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[Financial sustainability and excellence in Chilean public health care].

Salud publica de Mexico·2017
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[Balanced scorecard in health].

Carolina Elena Leyton-Pavez1, Patricia Carolina Huerta-Riveros2, Iván Renato Paúl-Espinoza3

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Summary

The Balanced Scorecard (BSC) effectively evaluates strategy implementation in Chile

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Area of Science:

  • Health Services Management
  • Public Health Policy
  • Strategic Planning in Healthcare

Background:

  • Chile's public health system faces challenges in evaluating strategic implementation.
  • Higher complexity hospitals (HMC) require robust performance management tools.

Purpose of the Study:

  • To assess the effectiveness of the Balanced Scorecard (BSC) in evaluating strategy installation within Chilean public higher complexity hospitals (HMC).
  • To analyze performance variations across geographical areas and hospital characteristics.

Main Methods:

  • Descriptive analysis of BSC implementation in 57 HMC between 2011-2012.
  • Identification and comparison of strategies and performance indicators.
  • Analysis of results based on geographical location and hospital complexity.

Main Results:

  • The Balanced Scorecard (BSC) proved effective in evaluating the installation of strategies within HMC.
  • Significant geographical disparities in strategy implementation were observed, with the North scoring highest.

Conclusions:

  • The BSC is a valuable tool for assessing strategic execution in complex healthcare settings.
  • Hospital size and complexity are critical factors influencing strategy implementation and should be integrated into BSC evaluations.
  • Geographical variations highlight the need for tailored approaches to strategy deployment in public health.