH\ 2002 2010 2011 2012 2013 2014 Ministry of Health 1,7 3,2 3,4 3,5 3,6 3,8 University 0,1 0,3 0,3 0,4 0,4 0,4 Private 0,1 0,6 0,8 0,9 0,9 0,9 Total 1,9 4,1 4,5 4,7 4,9 5,1 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH3HU&DSLWD9LVLWVWR+RVSLWDOVE\1876$OO6HFWRUV NUTS-1 Eastern Blacksea 2,5 Western Blacksea 2,5 6,1 5,7 2,3 Western Marmara 5,5 2,2 Western Anatolia 5,4 1,7 Eastern Marmara 5,2 2,2 Aegean Central Anatolia 1,8 Turkey 1,9 5,2 5,2 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 0 4,5 2 4 2002 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 106 THE MINISTRY of HEALTH of TURKEY 2014 6 Per Capita Visits Health Statistics Yearbook 2014 )LJXUH3URSRUWLRQRI9LVLWVWR0R++RVSLWDOVWR$OO6HFWRUVE\1876 NUTS-1 Eastern Blacksea 83 Western Blacksea 83 Northeastern Anatolia 82 Western Marmara 80 Southeastern Anatolia 76 Eastern Marmara 75 Central Anatolia 75 Aegean 74 Mideastern Anatolia 74 Turkey 74 Mediterranean 71 Western Anatolia 70 Istanbul 66 0 25 50 75 100 % 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH1XPEHURI9LVLWVWR2UDODQG'HQWDO&DUH6HUYLFHVE\<HDUV$OO6HFWRUV7XUNH\ Year 2002 5.462.923 2010 2011 29.910.473 2012 34.939.584 2013 37.760.696 2014 37.925.956 0 10.000.000 20.000.000 30.000.000 40.000.000 Number of Visits 6RXUFH7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV *HQHUDO 'LUHFWRUDWHRI +HDOWK6HUYLFHV * Only the values of the Ministry of Health were published before 2012. In 2012, 2013 and 2014, the values of the Universties and Public Sector were also included. THE MINISTRY of HEALTH of TURKEY 107 Utilization of Health Care Services 25.177.013 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 6RXUFH7XUNLVK,QVWLWXWLRQRI3XEOLF+RVSLWDOV *HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH1XPEHURI,QSDWLHQWVE\<HDUVDQG6HFWRUV7XUNH\ 2002 2010 2011 2012 2013 2014 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 Ministry of Health 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 Health Statistics Yearbook 2014 7DEOH1XPEHURI,QSDWLHQWVLQWKH0R++RVSLWDOVDQG,WV3URSRUWLRQWR$OO6HFWRUVE\1876 Ministry of Health Total Proportion of MoH (%) Northeastern Anatolia 231.330 338.540 68 Western Blacksea 527.481 782.554 67 Western Marmara 329.721 504.431 65 Eastern Blacksea 333.215 518.804 64 Southeastern Anatolia 874.558 1.377.197 64 Mideastern Anatolia 405.060 668.092 61 Eastern Marmara 729.138 1.222.221 60 Aegean 1.024.862 1.769.524 58 Turkey NUTS-1 7.396.239 13.034.273 57 Central Anatolia 394.649 721.284 55 Western Anatolia 719.817 1.336.792 54 Mediterranean 921.736 1.725.633 53 Istanbul 904.672 2.069.201 44 Utilization of Health Care Services 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH 1XPEHURI6XUJLFDO2SHUDWLRQVE\<HDUVDQG6HFWRUV7XUNH\ 2002 2010 2011 2012 2013 2014 1.072.417 2.039.021 2.209.326 2.298.893 2.414.538 2.445.424 University 307.108 576.547 617.477 664.695 715.889 765.549 Private 218.837 1.215.159 1.373.774 1.446.630 1.553.810 1.587.973 1.598.362 3.830.727 4.200.577 4.410.218 4.684.237 4.798.946 Ministry of Health Total 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 109 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 Health Statistics Yearbook 2014 7DEOH1XPEHURI6XUJLFDO2SHUDWLRQVSHU3RSXODWLRQE\1876DQG6HFWRUV Ministry of Health University Private Total Western Anatolia 37,3 18,4 19,6 75,3 Central Anatolia 31,6 13,6 23,3 68,5 Mediterranean 32,8 10,5 22,6 65,9 Eastern Marmara 33,2 8,6 20,8 62,7 Aegean 31,6 12,6 18,3 62,5 Turkey 31,5 9,9 20,4 61,8 Eastern Blacksea 38,4 8,1 14,8 61,4 Istanbul 25,9 5,2 29,6 60,7 Northeastern Anatolia 40,7 14,8 3,0 58,5 Western Blacksea 34,5 7,2 16,0 57,6 Southeastern Anatolia 29,4 5,5 18,9 53,8 Mideastern Anatolia 25,1 13,1 13,3 51,5 Western Marmara 30,7 7,8 12,5 51,0 NUTS-1 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV NUTS-1 A B C Total Western Anatolia 9,1 28,7 37,6 75,3 Central Anatolia 4,8 24,8 38,9 68,5 Mediterranean 6,3 22,3 37,3 65,9 Eastern Marmara 6,7 22,9 33,1 62,7 Aegean 7,1 23,4 31,9 62,5 Turkey 6,2 21,8 33,8 61,8 Eastern Blacksea 6,1 21,2 34,1 61,4 Istanbul 7,6 21,7 31,4 60,7 Northeastern Anatolia 4,1 16,8 37,7 58,5 Western Blacksea 5,6 20,5 31,6 57,6 Southeastern Anatolia 3,2 16,5 34,1 53,8 Mideastern Anatolia 3,4 16,6 31,5 51,5 Western Marmara 4,2 18,0 28,7 51,0 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 111 Utilization of Health Care Services 7DEOH1XPEHURI6XUJLFDO2SHUDWLRQVSHU3RSXODWLRQE\*URXSV DQG 1876 Health Statistics Yearbook 2014 7DEOH3URSRUWLRQRI6XUJLFDO2SHUDWLRQVWRWKH1XPEHURI9LVLWVE\1876DQG6HFWRUV Ministry of Health University Private Total 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 NUTS-1 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH%HG2FFXSDQF\5DWH E\<HDUVDQG6HFWRUV7XUNH\ % 90 79,2 69,8 72,9 68,2 60 60,6 79,7 74,7 61,4 65,2 67,5 48,0 42,0 30 32,0 33,1 84,4 80,7 76,5 64,8 72,9 63,8 65,0 64,3 50,7 50,3 50,8 73,6 66,4 53,6 76,7 66,4 74,1 69,3 76,7 71,1 56,1 51,5 50,5 46,0 35,1 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 112 THE MINISTRY of HEALTH of TURKEY University Private Year Health Statistics Yearbook 2014 )LJXUH%HG2FFXSDQF\5DWH LQ+RVSLWDOVE\<HDUV$OO6HFWRUV7XUNH\ Year 2002 59,4 2003 60,6 2004 66,2 2005 65,5 2006 67,9 2007 64,8 2008 65,7 2009 65,5 2010 63,8 2011 65,6 2012 65,1 2013 66,0 2014 68,7 0 20 40 60 80 % 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH%HG2FFXSDQF\5DWH