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The impact of hospital competition on the quality of care in Europe: A systematic review
Healthcare (MDPI). 2024. Vol. 12. No. 22. Article 2218.
This study analyzes the results of empirical studies on the impact of hospital competition (rivalry and market pressure) on the quality of care in European countries. A systematic review has been conducted according to the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines, using the following online databases: Web of Science, PubMed, ScienceDirect, Wiley Online Library, and Google Scholar. The search protocol covers studies published in English between January 2015 and mid-April 2024. Eight out of 14 eligible studies document significant positive association, at least in the short term, between hospital competition and the quality of care measured through objective outcome indicators. Of the other six, one study demonstrates a negative relationship in a specific context. The findings of the remaining five studies are heterogeneous and context-dependent (two out of five) or suggest no discernible association between the two examined phenomena (three out of five). The respective contexts with positive, negative, or no statistically significant associations have been identified. The most essential impacts of competition on the quality of hospital care have been summarized and avenues for future research and policy implications have been discussed.
Publication based on the results of:
Zaikin A., Vlasenko D., Zakharov D. et al., Diagnostics 2026 Vol. 16 No. 17 P. 1–15
Background/Objectives: Synolitic graphs (SGs) were developed for task-based fMRI, where
edge weights encode the discriminative power of pairwise regional features; whether similar
information can be recovered from resting-state data was untested. We benchmarked
SGs for autism spectrum disorder (ASD) classification using the multisite ABIDE-I dataset
(871 subjects: 403 subjects with ASD, 468 typical controls; 17 sites; CC200 atlas). Methods:
Using ...
Added: August 27, 2026
Vlassov V., The Lancet Public Health 2026 Vol. 11 No. 9 P. e604–e629
Background
Understanding the size, gender composition, and cadre mix of the health workforce and how it has evolved across time and locations can inform policies for planning, recruitment, training, and retention of human resources for health (HRH), and improvement of access to the health-care workforce among populations. Using comparable and standardised data sources, we aim to ...
Added: August 25, 2026
Moshkin A., Fedorov M., Arlazarov V. et al., Algorithms 2026 Vol. 19 No. 7 Article 523
Artificial intelligence (AI) technologies, which are being actively developed in modern medicine today, increase the speed and quality of patient care. This article mainly seeks to demonstrate the use of various options of computer analysis of clinical images to solve practical problems of increasing the efficiency of routine diagnostics using retrospective analysis, as well as ...
Added: August 17, 2026
Shartova N., Mironova E., Geo Journal 2026 Vol. 91 Article 78
The historical timeline of urban development profoundly shapes the contemporary form and functionality of cities. Traditionally, cities were planned with limited consideration for the promotion of a healthy urban environment. Using Nizhny Novgorod, Russia, a city that has evolved from a medieval market town to an industrial centre and later into a multifunctional city with ...
Added: August 9, 2026
Vlassov V., JAMA - Journal of the American Medical Association 2026 Vol. 336 No. 8 P. 673–696
Importance Elevated low-density lipoprotein cholesterol (LDL-C) is a modifiable risk factor for cardiovascular disease, the leading cause of premature death worldwide. Assessing the LDL-C–related burden is critical for guiding prevention and treatment strategies.
Objectives To estimate the global, regional, and national burden of ischemic heart disease and ischemic stroke attributable to elevated LDL-C (relative to 35-54 mg/dL) from ...
Added: August 4, 2026
Maghsoohi A., Pavlov V., Rouse P. et al., Health Care Management Science 2026 Vol. 29 Article 37
As the numbers of older people (65 +) rise globally, the pressure on acute hospitals to provide efficient and effective care while addressing resource inequities increases. In this study we introduce Recognising Episodes of Acute Complexity in Health (REACH), a novel Automatic Machine Learning (AutoML)-based predictive model that prioritises older patients and assigns them to complex ...
Added: July 30, 2026
Vlassov V., The Lancet Public Health 2026 Vol. 11 No. 9 P. e589–e603
Background
Road injuries are a leading cause of mortality and morbidity worldwide. Years of international efforts have aimed to strengthen policy engagement, including the 2020 UN General Assembly's proclamation of the Second Decade of Action for Road Safety (2021–30), targeting a 50% reduction in road traffic deaths and serious injuries by 2030. The aim of this ...
