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Measurement of efficiency of the dialysis sector in Turkey using data envelopment analysis

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  • Özgen, Hacer
  • Sahin, Ismet

Abstract

Objectives Limited prior work exists on the efficiency of the dialysis sector characterized by steady increase in the dialysis population, providers, and dialysis expenditures in Turkey. The study aimed to examine technical efficiency among producers of dialysis treatment in Turkey.Methods Cross-sectional data were used from the 2008 Turkish Statistical Yearbook of Dialysis for total 830 dialysis facilities. Efficiency was measured using data envelopment analysis technique.Results Results drawn from an input-oriented variable-returns-to-scale model showed technical efficiency from only 3% of facilities, as well as 50% reduction in inputs. Mean efficiency score was found higher among facilities that were freestanding, private, affiliated with international chains, older, and located in Istanbul.Conclusion Efficiency enhancement in dialysis production in Turkey should be placed on the priority agenda, along with careful evaluation of impact of the already-inserted changes on efficiency.

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  • Özgen, Hacer & Sahin, Ismet, 2010. "Measurement of efficiency of the dialysis sector in Turkey using data envelopment analysis," Health Policy, Elsevier, vol. 95(2-3), pages 185-193, May.
    • Handle: RePEc:eee:hepoli:v:95:y:2010:i:2-3:p:185-193
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    Cited by:

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    2. Junli Zhu & Xinrui Song, 2022. "Changes in efficiency of tertiary public general hospitals during the reform of public hospitals in Beijing, China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 143-155, January.
    3. Akkan, Can & Karadayi, Melis Almula & Ekinci, Yeliz & Ülengin, Füsun & Uray, Nimet & Karaosmanoğlu, Elif, 2020. "Efficiency analysis of emergency departments in metropolitan areas," Socio-Economic Planning Sciences, Elsevier, vol. 69(C).
    4. Abdullah Üstün & Gülay Barbarosoğlu, 2015. "Performance evaluation of Turkish disaster relief management system in 1999 earthquakes using data envelopment analysis," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 75(2), pages 1977-1996, January.
    5. David Dreyfus & Anand Nair & Srinivas Talluri, 2020. "The Impact of Chain Organization Size on Efficiency and Quality of Affiliated Facilities—Implications for Multi‐Unit Organizational Forms," Production and Operations Management, Production and Operations Management Society, vol. 29(7), pages 1605-1623, July.

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