Ministry of Health, Republic of Türkiye

Health Statistics Department, The General Directorate of Health Information Systems 

Dumlupinar Bulvari Sehit Mehmet Bayraktar Caddesi (Old name was 6001. Cadde) No:9 Kat:3 Cankaya/ANKARA TÜRKİYE Postal Code: 06800

Statistics on healthcare non-expenditure provide information on healthcare human resources, healthcare facilities, and healthcare utilisation.

- The people active in the healthcare sector (doctors, dentists, nurses, etc.) and their status (graduates, practising, migration of doctors and nurses, etc.);

- The available healthcare technical resources and facilities (hospital beds, beds in residential care facilities, medical technology, etc.);

- The health activities or patient contacts undertaken (hospital discharges, surgical procedures, ambulatory care data, etc.).

Annual national and regional (NUTS-2 Level) data are provided in absolute numbers or as a rate of a relevant population.

Data are based mainly on national registration system records (see section 18.1 ‘Source data’ for more information).

For the collection data on healthcare non- expenditure, the classifications used in the System of Health Accounts (SHA) and its related set of International Classification for the Health Accounts are applied.

For hospital discharges, the International Shortlist for Hospital Morbidity Tabulation (ISHMT) is used. 

For Health Employment, the Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications apply.

Definitions of mandatory variables are laid down in Commission Regulation (EU) 2022/2294.

Where possible, the statistics are separated by sex (male/female), age group and NUTS2 region.

The Eurostat manual on healthcare non-expenditure statistics provides an overview of the classifications, both for mandatory variables and variables provided on voluntary basis.

National deviations: see Annex at the bottom of the page.

All Public Health Sectors (etc. Ministry of Health, Universities, Private and Others)

The healthcare non-expenditure statistics describe the public health sector from a non-monetary perspective. The statistics explain the number or rate of different healthcare resources, facilities and utilisations. A wide range of indicators are collected from different applicable National Sources and National Registration Systems and therefore, details pertaining to individual variables are given in the Annex.

Definitions of mandatory variables are laid down in Commission Regulation (EU) 2022/2294.

The Eurostat manual on healthcare non-expenditure statistics provides an overview of the classifications, both for mandatory variables and variables provided on voluntary basis.

National changes of statistical concepts and national definitions deviating from Regulation (EU) 2022/2294: see Annex at the bottom of the page.

Registered health professionals or health care facility categories.

(1) all available and applicable health care staff
(2) all available beds or equipment in hospitals 
(3) all discharges or procedures performed in all hospitals

National Territory of Republic of Türkiye.

See Annex Attached

Not applicable

Absolute numbers at end of reference period/average number during reference period.
Rate of phenomenon per reference population (e.g. per 100 000 inhabitants).

Calendar Year for the indicators which are available in 'Eurostat Module', 'Health Activities' and 'Physical Resources'.

Calendar Year and End of the academic year for the indicators which are available in 'Health Employment'.

Calendar Year and End of calendar year for the indicators which are available in 'Workforce Migration'.

Regulation on Community statistics on public health and health and safety at work (EC) No 1338/2008 

Commission Regulation (EU) 2022/2294 on statistics on healthcare facilities, healthcare human resources and healthcare utilisation 

Gentlemen’s agreement

Türkiye Personal Data Protection Law: In subparagraph (b) of the first paragraph of Article 28 of Personal Data Protection Law numbered 6698, titled "Exceptions", "Processing personal data for purposes such as research, planning and statistics by anonymizing them with official statistics." provision is included. The provisions of the Law are not applied to the data processed for the purposes specified in the said provision. (https://www.kvkk.gov.tr/Icerik/6649/Personal-Data-Protection-Law)

Türkiye Regulation of Personal Health Data: In the first paragraph of Article 16 titled "Processing for Scientific Purposes" of the Regulation on Personal Health Data, "Scientific work can be carried out with the personal health data anonymized by the data controller within the scope of subparagraph (b) of the first paragraph of Article 28 of the Law." provision is included. (https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=32610&MevzuatTur=7&MevzuatTertip=5)

Joint Questionnaire on Non-Monetary Health Care Statistics, which is carried by Eurostat, OECD and WHO-Europe.

Constitution Of The Republic Of Türkiye & Rules Of Procedure Of The Grand National Assembly Of Türkiye Under 'Privacy of private life' Article 20 Act.4709 and Act.5982

Türkiye Personal Data Protection Law: In subparagraph (b) of the first paragraph of Article 28 of Personal Data Protection Law numbered 6698, titled "Exceptions", "Processing personal data for purposes such as research, planning and statistics by anonymizing them with official statistics." provision is included. The provisions of the Law are not applied to the data processed for the purposes specified in the said provision. (https://www.kvkk.gov.tr/Icerik/6649/Personal-Data-Protection-Law)

Türkiye Regulation of Personal Health Data: In the first paragraph of Article 16 titled "Processing for Scientific Purposes" of the Regulation on Personal Health Data, "Scientific work can be carried out with the personal health data anonymized by the data controller within the scope of subparagraph (b) of the first paragraph of Article 28 of the Law." provision is included. (https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=32610&MevzuatTur=7&MevzuatTertip=5)

