Regional performance evaluation of healthcare services in Türkiye with cross-efficiency approach

Objective: Monitoring and comparing regional service performance is inevitable to use resources effectively and allocate resources without creating interregional inequalities. With the Health Transformation Program, there has been an increase in the amount and quality of the service provided throughout the country. In addition, there has been a decrease in the inequalities between regions due to its implementation. In order to ensure continuity in health service delivery, health service activities in provinces and regions should be followed regularly, and their performance should be evaluated. Methods: The study calculated Data Envelopment Analysis efficiencies and Cross-efficiency for 26 subregions in the NUTS-II classification in Turkey. The number of hospital beds and primary care units were the inputs of the research; the number of primary, secondary and tertiary care visits and the number of inpatients are also the output of the study. Subregions are reordered and grouped according to their cross-efficiency. Decision-making units with unusual production structures were investigated by calculating Maverick Index scores.