Department of Health Management, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey.
Department of Health Management, Faculty of Health Sciences, Çankırı Karatekin University, Çankırı, Turkey.
Value Health Reg Issues. 2022 Sep;31:61-66. doi: 10.1016/j.vhri.2022.03.002. Epub 2022 Apr 19.
This study aimed to analyze the efficiency levels of oral and dental health centers (ODHCs) affiliated to the Ministry of Health from the perspective of the development levels in the regions.
Within the framework of this study, the efficiencies of 127 ODHCs are evaluated with the data envelopment analysis based on Charnes, Cooper, Rhodes (CCR); Banker, Charnes, Cooper (BCC); and scale efficiency methods.
It is found that CCR, BCC, and scale efficiencies of the 42 ODHCs located in the first region, the highest development region, are efficient by 31%, 50%, and 38% whereas 13%, 26%, and 26% of other 85 ODHCs located in other regions are efficient, respectively. Additionally, the average efficiency scores of 42 ODHCs in the first region by CCR (0.82), BCC (0.89), and score efficiency (0.93) are much higher than the average efficiency scores of 85 ODHCs in other regions by CCR (0.73), BCC (0.80), and scale efficiency (0.92).
According to the findings, it is considered that the individuals from the first region use the oral and dental healthcare more than the individuals do in other regions because the access to oral and dental healthcare is higher in the first region and the individuals living in this region have better predisposing and enabling factors. The study results are thought to present evidence-based information to health policy makers regarding the regional planning of oral and dental healthcare.
本研究旨在从区域发展水平的角度分析卫生部下属口腔卫生中心（ODHC）的效率水平。
在本研究框架内，采用数据包络分析（DEA）中的 Charnes、Cooper、Rhodes（CCR）、Banker、Charnes、Cooper（BCC）和规模效率方法评估了 127 个 ODHC 的效率。
研究发现，位于发展水平最高的第一区的 42 个 ODHC 的 CCR、BCC 和规模效率分别为 31%、50%和 38%，而位于其他地区的 85 个 ODHC 的相应效率分别为 13%、26%和 26%。此外，第一区 42 个 ODHC 的 CCR（0.82）、BCC（0.89）和得分效率（0.93）的平均效率得分远高于其他地区 85 个 ODHC 的平均效率得分（0.73）、BCC（0.80）和规模效率（0.92）。
根据研究结果，考虑到第一区的个人比其他地区的个人更多地使用口腔和牙齿保健，因为第一区的口腔和牙齿保健的可及性更高，而且生活在该地区的个人具有更好的倾向和赋权因素。研究结果被认为为口腔和牙齿保健的区域规划向卫生政策制定者提供了基于证据的信息。
