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Efficiency measurement of hemodialysis units in Greece with data envelopment analysis

Efficiency measurement of hemodialysis units in Greece with data envelopment analysis,10.1016/j.healthpol.2004.08.004,Health Policy,Nick Kontodimopoul

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Efficiency measurement of hemodialysis units in Greece with data envelopment analysis   (Citations: 14)
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This paper reports on a study of the suitability of data envelopment analysis for measuring efficiency of hemodialysis units in Greece. The sample consists of 118 such units operating in the public and private sector. Production characteristics were designated in terms of two input measures – nursing staff and dialysis machines – and one output measure, namely the number of patients treated per month. The DEA model selected was input oriented, allowed for variable returns to scale and the units were ranked according to a benchmarking approach. The results yielded mean efficiency scores of 65.04% and 82.21% for the public sector and private sector units, respectively. Independent sample t-tests showed statistically significant differences between these scores. The units were also classified, according to location, as either being in Athens, Thessalonica or another region and the procedure was repeated. The results yielded mean efficiency scores of 58.89%, 61.48% and 67.51%, respectively. Comparison, in this case, indicated significant differences between the public sector units located Athens from those located in Thessalonica or elsewhere. The overall findings are encouraging for the potential of DEA in this setting and generate the need for further research in order to validate any conclusions.
Journal: Health Policy , vol. 71, no. 2, pp. 195-204, 2005
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    • ...Kontodimopoulos and Niakas have found encouraging results for measuring efficiency of hemo-dialysis units in Greece [8]...

    Saeedeh Ketabi. Efficiency Measurement of Cardiac Care Units of Isfahan Hospitals in I...

    • ...The only study to date to cross-sectionally examine dialysis production in Greece, using Data Envelopment Analysis (DEA), showed room for considerable efficiency improvement, particularly for public facilities [2]...
    • ...Lately, DEA has also been used to study efficiency in the context of dialysis [2,10,11]...
    • ...Private sector facilities score much higher (P < 0.01), in terms of efficiency, compared to their public sector counterparts and this is consistent with results from other cross-sectional studies [2,10,33]...
    • ...Therefore, it seems reasonable for policymakers to focus attention on productivity in this sector, which has been already shown to suffer from lower technical efficiency [2]...

    Nick Kontodimopoulos, et al. A 12-year Analysis of Malmquist Total Factor Productivity in Dialysis ...

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