Quality strategies in health services: a bibliometric study
DOI:
https://doi.org/10.5281/zenodo.18132359Keywords:
quality of health care, health services, bibliometrics, patient safety, health equityAbstract
Introduction: quality in healthcare services is fundamental to ensuring safety, equity, and efficiency. It faces global challenges and contextual disparities. Bibliometric analysis allows for the systematization of existing knowledge and the identification of trends and research gaps.
Objective: to conduct a comprehensive bibliometric analysis of quality strategies in healthcare services, identifying trends, collaborative networks, and gaps, with a special focus on Latin America.
Method: a quantitative-descriptive study with a non-experimental longitudinal design based on bibliometrics was conducted, analyzing 1,164 documents indexed in Scopus (1995-2025) using VOSviewer (for co-citation networks) and Bibliometrix (for publication dynamics and impact). Inclusion criteria included: peer-reviewed documents in English and Spanish, full text available, direct focus on healthcare service quality strategies (clinical, administrative, or technological) and human population.
Results: an annual growth of 13.93% was observed, with a predominance of authors and institutions from the United States (324 documents). Central themes included gender equity, patient safety, and emerging technologies. Geographic gaps were evident (limited representation from Latin America and Africa), as well as a concentration of productivity among a small group of authors.
Conclusions: the field is dynamic but fragmented. More inclusive and collaborative research is needed to develop equitable and sustainable policies that address global and local healthcare quality needs.
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Mehanna D, El-Gerges N, Chalhoub, M, Daou R. Barriers to medication administration error reporting in a tertiary hospital in Lebanon. BMJ Open Quality [Internet]. 2024 [citado 3 Mar 2025]; 13(4). DOI: https://doi.org/10.1136/bmjoq-2024-002994
Shi W, Liu F, Yuan M, Liu H. The effect and influence of the responsibility system rehabilitation nursing model in the nursing of patients with ischemic stroke. Altern Ther Health Med [Internet]. 2024 [citado 3 Mar 2025]; 30(12):309-317. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38581316/
Goel S, Markanday S. Adoption of IoT in healthcare during Covid-19. Bentham Science Publishers; 2024. p. 98-115. DOI: https://doi.org/10.2174/9789815238181124010012
Yan X, Han Z, Zhu Y, He S. Information barriers to Hong Kong residents’ cross-border healthcare utilization in the Guangdong-Hong Kong-Macao Greater Bay Area and Potential Policy Responses. Tropical Geography [Internet]. 2024 [citado 3 Mar 2025]; 44(12):2224-2236. DOI: https://doi.org/10.13284/j.cnki.rddl.20240350
Gilchrist A, Fernando GVMC, Holland P, Ahmed F. Factors affecting women’s access to primary care in the United States since the affordable care act: a mixed-methods systematic review. PLOS ONE [Internet]. 2024 [citado 3 Mar 2025]; 19(12). DOI: https://doi.org/10.1371/journal.pone.0314620
Menezes JDDS, da Silva MQ, Sacardo Y, Ribeiro RS, Carvalho SRPVTD, Santos ERD, et al. Changes in patient safety knowledge during undergraduate nursing education: a scoping review protocol. Nurs Rep [Internet]. 2024 [citado 3 Mar 2025]; 14(4):3643-3651. DOI: https://doi.org/10.3390/nursrep14040266
Nishida N. Advancements in Artificial Intelligence-Enhanced imaging diagnostics for the management of liver disease—applications and challenges in personalized care. Bioengineering [Internet]. 2024 [citado 3 Mar 2025]; 11(12). DOI: https://doi.org/10.3390/bioengineering11121243
Giusti M, Persiani N. The experience of Tunisian public healthcare system toward decentralization to the reduction of health inequalities in low-, middle- income countries. Inter J Equity Health [Internet]. 2024 [citado 3 Mar 2025]; 23(1). DOI: https://doi.org/10.1186/s12939-024-02355-5
