Mapping the Evolution of Andersen’s Behavioural Model in Healthcare: A Bibliometric Analysis

Abstract

Abstract Aim: This study aimed to examine the conceptual, thematic, and temporal evolution of research applying Andersen’s Behavioural Model (ABM) in healthcare. Methods: A bibliometric analysis was conducted using the Scopus database without time or document type restrictions, focusing on English-language publications. A total of 1223 records (1976-2025) were analysed using co-word and thematic mapping with Bibliometrix and VOSviewer software. Results: A consistent rise in publications was observed after 2008, peaking in 2022. Core study areas regarding healthcare utilisation, mental health, oral health, and access to care were identified by keyword frequency and co-word analyses. Thematic mapping uncovered specialised niches regarding cancer screening, and emerging areas regarding immigrant health, health equity. Cross-cutting concepts regarding oral health and socioeconomic status also emerged as significant connecting topics. Analysis of temporal mapping revealed a shifting in focus from issues related to aging to more recent priorities regarding COVID-19 and health disparities. Conclusion: ABM remains a useful framework for directing equitable, person-centred healthcare research and policy. To improve the model's applicability within global health systems, future research should expand its application through vulnerable populations, structural determinants, qualitative approaches, and emerging public health issues.