You are currently on the new version of our website. Access the old version .

467 Results Found

  • Feature Paper
  • Article
  • Open Access
1,889 Views
19 Pages

1 August 2024

In this study, we explore optimal service allocation within the Chinese hierarchical healthcare system with green channels, providing valuable insights for practitioners to understand how optimal service allocation is affected by various realistic fa...

  • Review
  • Open Access
5 Citations
3,904 Views
13 Pages

Low-income countries, such as Haiti, are facing challenges in fighting the COVID-19 pandemic due to resource shortages and fragile healthcare systems. This study assessed the functional capacity and preparedness of the Haitian healthcare system regar...

  • Article
  • Open Access
615 Views
23 Pages

Innovating for Health: Measuring the Path of Global Innovation in Healthcare Systems

  • Cristina Criveanu,
  • Nicoleta Mihaela Doran,
  • Veronica Gheorghiță and
  • Oana Stăiculescu

3 December 2025

Background/Objectives: Innovation capacity has become a strategic pillar for strengthening healthcare systems in the European Union, yet its effects vary considerably across countries with different levels of institutional development and technologic...

  • Article
  • Open Access
2,735 Views
19 Pages

Public Decision Policy for Controlling COVID-19 Outbreaks Using Control System Engineering

  • H. Daniel Patiño,
  • Julián Pucheta,
  • Cristian Rodríguez Rivero and
  • Santiago Tosetti

8 January 2024

This work is a response to the appeal of various international health organizations and the Automatic Control Community for collaboration in addressing Coronavirus/COVID-19 challenges during the initial stages of the pandemic. Specifically, this stud...

  • Article
  • Open Access
5 Citations
3,552 Views
12 Pages

We develop and apply our methodology to estimate the overburdening of hospitals in Bulgaria during the upcoming delta surge. We base our estimations on an exponential risk model from the UK. Still, the methodology is generally applicable to all risk...

  • Article
  • Open Access
32 Citations
13,121 Views
17 Pages

Korea initiated a new experiment, called a dynamic response system for open democratic societies as a principle to respond to the novel coronavirus (COVID-19). The global pandemic of COVID-19 led to a surge in demand for healthcare medical masks and...

  • Article
  • Open Access
4 Citations
3,119 Views
9 Pages

Healthcare systems worldwide are faced with continuously increasing demand for care, while simultaneously experiencing insufficient capacity and unacceptably long patient waiting times. To improve healthcare access and availability, it is thus necess...

  • Article
  • Open Access
16 Citations
6,296 Views
18 Pages

It is well-known that unpredictable variations in supply and demand of capacity in healthcare systems create the need for flexibility. The main tools used to create short-term volume flexibility in the healthcare system include overtime, temporary st...

  • Review
  • Open Access
15 Citations
4,434 Views
13 Pages

A Review of COVID-19 Response Challenges in Ethiopia

  • Abdulnasir Abagero,
  • Luca Ragazzoni,
  • Ives Hubloue,
  • Francesco Barone-Adesi,
  • Hamdi Lamine,
  • Adamu Addissie,
  • Francesco Della Corte and
  • Martina Valente

Background: The COVID-19 pandemic has positioned fragile healthcare systems in low-income countries under pressure, leading to critical gaps in service delivery. The pandemic response demands the healthcare system to be resilient and continue provisi...

  • Article
  • Open Access
11 Citations
5,704 Views
26 Pages

7 February 2025

Background/Objectives: The COVID-19 pandemic has significantly altered healthcare systems worldwide, highlighting healthcare expenditure’s critical role in fostering population resilience and wellness. This extraordinary situation has brought t...

  • Article
  • Open Access
1,651 Views
13 Pages

Background/Objectives: This study investigates the evolution of hospital capacity and utilization in California between 2003 and 2023, focusing on emergency departments (EDs) and trauma centers (TCs). We seek to document structural changes in the hea...

  • Article
  • Open Access
17 Citations
5,428 Views
15 Pages

Regional Flexible Surge Capacity—A Flexible Response System

  • Viktor Glantz,
  • Phatthranit Phattharapornjaroen,
  • Eric Carlström and
  • Amir Khorram-Manesh

24 July 2020

Surge capacity is the ability to manage the increased influx of critically ill or injured patients during a sudden onset crisis. During such an event, all ordinary resources are activated and used in a systematic, structured, and planned way to cope...

