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Hospital Performance Assessment Balanced Scorecard Method – Its Implementation in the Third Decade: Scoping Review

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Abstract

Background : Balanced score card (BSC) has been for decades  used as a performance measurement tool in many healthcare setting including hospital. Hospital performance measurement is essential to gauge, spesifically during the covid-19 pandemic where many hospitals are experiencing difficulties to sustain. Balanced  Scorecard  (BSC) is one of the widely used method to improve hospital performance for it’s comprehensiveness. The method applied four perspectives, those are financial perspective, growth and learning, custumor, and internal process. The aim of this study is to review the development of BSC implementation in hospitals across the globe in the 3rd decade, and the benefit to implement in local hospitals.

Method : Research method is scoping review. The search manually started by studying related articles. Key words used to search articles are  Hospital Performance  and Balanced Scorecard, hospital performance measurement through data base EMBASE, MEDLINE and PuBMed.

Result : 400 records were identified and 23 underwent a full text review. 10 articles were included.  BSC in hospital setting has developed, not only as a performance evaluation tool but also to drive performance by integrating BSC as mapping strategy. This study shows that most hospitals still adapt the 2nd  generation of BSC,  mapping strategy.  Only one hospital performed the destination statement. A few of which applies it as a tool to measure performance

Conclusion : BSC has been implemented as performance management tool in hospitals worldwide. There have been  improvements in the 3rd decade, its not only for monitoring performance as mapping strategy to approach hospital’s goals..

References

1
Bohm V, Lacaille D, Spencer N, Barber CEH. Scoping review of balanced scorecards for use in healthcare settings: development and implementation. BMJ open Qual [Internet]. 2021;10(3):2021. https://www.embase.com/search/results?subaction=viewrecord&id=L635576472&from=export
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Niven PR. Balanced Scorecard Evolution-A Dynamic Approach to Strategy Execution. New Jersey: John Wiley & Sons, Inc., Hoboken; 2014.
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Perkins M, Grey A, Remmers H. What do we really mean by “Balanced Scorecard”? Int J Product Perform Manag [Internet]. 2014;63(2):148–69. Available from: https://www.proquest.com/scholarly-journals/what-do-we-really-mean-balanced-scorecard/docview/2115750050/se-2?accountid=17242
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Abdel-Kader M, Moufty S, Laitinen EK. Balanced Scorecard Development: A Review of Literature and Directions for Future Research. Rev Manag Account Res. 2011;214–39.
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Kaplan RS, Norton DP. The balanced scorecard--measures that drive performance. Harv Bus Rev. 1992;70(1):71–9.
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How to Cite

1.
Hospital Performance Assessment Balanced Scorecard Method – Its Implementation in the Third Decade: Scoping Review: -. J Keskom [Internet]. 2023 Jan. 2 [cited 2026 Jul. 29];8(3):586-9. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/1305

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