Jaeger R, Mosku N, Paganini D, Schelling G, van Oudenaarde K, Falkowski AL, et al. Enhancing patient experience in sarcoma core biopsies: the role of communication, anxiety management, and pain control. Cancers [Internet]. 2024 [citado 3 Mar 2025]; 16(23). DOI: https://doi.org/10.3390/cancers16233901
Lee H, Fiseha N, Bateisibwa J, Moyer CA, Greenberg J, Maffioli E. Community perceptions of health accountability meetings with local politicians to improve healthcare quality: A qualitative study in Western Uganda. BMC Public Health [Internet]. 2024 [citado 3 Mar 2025]; 24(1). DOI: https://doi.org/10.1186/s12889-024-21025-3
Qin J, Lu B, Li X, Sun D, Liu R, Wu Y, et al. Integrating complaint analysis into hospital management: a comparative study of surgical and non-surgical complaints. British J Hospital Medicine [Internet]. 2005). 2024 [citado 3 Mar 2025]; 85(8):1-17. DOI: https://doi.org/10.12968/hmed.2024.0219
Liu B, Qiang Q, Li X, Sun J, Rao Z, Zou G, et al. Improving primary healthcare quality in China through training needs analysis. Scientific Reports [Internet]. 2024 [citado 3 Mar 2025]; 14(1). DOI: https://doi.org/10.1038/s41598-024-81619-0
Jo I, Kim W, Lim Y, Kang E, Kim J, Chung H, et al. Strategy for scheduled downtime of hospital information system utilizing third-party applications. BMC Med Inform Decis Mak [Internet]. 2024 [citado 3 Mar 2025]; 24(1). DOI: https://doi.org/10.1186/s12911-024-02710-0
Abd Razak MA, Silim UA, Suhaimi AF, Ramly SS, Ismail NN, Mohd Salleh A, et al. An intervention to determine the effectiveness of the Sanubari optimal health program (OHP) in improving mental well-being among junior doctors in Malaysia: A quasi-experimental study. BMC Public Health [Internet]. 2024 [citado 3 Mar 2025]; 24(1). DOI: https://doi.org/10.1186/s12889-024-20100-z
Alzoubi MM, Al-Mugheed K, Oweidat I, Alrahbeni T, Alnaeem MM, Saeed Alabdullah AAS, et al. Moderating role of relationships between workloads, job burnout, turnover intention, and healthcare quality among nurses. BMC Psychology [Internet]. 2024 [citado 3 Mar 2025]; 12(1). DOI: https://doi.org/10.1186/s40359-024-01891-7
Gemeda TG, Benti AB, Mengistu GT, Sori SA. A systematic review and meta-analysis of evidence-based practice and its associated factors among health professionals in Ethiopia. BMC Health Services Research [Internet]. 2024 [citado 3 Mar 2025]; 24(1). DOI: https://doi.org/10.1186/s12913-024-11957-2
Akrouh N, Wehrens R, Scholtes E, Van de Bovenkamp H. Beyond the queue: exploring waiting practices in the stories of patients with breast cancer. Health Expectations [Internet]. 2024 [citado 3 Mar 2025]; 27(6). DOI: https://doi.org/10.1111/hex.70086
Gurisch C, Kleine J, Maier CB. International models of accreditation and certification for hospitals with a focus on nursing: A scoping review. BMC Health Services Research [Internet]. 2024 [citado 3 Mar 2025]; 24(1). DOI: https://doi.org/10.1186/s12913-024-11759-6
Vandecasteele R, Robijn L, Willems S, de Maesschalck S, Stevens PAJ. Barriers and facilitators to culturally sensitive care in general practice: A reflexive thematic analysis. BMC Primary Care [Internet]. 2024 [citado 3 Mar 2025]; 25(1). DOI: https://doi.org/10.1186/s12875-024-02630-y
Felisberto M, de Oliveira JMD, Mohr ETB, Scandolara DH, Celuppi IC, Dos Santos Fantonelli M, et al. Mapping the evaluation of the electronic health system PEC e-SUS APS in Brazil: A scoping review protocol. Systematic Reviews [Internet]. 2024 [citado 3 Mar 2025]; 13(1). DOI: https://doi.org/10.1186/s13643-024-02648-4
Matthews EB, Stanhope V, Hu Y. Barriers to health Information exchange among ambulatory physicians: results from a nationally representative sample. J Healthcare Quality [Internet]. 2023 [citado 3 Mar 2025]; 45(6):352-358. DOI: https://doi.org/10.1097/JHQ.0000000000000404
Junaid M, Zhang Q, Cao M, Luqman A. Nexus between technology enabled supply chain dynamic capabilities, integration, resilience, and sustainable performance: An empirical examination of healthcare organizations. Technological Forecasting and Social Change [Internet]. 2023 [citado 3 Mar 2025]; 196. DOI: https://doi.org/10.1016/j.techfore.2023.122828
