array:25 [
  "pii" => "S0213911107719714"
  "issn" => "02139111"
  "doi" => "10.1157/13099122"
  "estado" => "S300"
  "fechaPublicacion" => "2007-01-01"
  "aid" => "71971"
  "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Gac Sanit. 2007;21:60-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 8612
    "formatos" => array:3 [
      "EPUB" => 140
      "HTML" => 7747
      "PDF" => 725
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911107719726"
    "issn" => "02139111"
    "doi" => "10.1157/13099123"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "71972"
    "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Gac Sanit. 2007;21:66-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3451
      "formatos" => array:3 [
        "EPUB" => 113
        "HTML" => 2832
        "PDF" => 506
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Originales breves</span>"
      "titulo" => "Diagn&#243;stico tard&#237;o de la infecci&#243;n por el virus de la inmunodeficiencia humana en la Cohorte VACH &#40;1997-2002&#41;"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "66"
          "paginaFinal" => "69"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Delayed diagnosis of HIV infection in the Spanish VACH cohort &#91;1997-2002&#93;"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ram&#243;n Teira Cobo, Ignacio Su&#225;rez Lozano, Juan Miguel Santamar&#237;a J&#225;uregui, Alberto Terr&#243;n Pern&#237;a, Pere Domingo Pedrol, Juan Gonz&#225;lez Garc&#237;a, Jaime Cos&#237;n Ochaita, Esteban Ribera Pascuet, Trinitario S&#225;nchez, Bernardino Roca Villanueva, Pompeyo Viciana Fern&#225;ndez, Mar&#237;a Luisa Garc&#237;a Alcalde, Paloma Geijo Mart&#237;nez, Pepa Galindo Puerto, Antonio Vergara Campos, Fernando Lozano de Le&#243;n Naranjo, Agust&#237;n Mu&#241;oz S&#225;nchez, Pablo Tebas"
          "autores" => array:18 [
            0 => array:2 [
              "nombre" => "Ram&#243;n"
              "apellidos" => "Teira Cobo"
            ]
            1 => array:2 [
              "nombre" => "Ignacio"
              "apellidos" => "Su&#225;rez Lozano"
            ]
            2 => array:2 [
              "nombre" => "Juan Miguel"
              "apellidos" => "Santamar&#237;a J&#225;uregui"
            ]
            3 => array:2 [
              "nombre" => "Alberto"
              "apellidos" => "Terr&#243;n Pern&#237;a"
            ]
            4 => array:2 [
              "nombre" => "Pere"
              "apellidos" => "Domingo Pedrol"
            ]
            5 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Gonz&#225;lez Garc&#237;a"
            ]
            6 => array:2 [
              "nombre" => "Jaime"
              "apellidos" => "Cos&#237;n Ochaita"
            ]
            7 => array:2 [
              "nombre" => "Esteban"
              "apellidos" => "Ribera Pascuet"
            ]
            8 => array:2 [
              "nombre" => "Trinitario"
              "apellidos" => "S&#225;nchez"
            ]
            9 => array:2 [
              "nombre" => "Bernardino"
              "apellidos" => "Roca Villanueva"
            ]
            10 => array:2 [
              "nombre" => "Pompeyo"
              "apellidos" => "Viciana Fern&#225;ndez"
            ]
            11 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Luisa Garc&#237;a Alcalde"
            ]
            12 => array:2 [
              "nombre" => "Paloma"
              "apellidos" => "Geijo Mart&#237;nez"
            ]
            13 => array:2 [
              "nombre" => "Pepa"
              "apellidos" => "Galindo Puerto"
            ]
            14 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "Vergara Campos"
            ]
            15 => array:2 [
              "nombre" => "Fernando Lozano"
              "apellidos" => "de Le&#243;n Naranjo"
            ]
            16 => array:2 [
              "nombre" => "Agust&#237;n"
              "apellidos" => "Mu&#241;oz S&#225;nchez"
            ]
            17 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Tebas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719726?idApp=WGSE"
    "url" => "/02139111/0000002100000001/v2_201301241555/S0213911107719726/v2_201301241555/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911107719702"
    "issn" => "02139111"
    "doi" => "10.1157/13099121"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "71970"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Gac Sanit. 2007;21:53-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2724
      "formatos" => array:3 [
        "EPUB" => 137
        "HTML" => 2087
        "PDF" => 500
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Competencia limitada en la importaci&#243;n paralela de medicamentos&#58; el caso de la simvastatina en Alemania&#44; Holanda y el Reino Unido"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "53"
          "paginaFinal" => "59"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Constrained competition in parallel drug importation&#58; the case of simvastatin in Germany&#44; the Netherlands&#44; and the United Kingdom"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Joan Costa-Font, Panos Kanavos"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Joan"
              "apellidos" => "Costa-Font"
            ]
            1 => array:2 [
              "nombre" => "Panos"
              "apellidos" => "Kanavos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719702?idApp=WGSE"
    "url" => "/02139111/0000002100000001/v2_201301241555/S0213911107719702/v2_201301241555/es/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:19 [
      "pii" => "S0213911107720216"
      "issn" => "02139111"
      "doi" => "10.1157/13106818"
      "estado" => "S300"
      "fechaPublicacion" => "2007-05-01"
      "aid" => "72021"
      "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
      "documento" => "simple-article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "err"
      "cita" => "Gac Sanit. 2007;21:271"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1972
        "formatos" => array:3 [
          "EPUB" => 122
          "HTML" => 1347
          "PDF" => 503
        ]
      ]
      "es" => array:6 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Fe de errores</span>"
        "tienePdf" => "es"
        "tieneTextoCompleto" => 0
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "271"
          ]
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
      ]
      "idiomaDefecto" => "es"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720216?idApp=WGSE"
      "url" => "/02139111/0000002100000003/v2_201301241604/S0213911107720216/v2_201301241604/es/main.assets"
    ]
  ]
  "es" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "El Cuadro de Mando Integral como instrumento de direcci&#243;n en una organizaci&#243;n de salud p&#250;blica"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "60"
        "paginaFinal" => "65"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Joan Villalb&#237;, Joan Guix, Conrad Casas, Carme Borrell, J&#250;lia Duran, Luc&#237;a Artazcoz, Esteve Camprub&#237;, Meritxell Cus&#237;, Pau Rodr&#237;guez-Montuqu&#237;n, Josep M&#46; Armengol, Guy Jim&#233;nez"
        "autores" => array:11 [
          0 => array:4 [
            "nombre" => "Joan"
            "apellidos" => "Villalb&#237;"
            "email" => array:1 [
              0 => "jrvillal&#64;aspb&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Joan"
            "apellidos" => "Guix"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Conrad"
            "apellidos" => "Casas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Carme"
            "apellidos" => "Borrell"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "J&#250;lia"
            "apellidos" => "Duran"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Luc&#237;a"
            "apellidos" => "Artazcoz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Esteve"
            "apellidos" => "Camprub&#237;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Meritxell"
            "apellidos" => "Cus&#237;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Pau"
            "apellidos" => "Rodr&#237;guez-Montuqu&#237;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          9 => array:3 [
            "nombre" => "Josep M&#46;"
            "apellidos" => "Armengol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          10 => array:3 [
            "nombre" => "Guy"
            "apellidos" => "Jim&#233;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Ag&#232;ncia de Salut P&#250;blica de Barcelona&#44; Barcelona&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Proman Consulting&#44; Barcelona&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; Dr&#46; Joan R&#46; Villalb&#237;&#46; Ag&#232;ncia de Salut P&#250;blica de Barcelona&#46; Pl&#46; Lesseps&#44; 1&#46; 08023 Barcelona&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "The Balanced Scorecard as a management tool in a public health organization"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2005-12-12"
    "fechaAceptado" => "2006-07-20"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec13999"
          "palabras" => array:3 [
            0 => "Cuadro de Mando Integral"
            1 => "Gesti&#243;n"
            2 => "Evaluaci&#243;n"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec14000"
          "palabras" => array:3 [
            0 => "Balanced Scorecard"
            1 => "Management"
            2 => "Evaluation"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">El Cuadro de Mando Integral &#40;CMI&#44; o <span class="elsevierStyleItalic">Balanced Scorecard&#41;</span> es un instrumento para la planificaci&#243;n estrat&#233;gica de las empresas&#46; Adoptamos su uso en una organizaci&#243;n de salud p&#250;blica para alinear la pr&#225;ctica cotidiana de la direcci&#243;n con los objetivos m&#225;s estrat&#233;gicos&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Nuestro equipo directivo requiri&#243; de discusiones con apoyo externo para clarificar los conceptos subyacentes en el CMI&#44; adaptarlos a una organizaci&#243;n sanitaria p&#250;blica distinta del medio empresarial para el que se dise&#241;&#243; inicialmente y adoptarlo como instrumento de direcci&#243;n&#46; Esto llev&#243; a la construcci&#243;n de un CMI por el Comit&#233; de Direcci&#243;n en el a&#241;o 2002&#44; a la posterior evaluaci&#243;n y a su reformulaci&#243;n peri&#243;dica&#46; Adem&#225;s&#44; se han formulado CMI de segundo nivel para diversas direcciones y servicios de la organizaci&#243;n&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">La adopci&#243;n del CMI por el equipo directivo comport&#243; un esfuerzo previo de clarificaci&#243;n sobre qui&#233;nes son los accionistas y los clientes de una organizaci&#243;n p&#250;blica como la nuestra&#46; Tambi&#233;n llev&#243; a realizar un an&#225;lisis de la actividad realizada y de su producci&#243;n&#44; as&#237; como un modelo de procesos&#46; Aunque es dif&#237;cil atribuir determinados cambios a una causa concreta&#44; creemos que diversas mejoras de gesti&#243;n introducidas se pueden relacionar&#44; al menos parcialmente&#44; con su uso&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El uso sistem&#225;tico del CMI ha permitido cohesionar mejor el equipo de direcci&#243;n y el conjunto de la organizaci&#243;n&#44; e impregnar la gesti&#243;n cotidiana con los objetivos m&#225;s estrat&#233;gicos&#46; La organizaci&#243;n ha integrado mejor los elementos relacionados con sus clientes&#44; ha iniciado acciones para mejorar los procesos internos transversales m&#225;s complejos&#44; y ha desarrollado de manera m&#225;s sistem&#225;tica y general los elementos orientados al crecimiento y desarrollo de sus cuadros y de todo el personal&#46; Al mismo tiempo&#44; los directivos han pasado a tener m&#225;s presentes las necesidades de las administraciones titulares de la agencia que conforman sus &#243;rganos de gobierno&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The Balanced Scorecard is a tool for strategic plan-ning in business&#46; We present our experience after introducing this instrument in a public health agency to align daily management practice with strategic objectives&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Our management team required deep discussions with external support to clarify the concepts behind the Balanced Scorecard&#44; adapt them to a public organization in the health field distinct from the business sector in which the Balanced Scorecard was designed&#44; and adopt this instrument as a management tool&#46; This process led to definition of the Balanced Scorecard by our Management Committee in 2002&#44; the subsequent evaluation of the degree to which its objectives had been reached&#44; and its periodic redefinition&#46; In addition&#44; second-level Balanced Scorecards were defined for different divisions and services within the agency&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The adoption of the Balanced Scorecard by the management team required prior effort to clarify who are the stockholders and who are the clients of a public health organization&#46; The agency&#39;s activity and production were also analyzed and a key processes model was defined&#46; Although it is hard to attribu-te specific changes to a single cause&#44; we believe several im-provements in management can be ascribed&#44; at least in part&#44; to the use of the Balanced Scorecard&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">The systematic use of the Balanced Scorecard produced greater cohesion in the management team and the entire organization and brought the strategic objectives clo-serto daily management operations&#46; The organization is more attentive to its clients&#44; has taken steps to improve its most com-plex cross-sectional processes&#44; and has developed further ac-tions for the development and growth of its officers and its entire personnel&#46; At the same time&#44; its management team is more in tune with the needs of the agency&#39;s administrative bodies that compose its governing board&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "El cuadro de mando integral"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Kaplan"
                            1 => "D&#46; Norton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2000"
                        "editorial" => "Gesti&#243;"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Success factors for implementation of the balanced scorecard in a NHS multi-agency setting"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Z&#46; Radnor"
                            1 => "B&#46; Lovell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Health Care Quality Assurance"
                        "fecha" => "2003"
                        "volumen" => "16"
                        "paginaInicial" => "99"
                        "paginaFinal" => "108"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cuadro de mando integral&#58; objetivos y perspectivas en atenci&#243;n primaria&#46; Parc Taul&#237;y EAP Can Rull"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Prats-Villalonga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cuadernos de Gesti&#243;n"
                        "fecha" => "2003"
                        "volumen" => "9"
                        "paginaInicial" => "182"
                        "paginaFinal" => "191"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cuadro de mandos integral a nivel hospitalario basado en indicadores del modelo EFQM de excelencia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;A&#46; Oteo-Ochoa"
                            1 => "G&#46; P&#233;rez-Torrijos"
                            2 => "D&#46; Silva-S&#225;nchez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Gesti&#243;n Hospitalaria"
                        "fecha" => "2002"
                        "volumen" => "13"
                        "paginaInicial" => "9"
                        "paginaFinal" => "25"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acerca de los clientes de las organizaciones de salud p&#250;blica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Duran"
                            1 => "J&#46;R&#46; Villalb&#237;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "2004"
                        "volumen" => "18"
                        "paginaInicial" => "479"
                        "paginaFinal" => "482"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15625047"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Modelo EFQM de excelencia aplicado a la administraci&#243;n p&#250;blica&#44; Ministerio de Administraciones P&#250;blicas&#44; Madrid &#91;citado 16 Ago 2005&#93; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.igsap.map.es/calidad/calidad.htm">http&#58;&#47;&#47;www&#46;igsap&#46;map&#46;es&#47;calidad&#47;calidad&#46;htm</a>"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gesti&#243; de la qualitat en un m&#243;n de serveis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;M&#46; Costa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2000"
                        "editorial" => "Gesti&#243;"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "PubMed&#44; US National Library of Medicine &#91;citado 2 Mar 2006&#93; Washington 2006 Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.pubmed.gov/">http&#58;&#47;&#47;www&#46;pubmed&#46;gov</a>"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The balanced scorecard&#58; measures that drive performance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Kaplan"
                            1 => "D&#46; Norton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Harv Bus Rev"
                        "fecha" => "1992"
                        "volumen" => "70"
                        "paginaInicial" => "71"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10119714"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/0000002100000001/v2_201301241555/S0213911107719714/v2_201301241555/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "778"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales breves"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/0000002100000001/v2_201301241555/S0213911107719714/v2_201301241555/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719714?idApp=WGSE"
]
Compartir
Publique en esta revista
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

El Cuadro de Mando Integral como instrumento de dirección en una organización de salud pública
The Balanced Scorecard as a management tool in a public health organization
Joan Villalbía,
Autor para correspondencia
jrvillal@aspb.es

Correspondencia: Dr. Joan R. Villalbí. Agència de Salut Pública de Barcelona. Pl. Lesseps, 1. 08023 Barcelona. España.
