{"id":"https://openalex.org/W3012455069","doi":"https://doi.org/10.1109/access.2020.2981160","title":"A General Systems Theory Approach in Public Hearing Health: Lessons Learned From a Systematic Review of General Systems Theory in Healthcare","display_name":"A General Systems Theory Approach in Public Hearing Health: Lessons Learned From a Systematic Review of General Systems Theory in Healthcare","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3012455069","doi":"https://doi.org/10.1109/access.2020.2981160","mag":"3012455069"},"language":"en","primary_location":{"id":"doi:10.1109/access.2020.2981160","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2020.2981160","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"type":"review","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1109/access.2020.2981160","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026408679","display_name":"Panagiotis Katrakazas","orcid":"https://orcid.org/0000-0001-7433-786X"},"institutions":[{"id":"https://openalex.org/I174458059","display_name":"National Technical University of Athens","ror":"https://ror.org/03cx6bg69","country_code":"GR","type":"education","lineage":["https://openalex.org/I174458059"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Panagiotis Katrakazas","raw_affiliation_strings":["Biomedical Engineering Laboratory, National Technical University of Athens, Athens, Greece"],"raw_orcid":"https://orcid.org/0000-0001-7433-786X","affiliations":[{"raw_affiliation_string":"Biomedical Engineering Laboratory, National Technical University of Athens, Athens, Greece","institution_ids":["https://openalex.org/I174458059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042197254","display_name":"Konstantinos Pastiadis","orcid":"https://orcid.org/0000-0002-7856-4653"},"institutions":[{"id":"https://openalex.org/I21370196","display_name":"Aristotle University of Thessaloniki","ror":"https://ror.org/02j61yw88","country_code":"GR","type":"education","lineage":["https://openalex.org/I21370196"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Konstantinos Pastiadis","raw_affiliation_strings":["Department of Music Studies, Aristotle University of Thessaloniki, Thessaloniki, Greece"],"raw_orcid":"https://orcid.org/0000-0002-7856-4653","affiliations":[{"raw_affiliation_string":"Department of Music Studies, Aristotle University of Thessaloniki, Thessaloniki, Greece","institution_ids":["https://openalex.org/I21370196"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076263516","display_name":"Athanasios Bibas","orcid":"https://orcid.org/0000-0002-1992-6511"},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Athanasios Bibas","raw_affiliation_strings":["First Department of Otolaryngology, National and Kapodistrian University of Athens, Athens, Greece"],"raw_orcid":"https://orcid.org/0000-0002-1992-6511","affiliations":[{"raw_affiliation_string":"First Department of Otolaryngology, National and Kapodistrian University of Athens, Athens, Greece","institution_ids":["https://openalex.org/I200777214"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016776217","display_name":"Dimitris Koutsouris","orcid":"https://orcid.org/0000-0003-1205-9918"},"institutions":[{"id":"https://openalex.org/I174458059","display_name":"National Technical University of Athens","ror":"https://ror.org/03cx6bg69","country_code":"GR","type":"education","lineage":["https://openalex.org/I174458059"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Dimitris Koutsouris","raw_affiliation_strings":["Biomedical Engineering Laboratory, National Technical University of Athens, Athens, Greece"],"raw_orcid":"https://orcid.org/0000-0003-1205-9918","affiliations":[{"raw_affiliation_string":"Biomedical Engineering Laboratory, National Technical University of Athens, Athens, Greece","institution_ids":["https://openalex.org/I174458059"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1850,"currency":"USD","value_usd":1850},"apc_paid":{"value":1850,"currency":"USD","value_usd":1850},"fwci":0.3271,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.47647059,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"8","issue":null,"first_page":"53018","last_page":"53033"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11692","display_name":"Noise Effects and Management","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11692","display_name":"Noise Effects and Management","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10283","display_name":"Hearing Loss and Rehabilitation","score":0.9836000204086304,"subfield":{"id":"https://openalex.org/subfields/2805","display_name":"Cognitive Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6134507060050964},{"id":"https://openalex.org/keywords/systematic-review","display_name":"Systematic review","score":0.5801243782043457},{"id":"https://openalex.org/keywords/healthcare-system","display_name":"Healthcare system","score":0.5755341649055481},{"id":"https://openalex.org/keywords/systems-theory","display_name":"Systems