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13,576 Results Found

  • Review
  • Open Access
5 Citations
4,384 Views
17 Pages

This paper aims at finding the most dominant ideas about the marketing of healthcare systems highlighted in the mainstream literature, with a focus on Russia and Romania. To reach this goal, a systematic analysis of literature was conducted and vario...

  • Article
  • Open Access
974 Views
16 Pages

Healthcare Systems and Inequality in the European Union: A Comparative Analysis

  • Adrián Ferreiro-Pérez,
  • Adrián Ríos-Blanco,
  • Antía Martínez-Lourido and
  • Francisco-Jesús Ferreiro-Seoane

23 May 2026

The third United Nations Sustainable Development Goal promotes health and well-being. Despite the existence of academic literature examining the relationship between health and income inequality, evidence on the role of healthcare systems in this ine...

(This article belongs to the Special Issue Operation Optimization and Performance Assessment of Complex Social-Economic Systems)
  • Article
  • Open Access
29 Citations
8,385 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...

(This article belongs to the Special Issue Efficiency, Innovation, and Sustainability in Healthcare Systems)
  • Review
  • Open Access
59 Citations
38,472 Views
13 Pages

A Systematic Literature Review of Health Information Systems for Healthcare

  • Ayogeboh Epizitone,
  • Smangele Pretty Moyane and
  • Israel Edem Agbehadji

Health information system deployment has been driven by the transformation and digitalization currently confronting healthcare. The need and potential of these systems within healthcare have been tremendously driven by the global instability that has...

(This article belongs to the Special Issue Information Technologies Applied on Healthcare)
  • Concept Paper
  • Open Access
9 Citations
7,494 Views
11 Pages

20 January 2019

Healthcare sustainability has been dominated by a strong fiscal orientation. In an era of budget cuts and staff reductions, the financial challenges in Canadian healthcare are immediate and must be addressed. However, an independent focus on financia...

(This article belongs to the Special Issue Sustainability for Healthcare)
  • Article
  • Open Access
28 Citations
6,219 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...

(This article belongs to the Special Issue Quality of Life: The Interplay between Human Behaviour, Technology and the Environment)
  • Review
  • Open Access
62 Citations
8,214 Views
43 Pages

A Systematic Survey of Distributed Decision Support Systems in Healthcare

  • Basem Almadani,
  • Hunain Kaisar,
  • Irfan Rashid Thoker and
  • Farouq Aliyu

26 February 2025

The global Internet of Medical Things (IoMT) market is growing at a Compound Annual Growth Rate (CAGR) of 17.8%, a testament to the increasing demand for IoMT in the health sector. However, more IoMT devices mean an increase in the volume and velocit...

(This article belongs to the Special Issue Data-Driven Decision Making for Complex Systems)
  • Article
  • Open Access
52 Citations
18,531 Views
15 Pages

Towards Resilient Healthcare Systems: A Framework for Crisis Management

  • Seyedeh Gelareh Emami,
  • Valentina Lorenzoni and
  • Giuseppe Turchetti

This study addresses the crucial need for resilient healthcare systems, highlighted by recent global health emergencies such as the Ebola and COVID-19 crises. It identifies a significant gap in the current literature: a lack of practical, actionable...

  • Article
  • Open Access
28 Citations
23,713 Views
26 Pages

24 March 2019

Chronic diseases are on the rise, increasing in number and treatment regimen complexity. Consequently, the needs of patients with chronic diseases are increasing and becoming more complex and multi-faceted. Such chronic conditions require addressing...

(This article belongs to the Special Issue Systems Thinking)
  • Article
  • Open Access
11 Citations
8,238 Views
23 Pages

21 January 2025

Objective: The study aims to investigate the impact of patient-centric approaches on patient health outcomes, identify key leverage points for enhancing patient-centered care, and evaluate the effectiveness of systems thinking in guiding healthcare t...

  • Review
  • Open Access
268 Citations
29,054 Views
37 Pages

Recent Advances on IoT-Assisted Wearable Sensor Systems for Healthcare Monitoring

  • Shwetank Dattatraya Mamdiwar,
  • Akshith R,
  • Zainab Shakruwala,
  • Utkarsh Chadha and ,
  • Kathiravan Srinivasan and
  • Chuan-Yu Chang
  • + 1 author+ 0 author

4 October 2021

IoT has played an essential role in many industries over the last few decades. Recent advancements in the healthcare industry have made it possible to make healthcare accessible to more people and improve their overall health. The next step in health...

