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Lives in the balance: an analysis of the balanced scorecard (BSC) in healthcare organizations
Open accessAbstract
The balanced scorecard (BSC) has been a prominent innovation in strategic performance measurement systems.The health care sector has started to adopt this approach.There are many case studies of BSC applications and this paper reviews this literature to analyse the application of the BSC across this sector.In particular, we argue that the current applications do not tend to show the health of patients as central in the development of the BSC; the balance is tilted towards the financial not the health outcomes.BSCs are still in an evolutionary stage in health care settings and strategy mapping is not yet common.In reviewing the past applications, the paper shows a way forward for future developments of the scorecard in health settings.
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“papers based on review [36,46,47,71,72] represent 30.8% of the total in the last five years, whilst before (1999–2016) the papers analyzed based on review were the 11.5% of the total.”
From The Evolution of Balanced Scorecard in Healthcare: A Systematic Review of Its Design, Implementation, Use, and Review (2022) · cites this paper as [72]
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Grigoroudis, E., Orfanoudaki, E., & Zopounidis, C. (2012) · Omega · doi:10.1016/j.omega.2011.04.001 · Cited by 316
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Chandra, D., & Kumar, D. (2020) · Omega · doi:10.1016/j.omega.2020.102258 · Cited by 87
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Moullin, M. (2017) · International Journal of Productivity and Performance Management · doi:10.1108/ijppm-06-2015-0092 · Cited by 77
Metadata
- Authors
- Gurd, B., & Gao, T.
- Affiliations
- University of South Australia (AU)
- ORCID
- Venue
- International Journal of Productivity and Performance Management
- Publisher
- Emerald
- Published
- 2007-12-07
- Volume
- 57
- Issue
- 1
- Pages
- 6-21
- ISSN
- 0043-8022 (ISSN-L)
- 1741-0401
- OpenAlex
- W1968019595
- Cited by
- 131
- References
- 37
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 13 · 2021: 9 · 2020: 10 · 2019: 6 · 2018: 6 · 2017: 11 · 2016: 7 · 2015: 9 · 2014: 8 · 2013: 6 · 2012: 11
- FWCI
- 5.55
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- International Journal of Productivity and Performance Management (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, other-oa)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
- 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
- Social Sciences › Business, Management and Accounting › Management Information Systems › Information Technology Governance and Strategy
- Keywords
- balanced scorecard, healthcare organizations, strategic performance measurement, patient outcomes, financial performance, strategic mapping
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