, Joan Guixa, Conrad Casasa, Carme Borrella, Júlia Durana, Lucía Artazcoza, Esteve Camprubía, Meritxell Cusía, Pau Rodríguez-Montuquína, Josep M. Armengola, Guy Jiménezb
a Agència de Salut Pública de Barcelona, Barcelona, España
b Proman Consulting, Barcelona, España
Leído
1058
Veces
se ha leído el artículo
350
Total PDF
708
Total HTML
Compartir estadísticas
 array:25 [
  "pii" => "S0213911107719714"
  "issn" => "02139111"
  "doi" => "10.1157/13099122"
  "estado" => "S300"
  "fechaPublicacion" => "2007-01-01"
  "aid" => "71971"
  "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Gac Sanit. 2007;21:60-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 8612
    "formatos" => array:3 [
      "EPUB" => 140
      "HTML" => 7747
      "PDF" => 725
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911107719726"
    "issn" => "02139111"
    "doi" => "10.1157/13099123"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "71972"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Gac Sanit. 2007;21:66-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3451
      "formatos" => array:3 [
        "EPUB" => 113
        "HTML" => 2832
        "PDF" => 506
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Originales breves</span>"
      "titulo" => "Diagn&#243;stico tard&#237;o de la infecci&#243;n por el virus de la inmunodeficiencia humana en la Cohorte VACH &#40;1997-2002&#41;"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "66"
          "paginaFinal" => "69"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Delayed diagnosis of HIV infection in the Spanish VACH cohort &#91;1997-2002&#93;"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ram&#243;n Teira Cobo, Ignacio Su&#225;rez Lozano, Juan Miguel Santamar&#237;a J&#225;uregui, Alberto Terr&#243;n Pern&#237;a, Pere Domingo Pedrol, Juan Gonz&#225;lez Garc&#237;a, Jaime Cos&#237;n Ochaita, Esteban Ribera Pascuet, Trinitario S&#225;nchez, Bernardino Roca Villanueva, Pompeyo Viciana Fern&#225;ndez, Mar&#237;a Luisa Garc&#237;a Alcalde, Paloma Geijo Mart&#237;nez, Pepa Galindo Puerto, Antonio Vergara Campos, Fernando Lozano de Le&#243;n Naranjo, Agust&#237;n Mu&#241;oz S&#225;nchez, Pablo Tebas"
          "autores" => array:18 [
            0 => array:2 [
              "nombre" => "Ram&#243;n"
              "apellidos" => "Teira Cobo"
            ]
            1 => array:2 [
              "nombre" => "Ignacio"
              "apellidos" => "Su&#225;rez Lozano"
            ]
            2 => array:2 [
              "nombre" => "Juan Miguel"
              "apellidos" => "Santamar&#237;a J&#225;uregui"
            ]
            3 => array:2 [
              "nombre" => "Alberto"
              "apellidos" => "Terr&#243;n Pern&#237;a"
            ]
            4 => array:2 [
              "nombre" => "Pere"
              "apellidos" => "Domingo Pedrol"
            ]
            5 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Gonz&#225;lez Garc&#237;a"
            ]
            6 => array:2 [
              "nombre" => "Jaime"
              "apellidos" => "Cos&#237;n Ochaita"
            ]
            7 => array:2 [
              "nombre" => "Esteban"
              "apellidos" => "Ribera Pascuet"
            ]
            8 => array:2 [
              "nombre" => "Trinitario"
              "apellidos" => "S&#225;nchez"
            ]
            9 => array:2 [
              "nombre" => "Bernardino"
              "apellidos" => "Roca Villanueva"
            ]
            10 => array:2 [
              "nombre" => "Pompeyo"
              "apellidos" => "Viciana Fern&#225;ndez"
            ]
            11 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Luisa Garc&#237;a Alcalde"
            ]
            12 => array:2 [
              "nombre" => "Paloma"
              "apellidos" => "Geijo Mart&#237;nez"
            ]
            13 => array:2 [
              "nombre" => "Pepa"
              "apellidos" => "Galindo Puerto"
            ]
            14 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "Vergara Campos"
            ]
            15 => array:2 [
              "nombre" => "Fernando Lozano"
              "apellidos" => "de Le&#243;n Naranjo"
            ]
            16 => array:2 [
              "nombre" => "Agust&#237;n"
              "apellidos" => "Mu&#241;oz S&#225;nchez"
            ]
            17 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Tebas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719726?idApp=WGSE"
    "url" => "/02139111/0000002100000001/v2_201301241555/S0213911107719726/v2_201301241555/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911107719702"
    "issn" => "02139111"
    "doi" => "10.1157/13099121"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "71970"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Gac Sanit. 2007;21:53-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2724