LQ+RVSLWDOVE\18760LQLVWU\RI+HDOWK NUTS-1 73,9 77,3 Istanbul 62,4 Southeastern Anatolia 76,4 64,3 Mediterranean 74,7 64,7 Western Anatolia Aegean Utilization of Health Care Services 73,7 61,1 72,1 60,6 Turkey 71,1 61,1 Eastern Marmara 70,4 54,7 Western Blacksea 66,3 51,9 Western Marmara 66,1 54,1 Eastern Blacksea 65,6 57,7 Mideastern Anatolia 40,3 Central Anatolia Northeastern Anatolia 0 20 40 2002 60 2014 64,4 63,1 60,3 61,4 80 % 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 113 Health Statistics Yearbook 2014 64,8 64,4 Turkey Slovakia United States 67,9 67,4 Slovenia 69,4 69,2 Estonia Hungary 70,6 70,4 Greece Luxembourg 74,9 France 73,9 Mexico Portugal 75,6 75,0 Spain Czech Republic 75,9 75,8 Japan 77,5 77,3 Italy OECD 78,4 78,1 Chile 80 Belgium 80,2 79,3 Austria Germany 84,3 83,6 Canada Swiss 90,9 89,0 Norway United Kingdom 94,1 93,8 Israel 100 Ireland )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI$FXWH%HG2FFXSDQF\5DWHLQ+RVSLWDOV 60 40 20 0 6RXUFH2(&'+HDOWKDWD*ODQFH )LJXUH$YHUDJH/HQJWK RI 6WD\LQ+RVSLWDOVE\<HDUVDQG6HFWRUV'D\V7XUNH\ Day 10 8,6 8,5 8,3 8,2 8 7,8 6,9 6,6 6,1 6,2 6 5,7 5,6 5,6 5,2 3,1 3,0 2,8 2,7 6,1 6,0 5,9 4,3 4,4 4,3 2,3 2,2 2,4 5,2 4 2 5,8 4,7 4,5 4,6 4,4 4,3 1,8 1,8 2,0 2,0 2,0 2,4 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 114 THE MINISTRY of HEALTH of TURKEY University Private Year Health Statistics Yearbook 2014 )LJXUH$YHUDJH/HQJWK RI 6WD\LQ+RVSLWDOVE\<HDUV$OO6HFWRUV'D\V7XUNH\ Year 2002 5,8 2003 5,8 2004 5,7 2005 5,3 2006 5,1 2007 4,4 2008 4,1 2009 4,2 2010 4,1 2011 3,9 2012 4,0 2013 3,9 2014 4,0 0 2 4 6 Day 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV ,&''LDJQRVLV*URXSV Code 2011 2012 2013 2014 Certain Infectious and Parasitic Diseases A00-B99 3,8 3,7 3,5 3,5 Neoplasms C00-D48 4,8 4,8 4,9 5,4 Diseases of the Blood and Bloodforming Organs and Certain Disorders Involving the Immune Mechanism D50-D89 3,2 3,5 3,1 3,0 Endocrine, Nutritional and Metabolic Diseases E00-E90 5,3 5,2 5,3 5,3 Mental and Behavioural Disorders F00-F99 18,3 15,3 18,4 20,2 Diseases of the Nervous System G00-G99 5,6 5,7 5,4 5,4 Diseases of the Eye and Adnexa H00-H59 1,8 1,5 1,3 1,5 Diseases of the Ear and Mastoid Process H60-H95 2,6 3,3 3,1 2,8 Diseases of the Circulatory System I00-I99 5,2 5,3 5,1 5,0 Diseases of the Respiratory System J00-J99 5,3 5,4 5,5 5,5 Diseases of the Digestive System K00-K93 3,2 3,0 2,7 2,7 Diseases of the Skin and Subcutaneous Tissue L00-L99 2,6 2,3 2,2 2,2 Diseases of the Musculoskeletal System and Connective Tissue M00-M99 6,6 6,6 6,6 6,2 Diseases of the Genitourinary System N00-N99 2,8 2,9 2,7 2,9 Pregnancy, Childbirth and the Puerperium O00-O99 1,9 2,0 2,0 2,0 Certain Conditions Originating in the Perinatal Period P00-P96 4,9 4,8 5,0 5,2 Q00-Q99 4,5 4,4 4,5 4,7 R00-R99 2,6 2,6 2,9 3,0 S00-T98 3,7 4,1 4,6 5,0 Z00-Z99 2,5 3,0 3,2 3,4 3,9 4,0 3,9 4,0 Congenital Malformations, Deformations and Chromosomal Abnormalities Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified Injury, Poisoning and Certain other Consequences of External Causes Factors Influencing Health Status and Contact With Health Services Total 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 'LDJQRVLV5HODWHG*URXSV 'DWDEDVH THE MINISTRY of HEALTH of TURKEY 115 Utilization of Health Care Services 7DEOH $YHUDJH /HQJWK RI 6WD\ LQ +RVSLWDOV E\ 0DLQ ,&' 'LDJQRVLV *URXSV $OO 6HFWRUV 7XUNH\ Health Statistics Yearbook 2014 )LJXUH$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 Eastern Blacksea 5,5 4,6 Aegean 4,5 Eastern Marmara 4,4 Western Marmara 4,4 Turkey 5,4 5,0 4,8 4,3 Northeastern Anatolia 4,1 Mediterranean 5,3 4,1 Mideastern Anatolia 3,9 Central Anatolia 3,9 Southeastern Anatolia 3,4 0 5,7 5,5 5,2 4,5 4,5 3 6 9 Day 2002 2014 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 20 17,2 16,5 )LJXUH. ,QWHUQDWLRQDO&RPSDULVRQRI$YHUDJH/HQJWKRI6WD\LQ+RVSLWDOV'D\V 10 5 10,6 9,5 9,4 9,1 8,6 8,5 8,1 7,7 7,6 7,6 7,4 7,3 7,3 7,0 7,0 6,8 6,7 6,6 6,6 6,5 6,0 5,9 5,8 5,7 5,7 5,6 5,6 5,2 4,8 4,6 4,5 4,0 3,9 15 Japan Korea Finland Hungary Czech Republic Germany Swiss Luxembourg Austria Italy Canada New Zeland Slovakia OECD Estonia Poland United Kingdom Slovenia Belgium Greece Spain Israel Swedish Portugal Iceland Australia Chile France Ireland Netherlands United States Denmark Norway Mexico Turkey 0 6RXUFH2(&'+HDOWK'DWD 116 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH%HG7XUQRYHU5DWHLQ+RVSLWDOVE\<HDUVDQG6HFWRUV3DWLHQW7XUNH\ Patient 120 101,9 93,4 92,1 95,6 91,1 83,2 83,9 55,9 56,3 57,9 59,8 46,2 45,6 47,4 90 81,8 74,3 57,0 38,8 60 37,5 30 29,7 46,2 40,8 47,9 45,8 32,9 52,1 46,4 39,7 44,8 31,5 50,7 35,3 37,4 51,4 52,9 48,6 43,1 40,8 45,2 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health University Private Year 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH%HG7XUQRYHU5DWHLQ+RVSLWDOVE\<HDUV3DWLHQW$OO6HFWRUV7XUNH\ Year 2002 37,1 2003 38,3 2004 42,7 2005 Utilization of Health Care Services 45,0 2006 48,5 2007 53,8 2008 57,9 2009 57,3 2010 57,1 2011 60,8 2012 59,9 2013 61,2 2014 63,0 0 20 40 60 Patient 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 117 Health Statistics Yearbook 2014 )LJXUH%HG7XUQRYHU5DWHLQ+RVSLWDOVE\18763DWLHQW0R+ 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 0 50,7 30 60 2002 90 2014 Patient 