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Cited by 26Accounting and Organizational ManagementHealthcare Quality and ManagementHealth Services Management and Policy

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Meeting the challenge in performance management: the diffusion and implementation of the balanced scorecard in Chinese hospitals

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Gao, Tian, Gurd, Bruce·2015·Health Policy and Planning
DOI 10.1093/heapol/czu008
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Abstract

The bonus system used in Chinese hospitals has been criticized for eroding doctors' professional ethics and aggravating patient expense. This research article focuses on one system to improve hospital performance, the balanced scorecard (BSC). We use three data sources to examine the diffusion and implementation of the BSC in China: a questionnaire survey in Shandong Province, a print-media indicators and content analysis of the published BSC papers and semi-structured interviews with managers of Chinese hospitals that use the BSC. The research evidence shows that bonus systems are important, partially because of the poor pay of hospital professionals, and the BSC is perceived as providing a fair system to award such bonuses. This helps explain the relative endurance of the BSC in Chinese hospitals.

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Metadata

Authors
Gao, T., & Gurd, B.
Affiliations
Shandong University (CN)
Corresponding author
Gao, Tian
ORCID
Venue
Health Policy and Planning
Publisher
Oxford University Press (OUP)
Published
2014-02-21
Volume
30
Issue
2
Pages
234-241
ISSN
  • 0268-1080 (ISSN-L)
  • 1460-2237
DOI
10.1093/heapol/czu008
OpenAlex
W2142920192
Cited by
26
References
1
Citations by year
2025: 2 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 2 · 2014: 1
FWCI
3.69
Type
journal article
Language
en
Open access
Locations
  • Health Policy and Planning (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Business, Management and Accounting › Accounting › Accounting and Organizational Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
  • Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
Keywords
balanced scorecard, hospital performance management, performance management, bonus systems, hospital management, diffusion of management practices, implementation of management tools, Chinese hospitals, patient costs
MeSH terms
China, Hospital Administration, Hospitals, Humans, Interviews as Topic, Quality Assurance, Health Care, Surveys and Questionnaires, Reimbursement, Incentive, Salaries and Fringe Benefits, Health Care Reform, Quality Indicators, Health Care, Quality Improvement

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CoChat. (2026). Citation check: Meeting the challenge in performance management: the diffusion and implementation of the balanced scorecard in Chinese hospitals. https://app.cochat.ai/papers/10.1093/heapol/czu008
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Gao, T., & Gurd, B. (2015). Meeting the challenge in performance management: the diffusion and implementation of the balanced scorecard in Chinese hospitals. Health Policy and Planning. https://doi.org/10.1093/heapol/czu008