Towards an AI-Enhanced sustainable health system: inferences from healthcare management research

Abstract

Health management literature is critical in facilitating effective leadership and management in the health sector by imparting the knowledge and understanding required in health service planning, organization, coordination, and management. Through an exhaustive bibliometric examination, the current state of the “healthcare management” literature was assessed in this study, illuminating potential future developments in the field. By utilizing an extensive compilation of articles from the Web of Science (WoS) database, this study endeavors to scrutinize patterns in scientific inquiry, assess advancements made on subjects, and underscore significant fields of cooperation and scholarly input. An in-depth, extensive analysis revealed that three decades of research yielded over 46,000 publications; the number of publications has increased by six, particularly in the last ten years, and the United States and the United Kingdom produced most of the publications. Analysis identifying influential journals and authors in the field revealed that it is the focus of attention of health professionals, especially nurses. Although the COVID-19 pandemic has been recognized as the primary public health concern, scholarly attention has shifted towards a sustainable health system incorporating technology-supported preventive health practices and intelligence. To thoroughly comprehend the theoretical progression of health management research, its capacity to tackle worldwide issues, and its growth potential, the study’s findings are a valuable scholarly resource that offers practitioners, policymakers, and researchers a comprehensive overview.

Keywords

• Healthcare Management
• Bibliometric Analysis
• Thematic Analysis
• Healthcare Professionals
• Artificial Intelligence

Yapay zekayla geliştirilmiş sürdürülebilir bir sağlık sistemine doğru: sağlık yönetimi araştırmalarından çıkarımlar

Abstract

Sağlık yönetimi literatürü, sağlık hizmetlerinin planlanması, organizasyonu, koordinasyonu ve yönetiminde gerekli olan bilgi ve anlayışın aktarılması yoluyla sağlık sektöründe etkili liderlik ve yönetimin kolaylaştırılması açısından kritik öneme sahiptir. Kapsamlı bir bibliyometrik inceleme yoluyla, bu çalışmada “sağlık yönetimi” literatürünün mevcut durumu değerlendirilerek alanda gelecekte yaşanabilecek potansiyel gelişmelere ışık tutulmuştur. Web of Science (WoS) veri tabanındaki kapsamlı bir makale derlemesinden yararlanan bu çalışma, bilimsel araştırmadaki kalıpları incelemeyi, konularda kaydedilen ilerlemeleri değerlendirmeyi ve önemli iş birliği ve bilimsel girdi alanlarının altını çizmeyi amaçlamaktadır. Derinlemesine bir analiz, otuz yıllık araştırmalar sonucunda 46 binden fazla yayının üretildiği ve özellikle son on yılda yayın sayısının altı katına çıktığı, yayınların çoğunun ABD ve İngiltere’de üretildiği belirlenmiştir. Alandaki etkili dergi ve yazarları belirleyen bu analiz; sağlık profesyonellerinin ve özellikle hemşirelerin ilgi odağı olduğunu ortaya koymuştur. Her ne kadar COVID-19 salgını alandaki birincil halk sağlığı sorunu olarak kabul edilse de bilimsel ilgi, teknoloji destekli koruyucu sağlık uygulamaları ve zekâsını birleştiren sürdürülebilir bir sağlık sistemine yönelmiştir. Bu çalışmanın bulguları; sağlık yönetimi araştırmasının teorik ilerleyişini, dünya çapındaki sorunları çözme kapasitesini ve büyüme potansiyelini tam olarak kavramak için uygulayıcılara, politika yapıcılara ve araştırmacılara kapsamlı bir genel bakış sunmaktadır.

Keywords

• Sağlık Yönetimi
• Bibliyometrik Analiz
• Tematik Analiz
• Sağlık Profesyonelleri
• Yapay Zekâ

