This paper is a literature review that discusses the use of the Blanced Score Card (BSC) to improve organizational performance, especially in the field of health services. The purpose of this study is to explore and connect theories from various studies. This paper identifies 21 articles with related topics published in the last decade. The results in this study indicate that BSC has been used in the health sector but is mostly used in the hospital sector, amounting to 87.5% (measuring performance against national standards and guidelines in the essential package of hospital services, assessing the quality of health services to strengthen health services in developing a country, integrated health care in hospitals, measuring service quality with the cost of patient care in the hospital, evaluate hospital performance, evaluation of the main performance of the hospital as an effort to achieve the hospital's strategic goals efficiently) and in part small bada in the field of pharmaceutical services by 12.5% (measuring and evaluating the performance of pharmacies and stressing patient-centered services). While in other health service sectors there has not been any research that causes this cause based on this research it can be used to develop other research to examine the effectiveness of the use of BSC in the broader health service sector such as national health insurance, basic health services, or at the ministry or agency health.