Shipbuilding industry is characterized by high price competition, as well as tight deadlines for product design and production. The dominant positions in the civil shipbuilding market are occupied by the countries of Southeast Asia, and for a number of reasons, participants from other countries are uncompetitive. Thus, in order to ensure the sustainable development of companies in the global civil shipbuilding market, it is necessary to identify and analyze the main factors that provided the competitive advantages of industry leaders. Assessment of further directions of shipbuilding development is a necessary condition for the formation of competitive advantages of new market participants. The article analyzes the main directions of development of the world civil shipbuilding in the period after World War II, as well as prospects for the future. As a result of the analysis of the latest organizational management concepts, the concept of modular production in shipbuilding is proposed, and directions for further research are determined.

Lean (also referred to as the Toyota Production System, TPS) is considered to be a radical alternative to the traditional method of mass production and batching principles for maximising operational efficiency, quality, speed and cost. Many hospitals inspired from lean manufacturing to develop their process. They had many improvements in their process. Hospitals reduced their patient waiting times, defects, wastes related to inventory, staff movement and patient transportation by implementing. This study utilizes scientometric and bibliometric tools to analyze visually the literature published in the field of medical lean manufacturing from 2009 to 2023. The relevant articles published from 2009 to 2023 were retrieved from the Web of Science Core Collection, VOSviewer and R software were used for bibliometric analysis and visualization. The number of publications related to the research has been increasing year by year before 2021, and then showed a downward trend, including 418 articles from 64 countries and regions, 743 institutions, 198 journals, and 1766 authors. The United States, Italy, and England are the main publishing countries in this research field. The journal “International Journal of Lean Six Sigma” published the most papers (n = 21) about lean manufacturing in medicine, the author with the most publications is Teeling SP, and the most influential author is Improta G. The top three keywords are “Healthcare”, “Quality improvement” and “Management”. This study provides a comprehensive bibliometric analysis of lean manufacturing in medicine, which can help researchers understand the current research hotspots in this field, explore potential research directions, and identify future development trends.