Smart Decision Systems in Healthcare Sustainability Toward Global Research Trends and Sustainability Strategy Implications
Abstract
The rapid proliferation of smart decision systems within healthcare settings has emerged as a pivotal force in advancing global sustainability agendas, yet a comprehensive understanding of the field's intellectual trajectory remains elusive. This study employs a systematic bibliometric analysis that conducted through Biblioshiny using data retrieved from the Scopus database to map the evolving landscape of research at the intersection of smart decision systems, healthcare, and sustainability. The analysis encompasses publication trends, citation networks, co-authorship patterns, keyword co-occurrence structures, and the most influential contributing countries, institutions, and journals. Findings reveal a marked acceleration in scholarly output since 2018, with artificial intelligence, clinical decision support, and sustainable health systems constituting the dominant thematic clusters. Emerging research frontiers include the integration of machine learning into resource allocation frameworks and the application of Internet of Things technologies in sustainable hospital management. These results underscore the strategic significance of interdisciplinary collaboration and evidence-informed policy formulation. The study ultimately provides researchers, healthcare administrators, and policymakers with a data-driven roadmap for directing future investments and aligning smart health technologies with long-term sustainability goals.
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Aarninkhof-Kamphuis, A. M., Voordijk, J. T., & Dewulf, G. P. M. R. (2024). Dynamic adaptive decision support for strategic decision-making in healthcare organizations. Journal of Health Organization and Management, 38(5), 638–661. https://doi.org/10.1108/JHOM-07-2023-0229
Abdel-Basset, M., Mohamed, R., & Chang, V. (2025). A Multi-Criteria Decision-Making Framework to Evaluate the Impact of Industry 5.0 Technologies: Case Study, Lessons Learned, Challenges and Future Directions. Information Systems Frontiers, 27(2), 791–821. https://doi.org/10.1007/s10796-024-10472-3
Abdullah, A. H., Holtorf, A.-P., Al-Hussaini, M., Lemay, J., Alowayesh, M., & Kaló, Z. (2019). Stakeholder driven development of a multi-criteria decision analysis tool for purchasing off-patent pharmaceuticals in Kuwait. Journal of Pharmaceutical Policy and Practice, 12(1). https://doi.org/10.1186/s40545-019-0171-4
Adiatma, T., Irianto, O., Siamsa, S., & Suwandi, Y. W. (2023). Strategic Management to Envisage the Challenges of Inclusive Economy and Business Innovation: A Bibliometric Study. Journal of International Conference Proceedings, 6(5), 47–67. https://doi.org/10.32535/jicp.v6i5
Alahmari, N., Alswedani, S., Alzahrani, A., Katib, I., Albeshri, A., & Mehmood, R. (2022). Musawah: A Data-Driven AI Approach and Tool to Co-Create Healthcare Services with a Case Study on Cancer Disease in Saudi Arabia. Sustainability (Switzerland), 14(6). https://doi.org/10.3390/su14063313
Al-Barazie, R., & Mohamed, A. (2025). Towards Sustainable Healthcare: Integrating Technology for Eco-friendly and Efficient Solutions. In E. Dobjani, I. A. Parinov, E. Kucaj, V. P. Bagnato, A. Labalestra, H. Altan, I. Pigliautile, & D. J. Hemanth (Eds.), Advances in Science, Technology and Innovation (pp. 301–310). Springer Nature. https://doi.org/10.1007/978-3-031-76837-8_31
Andrieiev, I., Trehub, D., Khatsko, K., Sokolovska, I., & Ganzhiy, I. (2024). Strategic management in healthcare: The impact of strategic decisions on achieving organizational goals and improving the quality of healthcare services. Multidisciplinary Science Journal, 6, 2024ss0217. https://doi.org/10.31893/multiscience.2024ss0217
Bawale, R., Khot, A., & Dhole, S. (2025). Strategies of quality improvement in healthcare organizations on sustainable healthcare system. Discover Social Science and Health, 5, 82. https://doi.org/10.1007/s44155-025-00226-0
Bvuchete, M., Grobbelaar, S., & Van Eeden, J. (2022). Digitalisation and sustainable supply chain strategy: an instrument for improving efficiencies in the public healthcare sector. International Journal of Learning and Change, 14(5–6), 559–587. https://doi.org/10.1504/ijlc.2022.126422
