To measure the performance of health service delivery at the city level in Turkey and identi fy necessary improvements are made accordingly, this study was conducted in order to bring recommendations to guide future studies with efficient use of resources. A relative by processing multiple input and output of decision making units as performance measurement in this study canmeasure the effectiveness of data envelopment analysis (input-oriented) is used. Data sets belongingto the year 2012; 2nd and 3rd step consists of data combined public-private health care providers. 81cities efficacy measurements were made using 4 input and 5 output variables. Under the assumptionof constant returns to scale in 11 cities, under the assumption of variable returns are efficient in 29cities out of 12 cities and scale efficiency. Which source for what has been described as inactive ineach province should make improvements. The distribution of health manpower, especially physiciansand nurses in Turkey has been found to be unstable and the signi ficant proportion of the number of discarded bed. Study results have some suggestions in parallel, it is also stated that this kind of service quality and financial performance of the work will include the necessity of a more micro level.