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH%HG7XUQRYHU,QWHUYDOLQ+RVSLWDOVE\<HDUVDQG6HFWRUV'D\V7XUNH\ Day 6,6 6,0 6 5,1 4 3,7 3,7 3,5 3,7 2,8 2,8 3,1 2 2,6 2,5 2,5 2,6 2,1 2,0 2,1 2,5 2,5 2,5 1,8 2,0 2,3 2,0 2,1 2,2 2,2 2,0 1,7 1,2 2,2 1,9 2,2 2,1 1,9 1,9 1,8 1,8 1,4 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 118 THE MINISTRY of HEALTH of TURKEY University Private Year Health Statistics Yearbook 2014 )LJXUH%HG7XUQRYHU,QWHUYDOLQ+RVSLWDOVE\<HDUV'D\V$OO6HFWRUV7XUNH\ Year 2002 4,0 2003 3,8 2004 2,9 2005 2,8 2006 2,4 2007 2,4 2008 2,2 2009 2,2 2010 2,3 2011 2,1 2012 2,1 2013 2,0 2014 1,8 0 1 2 3 4 Day 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH%HG7XUQRYHU,QWHUYDOLQ+RVSLWDOVE\1876'D\V0R+ NUTS-1 3,6 2,6 Eastern Blacksea 4,6 2,4 Western Blacksea 4,8 2,4 Western Marmara 4,4 2,3 Mideastern Anatolia 3,8 2,2 Central Anatolia 6,7 2,2 Turkey 3,7 1,8 Eastern Marmara 3,2 1,8 Western Anatolia 3,5 1,7 Aegean 3,5 1,7 Mediterranean 3,0 1,4 Istanbul 3,1 1,4 Southeastern Anatolia 2,7 1,0 0 Utilization of Health Care Services Northeastern Anatolia 2 4 2002 2014 6 Day 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 119 Health Statistics Yearbook 2014 )LJXUH&UXGH'HDWK5DWHLQ+RVSLWDOVE\<HDUVDQG6HFWRUVÅ7XUNH\ ‰ 35 31,5 31,6 33,0 32,5 27,6 28,0 26,1 28 23,5 22,9 25,8 25,3 24,5 15,8 15,7 15,8 21,6 21 14,8 14,1 14 13,2 12,6 13,0 12,3 12,5 13,3 13,9 12,9 14,7 15,9 12,4 9,6 7 9,2 10,1 8,9 7,8 5,0 5,8 7,1 10,0 8,7 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Ministry of Health University Private Year 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV )LJXUH&UXGH'HDWK5DWHLQ+RVSLWDOVE\<HDUV$OO6HFWRUVÅ7XUNH\ 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 0 4 8 12 16 20 ‰ 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 120 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH &UXGH'HDWK5DWHLQ+RVSLWDOVE\18760R+Å NUTS-1 13,1 Western Marmara 22,9 19,7 19,5 Eastern Marmara 17,0 Aegean 19,3 12,1 Eastern Blacksea 19,2 10,9 Western Blacksea 17,9 17,0 16,6 Western Anatolia Istanbul 26,9 16,0 14,8 15,8 Turkey 12,2 Mediterranean 14,9 6,2 Central Anatolia 13,3 7,7 Northeastern Anatolia 10,6 10,4 10,0 Southeastern Anatolia 6,3 Mideastern Anatolia 7,5 0 10 20 2002 30 2014 ‰ 7DEOH1XPEHURI'D\V6WD\HGLQ+RVSLWDOVE\<HDUVDQG6HFWRUV7XUNH\ 2002 2010 2011 2012 2013 2014 Ministry of Health 23.770.910 28.193.909 29.405.370 29.662.436 30.679.607 32.078.874 University 6.713.945 9.317.978 9.350.038 9.846.341 9.753.138 10.260.691 Private 1.730.661 5.410.529 6.246.243 8.001.322 8.247.245 9.521.899 Total 32.215.516 42.922.416 45.001.651 47.510.099 48.679.990 51.861.464 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 121 Utilization of Health Care Services 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 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\<HDUV7XUNH\ 2002 2010 2011 2012 2013 2014 Kidney 550 2.502 2.923 2.903 2.944 2.924 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 5 745 3.336 3.953 4.008 4.294 4.261 Total 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 122 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 7DEOH 1XPEHU RI ([DPV RI 6RPH ,PDJLQJ 'HYLFHV LQ ,QSDWLHQW +HDOWK &DUH )DFLOLWLHV E\ 6HFWRUV 7XUNH\ MRI CT Ultrasound Doppler Ultrasound ECHO Mammography Ministry of Health 6.151.819 8.444.021 19.459.180 6.836.380 4.295.635 1.541.083 University 1.335.565 1.851.598 1.946.065 675.193 690.464 287.593 Private 2.772.124 2.111.526 5.746.185 1.906.888 1.404.597 413.217 Total 10.259.508 12.407.145 27.151.430 9.418.461 6.390.696 2.241.893 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV Ministry of Health University Private Total Central Anatolia 16,4 46,1 39,4 22,8 Western Blacksea 18,6 41,1 43,8 22,8 Western Marmara 18,1 48,8 38,8 22,9 Aegean 20,5 30,8 38,2 24,2 Mediterranean 18,0 42,9 39,0 24,3 Eastern Marmara 22,1 35,4 35,0 25,3 NUTS-1 Northeastern Anatolia 18,9 71,4 43,3 25,6 Turkey 21,1 41,5 38,3 25,9 Southeastern Anatolia 18,3 43,1 52,2 26,2 Eastern Blacksea 22,1 48,9 47,5 26,5 Western Anatolia 21,7 43,7 34,5 27,0 Istanbul 28,1 36,2 30,4 29,3 Mideastern Anatolia 21,7 61,0 50,9 30,1 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 123 Utilization of Health Care Services 7DEOH1XPEHURI05, ([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQE\1876 DQG6HFWRUV Health Statistics Yearbook 2014 7DEOH1XPEHURI&7([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQE\1876 DQG6HFWRUV Ministry of Health University Private Total 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 NUTS-1 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH1XPEHURI8OWUDVRXQG ([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQE\ 1876DQG6HFWRUV Ministry of Health University Private Total 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 NUTS-1 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 Health Statistics Yearbook 2014 7DEOH 1XPEHU RI 'RSSOHU 8OWUDVRXQG ([DPV LQ ,QSDWLHQW +HDOWK &DUH )DFLOLWLHV SHU 3RSXODWLRQE\1876DQG6HFWRUV Ministry of Health University Private Total Central Anatolia 11,0 39,2 13,8 13,8 Western Marmara 12,5 19,0 31,7 15,7 Eastern Blacksea 19,7 7,2 16,1 18,8 Western Blacksea 19,3 17,6 28,0 20,2 Northeastern Anatolia 22,0 22,4 14,5 21,3 Aegean 19,0 27,7 41,4 23,3 Turkey 23,4 21,0 26,4 23,7 Mediterranean 25,8 20,6 19,7 24,1 Istanbul 30,1 8,6 15,3 24,7 Southeastern Anatolia 21,8 21,8 37,5 25,0 Western Anatolia 24,9 20,9 34,0 