(This article belongs to the Collection Wearable Biosensors for Healthcare Applications)
  • Article
  • Open Access
15 Citations
2,609 Views
18 Pages

23 November 2023

The development of e-healthcare systems requires the application of advanced technologies, such as blockchain technology. The main challenge of applying blockchain technology to e-healthcare is to handle the impact of the delay that results from bloc...

(This article belongs to the Special Issue Intelligent Medicine and Health Care)
  • Review
  • Open Access
17 Citations
13,038 Views
43 Pages

2 February 2026

The rapid digital transformation of healthcare has improved clinical efficiency, patient engagement, and data accessibility, but it has also introduced significant cyber security and data privacy challenges. Healthcare IT systems increasingly rely on...

  • Review
  • Open Access
4 Citations
3,348 Views
15 Pages

Healthcare quality systems have evolved from narrow inspection and compliance mechanisms into broader, multi-level architectures that combine standards, measurement, organizational learning, patient safety, equity and patient-reported outcomes. Yet t...

(This article belongs to the Special Issue Healthcare Management: Improving Patient Outcomes and Service Quality)
  • Article
  • Open Access
24 Citations
14,910 Views
12 Pages

The purpose of this study is to evaluate the perception of healthcare professionals in improving the quality of services in healthcare centers by deploying the platform of Enterprise Resource Planning (ERP). Individual attributes, organizational impr...

  • Article
  • Open Access
25 Citations
15,841 Views
24 Pages

31 October 2016

This paper surveys the available system architectures for cyber-physical systems. Several candidate architectures are examined using a series of essential qualities for cyber-physical systems for healthcare. Next, diagrams detailing the expected func...

  • Article
  • Open Access
6 Citations
3,922 Views
17 Pages

6 October 2023

The analyses of current healthcare systems in Russia and Romania made by different scholars in the specialty literature highlight a below-medium health quality index worldwide, which is especially low when compared to leading EU countries. The prevai...

(This article belongs to the Special Issue Sustainable Public Health and Human Safety)
  • Article
  • Open Access
28 Citations
4,473 Views
22 Pages

27 August 2020

The Internet of Things (IoT) has been integrated into legacy healthcare systems for the purpose of improving healthcare processes. As one of the key technologies of IoT, radio frequency identification (RFID) technology has been applied to offer servi...

(This article belongs to the Special Issue Internet of Medical Things in Healthcare Applications)
  • Review
  • Open Access
14 Citations
6,698 Views
48 Pages

Healthcare Information Systems (HISs) are essential for improving care quality, managing chronic diseases, and supporting clinical decision-making. Despite significant investments, HIS implementations often fail due to the complexity of healthcare en...

  • Article
  • Open Access
449 Views
26 Pages

14 August 2026

Healthcare delivery fragmentation can be understood as a structural coordination problem within a socio-technical System of Systems, where autonomous but interdependent providers, insurers, suppliers, information systems, support services, and care r...

(This article belongs to the Special Issue Changes in Complex Adaptive Systems: The Role of External Influences)
  • Review
  • Open Access
10 Citations
2,323 Views
23 Pages

The Impact of Polycrisis on Healthcare Systems—Analyzing Challenges and the Role of Social Epidemiology

  • Agata Wypych-Ślusarska,
  • Karolina Krupa-Kotara,
  • Jerzy Słowinski,
  • Antoniya Yanakieva and
  • Mateusz Grajek

14 August 2025

In response to contemporary challenges such as the COVID-19 pandemic, climate change, armed conflicts, and economic instability, healthcare systems worldwide are increasingly confronted with multifaceted and overlapping crises—collectively refe...

(This article belongs to the Section Health Assessments)
  • Review
  • Open Access
15 Citations
5,447 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 and ,
  • Parisa Matoufinia and
  • Yang Luo
  • + 1 author+ 0 author

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...

  • Systematic Review
  • Open Access
3 Citations
2,086 Views
24 Pages

Reclaiming XAI as an Innovation in Healthcare: Bridging Rule-Based Systems

  • Hanvedes Daovisan,
  • Charin Suwanwong,
  • Pitchada Prasittichok,
  • Narulmon Prayai and
  • Phaktada Choowan

17 September 2025

The adoption of explainable artificial intelligence (XAI) in healthcare has been increasingly framed as dependent on transparency, trustworthiness, and accountability. The objective of this study was the reclamation of rule-based systems within XAI a...

