title: Reviewing the application of the balanced scorecard with implications for low-income health settings.
abstract: High-income countries (HICs) are increasingly making use of the balanced scorecard (BSC) in healthcare. Evidence about BSC usage in low-income countries (LICs) is deficient. This study assessed feasibility of BSC use in LICs. Systematic review of electronic databases shows that the BSC improved patient, staff, clinical, and financial outcomes in HICs. To translate the experience of BSC use in HICs to their use in LICs, the applicability parameters of the National Committee for Quality Assurance were applied. Despite contextual challenges, pilot testing of BSC use can be undertaken in selected LICs. Committed leadership, cultural readiness, quality information systems, viable strategic plans, and optimum resources are required.
authors: Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. fauziah.rabbani@aku.edu
authors: Fauziah
authors: F
authors: Rabbani
authors: S M Wasin
authors: SM
authors: Jafri
authors: Farhat
authors: F
authors: Abbas
authors: Gregory
authors: G
authors: Pappas
authors: Mats
authors: M
authors: Brommels
authors: Goran
authors: G
authors: Tomson
mesh_terms: D003906:Developing Countries; D006801:Humans; D007255:Information Services; D011204:Poverty Areas; D019984:Quality Indicators, Health Care