In this paper, we present the results of an analysis of Québec local health care clinics (CLSC) based on a DEA method. Our results confirm previous results based on econometric methods: (1) increasing returns to scale and scope economies imply that average cost could be lowered through increased scale and scope of the outputs; (2) there is a strong over capitalisation in buildings, equipments and physicians; and (3) substantial cost savings (around 36 millions) could result from improved management.