  • Technical Note
  • Open Access
16 Citations
8,055 Views
13 Pages

Comparing Relational and Ontological Triple Stores in Healthcare Domain

  • Ozgu Can,
  • Emine Sezer,
  • Okan Bursa and
  • Murat Osman Unalir

11 January 2017

Today’s technological improvements have made ubiquitous healthcare systems that converge into smart healthcare applications in order to solve patients’ problems, to communicate effectively with patients, and to improve healthcare service quality. The...

  • Article
  • Open Access
10 Citations
2,912 Views
11 Pages

Objectives: Response capacities for public health emergencies (PHEs) amongst healthcare workers play important roles in the prevention and control of PHEs. This study assessed the attitudes and response capacities of PHE workers in primary healthcare...

  • Article
  • Open Access
1,547 Views
12 Pages

27 August 2025

Background: Dubai’s healthcare system is designed to meet the growing needs of its population while maintaining high standards of accessibility, quality, equity, and responsiveness. The Dubai Health Authority (DHA) uses planning tools to assess...

  • Article
  • Open Access
11 Citations
3,811 Views
16 Pages

1 March 2019

As the global environment is getting more competitive, sustainability is increasingly becoming an important assessment tool. An exponential distribution stochastic model is developed for the purpose of assessing and measuring the sustainability of he...

  • Review
  • Open Access
22 Citations
4,758 Views
14 Pages

3 January 2021

The availability of resources and their concentration in the place of greatest need, will not allow us to successfully overcome a medical surge without the energy required to activate these resources and activities, and increase their quantities if n...

  • Article
  • Open Access
19 Citations
6,044 Views
18 Pages

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study

  • Charlotte Scheerens,
  • Els Bekaert,
  • Sunanda Ray,
  • Akye Essuman,
  • Bob Mash,
  • Peter Decat,
  • An De Sutter,
  • Patrick Van Damme,
  • Wouter Vanhove and
  • Ilse Ruyssen
  • + 3 authors

Although family physicians (FPs) are community-oriented primary care generalists and should be the entry point for the population’s interaction with the health system, they are underrepresented in research on the climate change, migration, and health...

  • Article
  • Open Access
1 Citations
4,248 Views
13 Pages

An Improved Strategy to Effectively Manage Healthcare Waste after COVID-19 in Republic of Korea

  • Min-Jung Kim,
  • Yoon-Soo Park,
  • Taesung Kim,
  • Hyo-Hyun Choi,
  • Young-sam Yoon,
  • Tae-wan Jeon and
  • Namil Um

25 March 2024

During the coronavirus disease 2019 (COVID-19) pandemic, 24,289 tons of infectious waste was generated in 2021 in Korea, a 320% increase compared to that generated in 2020 (5788 tons). The disposal of other healthcare waste has been delayed because C...

  • Article
  • Open Access
5 Citations
3,744 Views
19 Pages

Experience from a Multi-Disciplinary Team against COVID-19: A Healthcare Perspective

  • Alvin Cong Wei Ong,
  • Clarice Li-Phing Wee,
  • Wei Lin Lee,
  • Lee Gan Goh and
  • Ghee Hian Lim

Globally, the capacity of healthcare systems across continents has been strained and put to the test with the emergence of the Coronavirus disease 2019 (COVID-19) pandemic. The timely need to ensure the availability of healthcare facilities to isolat...

  • Article
  • Open Access
7 Citations
4,572 Views
13 Pages

As human lifespan increases and the need for elderly care grows, the demand for healthcare services and its associated costs have surged, causing a decline in the operational efficiency of universal healthcare. This has created an imbalance in medica...

  • Article
  • Open Access
10 Citations
4,296 Views
14 Pages

Analysis of Healthcare Expenditures in Bulgaria

  • Zornitsa Mitkova,
  • Miglena Doneva,
  • Nikolay Gerasimov,
  • Konstantin Tachkov,
  • Maria Dimitrova,
  • Maria Kamusheva and
  • Guenka Petrova

30 January 2022

The growth of public expenditure worldwide has set the priority on assessment of trends and establishment of factors which generate the most significant public costs. The goal of the current study is to review the tendencies in public healthcare expe...

