Türkiye’de 65 Yaş ve Üstü Bireylerde Karşılanmayan Sağlık Hizmeti Gereksinimleri ve Sosyoekonomik Belirleyiciler: 2019-2022 Dönemine Yönelik Bir Değerlendirme

Aim: This study aims to evaluate the challenges faced by elderly individuals in accessing healthcare services due to the progressively aging population in Turkey. It examines the unmet healthcare needs of individuals aged 65 and over in Turkey, their association with socioeconomic factors, and changes over time. Materials and Methods: The research utilizes data from the Turkish Statistical Institute’s Health Surveys for the years 2019 and 2022. Data on unmet healthcare needs of individuals aged 65 and over were analyzed using Chi-square tests and binary logistic regression.Results: In relation to delays in appointment scheduling, income (OR = 1.179, p = 0.003), disability status (OR = 1.230, p = 0.005), and general health status (OR = 0.763, p < 0.001) were found to be significant determinants. Regarding access to healthcare services, lack of social support (OR = 0.566, p = 0.001), income level (OR = 0.743, p < 0.001), and geographical region (OR = 1.066, p < 0.001) emerged as important factors. In terms of access to medical care due to financial difficulties, income level (OR = 0.573, p < 0.001), general health status (OR = 0.613, p < 0.001), and disability status (OR = 2.595, p < 0.001) were prominent.Conclusion: The findings indicate that structural and socioeconomic factors are key determinants in the elderly population’s access to and utilization of healthcare services. In order to ensure equity in healthcare, it is essential to develop policies that address the specific needs of elderly individuals.