25,6 Eastern Marmara 31,4 18,7 26,7 29,6 Mideastern Anatolia 26,7 27,6 53,6 31,3 NUTS-1 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV NUTS-1 Eastern Marmara Ministry of Health 11,5 University Private Total 21,3 16,9 13,1 Istanbul 13,5 12,8 17,1 14,4 Eastern Blacksea 13,1 27,6 23,3 15,0 Mediterranean 14,6 24,6 16,1 15,7 Western Marmara 15,4 18,5 17,1 15,8 Turkey 14,7 21,5 19,4 16,1 Central Anatolia 13,9 33,4 18,7 16,3 Aegean 15,1 16,4 24,7 16,7 Western Blacksea 14,6 21,9 29,0 16,7 Southeastern Anatolia 15,1 39,2 19,4 17,0 Northeastern Anatolia 16,8 28,3 9,8 17,2 Mideastern Anatolia 18,6 24,4 16,8 18,8 Western Anatolia 17,5 20,5 26,4 19,3 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 125 Utilization of Health Care Services 7DEOH 1XPEHU RI (&+2 ([DPV LQ ,QSDWLHQW +HDOWK &DUH )DFLOLWLHV SHU 3RSXODWLRQ E\ 1876DQG6HFWRUV Health Statistics Yearbook 2014 7DEOH. 1XPEHURI0DPPRJUDSK\([DPVLQ,QSDWLHQW+HDOWK&DUH)DFLOLWLHVSHU 3RSXODWLRQ E\1876DQG6HFWRUV Ministry of Health University Private Total 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 NUTS-1 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\<HDUV 7XUNH\ Year 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 Health Statistics Yearbook 2014 )LJXUH1XPEHURI&DVHVSHU(PHUJHQF\&DUH6WDWLRQE\1876 NUTS-1 979 Eastern Marmara 2.265 786 Mediterranean 2.131 1.414 Istanbul 2.111 888 Western Anatolia 2.076 796 Turkey 1.842 726 Aegean 1.783 780 Western Marmara 1.767 608 Southeastern Anatolia 1.760 564 Northeastern Anatolia 1.668 649 Central Anatolia 1.632 684 Mideastern Anatolia 1.516 608 Western Blacksea 1.487 733 Eastern Blacksea 0 300 600 900 1.471 1.200 2002 1.500 1.800 2014 2.100 2.400 Number of Cases 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV )LJXUH7RWDO1XPEHURI&DVHVSHU(PHUJHQF\&DUH$PEXODQFHE\<HDUV7XUNH\ Year 2002 620 2010 2011 969 2012 965 2013 Utilization of Health Care Services 814 1.092 2014 1.077 0 200 400 600 800 1000 1200 Number of Cases 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV THE MINISTRY of HEALTH of TURKEY 127 Health Statistics Yearbook 2014 )LJXUH7RWDO1XPEHURI&DVHVSHU(PHUJHQF\&DUH$PEXODQFHE\1876 NUTS-1 1.339 Istanbul 888 Western Anatolia 566 Mediterranean 1.378 749 Eastern Marmara 1.237 533 Aegean 1.110 Western Marmara 613 Turkey 620 1.079 1.077 419 Southeastern Anatolia 1.010 Central Anatolia 511 Western Blacksea 509 Eastern Blacksea 508 865 828 785 489 Mideastern Anatolia 430 Northeastern Anatolia 0 728 638 400 800 2002 6RXUFH*HQHUDO'LUHFWRUDWHRI (PHUJHQF\+HDOWK6HUYLFHV 128 THE MINISTRY of HEALTH of TURKEY 1.558 1.519 1.200 2014 1.600 Number of Cases Health Statistics Yearbook 2014 7DEOH. &RQVXPSWLRQRI'UXJVE\<HDUV0LOOLRQ%R[HV7XUNH\ 2010 2011 2012 2013 2014 Alimentary T.& Metabolism 243,1 268,7 278,8 280,6 286,7 Respiratory System 231,3 268,7 257,8 263,8 276,5 Systemic Anti-Infectives 266,0 280,8 278,4 275,1 270,3 Nervous System 211,0 234,5 242,6 258,5 260,7 Musculo-Skeletal System 207,1 222,8 233,4 216,8 228,0 Cardiovascular System 155,8 168,9 177,5 185,2 191,4 Dermatologicals 87,0 97,6 101,6 96,5 98,8 Blood & B.Forming Organs 66,4 72,6 77,8 77,1 82,7 Hospital Solutions 46,4 59,2 61,9 72,1 75,8 G.U.System & Sex Hormones 56,2 63,4 64,4 64,1 66,1 Sensory Organs 46,5 48,9 50,6 55,2 58,2 Systemic Hormones 30,3 36,5 37,5 37,5 41,7 Diagnostic Agents 9,1 11,1 11,7 13,2 14,8 Antineoplastic & Immunomodul 6,3 6,9 7,6 8,2 9,3 Parasitology 5,0 5,0 4,7 5,1 5,0 Various (Other) 2,2 2,6 2,9 3,4 4,0 1.669,90 1.848,30 1.889,40 1.912,20 1.969,97 Total Pharmaceutical Consumption Utilization of Health Care Services 6RXUFH3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 129 Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI'UXJ&RQVXPSWLRQVE\<HDUVDQG7\SHVRI5HIHUHQFH7XUNH\ Year 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 20 40 Generic 60 80 Original 100 % Other 6RXUFH3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ )LJXUH'LVWULEXWLRQRI'UXJ([SHQGLWXUHVE\<HDUVDQG7\SHVRI5HIHUHQFH7XUNH\ Year 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 0 66,5 20 Generic 40 60 Original 6RXUFH3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ 130 THE MINISTRY of HEALTH of TURKEY 4,1 80 100 Other % Health Statistics Yearbook 2014 )LJXUH'LVWULEXWLRQRI'UXJ&RQVXPSWLRQVE\<HDUVDQG/RFDO,PSRUWHG6WDWXV7XUNH\ Year 2010 79,0 21,0 2011 78,5 21,5 2012 78,4 21,6 2013 77,9 22,1 2014 78,0 22,0 0 20 40 Local 60 80 100 % Import 6RXUFH3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ )LJXUH 'LVWULEXWLRQRI'UXJ([SHQGLWXUHVE\<HDUVDQG/RFDO,PSRUWHG6WDWXV7XUNH\ 2010 48,9 51,1 2011 49,7 50,3 2012 49,3 50,7 2013 47,6 2014 52,4 42,0 0 20 Utilization of Health Care Services Year 58,0 40 Local 60 Import 80 100 % 6RXUFH3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ THE MINISTRY of HEALTH of TURKEY 131 Health Statistics Yearbook 2014 )LJXUH'LVWULEXWLRQRI'UXJ&RQVXPSWLRQVE\<HDUVDQG5HLPEXUVHPHQW6WDWXV7XUNH\ Year 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 20 40 60 Reimbursed 80 100 % Not Reimbursed 6RXUFH3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ )LJXUH'LVWULEXWLRQRI'UXJ([SHQGLWXUHVE\<HDUVDQG5HLPEXUVHPHQW6WDWXV7XUNH\ Year 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 20 Reimbursed 40 60 Not Reimbursed 6RXUFH3KDUPDFHXWLFDOVDQG0HGLFDO'HYLFHV,QVWLWXWLRQRI7XUNH\ 132 THE MINISTRY of HEALTH of TURKEY 80 100 % Health Statistics Yearbook 