ArticleHealth services research2014
Efficiency of U.S. dialysis centers: an updated examination of facility characteristics that influence production of dialysis treatments.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Benchmarking the medication efficiency and technological progress of diabetes drugs.Frontiers in public health · 2024Article
- Efficiency and management factors: finding the balance in Thalassaemia care centres.Health economics review · 2022Article
- Global Dialysis Perspective: United States.Kidney360 · 2020Article
- Efficiency of the implementation of cardiovascular risk management in primary care practices: an observational study.Implementation science : IS · 2016Observational
- Improving the effectiveness of service delivery in the public healthcare sector: the case of ophthalmology services in Malaysia.BMC health services research · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo 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
settingMedicare cost report data from 4,343 free-standing dialysis facilities in the United States that offered in-center hemodialysis in 2010. STUDY
designA cross-sectional, facility-level retrospective database analysis, utilizing data envelopment analysis (DEA) to estimate facility efficiency. DATA COLLECTION/EXTRACTION
methodsTreatment 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
findingsOnly 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.
conclusionsThe 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.
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Registered trials
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