Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions

BACKGROUND: Primary healthcare in island regions is a critical component of global health systems, yet it faces unique challenges due to geographical isolation, resource constraints and sociocultural factors. Aims: This study aimed to systematically analyze the global research landscape of primary h...

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Main Authors: Nur Rahmah, Amran Razak, Agus Bintara Birawida, Irwandy Irwandy
Format: Article
Language:English
Published: Via Medica 2025-06-01
Series:International Maritime Health
Subjects:
Online Access:https://journals.viamedica.pl/international_maritime_health/article/view/103764
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author Nur Rahmah
Amran Razak
Agus Bintara Birawida
Irwandy Irwandy
author_facet Nur Rahmah
Amran Razak
Agus Bintara Birawida
Irwandy Irwandy
author_sort Nur Rahmah
collection DOAJ
description BACKGROUND: Primary healthcare in island regions is a critical component of global health systems, yet it faces unique challenges due to geographical isolation, resource constraints and sociocultural factors. Aims: This study aimed to systematically analyze the global research landscape of primary healthcare in islands through a bibliometric analysis. MATERIAL AND METHODS: A comprehensive search was conducted to identify relevant publications using Scopus as the primary database. Keyword analysis, co-authorship networks and citation analysis were employed to explore research trends, collaboration patterns and influential authors and institutions. RESULTS: The results revealed a significant increase in research output over the past few decades, with the United States, Spain and Australia emerging as leading contributors. Key research themes included access to care, health workforce, chronic disease management and health promotion. Collaborative research networks were identified, particularly among researchers from island nations and developed countries. The analysis also highlighted the growing importance of digital health technologies in addressing the challenges of island healthcare. CONCLUSIONS: Research on island primary healthcare has grown steadily since 1972, with key contributions from the United States, Spain and Australia. Major themes include clinical care, health systems and policy. Trends evolved from clinical to systemic and demographic focuses, with future directions emphasizing digital technologies and participatory methods. These findings inform evidence-based policies to enhance island health services.
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publishDate 2025-06-01
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series International Maritime Health
spelling doaj-art-0c7cdb4e5bec4ea7bca73f67e57d16ff2025-08-21T07:16:31ZengVia MedicaInternational Maritime Health1641-92512081-32522025-06-0176210.5603/imh.103764Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directionsNur Rahmah0Amran Razak1https://orcid.org/0000-0003-0299-9025Agus Bintara Birawida2https://orcid.org/0000-0002-8223-2387Irwandy Irwandy3https://orcid.org/0000-0001-9224-6240Doctoral Program in Public Health Sciences, Faculty of Public Health, Hasanuddin University, Jl. Perintis Kemerdekaan KM. 10, 90245 Makassar, IndonesiaDepartment of Health Administration and Policy, Faculty of Public Health, Hasanuddin University, Jl Perintis Kemerdekaan KM 10, 90245 Makassar, IndonesiaDepartment of Environmental Health, Faculty of Public Health, Hasanuddin University, Jl Perintis Kemerdekaan KM 10, 90245 Makassar, IndonesiaHospital Management Study Program, Faculty of Public Health, Hasanuddin University, Jl Perintis Kemerdekaan KM 10, 90245 Makassar, IndonesiaBACKGROUND: Primary healthcare in island regions is a critical component of global health systems, yet it faces unique challenges due to geographical isolation, resource constraints and sociocultural factors. Aims: This study aimed to systematically analyze the global research landscape of primary healthcare in islands through a bibliometric analysis. MATERIAL AND METHODS: A comprehensive search was conducted to identify relevant publications using Scopus as the primary database. Keyword analysis, co-authorship networks and citation analysis were employed to explore research trends, collaboration patterns and influential authors and institutions. RESULTS: The results revealed a significant increase in research output over the past few decades, with the United States, Spain and Australia emerging as leading contributors. Key research themes included access to care, health workforce, chronic disease management and health promotion. Collaborative research networks were identified, particularly among researchers from island nations and developed countries. The analysis also highlighted the growing importance of digital health technologies in addressing the challenges of island healthcare. CONCLUSIONS: Research on island primary healthcare has grown steadily since 1972, with key contributions from the United States, Spain and Australia. Major themes include clinical care, health systems and policy. Trends evolved from clinical to systemic and demographic focuses, with future directions emphasizing digital technologies and participatory methods. These findings inform evidence-based policies to enhance island health services.https://journals.viamedica.pl/international_maritime_health/article/view/103764primary healthcareislandshealth systemresearch landscapebibliometrics analysis
spellingShingle Nur Rahmah
Amran Razak
Agus Bintara Birawida
Irwandy Irwandy
Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions
International Maritime Health
primary healthcare
islands
health system
research landscape
bibliometrics analysis
title Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions
title_full Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions
title_fullStr Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions
title_full_unstemmed Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions
title_short Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions
title_sort primary healthcare in island regions a comprehensive analysis of trends insights and future directions
topic primary healthcare
islands
health system
research landscape
bibliometrics analysis
url https://journals.viamedica.pl/international_maritime_health/article/view/103764
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AT amranrazak primaryhealthcareinislandregionsacomprehensiveanalysisoftrendsinsightsandfuturedirections
AT agusbintarabirawida primaryhealthcareinislandregionsacomprehensiveanalysisoftrendsinsightsandfuturedirections
AT irwandyirwandy primaryhealthcareinislandregionsacomprehensiveanalysisoftrendsinsightsandfuturedirections