2014 )LJXUH 6DWLVIDFWLRQ5DWLRZLWK+HDOWKFDUH6HUYLFHVE\<HDUV Year 2003 39,5 39,3 2010 21,2 73,1 13,8 13,1 2011 75,9 12,0 12,2 2012 74,8 13,1 12,0 2013 74,7 2014 10,6 71,2 0 11,9 25 50 Satisfied 14,7 16,9 75 Neither Satisfied, Nor Unsatisfied 100 % Not Satisfied 6RXUFH785.67$7/LIH6DWLVIDFWLRQ6XUYH\ )LJXUH6DWLVIDFWLRQZLWK+HDOWK&DUH6HUYLFHVLQ(8DQG7XUNH\ E\<HDUV 100 76 80 75 75 62 62 63 61 2011 2012 2013 2014 71 40 40 20 0 2003 Turkey EU 6RXUFH %XOOHWLQ RI WKH :RUOG +HDOWK 2UJDQL]DWLRQ (XURSHDQ &RPPLVVLRQ 6RFLDO &OLPDWH5HSRUW785.67$7/LIH6DWLVIDFWLRQ6XUYH\ THE MINISTRY of HEALTH of TURKEY 133 Utilization of Health Care Services 62 60 Health Statistics Yearbook 2014 )LJXUH 6DWLVIDFWLRQ ZLWK +HDOWK &DUH 6HUYLFHV DQG 3HU &DSLWD 3XEOLF +HDOWK ([SHQGLWXUH33386 6000 87 1.492 621 3.469 3.608 3.311 4.126 3.677 43 44 2.583 2.802 2.509 40 40 58 55 57 50 25 0 Greece Bulgaria Romania Poland Latvia Hungary Ireland Slovakia Italy Cyprus Croatia Portugal Lithuanian Estonia Spain Slovenia EU Czech Republic Turkey Swedish Germany Finland United Kingdom Denmark France Netherlands Malta Austria Luxembourg Belgium 0 1.111 10 24 26 20 22 659 788 1.081 1500 1.551 37 51 52 75 61 2.381 1.053 1.182 1.639 1.045 1.198 2.099 1.783 2.169 1.716 793 3000 48 100 81 81 78 79 79 1.655 4500 75 3.841 3.247 4.495 69 71 90 90 91 92 Satisfaction(%) PPP $ 6RXUFH2(&'+HDOWK'DWD :+2:RUOG+HDOWK6WDWLVWLFV(XURSHDQ&RPPLVVLRQ6RFLDO &OLPDWH5HSRUW785.67$7/LIH6DWLVIDFWLRQ6XUYH\ )LJXUH 6DWLVIDFWLRQ ZLWK +HDOWK &DUH 6HUYLFHV DQG 3HU &DSLWD 7RWDO +HDOWK ([SHQGLWXUH33386 87 4500 3000 69 71 37 1500 90 90 91 92 2.366 Greece 1.171 Bulgaria 982 Romania Poland 1.530 Latvia 1.054 Hungary 1.719 Ireland 3.663 2.010 Slovakia Italy 3.077 Cyprus 2.240 Croatia 1.477 Portugal 2.482 Lithuanian 1.573 Estonia 1.542 Spain 2.928 Slovenia 2.511 2.867 EU Czech Republic 2.040 Turkey 1.011 Swedish 4.904 Germany 4.819 Finland 3.442 United Kingdom 3.235 Denmark 4.553 France 4.124 Netherlands 5.131 Malta 2.522 Austria 4.553 Luxembourg 4.371 Belgium 4.256 6000 40 40 43 44 48 51 52 58 55 57 75 100 81 81 78 79 79 75 61 24 26 20 22 50 25 10 0 Satisfaction(%) 0 PPP $ 6RXUFH2(&'+HDOWK'DWD :+2:RUOG+HDOWK6WDWLVWLFV(XURSHDQ&RPPLVVLRQ6RFLDO &OLPDWH5HSRUW785.67$7/LIH6DWLVIDFWLRQ6XUYH\ 134 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 3ULPDU\+HDOWK &DUH)DFLOLWLHV 7RWDO 9LVLWV 6HFRQGDU\DQG 7HUWLDU\+HDOWK &DUH7RWDO 9LVLWV 3HU&DSLWD 3K\VLFLDQ 9LVLWV 1XPEHURI 'HQWLVW 9LVLWV 3HU&DSLWD 'HQWLVW 9LVLWV 1XPEHURI ,QSDWLHQWV 1XPEHU RI 'D\V6WD\HG øQ+RVSLWDOV 1XPEHURI 6XUJLFDO 2SHUDWLRQ %HG 2FFXSD QF\ 5DWH $YHUDJH /HQJWKRI 6WD\LQ +RVSLWDO %HG 7XUQ RYHU 5DWHLQ +RVSLWDO %HG 7XUQR YHU ,QWHUYDO LQ +RVSLWDO &UXGH 'HDWK 5DWHLQ +RVSLWDO $GDQD $GÕ\DPDQ $I\RQNDUDKLVDU &LW\ $÷UÕ $PDV\D $QNDUD $QWDO\D $UWYLQ $\GÕQ %DOÕNHVLU %LOHFLN %LQJ|O %LWOLV %ROX %XUGXU %XUVD dDQDNNDOH dDQNÕUÕ 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'LVWULEXWLRQRI+HDOWK&DUH3URIHVVLRQDOV E\6HFWRUVDQG7LWOHV Health Statistics Yearbook 2014 7DEOH 1XPEHURI+HDOWK&DUH3URIHVVLRQDOV E\<HDUV0LQLVWU\RI+HDOWK Specialist Physicians General Practitioners Medical Residents Physicians Total Dentists Pharmacists Nurses Midwives Other Health Personnel Other Personnel and Procurement of Services TOTAL 2002 22.187 29.030 6.189 2010 31.527 33.229 7.679 2011 32.623 33.523 7.236 2012 34.069 32.457 7.137 2013 35.081 32.601 7.814 2014 36.886 33.060 7.930 57.406 3.211 1.596 54.360 39.473 33.276 72.435 7.069 1.854 77.472 45.515 70.701 73.382 7.225 1.891 89.314 46.944 82.201 73.663 7.291 1.920 92.118 48.409 83.542 75.496 7.997 2.067 93.700 48.694 96.391 77.876 7.640 2.102 94.404 48.103 107.327 67.496 172.296 181.295 181.824 186.217 196.459 256.818 447.342 482.252 488.767 510.562 533.911 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH 1XPEHURI7RWDO3K\VLFLDQVSHU 3RSXODWLRQ E\<HDUV$OO6HFWRUV 180 174 175 2013 2014 Year 172 167 170 169 164 158 160 154 150 150 140 146 138 141 143 130 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 142 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH1XPEHURI7RWDO3K\VLFLDQVSHU3RSXODWLRQE\1876$OO6HFWRUV NUTS-1 228 Western Anatolia 155 Aegean Istanbul 138 Turkey 175 110 Eastern Marmara 162 113 Eastern Blacksea 162 123 Mediterranean 161 117 Central Anatolia 160 120 Western Blacksea 156 105 Western Marmara 154 87 Northeastern Anatolia 146 95 Mideastern Anatolia 139 68 Southeastern Anatolia 0 50 270 193 193 189 122 100 150 2002 200 250 300 2014 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH,QWHUQDWLRQDO&RPSDULVRQRI7RWDO1XPEHURI3K\VLFLDQVSHU3RSXODWLRQ 350 321 300 287 250 200 175 161 139 150 100 0 WHO European Region Upper Income Group Countries Turkey hƉƉĞƌDŝĚĚůĞ /ŶĐŽŵĞ'ƌŽƵƉ ŽŶƵŶƚƌŝĞƐ Global 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV:+2 :RUOG+HDOWK6WDWLVWLFV Note: Turkey’s data belongs to the year 2014. 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'LVWULEXWLRQ RI 6SHFLDOLVW 3K\VLFLDQV 0HGLFDO 5HVLGHQWV DQG *HQHUDO 3UDFWLWLRQHUV E\ 18760R+ NUTS-1 51,3 Eastern Marmara 49,8 Aegean 48,9 29,0 19,7 43,9 8,3 Western Marmara 48,7 51,3 Western Blacksea 48,0 51,1 Eastern Blacksea 47,9 Turkey 47,4 Mediterranean 46,7 Istanbul 46,5 6,3 42,9 0,9 48,2 3,9 42,5 10,2 49,8 26,4 3,5 27,1 Central Anatolia 45,5 51,2 3,3 Northeastern Anatolia 44,1 54,3 1,6 Mideastern Anatolia 42,7 57,3 Southeastern Anatolia 42,3 57,1 0 25 Specialist Physicians 50 General Practitioners 75 0,6 100 Medical Residents 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV THE MINISTRY of HEALTH of TURKEY 151 Human Resources for Health Western Anatolia Health Statistics Yearbook 2014 )LJXUH .. 