Main Article Content
Abstract
Purpose: This study aims to analyze research trends in the hospital financial risk management literature during the era of economic uncertainty using a bibliometric analysis and a systematic literature review. It focuses on identifying dominant themes, theoretical perspectives, methodological approaches, and emerging trends in hospital financial sustainability, enterprise risk management, adaptive governance, and digital transformation within healthcare organizations.
Research Design and Methodology: This study employed a Systematic Literature Review combined with bibliometric analysis, following the PRISMA protocol, including the identification, screening, eligibility, and inclusion stages. Data were collected from Google Scholar, ScienceDirect, Wiley Online Library, and Scopus using keywords related to hospital financial risk management, financial sustainability, healthcare governance, and economic uncertainty. A total of 30 articles published between 2020 and 2025 were analyzed using VOSviewer.
Findings and Discussion: The findings show that research has shifted from traditional financial efficiency and cost management toward integrated governance, organizational resilience, and technology-driven sustainability. Four thematic clusters were identified: financial sustainability and operational efficiency; enterprise risk management and resilience; bibliometric mapping; and digital transformation in healthcare governance.
Implications: This study emphasizes the importance of sustainability-oriented governance, enterprise risk management, and digital transformation in strengthening hospital financial resilience. It also provides bibliometric mapping and future research directions on adaptive governance and technological innovation in healthcare organizations.
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References
- Gandhi, W. P., & Pribadi, F. (2025). A Bibliometric Analysis of Hospital Financial Performance: Emerging Trends and Future Directions. Asia Pacific Journal of Health Management, 20(2). https://doi.org/10.24083/apjhm.v20i2.4353
- Dany, Y. A., & Pribadi, F. (2024). Research Trend On Healthcare (Hospital Financial) Failure And Activity-Based Costing Methods: A Bibliometric Analysis. Jurnal Riset Kesehatan, 13(2), 169–178. https://doi.org/10.31983/jrk.v13i2.12206
- Sae-Lim P, Na Ayudhaya S. Beyond Patient Safety Goal Towards Hospital Sustainable Risk: A Systematic Review on the Evolution of Hospital Risk Management. Open Public Health J, 2024; 17: e18749445284229. http://dx.doi.org/10.2174/0118749445284229240313062944
- Ionescu, Ș., Dumitrescu, G., Ioanăș, C., & Delcea, C. (2024). Mapping the Landscape of Key Performance and Key Risk Indicators in Business: A Comprehensive Bibliometric Analysis. Risks, 12(8), 125. https://doi.org/10.3390/risks12080125
- Jadwani, B., Parkhi, S., & Mitra, P. K. (2024). Operational Risk Management in Banks: A Bibliometric Analysis and Opportunities for Future Research. Journal of Risk and Financial Management, 17(3), 95. https://doi.org/10.3390/jrfm17030095
- Iswardhani, I., & Rahmat, M. R. (2025). Visualisasi tren penelitian risiko keuangan: Pendekatan bibliometrik dengan VOSviewer. EKOMA: Jurnal Ekonomi, Manajemen, Akuntansi, 7(4), 88-101. https://doi.org/10.56799/ekoma.v4i4.8918
- Indri Iswardhani. (2025). Pemetaan Bibliometrik Penerapan ISO 31000: 2018 sebagai Standar Manajemen Risiko : Analisis Visual Berbasis VOSviewer. Jurnal Bintang Manajemen, 3(3), 122–140. https://doi.org/10.55606/jubima.v3i3.4168
- Muharromah, I. H., Irianto, G., & Djamhuri, A. (2025). Bibliometric Analysis Of Anticipating Digital Financial Report Fraud Using Vosviewer. Jurnal Reviu Akuntansi Dan Keuangan, 15(1). https://doi.org/10.22219/jrak.v15i1.37745
- Budianto, E. W. H. (2023). Research Mapping of Credit Risks in Islamic and Conventional Banking: VOSviewer Bibliometric Study and Literatur Review. BANCO: Jurnal Manajemen dan Perbankan Syariah, 5(1), 20–34. https://doi.org/10.35905/banco.v5i1.4987
- Bratiloveanu, A., Ignat, N. D., & Croitoru, I. M. (2023). Investment Risk–Bibliometric Analysis at the Level of EU States. Valahian Journal of Economic Studies, 14(2), 23–38. https://doi.org/10.2478/vjes-2023-0013