Constitution Of The Republic Of Türkiye & Rules Of Procedure Of The Grand National Assembly Of Türkiye Under 'Privacy of private life' Article 20 Act.4709 and Act.5982

Türkiye Personal Data Protection Law: In subparagraph (b) of the first paragraph of Article 28 of Personal Data Protection Law numbered 6698, titled "Exceptions", "Processing personal data for purposes such as research, planning and statistics by anonymizing them with official statistics." provision is included. The provisions of the Law are not applied to the data processed for the purposes specified in the said provision. (https://www.kvkk.gov.tr/Icerik/6649/Personal-Data-Protection-Law)

Türkiye Regulation of Personal Health Data: In the first paragraph of Article 16 titled "Processing for Scientific Purposes" of the Regulation on Personal Health Data, "Scientific work can be carried out with the personal health data anonymized by the data controller within the scope of subparagraph (b) of the first paragraph of Article 28 of the Law." provision is included. (https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=32610&MevzuatTur=7&MevzuatTertip=5)

National Data Release calendar can be found https://www.tuik.gov.tr/Kurumsal/Veri_Takvimi# and it is publicly accessible.

https://www.tuik.gov.tr/Kurumsal/Veri_Takvimi#

Users informed publicly with news bulletin published in public announcement in websites of TURKSTAT (https://www.tuik.gov.tr/Home/Index) and Ministry of Health's (https://www.saglik.gov.tr/TR,11693/duyurular.html).

Annually

Annually

Health Statistics published by Ministry of Health annually and can be found in https://www.saglik.gov.tr/TR,84930/saglik-istatistikleri-yilliklari.html

Online database is accessible with QR code printed on published National Statistics Yearbooks

Microdata can be provided under "Bilgi Edinme Hakkı Kanunu/Right to Information Act" with data confidentiality and protection standards regarding "Türkiye Personal Data Protection Law", "Türkiye Regulation of Personal Health Data and Regulation About Procedures" and "Principles of Data Privacy and Confidential Data Security of Official Statistics".

None

Türkiye use European Statistics Code of Practice (https://www.tuik.gov.tr/Kurumsal/Avrupa_Istatistikleri_Uygulama_Esaslari) and international metadata standards. 

Health Coding Reference Server (Sağlık Kodlama Referans Sunucusu-SKRS) is a reference server that contains the coding and classification standards used in Health Information Management Systems, it presents the data used in the health field to the user in a codable structure and ensures that a common language is used in data transmission.

e-Nabız Guide; e-Nabız is a system put into service by the Ministry of Health, which collects the transactions made in all institutions providing health services in Turkey under a common database and enables the data to be shared with the relevant institutions. Institutions providing health services create a data set (package) in xml structure and send it to e-Nabız, using the relevant methods within the framework of the determined standards.

In Türkiye, European Statistics Code of Practice (CoP) which adopted by the Statistical Programme Committee (SPC) and revised in 2017 used for National Statistics. https://ec.europa.eu/eurostat/documents/4031688/8971242/KS-02-18-142-EN-N.pdf/e7f85f07-91db-4312-8118-f729c75878c7?t=1528447068000

Not available.

The main users of the data are national policy-makers and national/international statistical offices which use the data for country comparisons, health policy papers and health strategies. Researchers and the general public are also using the data.

No explicit user satisfaction measurement is done for data use.

Data are considered to be complete.

Data is accurate.

Not applicable as the data are based on administrative data and not on surveys.

Not applicable as the data are based on administrative data and not on surveys.

Dissemination of data;

Difference (months) between the date of publication of the final results and the last date of the reference period (N)=N+9

National dissemination of data; Made by timelines of Turkish Statistical Office's National Data Release Calender. (https://www.tuik.gov.tr/Kurumsal/Veri_Takvimi#) 

International dissemination of data; based on scheduled release dates of EUROSTAT

Data is shared in accordance with national and international timelines.

Data is comparable geographically.

Data is generally comparable overtime, despite breaks in time series. See Annex at the bottom of the page for potential breaks in time series for each variable.

Data is coherent with those obtained through other data sources.

Each set of outputs are internally consistent.

Not available.

The general Eurostat revision policy and TURKSTAT revision policy are applied. (https://www.tuik.gov.tr/Kurumsal/Revizyon_Politikasi#)

If data sharing has already been done and revision needed for current or previous year data/metadata, revised data/metadata is prepared for the next data request or result validation process. 

If data sharing has not done yet, reported revisions are corrected in the disseminated data/metadata as soon as the correct informations have been provided.

Source data for the different variables are given in the Annex at the bottom of the page.

Annually.

See footnotes in annex for related indicator.

Türkiye applies automatic and manual validation checks to the data and metadata.

Consistency checks: comparing the statistics with previous years, investigating inconsistencies in the statistics, performing macro data editing, outlier detection. Comparison of validation results with national and international published data.

See footnotes in annex for related indicator.

See footnotes in annex for related indicator.

See Footnotes in the Annex.