2006 Volume 14 Issue 4 Pages 85-98
As professional organisations, medical institutions present unique challenges for their proper governance and management efficiency. Although Balanced Scorecard (BSC) was originally developed as a management tool to ameliorate the weakness of accounting-only measurements, it has been widely implemented in public and medical sectors, especially in the north America. The article, after a brief introduction, first reviews the BSC approach (Section 2), then explores difficulties and challenges when implementing BSC in medical institutions (Section 3). Section 4 describes the case of BSC implementation in a hospital, followed by discussions in Section 5, as well as concluding remarks (Section 6). It is found that, if accompanied by good information management in information sharing amongst employees, and if the introduction process is reasonably customized to accommodate the specific situational conditions, there is a good chance that BSC be successfully implemented in the medical institution as a tool to realize good governance and management efficiency.