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Topic · General Health Professions

Healthcare cost, quality, practices

Healthcare cost, quality, practices is a research topic within General Health Professions. Science Explorer counts 22k research works in it since 1950. 10.3% of them reached the world's top 10% most cited for their field and year.

This cluster of papers focuses on strategies and initiatives aimed at reducing the overuse of low-value health care services, particularly in the United States. It explores the concept of 'Choosing Wisely' and addresses issues related to health care waste, physician perspectives, de-implementation of unnecessary practices, and the impact on health care costs. The cluster also emphasizes the importance of patient engagement and quality improvement efforts in addressing this issue.

  • Choosing Wisely
  • Low-Value Care
  • Overuse of Medical Services
  • Health Care Waste
  • Medical Overuse
  • Physician Perspectives
  • De-implementation
  • Health Care Costs
  • Quality Improvement
  • Patient Engagement
Research works
22k
fractional, since 1950
In the world top 10%
2.3k
per year above
Top-10% rate
10.3%
share of its works in the world top 10%
Growth, 2018-21 → 2022-25
+5%
the tick is no change
Largest producer
United States
49% of the 10 largest, 2022-now
Healthcare cost, quality, practices

This ranks research output and citation impact. It says nothing about the quality of diagnosis, treatment or care.

Which countries lead Healthcare cost, quality, practices research?

By volume, the United States and the United Kingdom publish the most (1.9k and 567 works in 2022-now).

By volume, 2022-now

  1. 1 United States 1.9k works
  2. 2 United Kingdom 567 works
  3. 3 Germany 261 works
  4. 4 Canada 232 works
  5. 5 Australia 213 works
  6. 6 India 166 works
  7. 7 Italy 150 works
  8. 8 Spain 147 works
  9. 9 Netherlands 146 works
  10. 10 China 101 works

How concentrated that is

The same countries as shares of everything the list above accounts for. A node where two countries do two thirds of the work and one spread evenly across twelve read alike as a ranking and not at all alike here.

United States: 48.7%United Kingdom: 14.7%Germany: 6.8%Canada: 6.0%6 others listed: 23.9%49%largest
United States1,882 · 48.7%United Kingdom567 · 14.7%Germany261 · 6.8%Canada232 · 6.0%6 others listed923 · 23.9%

Shares of the rows listed above, not of the whole node.

Which institutions lead Healthcare cost, quality, practices research?

By volume in 2022-now, Harvard University publishes the most Healthcare cost, quality, practices research, followed by University of Toronto and Johns Hopkins University.

By volume, 2022-now

  1. 1 Harvard UniversityUnited States 105 works
  2. 2 University of TorontoCanada 42 works
  3. 3 Johns Hopkins UniversityUnited States 39 works
  4. 4 BMJ Group (United Kingdom) 38 works
  5. 5 University of MichiganUnited States 32 works
  6. 6 Stanford UniversityUnited States 30 works
  7. 7 United States Department of Veterans AffairsUnited States 29 works
  8. 8 University of PennsylvaniaUnited States 29 works
  9. 9 University of California, San FranciscoUnited States 29 works
  10. 10 University of North Carolina at Chapel HillUnited States 28 works

Who are the leading researchers in Healthcare cost, quality, practices?

The most-cited researchers publishing on Healthcare cost, quality, practices include David Moher, Douglas G. Altman and Ahmedin Jemal.

  1. 1 David Moher Canada 898k citations
  2. 2 Douglas G. Altman United Kingdom 862k citations
  3. 3 Ahmedin Jemal United States 761k citations
  4. 4 Christopher J L Murray United States 583k citations
  5. 5 Jennifer Tetzlaff Canada 495k citations
  6. 6 Rob Knight United States 468k citations
  7. 7 Theo Vos United States 439k citations
  8. 8 George Davey Smith United Kingdom 435k citations
  9. 9 Ali H. Mokdad United States 429k citations
  10. 10 Zulfiqar Ahmed Bhutta Pakistan 371k citations

Ranked by citations received across their whole record, among researchers with at least three works on this topic.

What are the most cited papers in Healthcare cost, quality, practices?

The most cited paper in Healthcare cost, quality, practices is "The Cochrane Collaboration's tool for assessing risk of bias in randomised trials" (Julian P. T. Higgins, Doug G. Altman, Peter Christian Gøtzsche et al., 2011), with 34,881 citations. Next come "Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies" (10,774) and "Dissecting racial bias in an algorithm used to manage the health of populations" (7,007).

