Spatial distribution of healthcare access and utilization: do they affect health outcomes in Turkey?

Abstract

This paper examines the link between healthcare access/utilization and health outcomes in Turkey within a spatial framework. Our initial set of findings highlight an overall duality in health indicators which is getting stronger once a spatial dimension is included. Specifically we find wider spatial dichotomy for health outcomes relative to access and utilization measures. Finally once we consider unobserved heterogeneity, spatial spillovers and spatial variability; our results pinpoint a non-robust link between healthcare access/utilization measures and health outcomes which works better among the already developed regions of Turkey. Overall, our combined results indicate an ongoing polarization of health-based human capital development which coincides with local variations of the relationship between healthcare access/utilization and outcomes in Turkey.