Added: July 25, 2026
Авксентьева М. В., Ашихмин Я. И., Ашихмина О. В. et al., М.: ФГБУ "Издательство "Наука", 2023.
Предложены основные направления совершенствования планирования, организации и оплаты медицинской помощи, лекарственного обеспечения, информатизации и оценки технологий здравоохранения. Рекомендованы такие мероприятия, как конкретизация программы государственных гарантий бесплатного оказания гражданам медицинской помощи, создание системы общедоступного лекарственного обеспечения, использование клинико-статистических групп для оплаты медицинской помощи при ряде хронических неинфекционных заболеваний в амбулаторных условиях, формирование механизма привлечения соплатежей при ...
Added: July 16, 2026
Хайлова Ж. В., Омельяновский В. В., Терян Р. А. et al., Опухоли женской репродуктивной системы 2025 Т. 21 № 1 С. 86–105
Цель исследования – определить наиболее целесообразную стратегию скрининга и ранней диагностики рака шейки матки (РШМ) в Российской Федерации с точки зрения клинической (диагностической) и экономической эффективности.
Материалы и методы. Для оценки клинической (диагностической) эффективности различных стратегий скрининга проведен систематический обзор публикаций об исследованиях, оценивающих эффективность применения цитологического исследования и тестирования на вирус папилломы человека (ВПЧ) с целью диагностики ...
Added: July 16, 2026
Иванова А. А., Коган С. А., Горбунова Т. В. et al., Менеджер здравоохранения 2026 № 3 С. 96–105
The research r elev anc e is determined by the demand for telemedicine consultations (TMC) as one of health care digitalization pathways in Russian Federation. Telemedicine, regardless of the field, continues to prove its significant role, saving health resources without losing medical care quality. The TMC is regulated by federal level framework. Each year the ...
Added: July 16, 2026
Sun Z., Khvostikov A., Krylov A. et al., Machine Learning and Knowledge Extraction 2026 Vol. 8 No. 1 Article 8
Whole-slide histology images (WSIs) can exceed 100 k × 100 k pixels, making direct pixel-level segmentation infeasible and requiring patch-level classification as a practical alternative for downstream WSI segmentation. However, most approaches either treat patches independently, ignoring spatial and biological context, or rely on deep graph models prone to oversmoothing and loss of local tissue ...
Added: July 16, 2026
Хайлова Ж. В., Омельяновский В. В., Михайлов И. А. et al., Менеджер здравоохранения 2026 № 4 С. 41–52
The urgency of the problem of organizing effective medical care for cancer patients is determined by the steady trend of increasing incidence of malignant neoplasms, the high proportion of this pathology in the structure of overall mortality, as well as significant medical, demographic and socio-economic losses for society.Purpose of the st udy is to conduct ...
Added: July 16, 2026
Габриелян А. Р., Александрова О. Ю., Михайлов И. А., Здоровье мегаполиса 2026 Т. 7 № 2 С. 7–16
Objective. To evaluate the impact of a series of organizational measures for implementing innovative medical technology in a multidisciplinary hospital on patient quality of life based on patient self-assessments. Results. Patients who received care using innovative medical technology within a systemic organizational approach demonstrated a significantly higher level of overall satisfaction with the quality of care. ...
Added: July 16, 2026
Ахапкина Е. С., Омельяновский В. В., Тулупова О. Н. et al., Медицинские технологии. Оценка и выбор 2026 Т. 48 № 2 С. 70–77
OBJECTIVE
To analyze international approaches to assessing the labor complexity for different specialists with higher medical education (physicians).
MATERIAL AND METHODS
We performed a systematic searching and content analysis of foreign and national studies and documents devoted to labor complexity of different specialists with higher medical education (doctors). A group of experts among the authors of this study discussed and identified significant factors in assessing complexity.
RESULTS
There are 2 main systems to assess physician workload complexity in foreign countries. The first approach is based ...
Added: July 16, 2026
Arina Bukina, Eritsyan K., Antonova N. et al., Frontiers in Psychology 2026 Vol. 17 Article 1824428
Background:
Numerous studies have shown that indigenous populations experience poorer health outcomes compared to people with other backgrounds. However, the interpretation of these disparities remains challenging due to differences in living conditions and social environments, as well as by potential measurement-related biases. Little is known about whether the underlying mechanisms of mental health outcomes differ between ...