Most cited papers
#PaperReleasedCitations
1 The Cochrane Collaboration's tool for assessing risk of bias in randomised trials Julian P. T. Higgins, Doug G. Altman, Peter Christian Gøtzsche et al. · BMJ Open access 18 Oct 2011 34,881
2 Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies Erik B von Elm, Douglas G. Altman, Matthias Egger et al. · BMJ Open access 18 Oct 2007 10,774
3 Dissecting racial bias in an algorithm used to manage the health of populations Ziad Obermeyer, Brian W. Powers, Christine Vogeli et al. · Science Open access 24 Oct 2019 7,007
4 EQ-SD: a measure of health status from the EuroQol Group Rosalind Rabin, Frank de Charro · Annals of Medicine Open access 2001 5,748
5 Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD): Explanation and Elaboration Karel G.M. Moons, Douglas G. Altman, Johannes B. Reitsma et al. · Annals of Internal Medicine Open access 5 Jan 2015 5,388
All 100 most cited papers, with filters and sorting

Where is Healthcare cost, quality, practices research done?

The largest centres of Healthcare cost, quality, practices research in 2022-now are London (United Kingdom), Boston (United States), New York (United States) and Washington D.C. (United States). Among places with at least 20 works in it, it is an unusually large share of all research in London, Rotterdam and San Francisco.

Largest cities, 2022-now

  1. 1 LondonUnited Kingdom 168 works
  2. 2 BostonUnited States 93 works
  3. 3 New YorkUnited States 90 works
  4. 4 Washington D.C.United States 61 works
  5. 5 CambridgeUnited States 58 works
  6. 6 PhiladelphiaUnited States 58 works
  7. 7 TorontoCanada 58 works
  8. 8 BaltimoreUnited States 55 works
  9. 9 MelbourneAustralia 48 works
  10. 10 SydneyAustralia 47 works

Where it is the local speciality

  1. London40.1 works51×
  2. RotterdamNL · 27.0 works8.3×
  3. San FranciscoUS · 38.4 works5.8×
← less than its size predicts1×more →

Location quotient: how much more of its research is in Healthcare cost, quality, practices than the world average.

See Healthcare cost, quality, practices on the map

Where is the best place to study Healthcare cost, quality, practices?

Among universities, judged by research, Harvard University, Macquarie University and The University of Melbourne score highest, combining excellence, specialisation, size, growth and international reach. Research strength is one signal when choosing where to study; it does not measure teaching.

0%10%20%mean 16.2%fractional works in this field (log) →share of work in the world top 10% →The University of Me…Macquarie UniversityUniversity of OsloHarvard University
above the meannear itbelow it

One dot per university in the first ten of the table below, at the default weights. The upper left is the interesting corner: small places doing unusually strong work.

Excellenceshare of its work in the world top 10%, 2022-now and all time averaged
40%
Specialisationhow much of its work is in this field, counted up to 10× the world share
10%
Sizeits output in this field, on a log scale
30%
Growthoutput growth, counted from -20% to +20%
10%
Internationalshare of its work with a co-author abroad
10%
Each slider sets a weight; the share it gets of the score is beside it.
#UniversityScoreTop 10%SpecialisationWorksGrowth
1Harvard UniversityUnited States 81.515.4%7.4×105 -2.8%
2Macquarie UniversityAustralia 67.318.8%6.5×10 +43.4%
3The University of MelbourneAustralia 65.019.8%3.4×17 +38.5%
4University of OsloNorway 64.318.3%5.1×14 +36.8%
5Maastricht UniversityNetherlands 63.220.0%6.0×10 +17.2%
6University of TorontoCanada 63.115.3%4.6×42 -15.8%
7University of California, San FranciscoUnited States 62.112.4%9.1×29 +34.4%
8Erasmus University RotterdamNetherlands 61.79.6%10.8×25 +8.2%
9Stanford UniversityUnited States 59.818.0%4.5×30 -16.2%
10Johns Hopkins UniversityUnited States 59.014.4%5.7×39 -21.1%

Universities only. The score blends excellence (40%), size (30%), specialisation (10%), growth (10%), international reach (10%), 2022-now; growth compares 2018-21 with 2022-25 and counts up to +20%, since a jump from a small base is mostly noise.

Every institution in Healthcare cost, quality, practices, country by country

Is Healthcare cost, quality, practices research growing?

Output in 2022-2025 was 5% higher than in 2018-2021, peaking in 2020. The fastest-growing topics are Healthcare cost, quality, practices.

still counting19801990200020102020
grewheldshrank

The same series as a ribbon: one cell per year, darker for more. The line above answers how much; this answers when.

Its share of all research

Growing output can still be a shrinking share: all of science grows. This is Healthcare cost, quality, practices as a percentage of every work published that year, 0.022% in 2024.

still counting0.010%0.020%0.030%Healthcare cost, quality, practices0.021% in 202519801990200020102020

Fractional works of Healthcare cost, quality, practices over all fractional works that year. How the balance of science has shifted.

How much of it reaches the world top 10%

Year by year.

still counting5%10%15%Healthcare cost, quality, practices10.2% in 2025200020102020

Of each year's works in it, the share that reached the world's 10% most cited for their field and year. A field is the world for its own topics, so there is no other line to hold it against.

Which topics inside it are moving

Growth and decline on one axis around a shared zero. Two lists side by side hide the thing that matters: whether the growth dwarfs the decline, or the other way round.

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