Abstract:

Health financing models adopted by countries affect their access to health services and thus health indicators. For this reason, the information obtained by comparing the health indicators of the countries and evaluating them according to the financing models is important. In this study, it is aimed to weight health indicators with AHP (Analytical Hierarchy Process) and to rank OECD countries with TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) method. Different from the studies in the literature, the data obtained and the evaluation of OECD countries according to health financing methods constitute the original side of the study. In the pairwise comparisons of health indicators, opinions of four experts were taken with the nine-scale scale developed by Saaty (2000). Maternal mortality rate was found to be the most effective criterion within the scope of the AHP method. The least effective criterion was the criterion of hospital beds per thousand people. With the criteria weights, OECD countries were ranked according to the TOPSIS method using 2019 data. As a result of the study, Norway, which adopted the Beveridge Model, ranked first, and Switzerland, which adopted the Bismarck Model, ranked second. The USA, which adopts the private financing method, ranked twenty-seventh, while Turkey, which adopted the mixed financing model, ranked twenty-ninth. In order to improve Turkey's health level indicators; access to health services should be facilitated and health services should be financed in the most efficient way.

Keywords: