基于关键词词频分析研究我国医疗联合体的发展现状及趋势
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摘要
目的采用关键词词频分析法分析我国医疗联合体(简称医联体)研究文献的研究内容、现状及趋势,为医联体研究提供参考。方法计算机检索中国生物医学文献服务系统、中国知网、万方、维普、PubMed、Embase等数据库,纳入与医联体相关的研究文献,采用SATI3.2进行文献计量和关键词词频分析,应用Ucinet、Netdraw进行共词网络图分析。结果纳入文献604篇,有关医联体的研究可分为奠基期、缓慢增长期、快速增长期。关键词可归为7类,分别反映医联体的组建名称变化、参与主体、构建目的、运行模式、实践探索与思考、研究涉及领域、构建背景。共词网络图反映现阶段研究热点为双向转诊、新医改、分级诊疗、公立医院、医疗资源等;研究趋势为民营医院、医疗保险、全科医生、信息化、慢性病等。结论我国医联体的研究正处于快速增长期,涉及领域较为广泛,但在研究可比性、全科医生及民营医院参与、以疾病和患者为中心的研究等方面还有待深入研究。
Objective To investigate the content,status quo and trends of study literature about the regional medical union(RMU)based on the key word frequency in order to provide reference for the study of RMU.Methods The databases of CBM,CNKI,Wan-Fang Data,VIP(weipu),PubMed and Embase were retrieved by computer The related RMU literatures were included.Then bibliometrics and key word frequency analysis was performed by adopting SATI3.2.The co-word network diagram analysis was conducted by using the Ucinet and Netdraw statistical softwares.Results A total of 604 articles were included,which could be classified into the foundation stage,slow growth stage and rapid growth stage.The key words could be divided into 7 categories,which reflected the change of RMU′s name,participants,created purpose,operational mode,practice exploration and thinking,research involved fields and construction background.The co-word network diagram reflected the research hotspots such as dual-way transfer,new medical reform,hierarchical medical system,public hospital,medical resource,etc.and the research trends were private hospitals,medical insurance,general practitioner,informationization,chronic disease,etc.Conclusion The study of RMU in our country is in the rapid increase stage,the involved fields are wide,but the aspects of research comparability,participation of general doctors and private hospitals,and disease-centered and patient-centered research need to be further studied.
Objective To investigate the content,status quo and trends of study literature about the regional medical union(RMU)based on the key word frequency in order to provide reference for the study of RMU.Methods The databases of CBM,CNKI,Wan-Fang Data,VIP(weipu),PubMed and Embase were retrieved by computer The related RMU literatures were included.Then bibliometrics and key word frequency analysis was performed by adopting SATI3.2.The co-word network diagram analysis was conducted by using the Ucinet and Netdraw statistical softwares.Results A total of 604 articles were included,which could be classified into the foundation stage,slow growth stage and rapid growth stage.The key words could be divided into 7 categories,which reflected the change of RMU′s name,participants,created purpose,operational mode,practice exploration and thinking,research involved fields and construction background.The co-word network diagram reflected the research hotspots such as dual-way transfer,new medical reform,hierarchical medical system,public hospital,medical resource,etc.and the research trends were private hospitals,medical insurance,general practitioner,informationization,chronic disease,etc.Conclusion The study of RMU in our country is in the rapid increase stage,the involved fields are wide,but the aspects of research comparability,participation of general doctors and private hospitals,and disease-centered and patient-centered research need to be further studied.
引文
[1]张鹭鹭,王羽.医院管理学[M].2版.北京:人民卫生出版社,2014:32.
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[3]叶飞,宋志强.应用齐普夫定律动态识别研究热点的演化:以科学计量研究为例[J].情报学报,2013,32(11):1196-1202.
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[5]方鹏骞,林振威,陈诗亮,等.医联体联动模式及其核心医院改革前后的综合效益分析[J].中国医院,2014,18(7):14-16.
