The impact of balanced scorecard on the efficiency of healthcare institutions: international experience and practical approaches

Introduction. The introduction of modern technologies into the healthcare system to ensure the quality and accessibility of medical services tailored to the interests and needs of the patient has raised the issue of the effectiveness of the functioning of medical organizations and its measurement to a new level. The most popular tool used to evaluate the effectiveness of medical organizations around the world is the balanced scorecard, which allows you to take into account various aspects of the activities of medical institutions, including financial, clinical, operational and patient-oriented parameters.

The purpose is to study the experience of using a system of balanced application indicators to assess the effectiveness of medical institutions in the world over the past 5 years.

Materials and methods. To write the article, scientific reports were used as research material, the search for which was carried out on the Publish or Perish platform, as well as in the scientific library on the eLibrary website using the keywords: balanced scorecard, BSC, medical institutions. General scientific methods of cognition were used for the analysis: comparison, generalization, system-structural and analytical methods.

Results. The practice of using SSP in various world countries has been studied. The approaches to evaluating the effectiveness of medical institutions based on SSP are analyzed, the main results are identified and the success of using SSP to evaluate the effectiveness of medical institutions is confirmed.

Research limitations. When conducting the study, the following limitations were established for the systematic search for scientific publications on the research topic: time frame (2020–2025), as well as the number of analyzed works selected using the Publish or Perish platform (Google Scholar.

Conclusion. In general, SSP is a powerful tool for improving the effectiveness of medical institutions, but its potential can be fully realized only if it is properly implemented, constantly monitored and adapted to changing conditions.

Compliance with ethical standards. Compliance with ethical standards: the study was approved by the local ethics committee of the Research Institute for Healthcare Institution and Medical Management of Moscow Healthcare Department, Moscow, protocol dated 11.02.2025 No. 02-01/ЭК/2025.

Funding. This article was prepared by the author as part of the research project «Development of methodological approaches to value-oriented healthcare (VOH) in the city of Moscow» (no. according to EGISU: 123032100062-6).

Conflict of interest. The author declares the absence of obvious and potential conflicts of interest in connection with the publication of this article.

Received: April 4, 2025 / Accepted: June 24, 2025 / Published: October 31, 2025

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