The production of dialysis by for-profit versus not-for-profit freestanding renal dialysis facilities

R. I. Griffiths, N. R. Powe, Darrell Gaskin, Gerard F Anderson, G. V. De Lissovoy, P. K. Whelton

Research output: Contribution to journalArticle

Abstract

Objective. A study was conducted to determine whether for-profit and not- for-profit freestanding renal dialysis facilities differ with respect to efficiency in the production of dialysis treatments. Data Sources/Study Setting. National data on 1,224 Medicare-certified freestanding dialysis facilities were obtained from the Health Care Financing Administration's (HCFA) 1990 Independent Renal Dialysis Facility Cost Report. Data on Medicare patients receiving care at these facilities during 1990 were obtained from HCFA's End Stage Renal Disease (ESRD) Program Management and Medical Information System (PMMIS). Study Design. Ordinary least squares regression (OLS) was used to estimate the association between monthly output of dialysis treatments in 1990 and (a) facility capital and labor inputs, (b) facility ownership characteristics, and (c) case-mix characteristics. Data Collection/Extraction Methods. Facility and patient level data were extracted from the Facility Cost Report and the PMMIS databases, respectively. Patient level data were aggregated by facility and merged with facility level data. Principal Findings. For-profit sole proprietorships, for-profit partnerships and for-profit corporations each produced significantly more dialysis treatments per month than not-for-profits, adjusting for quantities of resource inputs and case-mix characteristics. Conclusion. For-profit facilities appear to be more efficient producers of dialysis treatments than not-for-profits. Further study should address whether other factors such as differences in severity of disease or in quality of care are responsible for these observations.

Original languageEnglish (US)
Pages (from-to)473-487
Number of pages15
JournalHealth Services Research
Volume29
Issue number4
StatePublished - 1994

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chronic illness
Renal Dialysis
Dialysis
profit
Management Information Systems
Centers for Medicare and Medicaid Services (U.S.)
Diagnosis-Related Groups
Medicare
Costs and Cost Analysis
Ownership
Quality of Health Care
Information Storage and Retrieval
Therapeutics
Disease Management
Least-Squares Analysis
Chronic Kidney Failure
Patient Care
information system
Economics
Databases

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

The production of dialysis by for-profit versus not-for-profit freestanding renal dialysis facilities. / Griffiths, R. I.; Powe, N. R.; Gaskin, Darrell; Anderson, Gerard F; De Lissovoy, G. V.; Whelton, P. K.

In: Health Services Research, Vol. 29, No. 4, 1994, p. 473-487.

Research output: Contribution to journalArticle

Griffiths, R. I. ; Powe, N. R. ; Gaskin, Darrell ; Anderson, Gerard F ; De Lissovoy, G. V. ; Whelton, P. K. / The production of dialysis by for-profit versus not-for-profit freestanding renal dialysis facilities. In: Health Services Research. 1994 ; Vol. 29, No. 4. pp. 473-487.
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