(This article belongs to the Special Issue AI-Assisted Medical Diagnostics)
  • Article
  • Open Access
483 Views
37 Pages

1 September 2026

The U.S. healthcare delivery infrastructure functions as a complex socio-technical system-of-systems (SoS). In this environment, autonomous, interdependent entities (providers, insurers, and IT networks) must balance local efficiency with system-wide...

(This article belongs to the Special Issue Innovative Systems Approaches to Healthcare Systems)
  • Article
  • Open Access
14 Citations
6,496 Views
10 Pages

COVID-19: A Relook at Healthcare Systems and Aged Populations

  • Thanh-Long Giang,
  • Dinh-Tri Vo and
  • Quan-Hoang Vuong

20 May 2020

Using data from the WHO’s Situation Report on the COVID-19 pandemic from 21 January 2020 to 30 March 2020 along with other health, demographic, and macroeconomic indicators from the WHO’s Application Programming Interface and the World Ba...

(This article belongs to the Special Issue Social Public Health System and Sustainability)
  • Article
  • Open Access
3 Citations
4,213 Views
17 Pages

12 September 2023

Studies on Critical Success Factors (CSFs) in Healthcare Information Systems (HIS) development projects have traditionally often been limited to retrospectively identifying CSFs in a finished project. In this paper, we focus on how to prospectively a...

  • Article
  • Open Access
25 Citations
6,433 Views
19 Pages

Mapping the Dynamic Complexity of Sexual and Gender Minority Healthcare Disparities: A Systems Thinking Approach

  • Braveheart Gillani,
  • Dana M. Prince,
  • Meagan Ray-Novak,
  • Gulnar Feerasta and ,
  • Devinity Jones,
  • Laura J. Mintz and
  • Scott Emory Moore
  • + 2 authors+ 0 author

6 February 2024

Sexual and gender minority (SGM) populations experience extensive health disparities compared to their straight and cisgender counterparts. The importance of addressing these disparities is paramount, as SGM groups often encounter significant barrier...

  • Article
  • Open Access
50 Citations
23,628 Views
19 Pages

30 December 2014

As healthcare systems face enormous challenges, sustainability is seen as a crucial requirement for making them fit for the future. However, there is no consensus with regard to either the definition of the term or the factors that characterize a “su...

(This article belongs to the Section Social Ecology and Sustainability)
  • Article
  • Open Access
84 Citations
6,714 Views
16 Pages

29 March 2020

Electronic medical records (EMRs) are extremely important for patients’ treatment, doctors’ diagnoses, and medical technology development. In recent years, the distributed healthcare blockchain system has been researched for solving the i...

(This article belongs to the Section Biomedical Sensors)
  • Article
  • Open Access
1 Citations
1,605 Views
21 Pages

Discriminant Input Processing Scheme for Self-Assisted Intelligent Healthcare Systems

  • Mohamed Medani,
  • Shtwai Alsubai,
  • Hong Min,
  • Ashit Kumar Dutta and
  • Mohd Anjum

Modern technology and analysis of emotions play a crucial role in enabling intelligent healthcare systems to provide diagnostics and self-assistance services based on observation. However, precise data predictions and computational models are critica...

(This article belongs to the Special Issue Recent Advances in Machine Learning and Explainable Artificial Intelligence in Biomedical Data Mining, and Disease Diagnosis Frameworks)
  • Article
  • Open Access
400 Views
50 Pages

9 October 2026

Mobile health systems have become a central component of the health sector, reshaping how healthcare is accessed, delivered, and experienced, especially in developing countries with limited infrastructure. Mobile health systems are interactive and en...

(This article belongs to the Special Issue Innovative Research in Human–Computer Interactions)
  • Article
  • Open Access
19 Citations
3,950 Views
29 Pages

PUFchain 3.0: Hardware-Assisted Distributed Ledger for Robust Authentication in Healthcare Cyber–Physical Systems

  • Venkata K. V. V. Bathalapalli,
  • Saraju P. Mohanty,
  • Elias Kougianos,
  • Vasanth Iyer and
  • Bibhudutta Rout

31 January 2024

This article presents a novel hardware-assisted distributed ledger-based solution for simultaneous device and data security in smart healthcare. This article presents a novel architecture that integrates PUF, blockchain, and Tangle for Security-by-De...

