Oncology services efficiency: an application of bootstrapped DEA

Creative Commons License

Çınaroğlu S.

40th Congress on Operations Research/Industrial Engineering-YAEM-2021, İstanbul, Turkey, 4 - 07 July 2021, pp.72-73

  • Publication Type: Conference Paper / Summary Text
  • City: İstanbul
  • Country: Turkey
  • Page Numbers: pp.72-73
  • Hacettepe University Affiliated: Yes


Health operations managers must be aware of the nongenerous distribution of resources in cancer care and consider the density and clustering of operations in their management plans. This study examines the efficiencies of cancer care under the operationalization of health services in Turkey. Three areas of analysis are presented: hospital-, comprehensive oncological, and provincial-centered. Bootstrapped data envelopment analysis procedure was used to obtain more precise efficiency scores. Study results reveal that oncology services in rural areas are less efficient than those in urban areas. After applying the bootstrapping techniques, the results show that the efficiency scores are significantly improved. Investment in cancer control is crucial for making oncology services more efficient. Evidence-based operational design that considers the spatial dynamics of health services is necessary for the effective sustainability of services, especially those dealing with highly mortality rates (i.e., oncology care). Further studies should incorporate cost dynamics into the efficiency analysis.