ABSTRACT
Background: Performance assessment is necessary to ensure the best and most quality health services. On the other hand Efficiency Assessment is the first step to the Performance Assessment. The urban health centers are the first units that provide services to the urban population; however, providing services is not completely active in the cities. This study attempts to create ii point of view in efficiency of each unit, and providing suitable solutions to maximum use of available resources as well. Materials and Methods: This research is a descriptive analytical study. Urban health centers affiliated to Isfahan health districts [centre no. 2] make up the study population. Input variables included number of human resources by education level, the number of available units. The output variables included type of services based on unit characteristics in the year 2ODK. Data collected through designed forms by research them. The data envelopment analysis method applied with assuming the input oriented for date analyzing. Results: Based or results the average of technical efficiency, managerial efficiency and scale efficiency in all urbann health centres were 87%, 91%and 95% respectively. Meanwhile, findings showed that 60 Urban health centers had up-scale in optimized and the rest were not in optimal scale. Conclusion: Applying suitable techniques to managers make they informed from usage resources in their subsidiary units. It could be also help them to present necessary corrective recommendations based on scientific research and to promote of units by using appropriate techniques in efficiency analysis. The results also indicates that implication of persuasive policies for managers who have higher managerial efficiency, and also have appropriate planning to improve lower efficiency urban health centers in comparision other units could be efficient in promoting efficiency in general