ArticleBMJ open quality2021
Scoping review of balanced scorecards for use in healthcare settings: development and implementation.
Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The Evolution of Balanced Scorecard in Healthcare: A Systematic Review of Its Design, Implementation, Use, and Review.International journal of environmental research and public health · 2022Pooled it
- A systematic review: the dimensions to evaluate health care performance and an implication during the pandemic.BMC health services research · 2022Pooled it
- Article
- Observational
- Integration of robotics as standard surgical procedure during residency training for visceral surgery using a balanced scorecard (BSC).Journal of robotic surgery · 2025Article
- Evaluating the operational and financial performance of Community-Based visiting nursing center for elderly with the balanced scorecard model.BMC health services research · 2025Article
- Measuring the strength of maternal, newborn and child health care implementation and its association with childhood mortality risk in three rural districts of Tanzania.PLOS global public health · 2025Article
- Identifying cost-based quality and performance indicators for home care: a modified delphi method study.BMC health services research · 2024Article
- Learning from the End of the Public-Private Partnership for Lesotho's National Referral Hospital Network.Annals of global health · 2024Article
- Reimagining hospital management: the balanced scorecard as a catalyst for employee retention and organizational excellence.Frontiers in public health · 2024Article
- Review
- Inferring the impact of humanitarian responses on population mortality: methodological problems and proposals.Conflict and health · 2023Article
- Assessing Digital Transformation of Cost Accounting Tools in Healthcare.International journal of environmental research and public health · 2022Article
- An Empirical Framework for Assessing the Balanced Scorecard Impact on Sustainable Development in Healthcare Performance Measurement.International journal of environmental research and public health · 2022Article
- How to Engage Health Care Workers in the Evaluation of Hospitals: Development and Validation of BSC-HCW1-A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Assessing Patient Experience and Attitude: BSC-PATIENT Development, Translation, and Psychometric Evaluation-A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Engaging patients in balanced scorecard evaluation - An implication at Palestinian hospitals and recommendations for policy makers.Frontiers in public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveBalanced scorecards (BSCs) were developed in the early 1990s in corporate settings as a strategic performance management tool that emphasised measurement from multiple perspectives. Since their introduction, BSCs have been adapted for a variety of industries, including to healthcare settings. The aim of this scoping review was to describe the application of BSCs in healthcare.
methodsMedline, Embase and CINHAL databases were searched using keywords and medical subject headings for 'balanced scorecard' and related terms from 1992 to 17/04/2020. Title and abstract screening and full text review were conducted in duplicate by two reviewers. Studies describing the development and/or implementation of a BSC in a healthcare setting were included. Data were abstracted using pilot-tested forms and reviewed for key themes and findings.
results8129 records were identified and 841 underwent a full text review. 87 articles were included. Over 26 countries were represented and the majority of BSCs were applied at a local level (54%) in hospital settings (41%). While almost all discussed Kaplan and Norton's original BSC (97%), only 69% described alignment with a strategic plan. Patients/family members were rarely involved in development teams (3%) which typically were comprised of senior healthcare leaders/administrators. Only 21% of BSCs included perspectives using identical formatting to the original BSC description. Lessons learnt during development addressed three main themes: scorecard design, stakeholder engagement and feasibility.
conclusionsBSC frameworks have been used in various healthcare settings but frequently undergo adaptation from the original description in order to suit a specific healthcare context. Future BSCs should aim to include patients/families to promote patient-centred healthcare systems. Considering the heterogeneity evident in development approaches, methodological guidance in this area is warranted.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.