  • Article
  • Open Access
6 Citations
4,454 Views
16 Pages

Analysis of the Installed Productive Capacity in a Medical Angiography Room through Discrete Event Simulation

  • Félix Badilla-Murillo,
  • Bernal Vargas-Vargas,
  • Oscar Víquez-Acuña and
  • Justo García-Sanz-Calcedo

2 June 2020

The installed productive capacity of a healthcare center’s equipment limits the efficient use of its resources. This paper, therefore, analyzes the installed productive capacity of a hospital angiography room and how to optimize patient demand....

  • Article
  • Open Access
20 Citations
6,137 Views
33 Pages

Evaluation of an Access-Risk-Knowledge (ARK) Platform for Governance of Risk and Change in Complex Socio-Technical Systems

  • Nick McDonald,
  • Lucy McKenna,
  • Rebecca Vining,
  • Brian Doyle,
  • Junli Liang,
  • Marie E. Ward,
  • Pernilla Ulfvengren,
  • Una Geary,
  • John Guilfoyle and
  • Rob Brennan
  • + 5 authors

Three key challenges to a whole-system approach to process improvement in health systems are the complexity of socio-technical activity, the capacity to change purposefully, and the consequent capacity to proactively manage and govern the system. The...

  • Editorial
  • Open Access
1,092 Views
4 Pages

10 December 2025

Four years after the acute COVID-19 emergency, respiratory viruses circulate in overlapping seasonal patterns that repeatedly test surveillance systems and healthcare capacity [...]

  • Review
  • Open Access
11 Citations
5,118 Views
17 Pages

The purpose of this study was to analyze the concept of the “healthcare safety net” during the COVID-19 pandemic. Walker and Avant’s process of concept analysis was used in this systematic literature review. The attributes of the concept of a healthc...

  • Article
  • Open Access
10 Citations
3,603 Views
17 Pages

The increasing national healthcare expenditure (NHE) with the aging rate is a significant social problem in Japan, and efficient distribution and use of NHE is an urgent issue. It is assumed that comparisons in subregions would be important to explor...

  • Article
  • Open Access
28 Citations
5,708 Views
12 Pages

Frail elderly people refer to multi-diseased and vulnerable patients in need of medication and healthcare. These patients require healthcare from several different healthcare organizations, including hospital care, primary care, and municipal care se...

  • Article
  • Open Access
46 Citations
4,341 Views
25 Pages

Development of a Multi-Criteria Model for Sustainable Reorganization of a Healthcare System in an Emergency Situation Caused by the COVID-19 Pandemic

  • Dragan Pamučar,
  • Mališa Žižović,
  • Dragan Marinković,
  • Dragan Doljanica,
  • Saša Virijević Jovanović and
  • Pavle Brzaković

11 September 2020

Healthcare systems worldwide are facing problems in providing health care to patients in a pandemic caused by the SARS-CoV-2 virus (COVID-19). The pandemic causes an extreme disease to spread with fluctuating needs among patients, which significantly...

  • Article
  • Open Access
12 Citations
6,153 Views
18 Pages

Newcomers’ ability to access healthcare can be impacted by cultural, religious, linguistic, and health status differences. A variety of options are available to support the development of healthcare systems to equitably accommodate newcomers, i...

  • Opinion
  • Open Access
41 Citations
9,875 Views
29 Pages

5 June 2023

Digital transformation, characterised by advanced digitalisation, blockchain, the Internet of Things, artificial intelligence, machine learning technologies, and robotics, has played a key role in revolutionising various industries, especially the he...

  • Review
  • Open Access
12 Citations
5,308 Views
30 Pages

Supporting the Frontlines: A Scoping Review Addressing the Health Challenges of Military Personnel and Veterans

  • Abdullah Alruwaili,
  • Amir Khorram-Manesh,
  • Amila Ratnayake,
  • Yohan Robinson and
  • Krzysztof Goniewicz

31 October 2023

(1) Background: Military personnel and veterans meet unique health challenges that stem from the complex interplay of their service experiences, the nature of warfare, and their interactions with both military and civilian healthcare systems. This st...

  • Editorial
  • Open Access
11 Citations
2,854 Views
3 Pages

25 April 2023

The COVID-19 pandemic has dramatically impacted the global healthcare system, revealing critical gaps in our capacity to provide efficient and effective care to patients, particularly those with chronic diseases [...]