theory","score":0.5419356226921082},{"id":"https://openalex.org/keywords/public-healthcare","display_name":"Public healthcare","score":0.5373645424842834},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5186018943786621},{"id":"https://openalex.org/keywords/general-theory","display_name":"General theory","score":0.4204785227775574},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.3606671690940857},{"id":"https://openalex.org/keywords/management-science","display_name":"Management science","score":0.3495854139328003},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.22319135069847107},{"id":"https://openalex.org/keywords/medline","display_name":"MEDLINE","score":0.20906254649162292},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.19633564352989197},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.14033982157707214},{"id":"https://openalex.org/keywords/mathematics","display_name":"Mathematics","score":0.12984830141067505},{"id":"https://openalex.org/keywords/mathematical-economics","display_name":"Mathematical economics","score":0.1281166672706604},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.12548819184303284},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.09331977367401123}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6134507060050964},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.5801243782043457},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.5755341649055481},{"id":"https://openalex.org/C89798329","wikidata":"https://www.wikidata.org/wiki/Q269699","display_name":"Systems theory","level":2,"score":0.5419356226921082},{"id":"https://openalex.org/C2986711855","wikidata":"https://www.wikidata.org/wiki/Q294308","display_name":"Public healthcare","level":3,"score":0.5373645424842834},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5186018943786621},{"id":"https://openalex.org/C2992002026","wikidata":"https://www.wikidata.org/wiki/Q1111474","display_name":"General theory","level":2,"score":0.4204785227775574},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3606671690940857},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.3495854139328003},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.22319135069847107},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.20906254649162292},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.19633564352989197},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.14033982157707214},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.12984830141067505},{"id":"https://openalex.org/C144237770","wikidata":"https://www.wikidata.org/wiki/Q747534","display_name":"Mathematical economics","level":1,"score":0.1281166672706604},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.12548819184303284},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.09331977367401123},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1109/access.2020.2981160","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2020.2981160","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:8bd349fa969b4f5c9672fcf9f8425d1b","is_oa":true,"landing_page_url":"https://doaj.org/article/8bd349fa969b4f5c9672fcf9f8425d1b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"IEEE Access, Vol 8, Pp 53018-53033 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1109/access.2020.2981160","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2020.2981160","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Peace, Justice and strong institutions","score":0.5,"id":"https://metadata.un.org/sdg/16"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":80,"referenced_works":["https://openalex.org/W10330309","https://openalex.org/W1154077572","https://openalex.org/W1492490904","https://openalex.org/W1504270370","https://openalex.org/W1906783601","https://openalex.org/W1962229949","https://openalex.org/W1972901786","https://openalex.org/W1978446366","https://openalex.org/W1979625404","https://openalex.org/W1981549533","https://openalex.org/W1995156820","https://openalex.org/W1999389080","https://openalex.org/W2000130240","https://openalex.org/W2011775251","https://openalex.org/W2011998692","https://openalex.org/W2012932483","https://openalex.org/W2013417580","https://openalex.org/W2015037790","https://openalex.org/W2027784696","https://openalex.org/W2034161856","https://openalex.org/W2042859900","https://openalex.org/W2054060937","https://openalex.org/W2058267476","https://openalex.org/W2058677517","https://openalex.org/W2065052927","https://openalex.org/W2067378889","https://openalex.org/W2068767882","https://openalex.org/W2068959684","https://openalex.org/W2071872009","https://openalex.org/W2073329236","https://openalex.org/W2080557574","https://openalex.org/W2086667026","https://openalex.org/W2088390126","https://openalex.org/W2090264289","https://openalex.org/W2107831053","https://openalex.org/W2117485549","https://openalex.org/W2119996908","https://openalex.org/W2125739061","https://openalex.org/W2139332957","https://openalex.org/W2146036022","https://openalex.org/W2162065677","https://openalex.org/W2234730905","https://openalex.org/W2346531138","https