References

1. Adunlin, G., Diaby, V., and Xiao, H. (2014). Application of multicriteria decision analysis in health care: a systematic review and bibliometric analysis. Health Expectations, 18(6), 1894-1905. doi:10.1111/hex.12287
2. Araújo-Vila, N., Otegui-Carles, A., and Fraiz-Brea, J.A. (2023). Bibliometric analysis of academic research in education for sustainable development in the field of tourism. International Journal of Social Ecology and Sustainable Development (IJSESD), 14(1), 1–17. doi:10.4018/IJSESD.326280
3. Barasa, E. W., Cleary, S., English, M., and Molyneux, S. (2016). The influence of power and actor relations on priority setting and resource allocation practices at the hospital level in kenya: a case study. BMC Health Services Research, 16(1). doi:10.1186/s12913-016-1796-5
4. Barouki, R., Kogevinas, M., Audouze, K., Belesova, K., Bergman, A., Birnbaum, L., Boekhold, S., Denys, S., Desseille, C., Drakvik, E., Frumkin, H., Garric, J., Destoumieux-Garzon, D., Haines, A., Huss, A., Jensen, G., Karakitsios, S., Klanova, J., Koskela, I. M., … Vineis, P. (2021). The covid-19 pandemic and global environmental change: emerging research needs. Environment International, 146, 106272. doi:10.1016/j.envint.2020.106272
5. Baugh, C.M., Meehan III, W.P., McGuire, T.G., and Hatfield, L.A. (2020). Staffing, financial, and administrative oversight models and rates of injury in collegiate athletes. Journal of Athletic Training, 55(6), 580–586. doi:10.4085/1062-6050-0517.19
6. Berwick, D. M., Nolan, T., and Whittington, J. (2008). The triple aim: care, health, and cost. Health Affairs, 27(3), 759-769. doi:10.1377/hlthaff.27.3.759
7. Calder, R., Dunkin, R., Rochford, C., and Nichols, T. (2019). Australian Health Services: Too Complex to Navigate. Mitchell Institute. Retrieved from: https://apo.org.au/node/223011
8. Cebrino, J. and de Cruz, S.P. (2020). A worldwide bibliometric analysis of published literature on workplace violence in healthcare personnel. PloS One, 15(11), e0242781. doi:10.1371/journal.pone.0242781