- Wang Liu-Fang, Huang Yu-Ni, Wang Richard Sze-Wei, et al.Global Research of Medical Technology Management: A Bibliometric Analysis[J].Chinese Medical Sciences Journal,2025,40(02):120-131.doi: https://dx.doi.org/10.24920/004456
- Singh A, Ravi P (2023). "Lean six-sigma (LSS) applications in hospitals: a decade (2011–2020) bibliometric analysis". International Journal of Productivity and Performance Management, Vol. 72 No. 8, pp. 2270–2291, doi: https://doi.org/10.1108/IJPPM-07-2021-0432
- Haryanto, L. M., Setyonugroho, W., & Suanrueang, P. (2023). Analysis of Barriers Implementation Health Information Technology Using Vosviewer: A Bibliometric Study. JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit), 12(3), 312–323. https://doi.org/10.18196/jmmr.v12i3.11
- Agrawal G, Kumar A (2025). "Public health insurance for the elderly: an insight from bibliometric analysis". Int J Health Care Qual Assur, Vol. 38 No. 2 pp. 94–111, doi: https://doi.org/10.1108/IJHCQA-03-2023-0019
- Nayak NR, Patra AK, Praharaj A, Chhatoi BP (2025). "Global perspective on hospital service quality research: a bibliometric overview". Leadersh Health Serv (Bradf Engl), Vol. 38 No. 4, pp. 529–544, doi: https://doi.org/10.1108/LHS-02-2025-0034
- Kanaparthi, V. (2024). Transformational application of Artificial Intelligence and Machine learning in Financial Technologies and Financial services: A bibliometric review. https://doi.org/10.48550/arXiv.2401.15710
- Teixeira JF, Rodrigues LL (2022). "Earnings management: a bibliometric analysis". International Journal of Accounting and Information Management, Vol. 30 No. 5 pp. 664–683, doi: https://doi.org/10.1108/IJAIM-12-2021-0259
- Özdemir M, Selçuk M (2021). "A bibliometric analysis of the International Journal of Islamic and Middle Eastern Finance and Management". International Journal of Islamic and Middle Eastern Finance and Management, Vol. 14 No. 4, pp. 767–791, doi: https://doi.org/10.1108/IMEFM-06-2020-0277
- Daniel Amos, Cheong Peng Au-Yong, Zairul Nisham Musa, The mediating effects of finance on the performance of hospital facilities management services, Journal of Building Engineering, https://doi.org/10.1016/j.jobe.2020.101899
- Cheng Peng, Miao He, Sarah L Cutrona, Catarina I Kiefe, Feifan Liu, Zhongqing Wang, Theme Trends and Knowledge Structure on Mobile Health Apps: Bibliometric Analysis, JMIR mHealth and uHealth. https://doi.org/10.2196/18212
- Adeabah, D., Abakah, E. J. A., Tiwari, A. K., & Hammoudeh, S. (2023). How far have we come and where should we go after 30+ years of research on Africa's emerging financial markets? A systematic review and a bibliometric network analysis. Emerging Markets Review, 55, 101030. https://doi.org/10.1016/j.ememar.2023.101030
- Kumari, A., & Singh, M. P. (2023). A journey of social sustainability in organization during MDG & SDG period: A bibliometric analysis. Socio-Economic Planning Sciences, 88, 101668. https://doi.org/10.1016/j.seps.2023.101668
- Patipan Sae-Lim, Sirintata (Pongpech) Singhara Na Ayudhaya, Beyond Patient Safety Goal Towards Hospital Sustainable Risk: A Systematic Review on the Evolution of Hospital Risk Management, The Open Public Health Journal. https://doi.org/10.2174/0118749445284229240313062944
References
Gandhi, W. P., & Pribadi, F. (2025). A Bibliometric Analysis of Hospital Financial Performance: Emerging Trends and Future Directions. Asia Pacific Journal of Health Management, 20(2). https://doi.org/10.24083/apjhm.v20i2.4353
Dany, Y. A., & Pribadi, F. (2024). Research Trend On Healthcare (Hospital Financial) Failure And Activity-Based Costing Methods: A Bibliometric Analysis. Jurnal Riset Kesehatan, 13(2), 169–178. https://doi.org/10.31983/jrk.v13i2.12206
Sae-Lim P, Na Ayudhaya S. Beyond Patient Safety Goal Towards Hospital Sustainable Risk: A Systematic Review on the Evolution of Hospital Risk Management. Open Public Health J, 2024; 17: e18749445284229. http://dx.doi.org/10.2174/0118749445284229240313062944
Ionescu, Ș., Dumitrescu, G., Ioanăș, C., & Delcea, C. (2024). Mapping the Landscape of Key Performance and Key Risk Indicators in Business: A Comprehensive Bibliometric Analysis. Risks, 12(8), 125. https://doi.org/10.3390/risks12080125
Jadwani, B., Parkhi, S., & Mitra, P. K. (2024). Operational Risk Management in Banks: A Bibliometric Analysis and Opportunities for Future Research. Journal of Risk and Financial Management, 17(3), 95. https://doi.org/10.3390/jrfm17030095
