{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T14:34:19Z","timestamp":1781706859766,"version":"3.54.5"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T00:00:00Z","timestamp":1518393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The Turkish Health Transformation Program, initiated in 2003, has identified achieving universal access to health care as 1 of its main tenets. To date, substantial progress has been made toward universal health coverage. Service utilization statistics display an upward trend. In this study, we use official and nationally representative microdata collected by the Turkish Health Research Surveys to examine young children's (ages 0\u20105) utilization of health services. Children in this age group deserve special attention because adverse health conditions in early childhood are known to have long\u2010time consequences. Policy makers regularly monitor statistics such as infant mortality rate and under\u20105 mortality rate. We conduct logistic regression analyses to explain the probabilities of being taken to a health institution, to a dentist, and being included in the newborn screening program. We use a rich set of explanatory variables that represent the socioeconomic status (SES) of the child's household. Contrary to our expectations and to the goals of universal health coverage is SES indicators such as the insurance ownership of the parent matter for utilization. Decomposition analyses confirm these findings and reveal that the increase in utilization should have been higher than observed. Children from low SES households should be given special attention and that research efforts should focus on identifying the barriers that still hinder children's utilization of health\u2010care services.<\/jats:p>","DOI":"10.1002\/hpm.2504","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T13:16:36Z","timestamp":1518441396000},"page":"596-613","source":"Crossref","is-referenced-by-count":7,"title":["Utilization of health\u2010care services by young children: The aftermath of the Turkish Health Transformation Program"],"prefix":"10.1002","volume":"33","author":[{"given":"Asena","family":"Caner","sequence":"first","affiliation":[{"name":"Department of Economics TOBB University of Economics and Technology Sogutozu Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8000-8613","authenticated-orcid":false,"given":"Deniz","family":"Karao\u011flan","sequence":"additional","affiliation":[{"name":"Department of Economics Bahcesehir University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fclbiye","family":"Ya\u015far","sequence":"additional","affiliation":[{"name":"Department of Healthcare Management, Health Sciences Faculty Ankara University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckx160"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2004.09.008"},{"issue":"6","key":"e_1_2_9_4_1","first-page":"717","article-title":"A framework for assessing the performance of health systems","volume":"78","author":"Murray CJL","year":"2000","journal-title":"Bull World Health OrganBull World Health Organ"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31698-1"},{"key":"e_1_2_9_6_1","volume-title":"Sustainable Development Goals, Goal 3","author":"United Nations","year":"2015"},{"key":"e_1_2_9_7_1","volume-title":"Reaching Universal Coverage Via Social Health Insurance: Key Design Features in the Transition Period","author":"Carrin G","year":"2004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.1079"},{"key":"e_1_2_9_9_1","volume-title":"Towards Universal Health Care Coverage Goal\u2010oriented Framework for Policy Analysis","author":"Kutzin J","year":"2013"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czt002"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.02.015"},{"key":"e_1_2_9_12_1","unstructured":"SavasBS KarahanO SakaRO.Health care systems in transition: Turkey.2002;4(4)."},{"key":"e_1_2_9_13_1","volume-title":"Health Transformation Programme","author":"The MoH of Turkey","year":"2003"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","DOI":"10.1596\/14824","volume-title":"Turkey\u2014Reforming the Health Sector for Improved Access and Efficiency","author":"World Bank","year":"2003"},{"key":"e_1_2_9_15_1","volume-title":"OECD Reviews of Health Systems: Turkey","author":"OECD\u2010WB","year":"2008"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.1065"},{"issue":"6","key":"e_1_2_9_17_1","first-page":"1","article-title":"Turkey: health system review","volume":"13","author":"Tatar M","year":"2011","journal-title":"Health Syst Transit"},{"key":"e_1_2_9_18_1","volume-title":"Successful Health Systems Reforms: The Case of Turkey","author":"Johansen A","year":"2012"},{"key":"e_1_2_9_19_1","volume-title":"Turkey Health Transformation Program Assessment Report (2003\u20132011)","author":"Erko\u00e7 Y.","year":"2012"},{"issue":"6","key":"e_1_2_9_20_1","first-page":"403","article-title":"THE LANCET\u2019 SA\u011eLIKTA D\u00d6N\u00dc\u015e\u00dcM PROGRAMI'NIN \u2018BA\u015eARILARI'NI D\u00dcNYAYA PAZARLIYOR (\u2018The Lancet\u2019 markets the \u2018successes\u2019 of transformation in health internationally)","volume":"28","author":"Civaner MM","year":"2013","journal-title":"Toplum Ve Hekim"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61051-X"},{"key":"e_1_2_9_22_1","volume-title":"T\u00fcrkiye'de Sa\u011fl\u0131k E\u011fitimi ve Sa\u011fl\u0131k \u0130nsang\u00fcc\u00fc Durum Raporu (Status Report on Health Education and Manpower in Turkey)","author":"Y\u00d6K","year":"2014"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c7456"},{"key":"e_1_2_9_24_1","unstructured":"Official Gazette \u201cOfficial Gazette. 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