1XPEHURI1XUVHVDQG0LGZLYHVSHU3RSXODWLRQE\18760R+ NUTS-1 227 Eastern Blacksea 188 Western Blacksea 291 249 210 226 Western Marmara 155 Central Anatolia 216 185 Aegean 212 121 Northeastern Anatolia 211 126 Mideastern Anatolia 200 150 Western Anatolia Eastern Marmara 140 Turkey 141 191 189 183 162 Mediterranean 82 Southeastern Anatolia 73 Istanbul 0 50 181 149 111 100 2002 150 200 250 300 2014 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH 'LVWULEXWLRQRI7RWDO3K\VLFLDQVE\<HDUVDQG6HFWRUV7XUNH\ 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 0 20 Ministry of Health 20,8 40 60 University 21,8 80 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 152 THE MINISTRY of HEALTH of TURKEY 100 Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI*HQHUDO3UDFWLWLRQHUVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 93,9 0,6 5,5 2010 85,6 2011 84,4 2012 83,5 2013 84,5 0,6 14,9 2014 84,7 0,5 14,8 0 20 40 Ministry of Health 0,7 0,7 0,6 60 University 13,7 14,9 16,0 80 100 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH 'LVWULEXWLRQRI6SHFLDOLVW3K\VLFLDQVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 48,8 2010 49,6 18,6 31,8 2011 49,4 19,8 30,8 2012 48,6 19,3 32,1 2013 47,5 20,2 32,3 2014 49,0 20 Ministry of Health 28,1 19,9 40 60 University 31,1 80 100 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV THE MINISTRY of HEALTH of TURKEY 153 Human Resources for Health 0 23,1 Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI'HQWLVWVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 19,6 4,2 76,2 2010 33,2 2011 34,2 5,4 60,4 2012 34,1 4,7 61,2 2013 35,9 2014 33,2 0 5,7 61,0 4,3 59,8 6,0 20 60,8 40 Ministry of Health 60 University 80 100 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV )LJXUH 'LVWULEXWLRQRI3KDUPDFLVWVE\<HDUVDQG6HFWRUV7XUNH\ 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 91,1 0 1,1 20 Ministry of Health 40 60 University 80 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 154 THE MINISTRY of HEALTH of TURKEY 100 Health Statistics Yearbook 2014 )LJXUH 'LVWULEXWLRQRI1XUVHVDQG0LGZLYHVE\<HDUVDQG6HFWRUV7XUNH\ Year 2002 82,4 2010 7,9 74,5 2011 9,9 77,0 10,3 9,7 15,6 12,7 2012 74,6 11,2 14,2 2013 73,8 11,4 14,8 2014 73,0 11,9 15,2 0 20 40 Ministry of Health 60 80 University 100 Private 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV Hospitals Family Medicine Unit Other Facilities Total Specialist Physicians General Practitioners Medical Residents 34.677 6.301 7.930 1.145 20.239 0 1.064 6.520 0 36.886 33.060 7.930 Physicians Total Dentists Pharmacists Nurses Midwives Other Health Personnel Other Personnel and Procurement of Services TOTAL 48.908 2.265 1.599 76.947 23.833 67.166 21.384 0 0 6.922 12.647 1.815 7.584 5.375 503 10.535 11.623 38.346 77.876 7.640 2.102 94.404 48.103 107.327 174.848 11.788 9.823 196.459 395.566 54.556 83.789 533.911 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV THE MINISTRY of HEALTH of TURKEY 155 Human Resources for Health 7DEOH. 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0 229 - 753 130 316 419 234 157 101 105 81 136 201 353 422 379 3.341 699 1.185 1.430 1.224 942 822 4.201 2.094 3.125 4.285 3.702 3.966 3.866 6RXUFH*HQHUDO'LUHFWRUDWHRI +HDOWK6HUYLFHV 7DEOH. 1XPEHURI0HGLFDO5HVLGHQWV E\(GXFDWLRQ7HUPV <HDUV7XUNH\ Education Term Number of Entrance for Medical Residency Number of Graduated Specialist Physicians 2002-2003 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 4.040 4.644 3.828 5.792 4.295 4.752 5.346 2.408 3.223 3.721 5.101 4.982 4.228 - 6RXUFH663&+LJKHU(GXFDWLRQ6WDWLVWLFV 162 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 6SHFLDOLVW *HQHUDO 0HGLFDO 3K\VLFLDQV 'HQWLVWV 3K\VLFLDQV 3UDFWLWLRQHUV 5HVLGHQWV 7RWDO $GDQD 3KDUPDFLVWV 1XUVHV 0LGZLYHV 2WKHU+HDOWK 3HUVRQQHO $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 (GLUQH (OD]Õ÷ (U]LQFDQ (U]XUXP (VNLúHKLU *D]LDQWHS *LUHVXQ *PúKDQH +DNNDUL +DWD\ ,VSDUWD 0HUVLQ øVWDQEXO ø]PLU .DUV .DVWDPRQX 'L\DUEDNÕU .D\VHUL .ÕUNODUHOL .ÕUúHKLU .RFDHOL .RQ\D .WDK\D 0DODW\D 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV THE MINISTRY of HEALTH of TURKEY 163 Human Resources for Health 7DEOH6RPH+HDOWK,QGLFDWRUV E\3URYLQFHV 7XUNH\ Health Statistics Yearbook 2014 7DEOH6RPH+HDOWK,QGLFDWRUV E\3URYLQFHV 7XUNH\ &RQWLQXHG 6SHFLDOLVW *HQHUDO 0HGLFDO 3K\VLFLDQV 'HQWLVWV 3K\VLFLDQV 3UDFWLWLRQHUV 5HVLGHQWV 7RWDO 0DQLVD 3KDUPDFLVWV 1XUVHV 0LGZLYHV 2WKHU+HDOWK 3HUVRQQHO .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 <R]JDW =RQJXOGDN $NVDUD\ %D\EXUW .DUDPDQ .