Added: July 15, 2026
Vlassov V., The Lancet Infectious Diseases 2026 P. 1–12
Background
Tuberculosis (TB) is the leading global cause of death from a single infectious agent. Recent reductions in global health funding have threatened TB control, making comprehensive assessment of TB, HIV-related TB, and drug-resistant TB burdens before these disruptions essential for shaping effective responses. The WHO End TB Strategy sets targets of a 95% reduction in ...
Added: July 7, 2026
Liapin G., Vlassov V., DIALOGUES IN HEALTH 2026 Vol. 8 Article 100317
Objectives
Due to the economic growth at the end of the 20th century, people in low-income countries live longer but still spend most of their income on food. These countries, as well as affluent countries, demonstrate a rising prevalence of obesity. The interplay of longevity and obesity at different levels of economic development is not clear.
Methods
We ...
Added: June 29, 2026
Алексашина А. О., Русских С. В., Тырановец С. В. et al., Менеджер здравоохранения 2026 № 4 С. 53–60
Given the increasing prevalence of carbohydrate metabolism disorders in pregnant women, a validated tool is needed to assess the competencies of physicians involved in the multidisciplinary management of this pathology.
Objective. A comprehensive validation of the author’s methodology (questionnaire) «Flowchart “Methodology for assessing the professional potential of medical personnel of endocrinologists, obstetrician-gynecologists, and general practitioners in ...
Added: June 11, 2026
Лебедева Д. А., Вестник Воронежского государственного университета. Серия: Право 2026 № 1 С. 66–77
The article is devoted to the study of problems in the fi eld of ensuring the protection and
portability of patient data in medical information and analytical systems (hereinafter – MIAS). The
purpose of the study is a comprehensive analysis of the legal regulation of the MIAS of the constituent
entities of the Russian Federation. The study identifi ...
Added: June 3, 2026
Korotayev A., Хайруллин Т. Р., Shelkovnikov A., Восток. Афро-азиатские общества: история и современность 2025 № 1 С. 195–207
The article analyzes the Saudi-Emirati alliance formed after the events of the Arab Spring as a reaction to the strengthening of the Turkish-Qatari alliance. The common point of contact in the process of rapprochement between Saudi Arabia and the UAE was the fear and suspicion of the transnational organization Muslim Brotherhood supported by Qatar and ...
Added: April 20, 2026
Урюпин И. В., Vlasenko A., Экономика и математические методы 2024 Т. 60 № 2 С. 92–104
At present, in an unstable geopolitical situation, one of the most important tasks for the Russian Federation is the creation of advanced domestic aircraft that will not be inferior to its foreign counterparts. The cost of operating is the main criterion in the design of a new aircraft to ensure competitiveness in air transport systems. ...
Added: February 24, 2026
Урюпин И. В., Vlasenko A., Sukharev A., Экономика и математические методы 2025 Т. 61 № 4 С. 73–85
At present development of advanced civil aircraft is one of the key priorities in Russia. To become commercially successful advanced civil aircraft should provide competitive lifecycle costs. Accordingly, it requires balancing operational expenses and consumer-acceptable pricing during an aircraft design phase. However, price evaluation of a prospective aircraft with the analog method or the income ...
Added: February 24, 2026
Guseva T., Казакова М. В., Низамова Е. А., Государство и право 2024 № 12 С. 93–100
The article is devoted to the study of public competition in Russian Civil Law. The authors evaluate doctrinal approaches to the legal nature of an obligation from a public competition and substantiate its noncontractual nature. The study of the legal facts underlying the obligation made it possible to attribute the announcement of a public competition ...
Added: January 30, 2026
Урюпин И. В., Власенко А. О., Sukharev A., Экономика и математические методы 2025 Т. 61 № 4 С. 73–85
At present development of advanced civil aircraft is one of the key priorities in Russia. To become commercially successful advanced civil aircraft should provide competitive lifecycle costs. Accordingly, it requires balancing operational expenses and consumer-acceptable pricing during an aircraft design phase. However, price evaluation of a prospective aircraft with the analog method or the income ...
Added: December 12, 2025