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Exploring the Use of Balanced Scorecards in Swedish Health Care Organizations
Linköping University, Department of Management and Engineering. Linköping University, The Institute of Technology.
Linköping University, Department of Management and Engineering, Quality Technology and Management . Linköping University, The Institute of Technology.
2004 (English)In: 7th International QMOD Conference, Monterrey, Mexico, 2004Conference paper (Refereed)
Abstract [en]

Many Swedish health care organizations have during the last decade started implementing the Balanced Scorecard BSC as a systematic way of following-up and analyzing their activities. However, the knowledge of its use and contribution in a health care context is insufficient. Based on a multiple case study the authors explore the use of the BSC in the Swedish health care services. The authors conclude that the concept in a health care context is used as a quality management tool that make new demands on management. In addition, the authors bring out important factors for a long-term use of the BSC.

Place, publisher, year, edition, pages
Keyword [en]
performance measurements, balanced scorecard, visualization, case study
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-14566OAI: diva2:23845
Available from: 2007-06-18 Created: 2007-06-18
In thesis
1. Performance Measurement Systems in Swedish Health Care Services
Open this publication in new window or tab >>Performance Measurement Systems in Swedish Health Care Services
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In the quality management literature, measurements are attributed great importance in improving products and processes. Systems for performance measurement assessing financial and non-financial measurements were developed in the late 1980s and early 1990s. The research on performance measurement systems has mainly been focused on the design of different performance measurement systems. Many authors are occupied with the study of the constructs of measures and developing prescriptive models of performance measurement systems. There is a need in the research to shift focus from studying the construct of measurements to how they are used in real face-to-face situations in specific contexts.

The purpose of this thesis is to analyse the development, i.e. the design, implementation and use, of performance measurement systems in Swedish health care services. The study aims to increase the understanding of the role of performance measurement system in Swedish health care and thereby support health care improvements in general. Three research questions have been derived from the purpose. (1) How and why are performance measurement systems being developed in Swedish health care services? (2) What problems can be identified in the development? (3) What enabling factors can be identified in the development? A qualitative research strategy was selected for the research. The research is based on a multiple case study design conducted within two research projects. Information has been gathered through interviews, documents and observations.

The idea of performance measurement systems develops through several tracks when implemented in health care and the development follows a purposeful process of activities. The development was initiated when major changes occurred in the organisation or its environment. Performance measurement systems are primarily used to support a dialogue between management and employees regarding organisational improvement. Problems experienced are related to struggles to reach national consensus for measures, involving management, and the clarification of various end-users’ needs. Enabling factors are the frequent interaction with people developing the system, management’s involvement, the use of multi-skilled teams, and visual displays.

The research contributes to several insights to the research area of performance measurement system and health care practitioners. The research shows that the development process is far from straight forward and is formed by the influence of factors in the organisational context, which cannot always be predicted. By seeing the development as an innovation process, the focus is broadened from being technological towards the organisation as whole, which contribute to the existing research on performance measurement systems.

Place, publisher, year, edition, pages
Institutionen för ekonomisk och industriell utveckling, 2007. 98 p.
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 1092Dissertations from the International Graduate School of Management and Industrial Engineering, ISSN 1402-0793 ; 108
Quality management, Health care, Performance measurement, Innovation management, Qualitative research
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
urn:nbn:se:liu:diva-9302 (URN)978-91-85715-19-0 (ISBN)
Public defence
2007-05-11, A2, Hus A, Campus Valla, Linköpings universitet, Linköping, 13:15 (English)
Available from: 2007-06-18 Created: 2007-06-18 Last updated: 2013-08-29

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