醫院管理對經理人而言是一項挑戰，以醫院提供醫療服務爲首要任務，但隨環境變化，以及醫院組織也隨醫療技術進步與營運規模的擴大，使醫院各功能部門分工也趨於複雜。經理人須協調醫師、護士、技術與特殊人員多方面的知識與能力，且對醫療過程中所牽涉的關係人如病患與家屬、保險公司以及醫院員工的利益間取得平衡。有鑒於此，面對此複雜的局勢，爲了能達到組織目標，須增加其生存空間。本研究藉由「個案研究」的方式，研究標的爲南部某醫院放射科爲對象。籍由平衡計分卡的功能，能達到組織的策略性目標，建立績效考核以及增進營運效率，進而達到顧客滿意度上升和成本控制的效果。研究過程藉由文件檔案收集、開會討論、訪談及直接觀察方式蒐集資料彙整；並透過Yin「以理論架構做爲設計個案的基礎」及決策型德菲法(Decision Delphi)方式進行資料分析。研究結果：建構個案部門導入平衡計分卡及策略地圖完整的參考模式；建立個案部門導入平衡計分卡可供參考之程序步驟流程；設計平衡計分卡四大構面績效衡量標準與權重；將組織目標與個人績效連結，以落實平衡計分卡之執行。

Speaking of the manager in the hospital management is a challenge of the hospital nowadays. The number one priority of the hospital is saving lives, but along with the evolution of time and environmental changes, as well as the hospital organization with the advancement of medical service & technology in a wide business scale expansion causes hospital to divide their work and functions department into complexity. During hospital management, the manager must coordinate with the doctor, the nurse, technical staff and the special personnel on various knowledge and ability. And the benefit associated with 1) the patient's family member, 2) the insurance company, and 3) as well as the hospital staffs benefit which involves medical procedure in obtaining the balance. In view, we are faced with this complex situation in order to achieve the organizational goal and increase existing space. Professor Ke Pulang and CEO Norton invent the balanced scorecard that is gradually being use by many medical establishments. This research uses "the case study" method. The research's objective is directed on radiology department of some hospital in the southern Taiwan using the balance scorecard function in achieving the organizational strategic goal, establishes an inspection as well as promote transport business efficiency, and then achieves an increase of the customer satisfaction & cost control effect. The course of research uses the collection of document file, general meeting, discussion and the visual observation method of collection of the entire material, Yin perceives (1989) "the theory of construction as the foundation of document design" and the decision-making law (Decision Delphi) method carries on the material analysis. The findings are as follows: Establishment of a constructive document department to induct the balance scorecard and the integrity of strategic map as model reference、Establishment of a document department inducts the balance scorecard in the possibility of supplying program step flow as reference、Design a balance scorecard with four big constructions surface that achieves the standard weight and importance、Organization of a group goal and individual achievements linkage that executes the balance scorecard.