://openalex.org/W2460127801","https://openalex.org/W2471777390","https://openalex.org/W2513802816","https://openalex.org/W2514567400","https://openalex.org/W2550153759","https://openalex.org/W2551338565","https://openalex.org/W2564087084","https://openalex.org/W2567850732","https://openalex.org/W2573155759","https://openalex.org/W2754347401","https://openalex.org/W2761818224","https://openalex.org/W2762004877","https://openalex.org/W2768338449","https://openalex.org/W2770602886","https://openalex.org/W2773499402","https://openalex.org/W2800506912","https://openalex.org/W2883972266","https://openalex.org/W2884266269","https://openalex.org/W2899767752","https://openalex.org/W2900525275","https://openalex.org/W2903159824","https://openalex.org/W2903975070","https://openalex.org/W2907938985","https://openalex.org/W2939371872","https://openalex.org/W2939884241","https://openalex.org/W2944012052","https://openalex.org/W2944163059","https://openalex.org/W2944441698","https://openalex.org/W2944625183","https://openalex.org/W2952005003","https://openalex.org/W2984004925","https://openalex.org/W3022903699","https://openalex.org/W3161521665","https://openalex.org/W4254324360","https://openalex.org/W6704437369","https://openalex.org/W6770281722","https://openalex.org/W6795221653"],"related_works":["https://openalex.org/W2755372102","https://openalex.org/W2428933313","https://openalex.org/W3142064895","https://openalex.org/W2103791755","https://openalex.org/W3100034856","https://openalex.org/W1896086884","https://openalex.org/W2339232894","https://openalex.org/W101602138","https://openalex.org/W3163446083","https://openalex.org/W3091189926"],"abstract_inverted_index":{"General":[0],"Systems":[1],"Theory":[2],"(GST),":[3],"as":[4,227],"it":[5,187],"was":[6,83,94],"introduced":[7],"by":[8],"Karl":[9],"Ludwig":[10],"von":[11],"Bertalannfy,":[12],"had":[13],"a":[14,46,97,138,169,208,228,238,260],"significant,":[15],"yet":[16],"mostly":[17],"unacknowledged":[18],"influence":[19],"on":[20,207],"systems":[21,214],"theory.":[22],"The":[23,80],"purpose":[24],"of":[25,36,66,74,99,116,134,141,147,151,160,172,186,213,240],"the":[26,34,37,41,50,63,72,77,90,106,113,121,155,163,177,181,220,232,246],"current":[27],"review":[28,58],"is":[29,168,251,257],"to":[30,49,85,189,218,245,266,272],"highlight":[31],"and":[32,44,69,93,102,108,110,128,157,193,204,211,254,275,280,288],"assess":[33],"application":[35],"aforementioned":[38],"theory":[39],"in":[40,62,89,162,174,176,231,269],"healthcare":[42,53,91,164,178,233],"field":[43,92,179],"suggest":[45],"new":[47],"approach":[48,262],"public":[51,282],"hearing":[52,247,283],"sector.":[54],"A":[55],"systematic":[56],"literature":[57],"has":[59],"been":[60],"conducted":[61],"electronic":[64],"databases":[65],"ScienceDirect,":[67],"Pubmed":[68],"IEEEXplore":[70],"covering":[71],"years":[73],"2009-2019,":[75],"following":[76,144],"PRISMA":[78],"guidelines.":[79],"article":[81],"selection":[82],"performed":[84],"identify":[86,267],"GST-related":[87],"frameworks":[88],"completed":[95],"through":[96],"process":[98],"removing":[100],"duplicates":[101],"non-available":[103],"articles,":[104],"analyzing":[105],"tittle":[107],"abstract,":[109],"then":[111],"reviewing":[112],"full":[114],"text":[115],"each":[117],"selected":[118,127],"article.":[119],"In":[120],"final":[122],"analysis,":[123],"47":[124],"studies":[125],"were":[126,129],"thoroughly":[130],"analysed.":[131],"Almost":[132],"half":[133],"these":[135,152],"articles":[136],"showed":[137],"practical":[139],"implementation":[140],"GST-inspired":[142],"frameworks,":[143],"different":[145],"types":[146],"research":[148],"methodology.":[149],"Analysis":[150],"methodologies":[153],"identified":[154],"limitations":[156],"positive":[158],"effects":[159],"GST":[161,175,226,241,261],"field.":[165,234],"Although":[166],"there":[167],"significant":[170],"number":[171],"references":[173],"over":[180,278],"last":[182],"10":[183],"years,":[184],"applications":[185],"need":[188],"be":[190,216,264],"further":[191],"tested":[192],"explored":[194],"before":[195],"they":[196],"are":[197],"put":[198],"into":[199],"real-situation":[200],"testing.":[201],"Simulation":[202],"models":[203],"evidence-based":[205],"approaches":[206,285],"micro-,":[209],"meso-":[210],"macro-level":[212],"should":[215],"used":[217,265],"provide":[219],"contextual":[221],"information":[222],"needed":[223],"for":[224,286],"establishing":[225],"driving":[229],"force":[230],"To":[235],"this":[236],"context,":[237],"paradigm":[239],"data":[242],"framework":[243],"applied":[244],"loss":[248],"screening":[249],"area":[250],"hereby":[252],"presented":[253],"discussed.":[255],"It":[256],"shown":[258],"that":[259],"can":[263],"equilibria":[268],"all":[270],"levels,":[271],"balance":[273],"gain":[274],"prediction":[276],"capacity":[277],"time":[279],"enhance":[281],"health":[284],"treatment":[287],"management":[289],"strategies.":[290]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1}],"updated_date":"2026-07-14T23:27:15.235271","created_date":"2025-10-10T00:00:00"}
