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Comparison of apparent efficiency of haemodialysis satellite units in England and Wales using data envelopment analysis

Comparison of apparent efficiency of haemodialysis satellite units in England and Wales using data envelopment analysis
Comparison of apparent efficiency of haemodialysis satellite units in England and Wales using data envelopment analysis
Objectives: To expand care for chronic haemodialysis (HD) patients throughout England and Wales by studying two aspects of service delivery that are important: to identify relative performance of haemodialysis satellite units (HDSUs), and understand the factors that influence the performance. As a first step toward these aspects, this work reports a study of apparent comparative efficiency in the delivery of HDSUs and demonstrates the potential of data envelopment analysis (DEA).
Methods: DEA was applied to data obtained from a national survey of the organizational structures and processes of delivering care at HDSUs in England and Wales.
Results: DEA was found to be a judicious approach for performance assessment of HDSUs, although valid results depend on appropriate model specification and quality of data available. The available data were not of sufficient comprehensiveness or quality to produce definitive results but suggested that overall efficiency could improve; these data suggested by as much as 10% overall (mean efficiency score 90%) and variably within the sample (46 [65%] that HDSUs were potentially inefficient, the lowest unit scoring 38%).
Conclusions: Addressing questions raised by comparative inefficiency could help plans to improve capacity to deal with the growing demand for HD delivered in HDSUs. The application was an important start and needs to be followed by further research to establish model validity and obtain authoritative results.
economics, efficiency, data envelopment analysis, haemodialysis, haemodialysis satellite units
0266-4623
533-539
Gerard, Karen
1aef0321-add2-425f-8cd6-48f1adeef928
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Gerard, Karen
1aef0321-add2-425f-8cd6-48f1adeef928
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a

Gerard, Karen and Roderick, Paul (2003) Comparison of apparent efficiency of haemodialysis satellite units in England and Wales using data envelopment analysis. International Journal of Technology Assessment in Health Care, 19 (3), 533-539. (doi:10.1017/S0266462303000473).

Record type: Article

Abstract

Objectives: To expand care for chronic haemodialysis (HD) patients throughout England and Wales by studying two aspects of service delivery that are important: to identify relative performance of haemodialysis satellite units (HDSUs), and understand the factors that influence the performance. As a first step toward these aspects, this work reports a study of apparent comparative efficiency in the delivery of HDSUs and demonstrates the potential of data envelopment analysis (DEA).
Methods: DEA was applied to data obtained from a national survey of the organizational structures and processes of delivering care at HDSUs in England and Wales.
Results: DEA was found to be a judicious approach for performance assessment of HDSUs, although valid results depend on appropriate model specification and quality of data available. The available data were not of sufficient comprehensiveness or quality to produce definitive results but suggested that overall efficiency could improve; these data suggested by as much as 10% overall (mean efficiency score 90%) and variably within the sample (46 [65%] that HDSUs were potentially inefficient, the lowest unit scoring 38%).
Conclusions: Addressing questions raised by comparative inefficiency could help plans to improve capacity to deal with the growing demand for HD delivered in HDSUs. The application was an important start and needs to be followed by further research to establish model validity and obtain authoritative results.

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More information

Published date: 2003
Keywords: economics, efficiency, data envelopment analysis, haemodialysis, haemodialysis satellite units

Identifiers

Local EPrints ID: 24339
URI: http://eprints.soton.ac.uk/id/eprint/24339
ISSN: 0266-4623
PURE UUID: 0ce829ef-0886-4624-aa3c-f3e6040c08be
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850

Catalogue record

Date deposited: 30 Mar 2006
Last modified: 09 Jan 2022 02:47

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Contributors

Author: Karen Gerard
Author: Paul Roderick ORCID iD

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