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A Knowledge Map for Hospital Performance Concept: Extraction and Analysis: A Narrative Review Article.
Nader Markazi-Moghaddam1, Mohammad Arab2, Hamid Ravaghi3
1Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Dept. of Public Health, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Iranian Journal of Public Health
|August 13, 2016
Summary
Hospital performance literature highlights mortality and efficiency as key concepts. Quality of care, improvement, and patient satisfaction are increasingly significant indicators in recent research.
Area of Science:
- Health Services Research
- Bibliometrics
- Knowledge Management
Background:
- Hospital performance is a complex, evolving concept studied extensively over two decades.
- Knowledge visualization techniques, including co-word and social network analysis, are employed to map key concepts in hospital performance literature.
Purpose of the Study:
- To identify and visualize the core concepts and their relationships within hospital performance literature.
- To analyze the evolution and significance of different dimensions and indicators of hospital performance over time.
Main Methods:
- A comprehensive search of PubMed from 1945 to 2014 identified 2350 relevant articles.
- Keywords were extracted, weighted using TF-IDF, and analyzed for co-occurrence with "hospital performance" using a support measure.
- Term-term matrices and network graphs were generated to illustrate keyword relationships.
Main Results:
- "Mortality" and "efficiency" were the most frequent keywords associated with hospital performance.
- "Mortality" showed the highest support, followed by "quality of care," "quality improvement," "discharge," "length of stay," and "clinical outcome."
- A strong association was found between "electronic medical record" and "readmission rate."
Conclusions:
- Key dimensions of hospital performance include efficiency, effectiveness, quality, and safety.
- Prominent indicators are mortality, length of stay, readmission rate, and patient satisfaction.
- In the last decade, "mortality," "quality of care," and "quality improvement" have gained significant prominence.