Iswardhani, I., & Rahmat, M. R. (2025). Visualisasi tren penelitian risiko keuangan: Pendekatan bibliometrik dengan VOSviewer. EKOMA: Jurnal Ekonomi, Manajemen, Akuntansi, 7(4), 88-101. https://doi.org/10.56799/ekoma.v4i4.8918
Indri Iswardhani. (2025). Pemetaan Bibliometrik Penerapan ISO 31000: 2018 sebagai Standar Manajemen Risiko : Analisis Visual Berbasis VOSviewer. Jurnal Bintang Manajemen, 3(3), 122–140. https://doi.org/10.55606/jubima.v3i3.4168
Muharromah, I. H., Irianto, G., & Djamhuri, A. (2025). Bibliometric Analysis Of Anticipating Digital Financial Report Fraud Using Vosviewer. Jurnal Reviu Akuntansi Dan Keuangan, 15(1). https://doi.org/10.22219/jrak.v15i1.37745
Budianto, E. W. H. (2023). Research Mapping of Credit Risks in Islamic and Conventional Banking: VOSviewer Bibliometric Study and Literatur Review. BANCO: Jurnal Manajemen dan Perbankan Syariah, 5(1), 20–34. https://doi.org/10.35905/banco.v5i1.4987
Bratiloveanu, A., Ignat, N. D., & Croitoru, I. M. (2023). Investment Risk–Bibliometric Analysis at the Level of EU States. Valahian Journal of Economic Studies, 14(2), 23–38. https://doi.org/10.2478/vjes-2023-0013
Wang Liu-Fang, Huang Yu-Ni, Wang Richard Sze-Wei, et al.Global Research of Medical Technology Management: A Bibliometric Analysis[J].Chinese Medical Sciences Journal,2025,40(02):120-131.doi: https://dx.doi.org/10.24920/004456
Singh A, Ravi P (2023). "Lean six-sigma (LSS) applications in hospitals: a decade (2011–2020) bibliometric analysis". International Journal of Productivity and Performance Management, Vol. 72 No. 8, pp. 2270–2291, doi: https://doi.org/10.1108/IJPPM-07-2021-0432
Haryanto, L. M., Setyonugroho, W., & Suanrueang, P. (2023). Analysis of Barriers Implementation Health Information Technology Using Vosviewer: A Bibliometric Study. JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit), 12(3), 312–323. https://doi.org/10.18196/jmmr.v12i3.11
Agrawal G, Kumar A (2025). "Public health insurance for the elderly: an insight from bibliometric analysis". Int J Health Care Qual Assur, Vol. 38 No. 2 pp. 94–111, doi: https://doi.org/10.1108/IJHCQA-03-2023-0019
Nayak NR, Patra AK, Praharaj A, Chhatoi BP (2025). "Global perspective on hospital service quality research: a bibliometric overview". Leadersh Health Serv (Bradf Engl), Vol. 38 No. 4, pp. 529–544, doi: https://doi.org/10.1108/LHS-02-2025-0034
Kanaparthi, V. (2024). Transformational application of Artificial Intelligence and Machine learning in Financial Technologies and Financial services: A bibliometric review. https://doi.org/10.48550/arXiv.2401.15710
Teixeira JF, Rodrigues LL (2022). "Earnings management: a bibliometric analysis". International Journal of Accounting and Information Management, Vol. 30 No. 5 pp. 664–683, doi: https://doi.org/10.1108/IJAIM-12-2021-0259
Özdemir M, Selçuk M (2021). "A bibliometric analysis of the International Journal of Islamic and Middle Eastern Finance and Management". International Journal of Islamic and Middle Eastern Finance and Management, Vol. 14 No. 4, pp. 767–791, doi: https://doi.org/10.1108/IMEFM-06-2020-0277
Daniel Amos, Cheong Peng Au-Yong, Zairul Nisham Musa, The mediating effects of finance on the performance of hospital facilities management services, Journal of Building Engineering, https://doi.org/10.1016/j.jobe.2020.101899
Cheng Peng, Miao He, Sarah L Cutrona, Catarina I Kiefe, Feifan Liu, Zhongqing Wang, Theme Trends and Knowledge Structure on Mobile Health Apps: Bibliometric Analysis, JMIR mHealth and uHealth. https://doi.org/10.2196/18212
Adeabah, D., Abakah, E. J. A., Tiwari, A. K., & Hammoudeh, S. (2023). How far have we come and where should we go after 30+ years of research on Africa's emerging financial markets? A systematic review and a bibliometric network analysis. Emerging Markets Review, 55, 101030. https://doi.org/10.1016/j.ememar.2023.101030
Kumari, A., & Singh, M. P. (2023). A journey of social sustainability in organization during MDG & SDG period: A bibliometric analysis. Socio-Economic Planning Sciences, 88, 101668. https://doi.org/10.1016/j.seps.2023.101668
Patipan Sae-Lim, Sirintata (Pongpech) Singhara Na Ayudhaya, Beyond Patient Safety Goal Towards Hospital Sustainable Risk: A Systematic Review on the Evolution of Hospital Risk Management, The Open Public Health Journal. https://doi.org/10.2174/0118749445284229240313062944