  • Review
  • Open Access
6 Citations
4,146 Views
51 Pages

Machine-Learning-Powered Information Systems: A Systematic Literature Review for Developing Multi-Objective Healthcare Management

  • Maryam Bagheri,
  • Mohsen Bagheritabar,
  • Sohila Alizadeh,
  • Mohammad (Sam) Salemizadeh Parizi,
  • Parisa Matoufinia and
  • Yang Luo

31 December 2024

The incorporation of machine learning (ML) into healthcare information systems (IS) has transformed multi-objective healthcare management by improving patient monitoring, diagnostic accuracy, and treatment optimization. Notwithstanding its revolution...

  • Article
  • Open Access
1 Citations
1,903 Views
24 Pages

HEalthcare Robotics’ ONtology (HERON): An Upper Ontology for Communication, Collaboration and Safety in Healthcare Robotics

  • Penelope Ioannidou,
  • Ioannis Vezakis,
  • Maria Haritou,
  • Rania Petropoulou,
  • Stavros T. Miloulis,
  • Ioannis Kouris,
  • Konstantinos Bromis,
  • George K. Matsopoulos and
  • Dimitrios D. Koutsouris

Background: Healthcare robotics needs context-aware policy-compliant reasoning to achieve safe human–agent collaboration. The current ontologies fail to provide healthcare-relevant information and flexible semantic enforcement systems. Methods:...

  • Systematic Review
  • Open Access
2,577 Views
25 Pages

Optimizing Emergency Response in Hospitals: A Systematic Review of Surge Capacity Planning and Crisis Resource Management

  • Savvas Petanidis,
  • Krishna Chandramouli,
  • George Floros,
  • Sokratis Nifakos,
  • Kostas Kolomvatsos,
  • Sofia Tsekeridou,
  • Sabina Magalini,
  • Daniele Gui and
  • Christoforos Kosmidis

6 November 2025

Background: Healthcare systems worldwide face growing challenges in anticipating and managing patient surges, particularly in times of public health crises, natural disasters, or seasonal peaks. The ability of healthcare organisations to forecast and...

  • Article
  • Open Access
2 Citations
1,357 Views
10 Pages

Evaluation of a Hub-and-Spoke Model to Enhance Healthcare Professionals’ Practice of Antimicrobial Stewardship (AMS) Programmes in the Volta Region of Ghana

  • Mairead McErlean,
  • Eneyi Kpokiri,
  • Preet Panesar,
  • Emily E. Cooper,
  • Jonathan Jato,
  • Emmanuel Orman,
  • Hayford Odoi,
  • Araba Hutton-Nyameaye,
  • Samuel O. Somuah and
  • Yogini H. Jani
  • + 6 authors

Background: Antimicrobial resistance (AMR) poses a critical global health challenge, particularly in resource-limited settings. A hub-and-spoke model, decentralising expertise and distributing resources to peripheral facilities, has been proposed as...

  • Review
  • Open Access
1,222 Views
25 Pages

Taiwan’s Smart Healthcare Value Chain: AI Innovation from R&D to Industry Deployment

  • Tzu-Min Lin,
  • Hui-Wen Yang,
  • Ching-Cheng Han and
  • Chih-Sheng Lin

21 December 2025

Taiwan’s strategic focus in digital healthcare has been officially integrated into national industrial policy and identified as a crucial application area for artificial intelligence (AI) and next-generation communication technologies. As the h...

  • Article
  • Open Access
13 Citations
3,922 Views
12 Pages

Total health expenditure in China has grown considerably since a new round of health system reform was enacted in 2009. Researchers have shown that strengthening primary healthcare may be an option for countries to solve the rapid expansion of their...

  • Review
  • Open Access
111 Citations
72,410 Views
16 Pages

Barriers and Mitigating Strategies to Healthcare Access in Indigenous Communities of Canada: A Narrative Review

  • Nam Hoang Nguyen,
  • Fatheema B. Subhan,
  • Kienan Williams and
  • Catherine B. Chan

The objective of this review is to document contemporary barriers to accessing healthcare faced by Indigenous people of Canada and approaches taken to mitigate these concerns. A narrative review of the literature was conducted. Barriers to healthcare...

  • Perspective
  • Open Access
4 Citations
4,936 Views
17 Pages

Effective and Efficient Delivery of Genome-Based Testing-What Conditions Are Necessary for Health System Readiness?

  • Don Husereau,
  • Lotte Steuten,
  • Vivek Muthu,
  • David M. Thomas,
  • Daryl S. Spinner,
  • Craig Ivany,
  • Michael Mengel,
  • Brandon Sheffield,
  • Stephen Yip and
  • Terrence Sullivan
  • + 1 author

19 October 2022

Health systems internationally must prepare for a future of genetic/genomic testing to inform healthcare decision-making while creating research opportunities. High functioning testing services will require additional considerations and health system...

