From Patterns to Policy: A Scoping Review Based on Bibliometric Analysis (ScoRBA) of Intelligent and Secure Smart Hospital Ecosystems

• URL: http://arxiv.org/abs/2603.30004v1
• Date: Tue, 31 Mar 2026 16:58:15 GMT
• Title: From Patterns to Policy: A Scoping Review Based on Bibliometric Analysis (ScoRBA) of Intelligent and Secure Smart Hospital Ecosystems
• Abstract summary: This study uses a Scoping Review with Bibliometric Analysis to map research patterns, identify gaps, and derive policy implications.<n>Findings reveal three interrelated clusters: AI-driven intelligent healthcare systems, decentralized privacy-preserving digital health ecosystems, and scalable cloud-edge infrastructures.<n>Despite progress in AI, blockchain, and cloud computing, gaps remain in interoperability, real-world implementation, governance, and cross-layer integration.
• Score: 0.0
• License: http://creativecommons.org/licenses/by-sa/4.0/
• Abstract: This study examines the evolution of Intelligent and Secure Smart Hospital Ecosystems using a Scoping Review with Bibliometric Analysis (ScoRBA) to map research patterns, identify gaps, and derive policy implications. Analyzing 891 journal articles from Scopus (2006-2025) through co-occurrence analysis, network visualization, overlay analysis, and the Enhanced Strategic Diagram (ESD), the study applies the PAGER framework to link Patterns, Advances, Gaps, Research directions, and Evidence-based policy implications. Findings reveal three interrelated clusters: AI-driven intelligent healthcare systems, decentralized privacy-preserving digital health ecosystems, and scalable cloud-edge infrastructures, showing a convergence toward integrated ecosystem architectures where intelligence, trust, and infrastructure reinforce each other. Despite progress in AI, blockchain, and cloud computing, gaps remain in interoperability, real-world implementation, governance, and cross-layer integration. Emerging themes such as explainable AI, federated learning, and privacy mechanisms highlight areas needing further research. Policy-relevant recommendations focus on coordinated governance, scalable infrastructure, and secure data ecosystems, particularly for developing country contexts. The study bridges bibliometric evidence with actionable policies, supporting informed decision-making in smart hospital development.

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