ArticleThe Balanced Scorecard as a Strategic Management Tool Its Application in the Regional Public Health System in CampaniaImpagliazzo, Cira PhD; Ippolito, Adelaide PhD; Zoccoli, Paola PhDAuthor Information Author Affiliations: Facoltà di Economia, Università degli Studi di Salerno, Via Ponte Don Melillo, Fisciano (Salerno), Italy. Corresponding author: Paola Zoccoli, PhD, Facoltà di Economia, Università degli Studi di Salerno, Via Ponte Don Melillo, Fisciano (Salerno) 84084, Italy ([email protected]). The Health Care Manager: January 2009 - Volume 28 - Issue 1 - p 44-54 doi: 10.1097/HCM.0b013e318196df0f Buy Metrics Abstract Health, as a primary and advanced need, can only be guaranteed through the appropriate management of dedicated resources. As in any situation where funds are limited, it is vital to have logical frameworks and tools to set up structures capable of making a complex system like the health service work. Only through an appropriate and competent activity of governance can such structures be identified, organized, and rendered operational. This can be achieved by using ad hoc tools such as the Balanced Scorecard. Its application in the case of the Regional Government of Campania indicates that it is a valid tool in all circumstances except in situations of crisis. © 2009 Lippincott Williams & Wilkins, Inc.