Hospitals are implementing modern administration tools to respond to the changing operating environment to improve operational efficiency. A balanced scorecard is a management tool that helps hospitals establish, implement, and monitor to achieve their strategies and goals by interpreting and developing strategies into goals and specific action programs based on four aspects: finance, customers, internal processes, training, and development. This article aims to evaluate research trends in applying the balanced scorecard in hospitals based on documents in the PubMed database in the years 2015–2023. The results show that there is growing interest in using the balanced scorecard as a strategic management tool in hospitals, with 2022 being the year with the highest number of publications and many journals having published up to four publications on this issue. Finally, keyword analysis identified much content that will be important research points for future research..