(This article belongs to the Special Issue Internet of Health Things)
  • Review
  • Open Access
215 Citations
19,783 Views
37 Pages

Electrocardiogram-Based Emotion Recognition Systems and Their Applications in Healthcare—A Review

  • Muhammad Anas Hasnul,
  • Nor Azlina Ab. Aziz,
  • Salem Alelyani,
  • Mohamed Mohana and
  • Azlan Abd. Aziz

23 July 2021

Affective computing is a field of study that integrates human affects and emotions with artificial intelligence into systems or devices. A system or device with affective computing is beneficial for the mental health and wellbeing of individuals that...

(This article belongs to the Special Issue Computer Aided Diagnosis Sensors)
  • Review
  • Open Access
22 Citations
6,336 Views
19 Pages

ECG Standards and Formats for Interoperability between mHealth and Healthcare Information Systems: A Scoping Review

  • Daniel Cuevas-González,
  • Juan Pablo García-Vázquez,
  • Miguel Bravo-Zanoguera,
  • Roberto López-Avitia and ,
  • Marco A. Reyna,
  • Nestor Alexander Zermeño-Campos and
  • María Luisa González-Ramírez
  • + 2 authors+ 0 author

Interoperability is defined as the ability of a system or device to communicate between different technologies and software applications. This allows the exchange and use of data in an efficient, precise, and robust way. The present article gives res...

(This article belongs to the Section Health Care Sciences)
  • Article
  • Open Access
51 Citations
11,298 Views
18 Pages

A Sustainable Model for Healthcare Systems: The Innovative Approach of ESG and Digital Transformation

  • Anastasios Sepetis,
  • Fotios Rizos,
  • George Pierrakos,
  • Haralampos Karanikas and
  • Daniel Schallmo

In recent years, the globe has faced a series of topics of growing concern, such as the COVID-19 pandemic, the international financial crisis, rising socio-economic inequalities, the negative outcomes of greenhouse gas emissions, which resulted in cl...

(This article belongs to the Special Issue Smart and Digital Health)
  • Article
  • Open Access
32 Citations
13,808 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...

  • Review
  • Open Access
20 Citations
4,710 Views
20 Pages

Eco-Sustainable Energy Production in Healthcare: Trends and Challenges in Renewable Energy Systems

  • Domenico Mazzeo,
  • Cristina Baglivo,
  • Simone Panico,
  • Matteo Manieri and ,
  • Nicoletta Matera and
  • Paolo Maria Congedo
  • + 1 author+ 0 author

26 October 2023

The shift from fossil fuels to renewable energy systems represents a pivotal step toward the realization of a sustainable society. This study aims to analyze representative scientific literature on eco-sustainable energy production in the healthcare...

(This article belongs to the Section A: Sustainable Energy)
  • Article
  • Open Access
9 Citations
7,242 Views
26 Pages

20 September 2025

The rising complexity and operational demands of modern healthcare systems have significantly increased resource usage and associated costs. This trend highlights the need for innovative approaches to optimize workflows and enhance decision-making. F...

(This article belongs to the Section Artificial Intelligence)
  • Review
  • Open Access
42 Citations
8,336 Views
25 Pages

26 March 2025

The integration of the IoT into healthcare opens new horizons while introducing ethical and legal challenges to preserving patients’ privacy. This paper provides a comprehensive review of privacy-preserving mechanisms in IoT-based healthcare sy...

(This article belongs to the Special Issue Application of IoT and Cybersecurity Technologies)
  • Article
  • Open Access
2 Citations
2,287 Views
45 Pages

31 March 2026

Healthcare fragmentation—characterized by poor coordination among independently operating organizations—systematically degrades care quality while escalating costs. While healthcare delivery inherently operates as a System of Systems (SoS...

(This article belongs to the Special Issue Advancing Digital Engineering: Transforming Industries with Model-Based Systems Engineering and Digital Twin Technology)
  • Article
  • Open Access
32 Citations
6,481 Views
21 Pages

Evaluating the E-Health Cloud Computing Systems Adoption in Taiwan’s Healthcare Industry

  • Shih-Chia Chang,
  • Ming-Tsang Lu,
  • Tzu-Hui Pan and
  • Chiao-Shan Chen

2 April 2021

Although the electronic health (e-health) cloud computing system is a promising innovation, its adoption in the healthcare industry has been slow. This study investigated the adoption of e-health cloud computing systems in the healthcare industry and...