9. Chughtai, T., Parchani, A., Strandvik, G., Verma, V., Arumugam, S., El-Menyar, A., Rizoli, S., and Al-Thani, H. (2019). Trauma intensive care unit (TICU) at Hamad General Hospital. Qatar Medical Journal, 2, 5. doi:10.5339/qmj.2019.qccc.5
10. Cobelli, N. and Blasioli, E. (2023). To be or not to be digital? a bibliometric analysis of adoption of e-health services. The TQM Journal, 35(9), 299-331. doi:10.1108/tqm-02-2023-0065
11. Correa, V.C., Lugo-Agudelo, L.H., Aguirre-Acevedo, D.C., Contreras, J.A.P., Borrero, A.M.P., Patiño-Lugo, D.F., and Valencia, D.A.C. (2020). Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health Research Policy and Systems, 18, 1-11. doi:10.1186/s12961-020-00588-8
12. Derriennic, J., Barais, M., Goff, D.Le, Fernandez, G., Borne, F. Le, and Reste, J.-Y. Le. (2021). P10atient, carer and healthcare professional experiences of complex care quality in multidisciplinary primary healthcare centres: qualitative study with face-to-face, in-depth interviews and focus groups in five french multidisciplinary primary healthcare centres. BMJ Open, 11(12). doi:10.1136/bmjopen-2021-050165
13. Elbaz, S., Cinalioglu, K., Sekhon, K., Gruber, J., Rigas, C., Bodenstein, K., Naghi, K., Lavin, P., Greenway, K. T., Vahia, I., Rej, S., and Sekhon, H. (2021). A systematic review of telemedicine for older adults with dementia during covid-19: an alternative to in-person health services? In Frontiers in Neurology, 12, 761965. doi:10.3389/fneur.2021.761965
14. Ellegaard, O. and Wallin, J.A. (2015). The bibliometric analysis of scholarly production: how great is the impact? Scientometrics, 105, 1809-1831. doi:10.1007/s11192-015-1645-z
15. Gigliotti, R.A. and Ruben, B.D. (2017). Preparing higher education leaders: a conceptual, strategic, and operational approach. Journal of Leadership Education, 16(1), 96–114. doi:10.12806/V16/I1/T1
16. Guo, Y., Hao, Z., Zhao, S., Gong, J., and Yang, F. (2020). Artificial intelligence in health care: bibliometric analysis. Journal of Medical Internet Research, 22(7), e18228. doi:10.2196/18228
17. Haldane, V., De Foo, C., Abdalla, S. M., Jung, A. S., Tan, M., Wu, S., Chua, A., Verma, M., Shrestha, P., Singh, S., Perez, T., Tan, S.M., Bartos, M., Mabuchi, S., Bonk, M., McNab, C., Werner, G. K., Panjabi, R., Nordström, A., and Legido-Quigley, H. (2021). Health systems resilience in managing the covid-19 pandemic: lessons from 28 countries. Nature Medicine, 27(6), 964-980. doi:10.1038/s41591-021-01381-y
18. Haque, A.K.M.B., Arifuzzaman, B.M., Siddik, S.A.N., Kalam, A., Shahjahan, T.S., Saleena, T.S., Alam, M., Islam, M.R., Ahmmed, F., and Hossain, and Md Jamal. (2022). Semantic web in healthcare: a systematic literature review of application, research gap, and future research avenues. International Journal of Clinical Practice, 2022, 1–27. doi:10.1155/2022/6807484
19. Hashim, M.J. (2019). The art of healing - core values and goals of medicine, nursing and healthcare. Journal of the College of Physicians and Surgeons--Pakistan: JCPSP, 29(4), 299–300. doi:10.29271/jcpsp.2019.04.299
20. Jacobs, L.G. and Garrett, R.C. (2020). Hospital care for covid-19: what have we learned? Journal of the American Geriatrics Society, 68(11), 2428–2430. doi:10.1111/jgs.16896
21. Jang, D., Doh, S., and Choi, Y. (2020). Networks of international co-authorship in journal articles about antarctic research, 1998–2015. Polar Research. doi:10.33265/polar.v39.3647
22. Janssen, M. and van der Voort, H. (2020). Agile and adaptive governance in crisis response: lessons from the covid-19 pandemic. International Journal of Information Management, 55, 102180. doi:10.1016/j.ijinfomgt.2020.102180
23. Kitsios, F., Kamariotou, M., and Talias, Μ.A. (2020). Corporate sustainability strategies and decision support methods: a bibliometric analysis. Sustainability, 12(2), 521. doi:10.3390/su12020521
24. Knudsen, M. and Vogd, W. (2014). Systems theory and the sociology of health and illness: observing healthcare. systems theory and the sociology of health and illness: observing healthcare. Routledge. doi:10.4324/9781315758916
25. Koseoglu, M. A., Akdeve, E., Gedik, I., and Bertsch, A. (2015). A bibliometric analysis of strategic management articles in healthcare management literature: past, present, and future. International Journal of Healthcare Management, 8(1), 27-33. doi:10.1179/2047971914Y.0000000089
26. Li, N. and Li, R.Y.M. (2022). A bibliometric analysis of six decades of academic research on housing prices. International Journal of Housing Markets and Analysis. doi:10.1108/IJHMA-05-2022-0080
27. Mahmud, S. and Ali, I. (2023). Evolution of research on honesty and dishonesty in academic work: a bibliometric analysis of two decades. Ethics and Behavior, 33(1), 55-69. doi:10.1080/10508422.2021.2015598
