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Issues And Trends In Healthcare Delivery System

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Related Experiment Videos

Surgical Intensity and Specialization Preferences in Healthcare: An Operation- and Process-Management Perspective

Yasemin Kılıç1, Irem Duzdar1, Oumayma Hamlaoui2

  • 1Department of Industrial Engineering, Düzce University, Düzce 81620, Türkiye.

Healthcare (Basel, Switzerland)
|June 12, 2026
PubMed
Summary

This study analyzed healthcare operations literature to understand surgical intensity. Quality management, leadership, and health policy influence healthcare professionals' specialization choices, potentially shifting focus from direct clinical roles.

Keywords:
Analytic Network Process (ANP)bibliometric analysisco-occurrence networkcognitive mappingspecialty choicesurgical intensityworkforce planning

Related Experiment Videos

Area of Science:

  • Healthcare Management
  • Operations Research
  • Bibliometrics

Background:

  • Surgical operations present significant clinical and operational challenges in healthcare.
  • Understanding the impact of operational intensity on healthcare professionals' specialization is crucial for workforce planning.
  • The operation- and process-management literature offers insights into healthcare service delivery.

Purpose of the Study:

  • To analyze the operation- and process-management literature concerning surgical intensity.
  • To identify key themes and their relationships within this literature using bibliometric methods.
  • To determine the influence of identified themes on healthcare professionals' specialization preferences.

Main Methods:

  • Bibliometric analysis of 272 publications using keywords: "lean philosophy", "health", and "process".
  • Construction of a keyword co-occurrence network and a cognitive map.
  • Thematic cluster evaluation and prioritization using the Analytic Network Process (ANP) with expert input.

Main Results:

  • Five main thematic clusters identified: Healthcare Services, Quality, Care, Health, and Outcomes.
  • Healthcare Services and Quality emerged as central themes; Outcomes are critical for performance.
  • Quality, General Topics, and Management and Leadership were the most influential sub-themes impacting surgical operational intensity and specialization.

Conclusions:

  • Quality management, organizational leadership, and health policy are strongly linked to surgical operational intensity.
  • Healthcare professionals may prefer roles in quality improvement and leadership over high-burden clinical positions.
  • Findings can inform strategic human resource planning and specialization balancing in healthcare systems.