Towards a balanced performance measurement system in a public health care organization

Pok Man Peter Yuen, Artie W. Ng

Research output: Journal article publicationJournal articleAcademic researchpeer-review

17 Citations (Scopus)


Purpose: This article attempts to devise an integrated performance measurement framework to assess the Hong Kong Hospital Authority (HA) management system by harnessing previous performance measurement systems. Design/methodology/approach: An integrated evaluative framework based on the balanced score card (BSC) was developed and applied using the case study method and longitudinal data to evaluate the HA's performance management system. Findings: The authors unveil evolving HA performance indicators (PI). Despite the HA staff's explicit quality emphasis, cost control remains the primary focus in their performance measurements. Research limitations/implications: Data used in this study are from secondary sources, disclosed mostly by HA staff. Practical implications: This study shows public sector staff often attach too much importance to cost control and easily measurable activities at the expense of quality and other less easily measurable attributes'. Originality/value: A balanced performance measurement system, linked to health targets, with a complementary budgeting process that supports pertinent resource allocation is yet to be implemented in Hong Kong's public hospitals.
Original languageEnglish
Pages (from-to)421-430
Number of pages10
JournalInternational Journal of Health Care Quality Assurance
Issue number5
Publication statusPublished - 1 Jun 2012


  • Balanced scorecard
  • Cost control
  • Cost reduction
  • Hong Kong
  • Hospitals
  • Performance measurement (quality)
  • Public finance
  • Public health service

ASJC Scopus subject areas

  • Health Policy


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