Purpose – The purpose of this paper is to identify the main characteristics of the Balanced Scorecard (BSC) practice in health care services Design/methodology/approach – The paper uses a case study approach focusing on three health care organisations in Sweden using the BSC. The focus is...

Purpose – The purpose of this paper is to discuss how a performance measurement system called “the flow model” is designed to measure changes towards lean thinking in health care services. Design/methodology/approach – The paper integrates literature from the health care sector and the...

Purpose – In a previous study, based on a survey to all clinical department and primary care center managers in Sweden, it was concluded that the prevailing general improvement strategy is characterized by: drivers for improvement are staff needs; patients and data are not as important;...