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Healthcare Systems and Challenges

Healthcare Systems and Challenges is a research topic within General Health Professions. Science Explorer counts 15k research works in it since 1950. 9.9% of them reached the world's top 10% most cited for their field and year.

This cluster of papers focuses on the impact of healthcare workforce, including doctors' strikes, workforce planning, and the response to COVID-19, on public health and healthcare delivery in the UK. It also addresses issues such as health inequalities, NHS management, and the role of ethnic minorities in healthcare.

  • NHS
  • healthcare workers
  • COVID-19
  • doctors' strikes
  • public health
  • health inequalities
  • primary care
  • workforce planning
  • ethnic minorities
  • patient mortality
Research works
15k
fractional, since 1950
In the world top 10%
1.5k
per year above
Top-10% rate
9.9%
share of its works in the world top 10%
Growth, 2018-21 → 2022-25
-15%
the tick is no change
Largest producer
??
32% of the 10 largest, 2022-now

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

Which countries lead Healthcare Systems and Challenges research?

By volume, ?? and the United Kingdom publish the most (817 and 792 works in 2022-now).

By volume, 2022-now

  1. 1 ?? 817 works
  2. 2 United Kingdom 792 works
  3. 3 United States 441 works
  4. 4 Australia 218 works
  5. 5 Canada 72 works
  6. 6 Ireland 37 works
  7. 7 Germany 36 works
  8. 8 Italy 35 works
  9. 9 India 35 works
  10. 10 New Zealand 34 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.

??: 32.5%United Kingdom: 31.5%United States: 17.5%Australia: 8.7%6 others listed: 9.9%32%largest
??817 · 32.5%United Kingdom792 · 31.5%United States441 · 17.5%Australia218 · 8.7%6 others listed248 · 9.9%

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

Which institutions lead Healthcare Systems and Challenges research?

By volume in 2022-now, BMJ Group (United Kingdom) publishes the most Healthcare Systems and Challenges research, followed by Transnational Press London and University of Canberra.

Who are the leading researchers in Healthcare Systems and Challenges?

The most-cited researchers publishing on Healthcare Systems and Challenges include George Davey Smith, Jost Bruno Jonas and John J.V. McMurray.

  1. 1 George Davey Smith United Kingdom 435k citations
  2. 2 Jost Bruno Jonas Germany 350k citations
  3. 3 John J.V. McMurray United Kingdom 349k citations
  4. 4 Giuseppe Remuzzi Italy 328k citations
  5. 5 Peter Christian Gøtzsche Denmark 292k 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 Systems and Challenges?

The most cited paper in Healthcare Systems and Challenges is "WHAT’S MEASURED IS WHAT MATTERS: TARGETS AND GAMING IN THE ENGLISH PUBLIC HEALTH CARE SYSTEM" (Gwyn Bevan, Christopher Hood, 2006), with 1,575 citations. Next come "Mortality in relation to smoking: 20 years' observations on male British doctors." (1,319) and "Under the shadow of Tuskegee: African Americans and health care." (1,278).

Most cited papers
#PaperReleasedCitations
1 WHAT’S MEASURED IS WHAT MATTERS: TARGETS AND GAMING IN THE ENGLISH PUBLIC HEALTH CARE SYSTEM Gwyn Bevan, Christopher Hood · Public Administration Aug 2006 1,575
2 Mortality in relation to smoking: 20 years' observations on male British doctors. Richard Doll, Richard Peto · BMJ Open access 25 Dec 1976 1,319
3 Under the shadow of Tuskegee: African Americans and health care. Vanessa Northington Gamble · American Journal of Public Health Open access Nov 1997 1,278
4 Attitudes to vaccination: A critical review Ohid Yaqub, Sophie Castle‐Clarke, Nick Sevdalis et al. · Social Science & Medicine Open access 16 Apr 2014 1,124
5 Universities and tobacco money Joanna E Cohen · BMJ Open access 7 Jul 2001 944
All 100 most cited papers, with filters and sorting

Where is Healthcare Systems and Challenges research done?

The largest centres of Healthcare Systems and Challenges research in 2022-now are London (??), London (United Kingdom), Sale (??) and Oxford (United Kingdom). Among places with at least 20 works in it, it is an unusually large share of all research in London, Sale and Leicester.

Largest cities, 2022-now

  1. 1 London 658 works
  2. 2 LondonUnited Kingdom 202 works
  3. 3 Sale 152 works
  4. 4 OxfordUnited Kingdom 56 works
  5. 5 CanberraAustralia 53 works
  6. 6 MelbourneAustralia 49 works
  7. 7 SydneyAustralia 34 works
  8. 8 BirminghamUnited Kingdom 27 works
  9. 9 ManchesterUnited Kingdom 25 works
  10. 10 BristolUnited Kingdom 23 works

Where it is the local speciality

  1. London658.3 works1536×
  2. Sale151.6 works1412×
  3. LeicesterGB · 21.0 works17×
  4. CanberraAU · 52.8 works13×
← less than its size predicts1×more →

Location quotient: how much more of its research is in Healthcare Systems and Challenges than the world average.

See Healthcare Systems and Challenges on the map

Where is the best place to study Healthcare Systems and Challenges?

Among universities, judged by research, Australian National University, London School of Hygiene & Tropical Medicine and University of Oxford 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%30%mean 18.39%fractional works in this field (log) →share of work in the world top 10% →Australian National …London School of Hyg…University of OxfordUniversity of Manche…
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
1Australian National UniversityAustralia 66.525.7%8.6×11 +45.5%
2London School of Hygiene & Tropical MedicineUnited Kingdom 64.019.9%33.0×12 -11.2%
3University of OxfordUnited Kingdom 60.919.0%7.5×26 -20.0%
4University of ManchesterUnited Kingdom 59.916.4%8.8×18 +24.6%
5The University of SydneyAustralia 59.718.3%6.4×19 +2.6%
6The University of MelbourneAustralia 57.015.6%8.9×24 +76.3%
7University of BathUnited Kingdom 55.012.4%15.2×9 +73.8%
8University of EssexUnited Kingdom 55.019.5%21.2×8 +4.7%
9Queen Mary University of LondonUnited Kingdom 52.215.2%12.0×12 +15.4%
10University of GlasgowUnited Kingdom 51.021.9%7.5×12 +151.6%

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 Systems and Challenges, country by country

Is Healthcare Systems and Challenges research growing?

Output in 2022-2025 was 15% lower than in 2018-2021, peaking in 2020.

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 Systems and Challenges as a percentage of every work published that year, 0.012% in 2024.

still counting0.010%0.020%0.030%Healthcare Systems and Challenges0.0099% in 202519801990200020102020

Fractional works of Healthcare Systems and Challenges 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 Systems and Challenges9.8% 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.

Discussion

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