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All Journal Dentino: Jurnal Kedokteran Gigi Journal of Global Research in Public Health
Pipit Festi Wiliyanti
Department of Hospital Administration, Faculty of Medicine, Universitas Muhammadiyah Surabaya, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Balanced Scorecard for Hospital Performance Evaluation: A Systematic Review of Implementation, Outcomes, and Challenges: A PRISMA-Guided Review of Hospital Performance Measurement Frameworks Arya Brahmanta; Ansarul Fahruda; Annisa Nurida; Pipit Festi Wiliyanti; Caecilia Indarti; Cakrawartya Ramadhi
Journal of Global Research in Public Health Vol. 11 No. 1 (2026): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v11i1.636

Abstract

Hospitals are required to improve service quality, cost efficiency, patient safety, and user satisfaction in an increasingly complex healthcare environment. Traditional performance measurement systems that focus mainly on financial indicators are often insufficient to evaluate overall organizational performance. The Balanced Scorecard (BSC) offers a comprehensive framework by integrating four perspectives: financial, customer, internal business processes, and learning and growth. This study aimed to review the implementation of BSC in hospitals and identify its benefits, outcomes, and challenges. A systematic review was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, Google Scholar, and DOAJ using the keywords “balanced scorecard,” “hospital performance,” “healthcare management,” and “BSC in hospital.” Articles published between 2010 and 2025 in English or Indonesian were screened according to predefined inclusion and exclusion criteria. Of 312 records identified, 14 studies met the eligibility criteria and were included in the final analysis. The findings showed that BSC positively contributed to hospital performance across all four perspectives. Financial improvements included better cost control, budget management, and operational efficiency. From the customer perspective, hospitals reported higher patient satisfaction and service quality. Internal process improvements included reduced waiting times, enhanced clinical quality, and more efficient workflows. In the learning and growth perspective, BSC supported staff development, organizational culture, employee retention, and professional competence. However, implementation challenges remained, including limited data quality, resistance to change, inadequate information systems, and insufficient understanding of BSC concepts. In conclusion, BSC is a comprehensive and adaptable framework for hospital performance measurement that supports strategic management, continuous quality improvement, and organizational sustainability.
A Generic Framework For Implementing Self-Ligating Braces Orthodontic Treatment At Nala Husada Dental Hospital Arya Brahmanta; Ansarul Fahruda; Annisa Nurida; Pipit Festi Wiliyanti; Caecilia Indarti; Tontowi Ashari
Dentino: Jurnal Kedokteran Gigi Vol 11, No 2 (2026)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v11i2.27551

Abstract

Background: The demand for orthodontic treatment continues to increase globally, driven by greater awareness of dental aesthetics and oral health-related quality of life. Dental hospitals must develop structured service systems integrating clinical innovation with effective healthcare management. Self-ligating bracket systems represent a contemporary orthodontic technology designed to improve treatment efficiency, reduce chairside time, and enhance patient comfort compared with conventional systems. Purpose: This study developed a generic implementation framework for self-ligating orthodontic treatment services in dental hospitals, using Nala Husada Dental Hospital, Surabaya, Indonesia as a case model. Methods: A descriptive implementation framework approach was used to analyze orthodontic service development. Framework development involved four stages: pre-implementation analysis, clinical workflow design, integration of orthodontic innovation, and post-implementation monitoring. The model integrated healthcare service management components: input, process, output, outcome, and continuous improvement. Service performance indicators included patient visits, treatment acceptance rate, appointment adherence, medical record completeness, and patient satisfaction.. Results: The proposed framework consists of five key components: strategic preparation and resource readiness, standardized clinical workflow, integration of self-ligating orthodontic technology, performance monitoring using measurable quality indicators, and continuous service improvement through periodic evaluation. Implementation of the framework supports improved service organization, enhanced clinical workflow efficiency, and better monitoring of orthodontic treatment outcomes.. Conclusion: The developed framework provides a practical model for implementing self-ligating orthodontic services in dental hospitals. It integrates clinical innovation with healthcare management principles and may serve as a reference for institutions developing modern orthodontic services while maintaining quality, efficiency, and patient-centered care
Co-Authors Annisa Nurida Annisa Nurida Ansarul Fahruda Arya Brahmanta Arya Brahmanta Caecilia Indarti Caecilia Indarti Cakrawartya Ramadhi Tontowi Ashari