Cao, S., Wang, C., Yang, Z., Yuan, H., Sun, A., Xie, H., Zhang, L., & Fang, Y. (2020). Evaluation of Smart Humanity Systems and Novel UV-Oriented Solution for Integration, Resilience, Inclusiveness and Sustainability. 5th International Conference on Universal Village, UV 2020. https://doi.org/10.1109/UV50937.2020.9426226
Christodoulou, F., & Zoulias, E. (2025). The Application of European Policies on Electronic Health in Greece: A Roadmap for an Interoperable Healthcare Future. In J. Mantas, A. Hasman, P. Gallos, E. Zoulias, & K. Karitis (Eds.), Studies in Health Technology and Informatics (Vol. 328, pp. 288–292). IOS Press BV. https://doi.org/10.3233/SHTI250721
EL Gharbi, D., Lina, A., & Maria, L. (2026). Towards resilient and smart blood inventory management: a systematic literature review of uncertainty, challenges, and data-driven innovations. Computers and Industrial Engineering, 215. https://doi.org/10.1016/j.cie.2026.111916
Ghaemi Rad, T., Sadeghi-Niaraki, A., Abbasi, A., & Choi, S.-M. (2018). A methodological framework for assessment of ubiquitous cities using ANP and DEMATEL methods. Sustainable Cities and Society, 37, 608–618. https://doi.org/10.1016/j.scs.2017.11.024
Ghamari, M., & Sundaram, S. (2025). Digital Dementia: Smart Technologies, mHealth Applications and IoT Devices, for Dementia-Friendly Environments. Journal of Sensor and Actuator Networks, 14(6). https://doi.org/10.3390/jsan14060112
Gouiza, N., Jebari, H., & Reklaoui, K. (2024). INTEGRATION OF IOT-ENABLED TECHNOLOGIES AND ARTIFICIAL INTELLIGENCE IN DIVERSE DOMAINS: RECENT ADVANCEMENTS AND FUTURE TRENDS. Journal of Theoretical and Applied Information Technology, 102(5), 1975–2029. https://www.scopus.com/pages/publications/85188149654?origin=resultslist
Huebner, C., & Flessa, S. (2022). Strategic management in healthcare: A call for long-term and systems-thinking in an uncertain system. International Journal of Environmental Research and Public Health, 19(14), 8617. https://doi.org/10.3390/ijerph19148617
Kaur, J. (2024). Green Healthcare in Smart Cities: Harnessing IoT for Sustainable Transformation of Healthcare Systems (pp. 334–354). https://doi.org/10.4018/979-8-3693-2373-1.ch016
Ketter, W., Padmanabhan, B., Pant, G., & Raghu, T. S. (2020). Addressing societal challenges through analytics: An ESG ice framework and research agenda. Journal of the Association for Information Systems, 21(5), 1115–1127. https://doi.org/10.17705/1jais.00631
Kumar, A., & Sharma, A. (2019). SOOP: A swarm-optimized opinion prediction model for S-health governance. Recent Patents on Computer Science, 12(4), 280–292. https://doi.org/10.2174/2213275911666181114143641
Kumar, S., DeGroot, R. A., & Choe, D. (2008). Rx for smart hospital purchasing decisions: The impact of package design within US hospital supply chain. International Journal of Physical Distribution and Logistics Management, 38(8), 601–615. https://doi.org/10.1108/09600030810915134
Manoharan, S., Seetharaman, A., & Maddulety, K. (2023). Study of sustainable supply chain management in the healthcare industry. ACM International Conference Proceeding Series, 308–314. https://doi.org/10.1145/3625469.3625480
Marinescu, S. A., Oncioiu, I., & Ghibanu, A. I. (2025). The digital transformation of healthcare through intelligent technologies. Healthcare, 13(11), 1222. https://doi.org/10.3390/healthcare13111222
Mojaver, P., & Izadi, T. (2026). Development of a smart energy system with energy management for continuous power and heating supply in a hospital through sustainable utilization of internal waste resources. Energy Conversion and Management, 355. https://doi.org/10.1016/j.enconman.2026.121267
Nayel, H., & Hemdan, E. E.-D. (2026). Explainable AI-Driven Health Scoring Framework for Smart City Sustainability. Sustainability (Switzerland), 18(9). https://doi.org/10.3390/su18094617
Roy, S., Ghosh, N., & Das, S. K. (2019). BioSmartSense: A bio-inspired data collection framework for energy-efficient, QoI-aware smart city applications. 2019 IEEE International Conference on Pervasive Computing and Communications, PerCom 2019. https://doi.org/10.1109/PERCOM.2019.8767392
Sethi, M., & Verma, V. (2025). Integration of Internet of Things Devices for Personalized Monitoring and Predictive Diagnostics in ML-Driven Smart Healthcare Systems. 2025 Global Conference in Emerging Technology, GINOTECH 2025. https://doi.org/10.1109/GINOTECH63460.2025.11076875
