The influence of 8 weeks of Pilates training on cardiovascular indices in breast cancer patients

Background: As a control tool, performance evaluation has always been a concern for managers. Hence, the present study aimed to apply a balanced scorecard approach to assess the performance of educational hospitals in Khorramabad before and after the development of the health system (2013 and 2017). Materials and Methods: This descriptive-comparative study was conducted in 2013 and 2017 using a balanced scorecard model. The statistical population included all educational hospitals in Khorramabad. The performance of every hospital was examined based on the dimensions and indicators of the study using SPSS-22 software. Results: There were significant differences between the performance of the educational hospitals of Khorramabad in terms of customer orientation and internal processes before and after the implementation of health system reform (p 0/05). Conclusion: The results of this study indicated that two dimensions of the balanced scorecard approach were improved following the implementation of health care reform plan in Khorramabad educational hispitals. Keywords: Performance evaluation, balanced scorecard, educational hospitals, health system development plan