This paper is a review and study of various research related to tools of strategic, and factors that influence both of internal and external strategic in medical facilities research. The purpose of the review is to explore and connecting theories from various research. This paper identified 51 articles with related topics published the last decade. The results of this study that research related to implementation tools of strategic in health facilities still rarely. The use of SWOT (strengths weaknesses opportunities threats) analysis is the most popular tool used (42.86%), followed by Break-even analysis (28.56%), Balanced scorecard (BSC) and PEST (political, economic, socio-cultural, technology) each (14.29%). Based on the analysis of environmental factors related to internal factors in the health facility amount of 33.33%. External environmental factors in health facilities that have been studied amounted to 66.66%. Based on the summary of research related to internal and external, it is known that industry environment factors and rivalry environment factors are still rarely studied. The general environmental factors of demography and epidemiology are still rare studies and have the opportunity to be researched and developed.