      "formatos" => array:3 [
        "EPUB" => 137
        "HTML" => 2087
        "PDF" => 500
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Competencia limitada en la importaci&#243;n paralela de medicamentos&#58; el caso de la simvastatina en Alemania&#44; Holanda y el Reino Unido"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "53"
          "paginaFinal" => "59"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Constrained competition in parallel drug importation&#58; the case of simvastatin in Germany&#44; the Netherlands&#44; and the United Kingdom"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Joan Costa-Font, Panos Kanavos"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Joan"
              "apellidos" => "Costa-Font"
            ]
            1 => array:2 [
              "nombre" => "Panos"
              "apellidos" => "Kanavos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719702?idApp=WGSE"
    "url" => "/02139111/0000002100000001/v2_201301241555/S0213911107719702/v2_201301241555/es/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:19 [
      "pii" => "S0213911107720216"
      "issn" => "02139111"
      "doi" => "10.1157/13106818"
      "estado" => "S300"
      "fechaPublicacion" => "2007-05-01"
      "aid" => "72021"
      "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
      "documento" => "simple-article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "err"
      "cita" => "Gac Sanit. 2007;21:271"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1972
        "formatos" => array:3 [
          "EPUB" => 122
          "HTML" => 1347
          "PDF" => 503
        ]
      ]
      "es" => array:6 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Fe de errores</span>"
        "tienePdf" => "es"
        "tieneTextoCompleto" => 0
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "271"
          ]
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
      ]
      "idiomaDefecto" => "es"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720216?idApp=WGSE"
      "url" => "/02139111/0000002100000003/v2_201301241604/S0213911107720216/v2_201301241604/es/main.assets"
    ]
  ]
  "es" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "El Cuadro de Mando Integral como instrumento de direcci&#243;n en una organizaci&#243;n de salud p&#250;blica"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "60"
        "paginaFinal" => "65"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Joan Villalb&#237;, Joan Guix, Conrad Casas, Carme Borrell, J&#250;lia Duran, Luc&#237;a Artazcoz, Esteve Camprub&#237;, Meritxell Cus&#237;, Pau Rodr&#237;guez-Montuqu&#237;n, Josep M&#46; Armengol, Guy Jim&#233;nez"
        "autores" => array:11 [
          0 => array:4 [
            "nombre" => "Joan"
            "apellidos" => "Villalb&#237;"
            "email" => array:1 [
              0 => "jrvillal&#64;aspb&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Joan"
            "apellidos" => "Guix"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Conrad"
            "apellidos" => "Casas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Carme"
            "apellidos" => "Borrell"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "J&#250;lia"
            "apellidos" => "Duran"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Luc&#237;a"
            "apellidos" => "Artazcoz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Esteve"
            "apellidos" => "Camprub&#237;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Meritxell"
            "apellidos" => "Cus&#237;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Pau"
            "apellidos" => "Rodr&#237;guez-Montuqu&#237;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          9 => array:3 [
            "nombre" => "Josep M&#46;"
            "apellidos" => "Armengol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          10 => array:3 [
            "nombre" => "Guy"
            "apellidos" => "Jim&#233;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Ag&#232;ncia de Salut P&#250;blica de Barcelona&#44; Barcelona&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Proman Consulting&#44; Barcelona&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; Dr&#46; Joan R&#46; Villalb&#237;&#46; Ag&#232;ncia de Salut P&#250;blica de Barcelona&#46; Pl&#46; Lesseps&#44; 1&#46; 08023 Barcelona&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "The Balanced Scorecard as a management tool in a public health organization"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2005-12-12"
    "fechaAceptado" => "2006-07-20"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec13999"
          "palabras" => array:3 [
            0 => "Cuadro de Mando Integral"
            1 => "Gesti&#243;n"
            2 => "Evaluaci&#243;n"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec14000"