  • Review
  • Open Access
2 Citations
6,272 Views
20 Pages

A Scoping Review of Factors Affecting COVID-19 Vaccination Uptake and Deployment in Global Healthcare Systems

  • Chikondi C. Kandulu,
  • Laura J. Sahm,
  • Mohamad M. Saab,
  • Michelle O’Driscoll,
  • Megan McCarthy,
  • Gillian W Shorter,
  • Emma Berry,
  • Anne C. Moore and
  • Aoife Fleming

25 September 2024

Introduction: COVID-19 vaccines were rapidly developed and deployed on a large scale during a global crisis. A range of deployment strategies were used globally to maximize vaccine uptake. In this scoping review, we identify and analyze the main heal...

  • Article
  • Open Access
8 Citations
5,339 Views
16 Pages

Healthcare Recommender System Based on Medical Specialties, Patient Profiles, and Geospatial Information

  • Miguel Torres-Ruiz,
  • Rolando Quintero,
  • Giovanni Guzman and
  • Kwok Tai Chui

28 December 2022

The global outburst of COVID-19 introduced severe issues concerning the capacity and adoption of healthcare systems and how vulnerable citizen classes might be affected. The pandemic generated the most remarkable transformation of health services, ap...

  • Article
  • Open Access
12 Citations
3,611 Views
10 Pages

Austerity Measures and Underfunding of the Spanish Health System during the COVID-19 Pandemic—Perception of Healthcare Staff in Spain

  • Laura Otero-García,
  • José Tomás Mateos,
  • Alexo Esperato,
  • Laia Llubes-Arrià,
  • Vanesa Regulez-Campo,
  • Carles Muntaner and
  • Helena Legido-Quigley

Insufficient pandemic preparedness and underfunding of human and economic resources have conditioned the response to COVID-19 in Spain. This underfunding has continued since the austerity measures introduced during the 2008 financial crisis. This stu...

  • Article
  • Open Access
9 Citations
4,461 Views
14 Pages

Digital Technologies for Public Health Services after the COVID-19 Pandemic: A Risk Management Analysis

  • Loredana Larisa Văduva (Ene),
  • Ana-Maria Nedelcu,
  • Daniela Stancu (Zamfir),
  • Cristinel Bălan,
  • Ioan-Matei Purcărea,
  • Mihaela Gurău and
  • Daniel Alin Cristian

9 February 2023

Digitalization has become an important part of human lives that occurs in many fields, ranging from education to labor. Artificial intelligence is one of the most important disruptive technologies, which has produced massive changes in current medica...

  • Systematic Review
  • Open Access
1 Citations
788 Views
11 Pages

Global Lessons from COVID-19: Regional Variations in the Management of Hospital-Acquired Infections During and Post-Pandemic

  • Corina Voinea,
  • Elena Mocanu,
  • Cristian Opariuc-Dan,
  • Elena Dantes,
  • Alexandra-Cristina Gache and
  • Sorin Rugina

22 September 2025

Background/Objectives: The COVID-19 pandemic has significantly disrupted healthcare systems worldwide, exposing longstanding weaknesses, particularly in the prevention and control of healthcare-associated infections (HAIs). Regional disparities in in...

  • Perspective
  • Open Access
1 Citations
2,353 Views
14 Pages

20 August 2025

Artificial Intelligence (AI) is reshaping global healthcare systems by offering innovative solutions to improve diagnostic accuracy, optimize treatment planning, and enhance public health management. This article provides a structured perspective on...

  • Systematic Review
  • Open Access
2 Citations
1,989 Views
19 Pages

The Role of Sustainability in Telemedicine Services: The Case of the Greek National Telemedicine Network

  • Fotios Rizos,
  • Haralampos Karanikas,
  • Angeliki Katsapi,
  • Mariana Tsana,
  • Vasileios Tsoukas,
  • George Koukoulas,
  • Dimitrios Drakopoulos,
  • Aglaia Katsiroumpa and
  • Petros Galanis

Background: Sustainability in healthcare has gained increasing importance due to its impact on environmental, financial, and social strategies, as well as on public health, and therefore, relevant policies and actions can also play a significant role...

of 10