Department of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University,O6100, Sihhiye Campus, Ankara, Turkey.
Health Policy. 2010 May;95(2-3):185-93. doi: 10.1016/j.healthpol.2009.11.020. Epub 2009 Dec 23.
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.
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 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.
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.
在土耳其，透析患者人数、提供者和透析支出稳步增长，透析行业效率方面的前期研究有限。本研究旨在考察土耳其透析治疗生产者的技术效率。
使用来自 2008 年土耳其透析统计年鉴的横截面数据，共涉及 830 家透析机构。使用数据包络分析技术衡量效率。
从投入导向的可变规模报酬模型得出的结果显示，仅有 3%的设施具有技术效率，投入减少了 50%。发现独立、私营、与国际连锁机构有关联、较老和位于伊斯坦布尔的设施的平均效率得分更高。
应将提高土耳其透析生产效率提上优先议程，同时仔细评估已实施的变革对效率的影响。
