Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\24237043
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Health+Serv+Res
2014 ; 49
(3
): 838-57
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Efficiency of U S dialysis centers: an updated examination of facility
characteristics that influence production of dialysis treatments
#MMPMID24237043
Shreay S
; Ma M
; McCluskey J
; Mittelhammer RC
; Gitlin M
; Stephens JM
Health Serv Res
2014[Jun]; 49
(3
): 838-57
PMID24237043
show ga
OBJECTIVE: To explore the relative efficiency of dialysis facilities in the
United States and identify factors that are associated with efficiency in the
production of dialysis treatments. DATA SOURCES/STUDY SETTING: Medicare cost
report data from 4,343 free-standing dialysis facilities in the United States
that offered in-center hemodialysis in 2010. STUDY DESIGN: A cross-sectional,
facility-level retrospective database analysis, utilizing data envelopment
analysis (DEA) to estimate facility efficiency. DATA COLLECTION/EXTRACTION
METHODS: Treatment data and cost and labor inputs of dialysis treatments were
obtained from 2010 Medicare Renal Cost Reports. Demographic data were obtained
from the 2010 U.S. Census. PRINCIPAL FINDINGS: Only 26.6 percent of facilities
were technically efficient. Neither the intensity of market competition nor the
profit status of the facility had a significant effect on efficiency. Facilities
that were members of large chains were less likely to be efficient. Cost and
labor savings due to changes in drug protocols had little effect on overall
dialysis center efficiency. CONCLUSIONS: The majority of free-standing dialysis
facilities in the United States were functioning in a technically inefficient
manner. As payment systems increasingly employ capitation and bundling
provisions, these institutions will need to evaluate their efficiency to remain
competitive.
|*Efficiency, Organizational
[MESH]
|*Renal Dialysis
[MESH]
|Aged
[MESH]
|Ambulatory Care Facilities/*standards/*statistics & numerical data
[MESH]