Abstract

The steady increase in the demand for healthcare services has led policymakers to focus on the effectiveness and financial sustainability of healthcare services around the world. In the study, Data Envelopment Analysis (DEA) was employed to measure service efficiency while financial rates were used to measure financial sustainability. In order to provide an integrated and strategic point of view on institutional performance, dimensions of service and financial efficiency have been combined by employing Boston Advisory Group (BCG) matrix. A total of thirty-nine Oral and Dental Health Centers serving throughout the country under the Ministry of Health were included in the scope of the study. The service efficiencies of these centers were analyzed with input-oriented (IO) and Variable Return to Scale (VRS) DEA model. In the study, the relationship service and financial efficiency was examined and Return on Assets (ROA) was used as an indicator of financial efficiency. While the average ROA value of the efficient centers was calculated as 0.72, the value of the inefficient ones was 0.61 (p = 0.125). Besides, service efficiency scores and financial efficiency scores were combined on the BCG matrix to examine the usability of the matrix.

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