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


CONCLUSIONS
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.
Ozgen
Hacer
H
Department of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University,O6100, Sihhiye Campus, Ankara, Turkey. hozgen@hacettepe.edu.tr
Sahin
Ismet
I
D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D002201:Capital Expenditures / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003627:Data Interpretation, Statistical; D017598:Efficiency, Organizational; D006292:Health Priorities; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006436:Hemodialysis Units, Hospital / Q000458:organization & administration*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy; D015233:Models, Statistical; D009935:Organizational Affiliation; D010067:Ownership; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D006435:Renal Dialysis / Q000592:standards / Q000706:statistics & numerical data*; D018709:Statistics, Nonparametric; D014421:Turkey / Q000453:epidemiology