Evaluating the Relationship Between Public Health Investments and the Financial Development of the Private Health Insurance Market in the Context of Marketing Signals

Sabit Uygun, Ömer Faruk Karaca and Esat Saygin

Fiscaoeconomia, 2026, issue 1

Abstract: This study focuses on the impact of the increase in public, private, and university healthcare institutions within the new system shaped by the Health Transformation Program, which began in 2003, on the demand for private insurance. It aims to determine how the expansion of healthcare infrastructure affects consumer demand for insurance products and premium production. Using correlation and regression analyses, the relationships between the ratio of private health insurance policyholders to the population, real changes in insurance premiums, and the number of healthcare institutions (public, private, and university) were examined. According to the analysis results, the increase in the number of public healthcare institutions has a statistically significant effect on the real increase in private health insurance premium revenues. Contrary to traditional expectations, it shows that the increase in state investments is the fundamental dynamic driving the growth of the private health insurance market in Turkey. This unexpected result highlights the public capacity of health investments to act as a catalyst for increasing access to services and marketing initiatives in the field of health financing.

Keywords: Health Transformation Program; Public Investments; Private Health Insurance; Marketing Signal (search for similar items in EconPapers)
JEL-codes: C21 G20 J11 O16 (search for similar items in EconPapers)
Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:fis:journl:260136

DOI: 10.25295/fsecon.1785326

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