          "palabras" => array:3 [
            0 => "Balanced Scorecard"
            1 => "Management"
            2 => "Evaluation"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">El Cuadro de Mando Integral &#40;CMI&#44; o <span class="elsevierStyleItalic">Balanced Scorecard&#41;</span> es un instrumento para la planificaci&#243;n estrat&#233;gica de las empresas&#46; Adoptamos su uso en una organizaci&#243;n de salud p&#250;blica para alinear la pr&#225;ctica cotidiana de la direcci&#243;n con los objetivos m&#225;s estrat&#233;gicos&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Nuestro equipo directivo requiri&#243; de discusiones con apoyo externo para clarificar los conceptos subyacentes en el CMI&#44; adaptarlos a una organizaci&#243;n sanitaria p&#250;blica distinta del medio empresarial para el que se dise&#241;&#243; inicialmente y adoptarlo como instrumento de direcci&#243;n&#46; Esto llev&#243; a la construcci&#243;n de un CMI por el Comit&#233; de Direcci&#243;n en el a&#241;o 2002&#44; a la posterior evaluaci&#243;n y a su reformulaci&#243;n peri&#243;dica&#46; Adem&#225;s&#44; se han formulado CMI de segundo nivel para diversas direcciones y servicios de la organizaci&#243;n&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">La adopci&#243;n del CMI por el equipo directivo comport&#243; un esfuerzo previo de clarificaci&#243;n sobre qui&#233;nes son los accionistas y los clientes de una organizaci&#243;n p&#250;blica como la nuestra&#46; Tambi&#233;n llev&#243; a realizar un an&#225;lisis de la actividad realizada y de su producci&#243;n&#44; as&#237; como un modelo de procesos&#46; Aunque es dif&#237;cil atribuir determinados cambios a una causa concreta&#44; creemos que diversas mejoras de gesti&#243;n introducidas se pueden relacionar&#44; al menos parcialmente&#44; con su uso&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El uso sistem&#225;tico del CMI ha permitido cohesionar mejor el equipo de direcci&#243;n y el conjunto de la organizaci&#243;n&#44; e impregnar la gesti&#243;n cotidiana con los objetivos m&#225;s estrat&#233;gicos&#46; La organizaci&#243;n ha integrado mejor los elementos relacionados con sus clientes&#44; ha iniciado acciones para mejorar los procesos internos transversales m&#225;s complejos&#44; y ha desarrollado de manera m&#225;s sistem&#225;tica y general los elementos orientados al crecimiento y desarrollo de sus cuadros y de todo el personal&#46; Al mismo tiempo&#44; los directivos han pasado a tener m&#225;s presentes las necesidades de las administraciones titulares de la agencia que conforman sus &#243;rganos de gobierno&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The Balanced Scorecard is a tool for strategic plan-ning in business&#46; We present our experience after introducing this instrument in a public health agency to align daily management practice with strategic objectives&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Our management team required deep discussions with external support to clarify the concepts behind the Balanced Scorecard&#44; adapt them to a public organization in the health field distinct from the business sector in which the Balanced Scorecard was designed&#44; and adopt this instrument as a management tool&#46; This process led to definition of the Balanced Scorecard by our Management Committee in 2002&#44; the subsequent evaluation of the degree to which its objectives had been reached&#44; and its periodic redefinition&#46; In addition&#44; second-level Balanced Scorecards were defined for different divisions and services within the agency&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The adoption of the Balanced Scorecard by the management team required prior effort to clarify who are the stockholders and who are the clients of a public health organization&#46; The agency&#39;s activity and production were also analyzed and a key processes model was defined&#46; Although it is hard to attribu-te specific changes to a single cause&#44; we believe several im-provements in management can be ascribed&#44; at least in part&#44; to the use of the Balanced Scorecard&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">The systematic use of the Balanced Scorecard produced greater cohesion in the management team and the entire organization and brought the strategic objectives clo-serto daily management operations&#46; The organization is more attentive to its clients&#44; has taken steps to improve its most com-plex cross-sectional processes&#44; and has developed further ac-tions for the development and growth of its officers and its entire personnel&#46; At the same time&#44; its management team is more in tune with the needs of the agency&#39;s administrative bodies that compose its governing board&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "El cuadro de mando integral"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Kaplan"