Sharma, A., Singh, K. J., Kapoor, D. S., Thakur, K., & Mahajan, S. (2025). Advancements in 5G-IoT Technology-Based Healthcare: A Focus on Healthcare Monitoring for Smart Cities. In C. A. Kerrache, Y. Sahraoui, C. T. Calafate, & A. M. Vegni (Eds.), Mobile Crowdsensing and Remote Sensing in Smart Cities (pp. 73–84). Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-72732-0_5
Shokoohi, H., Liteplo, A. S., Montoya, K., Patnode, C., Hutchinson, A. B., Zalis, M. E., Gottlieb, M., Raja, A. S., & Slutzman, J. E. (2025). Climate-Smart Diagnostic Medical Imaging and Point-of-Care Ultrasound: An Evidence-Based Perspective. Journal of Emergency Medicine, 75, 150–157. https://doi.org/10.1016/j.jemermed.2025.05.027
Simjanovi?, D. J., Vesi?, N. O., Zdravkovi?, N., & Šibalija, T. (2023). Applying AHP to Smart City Development: Mobility, Healthcare, and Education. In V. R. R & J. Taler (Eds.), Lecture Notes in Mechanical Engineering (pp. 369–376). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/978-981-19-9285-8_34
Stoumpos, A. I., Talias, M. A., Ntais, C., Kitsios, F., & Jakovljevic, M. (2024). Knowledge management and digital innovation in healthcare: A bibliometric analysis. Healthcare, 12(24), 2525. https://doi.org/10.3390/healthcare12242525
Sudharson, K., Selvi, K., Ramu, V., Monika, V., Sureshkumar, A., & Nagarajan, S. (2025). Data-Driven Decision Making in Smart Health and Emergency Management. In T. Mangal (Ed.), 2025 IEEE International Students’ Conference on Electrical, Electronics and Computer Science, SCEECS 2025. Institute of Electrical and Electronics Engineers Inc. https://doi.org/10.1109/SCEECS64059.2025.10940288
Suha, S. A., & Sanam, T. F. (2023). Exploring dominant factors for ensuring the sustainability of utilizing artificial intelligence in healthcare decision making: An emerging country context. International Journal of Information Management Data Insights, 3(1). https://doi.org/10.1016/j.jjimei.2023.100170
Tessema, D. H. (2025). From quality to sustainability: the role of innovative culture: the case of public hospitals. International Journal of Health Care Quality Assurance, 1–18. https://doi.org/10.1108/IJHCQA-11-2025-0196
Upreti, K., Kumar, N., Alam, M. S., Nasir, M. S., & Samanta, D. (2025). Big Data Analytics and Intelligent Applications for Smart and Secure Healthcare Services. In Big Data Analytics and Intelligent Applications for Smart and Secure Healthcare Services. CRC Press. https://doi.org/10.1201/9781003508618
Winter, A., Stäubert, S., Ammon, D., Aiche, S., Beyan, O., Bischoff, V., Daumke, P., Decker, S., Funkat, G., Gewehr, J. E., de Greiff, A., Haferkamp, S., Hahn, U., Henkel, A., Kirsten, T., Klöss, T., Lippert, J., Löbe, M., Lowitsch, V., … Löffler, M. (2018). Smart Medical Information Technology for Healthcare (SMITH). Methods of Information in Medicine, 57(S 01), e92–e105. https://doi.org/10.3414/ME18-02-0004
Yang, Z., Li, L., Yuan, H., Dong, Y., Liu, K., Lan, L., Lin, W., Jin, K., Zhu, C., Chai, C., Zhou, Q., Yan, Z., Dong, T., Zhou, L., & Fang, Y. (2020). Evaluation of Smart Energy Management Systems and Novel UV-Oriented Solution for Integration, Resilience, Inclusiveness and Sustainability. 5th International Conference on Universal Village, UV 2020. https://doi.org/10.1109/UV50937.2020.9426217
Yigitcanlar, T., & Cugurullo, F. (2020). The sustainability of artificial intelligence: an urbanistic viewpoint from the lens of smart and sustainable cities. Sustainability (Switzerland), 12(20), 1–24. https://doi.org/10.3390/su12208548
Zhang, K., Yuan, H., & Fang, Y. (2022). Evaluation of Smart Agitation Prediction and Management for Dementia Care and Novel Universal Village Oriented Solution for Integration, Resilience, Inclusiveness and Sustainability. 6th IEEE International Conference on Universal Village, UV 2022. https://doi.org/10.1109/UV56588.2022.10185497
Zhang, L., Ren, J., Yuan, H., Yang, Z., Wang, W., Guo, M., Cheng, G., Zhou, L., Tao, S., Zhang, L., Cui, H., & Fang, Y. (2020). Evaluation of Smart Healthcare Systems and Novel UV-Oriented Solution for Integration, Resilience, Inclusiveness and Sustainability. 5th International Conference on Universal Village, UV 2020. https://doi.org/10.1109/UV50937.2020.9426210
DOI: https://doi.org/10.32535/jicp.v9i3.4734
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