Yorjanis Galván-Pérez, Matilde Herrera-Polo, David A Hernández-Páez, Dionicio Neira Rodado, Katherinne Salas-Navarro, Alba Marina Rueda-Olivella, Tulia Beltrán-Venegas, Ivan David Lozada-Martinez, Patricia Delgado
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引用次数: 0
Abstract
Aim: To provide a comprehensive scientometrics analysis of Six Sigma research in healthcare, a field gaining momentum due to its capacity to address missed improvement opportunities and inefficient cost-control strategies across global health systems.
Design: A cross-sectional mixed-methods study combining quantitative research and health metrics with thematic content analysis to explore trends and research patterns.
Methods: The study analyzed publications indexed in PubMed, Scopus, Web of Science, SciELO, and KCI, using thematic mapping techniques through term co-occurrence networks and cluster analysis. Also, correlation analysis with healthcare quality indicators and global health metrics were executed.
Results: A total of 883 publications were analyzed. (1) Geographical analysis showed 70.8% from high-income countries and 0.7% from low-income countries. (2) Thematic clusters were centered on hospital applications and patient safety. (3) Temporal trends revealed an increasing focus on "big data" and "health innovation." (4) Strong correlations were found between publication output and health/research expenditure (P < .01 for all cases); negative associations emerged with out-of-pocket expenditures and researcher density in low-income settings.
Conclusions: Findings provide a roadmap for aligning global research priorities and highlight the need for inclusive strategies that build research capacity and foster context-sensitive applications of Six Sigma in healthcare.
目的：为医疗保健领域的六西格玛研究提供全面的科学计量学分析，这一领域由于其解决全球卫生系统中错失的改进机会和低效的成本控制策略的能力而获得动力。设计：一项横断面混合方法研究，将定量研究和健康指标与主题内容分析相结合，以探索趋势和研究模式。方法：利用主题词共现网络和聚类分析的主题映射技术，对PubMed、Scopus、Web of Science、SciELO和KCI收录的出版物进行分析。此外，还对医疗质量指标和全球健康指标进行了相关性分析。结果：共分析文献883篇。(1)地理分析显示70.8%来自高收入国家，0.7%来自低收入国家。(2)专题集群以医院应用和患者安全为中心。(3)时间趋势显示“大数据”和“健康创新”日益受到关注。(4)出版物产出与卫生/研究支出之间存在强相关性(P结论：研究结果为调整全球研究重点提供了路线图，并强调了建立研究能力和促进六西格玛在卫生保健领域的上下文敏感应用的包容性战略的必要性。
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