(This article belongs to the Special Issue Advances in eHealth)
  • Review
  • Open Access
36 Citations
6,570 Views
5 Pages

20 March 2020

The objective of this article is to discuss the inherent bias involved with artificial intelligence-based decision support systems for healthcare. In this article, the authors describe some relevant work published in this area. A proposed overview of...

(This article belongs to the Special Issue Artificial Intelligence Research in Healthcare)
  • Review
  • Open Access
11 Citations
6,314 Views
36 Pages

A Comprehensive Survey on Intrusion Detection Systems for Healthcare 5.0: Concepts, Challenges, and Practical Applications

  • Lucas P. Siqueira,
  • Cassio L. Batista,
  • Pedro H. Lui,
  • Juliano F. Kazienko and ,
  • Silvio E. Quincozes,
  • Vagner E. Quincozes,
  • Daniel Welfer and
  • Shigueo Nomura
  • + 3 authors+ 0 author

10 October 2025

Healthcare 5.0 represents the next evolution in intelligent and interconnected healthcare systems, leveraging emerging technologies such as Artificial Intelligence (AI) and the Internet of Medical Things (IoMT) to enhance patient care and automation....

(This article belongs to the Special Issue The Use of Artificial Intelligence and Machine Learning with Sensor Data for Human Healthcare Applications)
  • Article
  • Open Access
2 Citations
1,630 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
5 Citations
2,613 Views
21 Pages

Development of a Semi-Automated Decision-Making Method for the Resilience of Urban Healthcare Systems in Crisis Situations

  • Oksana Mulesa,
  • Vladimir Ondrejicka,
  • Oleksii Yehorchenkov,
  • Nataliia Yehorchenkova and ,
  • Lubomir Jamecny and
  • Marianna Marusynets
  • + 1 author+ 0 author

10 January 2025

This study is dedicated to solving the problem of how urban healthcare systems function in crisis situations. Cases where crisis situations lead either to population migrations or to a rapid increase in demand for medical services are the focus. Ther...

  • Article
  • Open Access
2,041 Views
11 Pages

10 February 2026

Tourism and destination healthcare systems are increasingly interdependent, yet this relationship remains weakly conceptualised within tourism and hospitality research. Expanding travel flows introduce transient populations, seasonal demand volatilit...

  • Review
  • Open Access
45 Citations
8,840 Views
15 Pages

Smart wearable patch systems that combine biosensing and therapeutic components have emerged as promising approaches for personalized healthcare and therapeutic platforms that enable self-administered, noninvasive, user-friendly, and long-acting smar...

(This article belongs to the Special Issue Novel Materials for Biomedical Applications: 2nd Edition)
  • Review
  • Open Access
1 Citations
3,057 Views
19 Pages

9 November 2025

Background: Systems thinking (ST) is an approach to problem-solving that views systems through a holistic perspective, focusing on the interconnections and relationships between various elements. In healthcare, the World Health Organization’s 2...

(This article belongs to the Special Issue Systems Thinking and Healthcare Communities: A Community Approach to Transforming Healthcare)
  • Review
  • Open Access
25 Citations
9,354 Views
18 Pages

23 February 2021

The healthcare system’s climate footprint is equivalent to 4.4% of global net emission. The food service offered, with subsequent food waste production and energy consumption, falls within the spectrum of environmentally harmful activities. The devel...

(This article belongs to the Special Issue Public Food Procurement: A Transformative Instrument for Sustainable Food Systems)
  • Article
  • Open Access
18 Citations
2,976 Views
15 Pages

A Sustainable W-RLG Model for Attack Detection in Healthcare IoT Systems

  • Brij B. Gupta,
  • Akshat Gaurav,
  • Razaz Waheeb Attar,
  • Varsha Arya and ,
  • Ahmed Alhomoud and
  • Kwok Tai Chui
  • + 1 author+ 0 author

9 April 2024

The increasingly widespread use of IoT devices in healthcare systems has heightened the need for sustainable and efficient cybersecurity measures. In this paper, we introduce the W-RLG Model, a novel deep learning approach that combines Whale Optimiz...

(This article belongs to the Section Sustainable Engineering and Science)

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