Quality Systems and Their Impact on Institutional Management in the Healthcare Sector: A Systematic Literature Review

Cabezas A.A.; Osorio G.M.; Villanueva J.R. · Computacion y Sistemas (2026) · DOI: 10.13053/cys-30-1-6342

Resumen

In recent years, academic interest in analyzing the impact of quality systems on institutional management within the healthcare sector has grown considerably, accentuated by the COVID-19 pandemic, which exposed the need for more resilient and continuously improving structures. This paper conducts a Systematic Literature Review (SLR) on the implementation of quality systems and their influence on institutional management in the healthcare sector, aiming to identify trends, conceptual gaps, and emerging research lines. A Systematic Literature Review was applied under the PRISMA approach. The search was carried out in five academic databases using rigorous selection criteria. Sixty-nine papers published between 2019 and 2025 were analyzed, considering bibliometric variables, quality indicators, journal quartiles, thematic co-occurrences, polarity, and objectivity of conclusions. The results reveal a steady increase in studies between 2023 and 2024, mainly in Q1 journals. Indicators such as job satisfaction and staff turnover predominate, highlighting the role of human resources. China leads in publications but exhibits limited international collaboration. The conclusions display high objectivity and neutral polarity. Quality systems emerge as key pillars in the institutional transformation of the healthcare sector, producing positive effects on staff well-being and operational efficiency. However, challenges persist in incorporating user-centered indicators, promoting knowledge internationalization, and implementing these systems in resource-limited contexts. This paper provides a current framework to guide future research and strategic decision-making.

Instituciones: Universidad Nacional Mayor de San Marcos