ÕUÕNNDOH %DWPDQ ùÕUQDN %DUWÕQ $UGDKDQ ,÷GÕU <DORYD .DUDEN .LOLV 2VPDQL\H ']FH 7XUNH\ 6RXUFH*HQHUDO'LUHFWRUDWHRI+HDOWK 6HUYLFHV*HQHUDO'LUHFWRUDWHRI0DQDJHPHQW6HUYLFHV 164 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; 7KH QXPEHUV RI WKH KHDOWK SHUVRQQHO ZRUNLQJ LQ WKH LQVWLWXWLRQV DQG RUJDQL]DWLRQV DIILOLDWHG WR WKH 0LQLVWU\ RI 1DWLRQDO 'HIHQFH DUH QRW LQFOXGHG LQ WKH QXPEHUV RI SHUVRQQHOEHIRUH ;+HDOWKFDUH 3URIHVVLRQDOV ZRUNLQJ LQ WKH IROORZLQJ EUDQFKHV ZHUH LQFOXGHG LQ WKH FDWHJRU\ RI ³2WKHU´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epairmen: Person who graduated from Vocational High School *Technician: Person who graduated from High School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tUDQVODWRUV DQG HGXFDWLRQDO SODQQHUV ZHUH LQFOXGHG LQ WKH QXPEHU RIWKHWHDFKLQJVWDIILQ+LJKHU(GXFDWLRQ,QVWLWXWLRQVIRU1XUVHVDQGMLGZLIHU\WUDLQLQJ VFKRROVSURYLGLQJHGXFDWLRQDWWKHXQGHUJUDGXDWHOHYHO T ; 663& VWDWLVWLFV KDV QRW MHW UHOHDVHG 7KXV UHODWHG JUDSKV DQG WDEOHV FRXOG QRW EH UHYLVHG Human Resources for Health +DON6D÷OÕ÷Õ.XUXPX¶QGDQDOÕQGÕ 7UNL\H+DON6D÷OÕ÷Õ.XUXPX¶QGDQDOÕQGÕ THE MINISTRY of HEALTH of TURKEY 165 . Health Economics and Financing Chapter 9 Health Economics and Financing . Health Statistics Yearbook 2014 7DEOH&XUUHQW,QYHVWPHQWDQG 7RWDO +HDOWK ([SHQGLWXUHE\<HDUV 7XUNH\ Unit GDP Million ༥ 104.596 4.786 1999 Million USD 261.489 11.965 Million PPP USD 522.980 23.930 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Million ༥ 166.658 7.888 Million USD 277.763 13.147 Million PPP USD 555.527 26.293 Million ༥ 240.224 12.086 Million USD 200.187 10.072 Million PPP USD 600.560 30.215 Million ༥ 350.476 18.331 Million USD 233.651 12.221 Million PPP USD 584.127 30.552 Million ༥ 454.781 23.676 Million USD 303.187 15.784 Million PPP USD 568.476 29.595 Million ༥ 559.033 28.616 Million USD 399.309 20.440 Million PPP USD 698.791 35.770 Million ༥ 648.932 33.292 Million USD 499.178 25.609 Million PPP USD 811.165 41.615 Million ༥ 758.391 40.949 Million USD 541.708 29.249 Million PPP USD 947.988 51.186 Million ༥ 843.178 46.495 Million USD 648.599 35.765 Million PPP USD 936.865 51.661 Million ༥ 950.534 52.320 Million USD 731.180 40.246 Million PPP USD 1.056.149 58.133 Million ༥ 952.559 55.294 Million USD 635.039 36.863 Million PPP USD 1.035.390 60.102 Million ༥ 1.098.799 58.623 Million USD 732.533 39.082 Million PPP USD 1.156.631 61.708 Million ༥ 1.297.713 65.372 Million USD 763.361 38.454 Million PPP USD 1.259.916 63.468 Million ༥ 1.416.798 70.288 Million USD 786.283 39.008 Million PPP USD 1.349.331 66.941 Million ༥ 1.561.510 79.702 Million USD 820.012 41.855 Million PPP USD 1.419.555 72.456 Proportion of the Current Health Expenditure to the GDP (%) Investment Expenditure 4,6 497,5 Proportion of Investment Expenditure to the GDP (%) Total Health Expenditure (Current + Investment) 0,2 12.463 199 4.985 995 600 8.248 0,2 1.200 258 4.262 41.173 5,2 70.656 4.688 2.462 5,3 74.189 0,3 3.715 5,1 40.357 66.609 3.901 2.165 5,6 68.607 0,3 3.142 5,0 41.119 64.924 3.236 1.904 6,1 61.678 0,3 3.215 5,0 38.607 62.947 3.054 2.036 6,1 57.911 0,3 2.843 5,3 44.415 64.156 2.616 1.744 6,0 57.740 0,6 6.022 5,8 39.157 56.560 5.420 4.169 5,8 50.904 0,5 4.899 5,5 31.478 55.086 4.409 3.392 5,4 44.069 0,4 3.900 5,5 27.199 44.199 3.120 2.229 5,4 35.359 0,3 2.584 5,4 21.444 37.526 2.067 1.590 5,3 30.021 0,3 1.756 5,1 16.186 30.349 1.405 1.004 5,4 24.279 0,1 754 5,1 12.516 31.290 603 402 5,2 18.774 0,1 738 5,2 10.330 30.990 443 295 4,9 12.396 0,1 775 5,2 13.747 27.493 310 5 4,8 24.925 360 4,7 Proportion of Total Health Expenditure to the GDP (%) 84.390 0,3 44.317 5,4 76.718 6RXUFH785.67$7 THE MINISTRY of HEALTH of TURKEY 169 Health Economics and Financing Current Health Expenditure Years Health Statistics Yearbook 2014 )LJXUH3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHDVD6KDUHRI*'3E\<HDUV7XUNH\ Year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 1,85 2,91 1,83 3,11 1,65 3,51 1,57 3,79 3,84 1,5 3,83 1,54 1,75 3,70 5,81 6,04 1,64 6,08 1,16 6,08 1,20 5,61 1,08 5,29 1,10 5,20 1,20 5,40 1,84 3,97 1,94 4,10 4,44 4,92 4,41 4,21 4,10 4,20 0 4,76 4,94 5,16 5,36 5,34 5,37 5,45 2 Public Health Expenditure 4 Private Health Expenditure 6 % GDP 6RXUFH785.67$7 )LJXUH+HDOWK([SHQGLWXUHDVD6KDUHRI*'3LQWKH2(&'&RXQWULHV 16,4 20 10 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 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 15 5 United States Netherlands Swiss Swedish Germany France Denmark Japan Belgium Canada Austria New Zeland Greece Portugal Spain Norway OECD Australia Italy Iceland Slovenia Finland United Kingdom Ireland Slovakia Israel Chile Hungary Czech Republic Korea Luxembourg Poland Mexico Estonia Turkey 0 Public 6RXUFH2(&'+HDOWK'DWD785.67$7 170 THE MINISTRY of HEALTH of TURKEY Private Health Statistics Yearbook 2014 )LJXUH3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHSHU&DSLWDE\<HDUV1RPLQDOLQ༥7XUNH\ Year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 48 31 79 81 47 128 130 60 190 201 83 284 261 102 363 316 127 350 443 166 434 516 201 635 491 233 724 593 219 651 812 153 664 804 181 738 845 190 928 782 205 987 871 0 200 400 239 600 Public Health Expenditure 800 1.110 1.000 1.200 ༥ Private Health Expenditure 6RXUFH785.67$7 )LJXUH 3XEOLF DQG 3ULYDWH +HDOWK ([SHQGLWXUH SHU &DSLWD DW 3ULFH /HYHO E\ <HDUV LQ ༥ 7XUNH\ 2004 723 2005 727 1.072 345 1.194 378 959 2010 901 2011 940 2012 915 2013 948 0 300 600 Public Health Expenditure 1.271 343 928 2009 1.251 403 849 2008 1.014 291 816 2007 918 258 660 2006 900 263 637 2003 873 276 597 2002 908 333 575 2001 868 341 528 2000 225 1.184 1.146 246 242 240 260 1.182 1.155 1.208 900 1.200 Private Health Expenditure ༥ 6RXUFH785.67$7 THE MINISTRY of HEALTH of TURKEY 171 Health Economics and Financing Year 1999 Health Statistics Yearbook 2014 )LJXUH3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHSHU&DSLWDE\<HDUVLQ867XUNH\ Year 1999 154 49 105 2002 187 55 133 2003 204 75 129 2001 187 73 114 2000 2004 