                            1 => "D&#46; Norton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2000"
                        "editorial" => "Gesti&#243;"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Success factors for implementation of the balanced scorecard in a NHS multi-agency setting"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Z&#46; Radnor"
                            1 => "B&#46; Lovell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Health Care Quality Assurance"
                        "fecha" => "2003"
                        "volumen" => "16"
                        "paginaInicial" => "99"
                        "paginaFinal" => "108"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cuadro de mando integral&#58; objetivos y perspectivas en atenci&#243;n primaria&#46; Parc Taul&#237;y EAP Can Rull"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Prats-Villalonga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cuadernos de Gesti&#243;n"
                        "fecha" => "2003"
                        "volumen" => "9"
                        "paginaInicial" => "182"
                        "paginaFinal" => "191"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cuadro de mandos integral a nivel hospitalario basado en indicadores del modelo EFQM de excelencia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;A&#46; Oteo-Ochoa"
                            1 => "G&#46; P&#233;rez-Torrijos"
                            2 => "D&#46; Silva-S&#225;nchez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Gesti&#243;n Hospitalaria"
                        "fecha" => "2002"
                        "volumen" => "13"
                        "paginaInicial" => "9"
                        "paginaFinal" => "25"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acerca de los clientes de las organizaciones de salud p&#250;blica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Duran"
                            1 => "J&#46;R&#46; Villalb&#237;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "2004"
                        "volumen" => "18"
                        "paginaInicial" => "479"
                        "paginaFinal" => "482"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15625047"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Modelo EFQM de excelencia aplicado a la administraci&#243;n p&#250;blica&#44; Ministerio de Administraciones P&#250;blicas&#44; Madrid &#91;citado 16 Ago 2005&#93; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.igsap.map.es/calidad/calidad.htm">http&#58;&#47;&#47;www&#46;igsap&#46;map&#46;es&#47;calidad&#47;calidad&#46;htm</a>"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gesti&#243; de la qualitat en un m&#243;n de serveis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;M&#46; Costa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2000"
                        "editorial" => "Gesti&#243;"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "PubMed&#44; US National Library of Medicine &#91;citado 2 Mar 2006&#93; Washington 2006 Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.pubmed.gov/">http&#58;&#47;&#47;www&#46;pubmed&#46;gov</a>"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The balanced scorecard&#58; measures that drive performance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Kaplan"
                            1 => "D&#46; Norton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Harv Bus Rev"
                        "fecha" => "1992"
                        "volumen" => "70"
                        "paginaInicial" => "71"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10119714"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/0000002100000001/v2_201301241555/S0213911107719714/v2_201301241555/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "778"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales breves"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/0000002100000001/v2_201301241555/S0213911107719714/v2_201301241555/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719714?idApp=WGSE"
]
Información del artículo
ISSN: 02139111
Idioma original: Español
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 10 1 11
2024 Octubre 86 36 122
2024 Septiembre 70 19 89
2024 Agosto 65 24 89
2024 Julio 35 22 57
2024 Junio 39 18 57
2024 Mayo 38 24 62
2024 Abril 42 13 55
2024 Marzo 35 18 53
2024 Febrero 34 35 69
2024 Enero 33 18 51
2023 Diciembre 28 11 39
2023 Noviembre 24 19 43
2023 Octubre 26 12 38
2023 Septiembre 28 16 44
2023 Agosto 23 15 38
2023 Julio 37 29 66
2023 Junio 38 15 53
2023 Mayo 17 5 22
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Gaceta Sanitaria
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?