Kurte MS, Blankart KE. Policy as a strategy to innovate in health care? A content analysis of innovation policies in Germany, 1994–2017. Inter J Health Planning and Management [Internet]. 2023 [citado 3 Mar 2025]; 38(6):1657-1675. DOI: https://doi.org/10.1002/hpm.3692
Alwadhi V, Bajpayee D, Kumar N, Mohanty JS, Mukherji K, Saboth PK, et al. E-IMNCI: A novel clinical diagnostic support system approach to strengthen effectiveness and quality of IMNCI implementation in India. BMJ Open Quality [Internet]. 2023 [citado 3 Mar 2025]; 12. DOI: https://doi.org/10.1136/bmjoq-2022-001857
Marco-Ibáñez A, Aguilar-Palacio I, Aibar Remón C. Does virtual consultation between primary and specialised care improve healthcare quality? A scoping review of healthcare quality domains assessment. BMJ Open Quality [Internet]. 2023 [citado 3 Mar 2025]; 12(4). DOI: https://doi.org/10.1136/bmjoq-2023-002388
Obaid LM, Ali I, Al Baker A, Al Shiekh Abdallah WO, Plando RL, Khawaldeh ME, et al. Sustaining a culture of safety and optimising patient outcomes while implementing zero harm programme: A 2-year project of the nursing services—SBAHC. BMJ Open Quality [Internet]. 2023 [citado 3 Mar 2025]; 12(4). DOI: https://doi.org/10.1136/bmjoq-2022-002063
Pedroso AC, Fernandes FP, Tuma P, Vernal S, Pellizzari M, Seisdedos, et al. Patient safety culture in South America: A cross-sectional study. BMJ Open Quality [Internet]. 2023 [citado 3 Mar 2025]; 12(4). DOI: https://doi.org/10.1136/bmjoq-2023-002362
Yu P, Xu H, Hu X, Deng C. Leveraging generative AI and large language models: a comprehensive roadmap for healthcare integration. Healthcare (Switzerland) [Internet]. 2023 [citado 3 Mar 2025]; 11(20). DOI: https://doi.org/10.3390/healthcare11202776
Fuseini AKJ, Costa EIM, Matos FASD, Merino Godoy MDLA, Nave F. Patient-safety culture among emergency and critical care nurses in a Maternal and Child Department. Healthcare (Switzerland) [Internet]. 2023 [citado 3 Mar 2025]; 11(20). DOI: https://doi.org/10.3390/healthcare11202770
Suerungruang S, Sornlorm K, Laohasiriwong W, Mahato RK. Spatial association and modelling of under-5 mortality in Thailand, 2020. Geospatial Health [Internet]. 2023 [citado 3 Mar 2025]; 18(2). DOI: https://doi.org/10.4081/gh.2023.1220
Diaz J, Taboada I, Abreu A, Vargas L, Polanco Y, Zorrilla A, et al. Evaluating rural health disparities in Colombia: identifying barriers and strategies to advancing refugee health. Inter J Environmental Research Public Health [Internet]. 2023 [citado 3 Mar 2025]; 20(20). DOI: https://doi.org/10.3390/ijerph20206948
Gautama MSN, Kharismawati FA, Astuti LF, Maulidyati M, Hidayatulloh A. Collaboration between interprofessional education (IPE) and interprofessional collaborative practice (IPCP) in health education: A narrative review. J Holistic Nursing Science [Internet]. 2023 [citado 3 Mar 2025]; 10(2):73-81. DOI: https://doi.org/10.31603/nursing.v0i0.8801
Abedian K, Sany SB, Mahdizdeh M, Tehrani H, Yazdani J, Peyman N. Stakeholders’ Experiences and perspectives regarding care quality for women with breast cancer: a systematic review. Cancer Nursing [Internet]. 2023 [citado 3 Mar 2025]; 46(4):E218-E229. DOI: https://doi.org/10.1097/NCC.0000000000001119
Saura-Lazaro A, Bock P, Bogaart EVD, van Vliet J, Granés L, Nel K, et al. Field performance and cost-effectiveness of a point-of-care triage test for HIV virological failure in Southern Africa. J Inter AIDS Society [Internet]. 2023 [citado 3 Mar 2025]; 26(10). DOI: https://doi.org/10.1002/jia2.26176
Topcu AC, Magouliotis DE, Milojevic M, Bond CJ, Clark MJ, Theurer PF, et al. Lessons learned from the EACTS-MSTCVS quality fellowship: A call to action for continuous improvement of cardiothoracic surgery outcomes in Europe. European Journal of Cardio-Thoracic Surgery [Internet]. 2023 [citado 3 Mar 2025]; 64(2). DOI: https://doi.org/10.1093/ejcts/ezad293
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Copyright (c) 2026 Carlos Alfonso Enrique Inchaustegui García, Elizabeth Sara Salazar García, Victor Manuel Valdiviezo Sir, DILSER IVAN CARRASCO HUAMAN
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