28. McConaughey, E. (2008). Crew resource management in healthcare: the evolution of teamwork training and medteams. The Journal of Perinatal and Neonatal Nursing, 22(2), 96–104. doi:10.1097/01.JPN.0000319095.59673.6c
29. Menon, S. and Gillis, M. (2018). Guest editorial: clinical ethics consultation. Asian Bioethics Review, 10(1), 1–2. doi:10.1007/s41649-018-0049-9
30. Merigó, J.M. and Núñez, A. (2016). Influential journals in health research: a bibliometric study. Globalization and Health, 12, 1-12. doi:10.1186/s12992-016-0186-4
31. Merigó, J.M. and Yang, J. (2017). A bibliometric analysis of operations research and management science. Omega, 73, 37-48. doi:10.1016/j.omega.2016.12.004
32. Milas, M. (2015). The genomic medicine paradigm shift. Journal of Surgical Oncology, 111(1), 1–2. doi:10.1002/jso.23818
33. Moran, J.F. (1998). Atrial flutter and fibrillation: from basic to clinical applications. Annals of Internal Medicine, 129(2), 168. doi:10.7326/0003-4819-129-2-199807150-00041
34. Nilsen, P., Seing, I., Ericsson, C., Birken, S.A., and Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC Health Services Research, 20(1), 1-8. doi:10.1186/s12913-020-4999-8
35. Păduraru, O., Moroșanu, A., Păduraru, C. Ștefan, and Cărăușu, E.M. (2022). Healthcare management: a bibliometric analysis based on the citations of research articles published between 1967 and 2020. Healthcare (Basel, Switzerland), 10(3), 555. doi:10.3390/healthcare10030555
36. Pakarinen, A., Lemström, T., Rainio, E., and Siirala, E. (2023). Design thinking in healthcare: from problem to innovative solutions. Springer Nature. Retrieved from: https://books.google.com.tr/books?id=ddK4EAAAQBAJ
37. Pesta, B., Fuerst, J., and Kirkegaard, E.O.W. (2018). Bibliometric keyword analysis across seventeen years (2000-2016) of intelligence articles. Journal of Intelligence, 6(4), 46. doi:10.3390/jintelligence6040046
38. Radanliev, P., and De Roure, D. (2023). New and emerging forms of data and technologies: literature and bibliometric review. Multimedia Tools and Applications, 82(2), 2887–2911. doi:10.1007/s11042-022-13451-5
39. Schwalbe, N., and Wahl, B. (2020). Artificial intelligence and the future of global health. The Lancet, 395(10236), 1579–1586. doi:10.1016/S0140-6736(20)30226-9
40. Speziale, G. (2015). Strategic management of a healthcare organization: engagement, behavioural indicators, and clinical performance. European Heart Journal Supplements, 17(suppl_A), A3–A7. doi:10.1093/eurheartj/suv003
41. Stoller, J.K., Berkowitz, E., and Bailin, P.L. (2007). Physician management and leadership education at the Cleveland clinic foundation: program impact and experience over 14 years. Journal of Medical Practice Management, 22(4), 237-242. Retrieved from: https://europepmc.org/article/med/17425027
42. Syafri, M., Muktamar, A., Choerudin, A., Elizabeth, R., and Amalia, M. R. (2023). Bibliometric analysis of the influence of academic research on hrm strategy, employee performance, and organizational success globally. The Eastasouth Management and Business, 2(01), 72–82. doi:10.58812/esmb.v2i01.140
43. Thompson, D.F. and Walker, C.K. (2015). A descriptive and historical review of bibliometrics with applications to medical sciences. Pharmacotherapy, 35(6), 551-559. doi:10.1002/phar.1586
44. Tortorella, G.L., Fogliatto, F.S., Mac Cawley Vergara, A., Vassolo, R., and Sawhney, R. (2020). Healthcare 4.0: trends, challenges and research directions. Production Planning & Control, 31(15), 1245–1260. doi:10.1080/09537287.2019.1702226
45. Ullah, R., Asghar, I., and Griffiths, M. (2022). An integrated methodology for bibliometric analysis: a case study of internet of things in healthcare applications. Sensors, 23(1), 67. doi:10.3390/s23010067
46. Vanderstraeten, R. and Vandermoere, F. (2021). Inequalities in the growth of Web of Science. Scientometrics, 126(10), 8635–8651. doi:10.1007/s11192-021-04143-2
47. Vera San Juan, N., Aceituno, D., Djellouli, N., Sumray, K., Regenold, N., Syversen, A., Mulcahy Symmons, S., Dowrick, A., Mitchinson, L., Singleton, G., and Vindrola-Padros, C. (2021). Mental Health and well-being of healthcare workers during the covid-19 pandemic in the UK: Contrasting Guidelines with Experiences in Practice. BJPsych Open, 7(1), e15. doi:10.1192/bjo.2020.148
48. Wei, H., and Horton-Deutsch, S. (2022). Visionary leadership in healthcare. Sigma Theta Tau. Retrieved from: https://books.google.com.tr/books?id=IodeEAAAQBAJ
49. Wu, Y., Li, R. Y. M., Akbar, S., Fu, Q., Samad, S., and Comite, U. (2022). The effectiveness of humble leadership to mitigate employee burnout in the healthcare sector: a structural equation model approach. Sustainability, 14(21), 14189. doi:10.3390/su142114189
50. Xie, Y., Ji, L., Zhang, B., and Huang, G. (2018). Evolution of the Scientific Literature on input–output analysis: a bibliometric analysis of 1990–2017. Sustainability, 10(9), 3135. doi:10.3390/su10093135