242 68 174 2005 310 89 221 2006 382 123 259 2007 441 140 301 553 178 375 2008 2009 536 102 434 2010 443 2011 434 112 2012 434 114 2013 563 121 546 548 583 125 458 0 624 168 456 200 400 Public Health Expenditure 600 US $ Private Health Expenditure 6RXUFH785.67$7 )LJXUH3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHSHU&DSLWDE\<HDUV333867XUNH\ Year 1999 395 155 240 2000 289 168 2001 302 140 2002 330 136 2003 339 132 2004 466 471 813 262 552 2008 738 234 505 2007 622 200 422 2006 547 157 390 2005 457 442 2009 707 166 2010 699 190 2011 889 200 400 Public Health Expenditure 6RXUFH785.67$7 172 THE MINISTRY of HEALTH of TURKEY 937 218 793 0 901 195 743 2013 874 184 717 2012 913 246 667 600 800 Private Health Expenditure 1011 1.000 PPP US $ Health Statistics Yearbook 2014 10.000 9.000 8.713 )LJXUH3XEOLFDQG3ULYDWH+HDOWK([SHQGLWXUHSHU&DSLWDLQ2(&'&RXQWULHV33386 6.325 5.862 5.131 4.904 4.819 4.553 4.553 4.371 4.351 4.256 4.124 3.866 3.713 3.677 3.663 3.453 3.442 3.328 3.235 3.077 2.928 2.511 2.482 2.428 2.366 2.275 2.040 2.010 1.719 1.623 1.542 1.530 1.048 1.011 8.000 7.000 6.000 5.000 4.000 3.000 2.000 1.000 United States Swiss Norway Netherlands Swedish Germany Denmark Austria Luxembourg Canada Belgium France Australia Japan Iceland Ireland OECD Finland New Zeland United Kingdom Italy Spain Slovenia Portugal Israel Greece Korea Czech Republic Slovakia Hungary Chile Estonia Poland Mexico Turkey 0 6RXUFH2(&'+HDOWK'DWD785.67$7 )LJXUH2XWRI3RFNHW+HDOWK([SHQGLWXUHSHU&DSLWDE\<HDUV1RPLQDOLQ༥7XUNH\ Year 1999 23 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 35 43 56 67 85 117 139 158 141 113 138 143 156 186 40 80 120 160 200 ༥ 6RXUFH785.67$7 THE MINISTRY of HEALTH of TURKEY 173 Health Economics and Financing 0 Health Statistics Yearbook 2014 )LJXUH2XWRI3RFNHW+HDOWK([SHQGLWXUHSHU&DSLWDDW 3ULFH/HYHOLQ༥7XUNH\ Year 1999 2000 253 248 2001 198 2002 2003 178 170 2004 2005 194 243 2006 261 2007 2008 273 221 2009 166 2010 2011 187 182 2012 2013 183 202 0 50 100 150 200 250 300 ༥ 6RXUFH785.67$7 )LJXUH2XWRI3RFNHW([SHQGLWXUHSHU&DSLWDE\<HDUVLQ867XUNH\ Year 1999 54 2000 56 2001 35 2002 37 2003 45 2004 59 2005 87 2006 97 2007 121 2008 108 2009 75 2010 92 2011 84 2012 87 2013 98 0 40 80 120 US $ 6RXUFH785.67$7 174 THE MINISTRY of HEALTH of TURKEY Health Statistics Yearbook 2014 )LJXUH2XWRI3RFNHW([SHQGLWXUHSHU&DSLWDE\<HDUV333867XUNH\ Year 1999 115 2000 125 2001 100 2002 92 2003 87 2004 105 2005 141 2006 162 2007 178 2008 147 2009 123 2010 145 2011 139 2012 148 2013 170 0 50 100 150 200 PPP US $ 6RXUFH785.67$7 )LJXUH. 2XWRI3RFNHW([SHQGLWXUHDVD6KDUHRI7RWDO+HDOWK([SHQGLWXUHE\<HDUV 7XUNH\ Year 1999 29,1 2000 27,6 2001 22,8 2002 19,8 2003 18,5 2004 19,2 2005 22,8 2006 22,0 2007 21,8 2008 17,4 2009 14,1 2010 16,3 2011 15,4 2012 15,8 2013 16,8 0 10 20 30 6RXUFH785.67$7 THE MINISTRY of HEALTH of TURKEY 175 Health Economics and Financing % Mexico Korea Chile Greece Hungary Portugal Israel Swiss Poland Slovakia Spain Estonia Italy Australia OECD Dinlandi to Belgium Iceland Austria Ireland Turkey Swedish Czech Republic Norway Canada Japan Denmark Germany New Zeland Slovenia United States Luxembourg United Kingdom France Netherlands 30 15 36,9 33,0 30,7 28,1 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 12,3 11,6 9,9 6,7 5,3 44,7 45 100 75 0 Public Netherlands United Kingdom Norway Denmark Czech Republic Swedish Japan Luxembourg Iceland New Zeland France Turkey Belgium Estonia Italy Germany Austria Dinlandi to Slovakia OECD Spain Slovenia Canada Poland Ireland Australia Swiss Portugal Greece Hungary Israel Korea Mexico United States Chile Health Statistics Yearbook 2014 )LJXUH2XWRI3RFNHW([SHQGLWXUHDVD6KDUHRI7RWDO+HDOWK([SHQGLWXUHVLQ2(&'&RXQWULHV 0 6RXUFH2(&'+HDOWK'DWD785.67$7 )LJXUH+HDOWK([SHQGLWXUHE\)LQDQFLQJ7\SHLQWKH2(&'&RXQWULHV 0 2 1 1 3 1 1 4 7 5 4 6 2 8 6 6 6 7 3 7 4 8 8 6 10 6 15 15 12 15 16 15 5 10 15 14 15 15 14 12 18 21 22 17 18 13 23 13 17 19 19 22 24 7 31 40 28 28 13 14 17 20 26 26 37 45 33 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 12 25 Out-of-Pocket 6RXUFH2(&'+HDOWK'DWD785.67$7 176 THE MINISTRY of HEALTH of TURKEY Other Private 59 56 51 48 46 Health Statistics Yearbook 2014 )LJXUH1RQ,QWHUHVW([SHQGLWXUHVDQG3XEOLF+HDOWK([SHQGLWXUHVE\<HDUVLQ0LOOLRQ༥7XUNH\ 75.000 600.000 564.272 62.447 500.000 483.261 400.000 60.000 55.648 45.000 300.000 30.000 200.000 119.020 100.000 17.462 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 15.000 Non-Interest Expenditures 119.020 141.012 165.925 205.449 235.157 277.147 327.551 373.269 434.392 483.261 564.272 Public Health Expenditures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¶VGDWDEHORQJVWR. THE MINISTRY of HEALTH of TURKEY 177 Health Economics and Financing 0 Switzerland Korea Mexico Chile Portugal Belgium Hungary Greece Israel Ireland Spain Swedish Iceland Australia Slovakia Finland OECD Austria USA Norway Denmark Canada Italy Germany Luxembourg Poland Japan Czech Republic Estonia new Zealand Slovenia France Netherlands United Kingdom Turkey 1 Health Statistics Yearbook 2014 ([SODQDWLRQVIRU&KDSWHU ; 7DEOHV DQG JUDSKV RQ KHDOWK H[SHQGLWXUHV ZHUH PDGH DFFRUGLQJ WR WKH 2(&' +HDOWK $FFRXQWV 6\VWHP 7KH\ ZHUH FDOFXODWHG E\ WKH 0LQLVWU\ RI +HDOWK *HQHUDO 'LUHFWRUDWH RI +HDOWK 5HVHDUFK 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
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