[6]李洁,冉素娟,蒋祎,等.我国公立医疗机构“集团化发展运行问题”的描述性系统评价[J].重庆医学,2015,44(25):3581-3583.
[7]麻若蒙,方鹏骞.公私合作组建医疗联合体的探讨[J].中国医院管理,2018(5):10-12.
[8]周斌,史戈,李济宇,等.基于医疗联合体的双向转诊流程探索与实践[J].中国医院,2015,19(6):25-26.
[9]陈玲丽,余昌胤,刘仕方,等.新型农村合作医疗居民对医疗联合体的利益诉求分析[J].中国医院管理,2016,36(5):4-7.
[10]王琼,孙雪,黄宵.公立医院“医疗联合体”改革探析[J].医学与哲学,2014,35(8A):57-60.
[11]杨振然,谭华伟,张培林,等.我国区域纵向医疗联合体医保支付改革:实践模式与政策路径[J].中国卫生资源,2018,21(2):127-132.
[12]刘也良,陈晨.罗湖:区内医疗资源全统一[J].中国卫生,2016(9):48-50.
[13]陈静,夏述旭.紧密型医疗联合体人力资源配置与共享关键问题分析[J].中国医院管理,2018,38(2):50-52.
[14]宫芳芳,孙喜琢,林汉群,等.深圳市罗湖区推进区域医疗资源整合的探索与实践[J].中国医院,2017(11):4-6.
[15]孙辉,赵颖波,陈薇薇,等.基于分级诊疗的医疗联合体及其信息化建设[J].中国数字医学,2017(4):26-28.
[16]王琼,孙雪,黄宵,等.紧密型“医疗联合体”改革模式的SWOT分析[J].重庆医学,2014,44(22):2958-2960.
[17]吴雪影,李向东,王秋节,等.基于区域医疗联合体双向转诊云平台在分级诊疗应用中的路径分析[J].中国医疗管理科学,2017,7(4):27-31.
[18]王安其,郑雪倩.我国互联网医疗运行现状[J].中国卫生政策研究,2016,9(1):69-73.
[2]刘成新,张松,苌雨.我国教育技术领域云计算研究现状述评[J].电化教育研究,2014(3):41-45.
[3]叶飞,宋志强.应用齐普夫定律动态识别研究热点的演化:以科学计量研究为例[J].情报学报,2013,32(11):1196-1202.
[4]方卫,顾建钧,张程,等.上海市浦东新区区域医疗联合体现状分析[J].医学与社会,2016,29(8):12-14.
[5]方鹏骞,林振威,陈诗亮,等.医联体联动模式及其核心医院改革前后的综合效益分析[J].中国医院,2014,18(7):14-16.
[6]李洁,冉素娟,蒋祎,等.我国公立医疗机构“集团化发展运行问题”的描述性系统评价[J].重庆医学,2015,44(25):3581-3583.
[7]麻若蒙,方鹏骞.公私合作组建医疗联合体的探讨[J].中国医院管理,2018(5):10-12.
[8]周斌,史戈,李济宇,等.基于医疗联合体的双向转诊流程探索与实践[J].中国医院,2015,19(6):25-26.
[9]陈玲丽,余昌胤,刘仕方,等.新型农村合作医疗居民对医疗联合体的利益诉求分析[J].中国医院管理,2016,36(5):4-7.
[10]王琼,孙雪,黄宵.公立医院“医疗联合体”改革探析[J].医学与哲学,2014,35(8A):57-60.
[11]杨振然,谭华伟,张培林,等.我国区域纵向医疗联合体医保支付改革:实践模式与政策路径[J].中国卫生资源,2018,21(2):127-132.
[12]刘也良,陈晨.罗湖:区内医疗资源全统一[J].中国卫生,2016(9):48-50.
[13]陈静,夏述旭.紧密型医疗联合体人力资源配置与共享关键问题分析[J].中国医院管理,2018,38(2):50-52.
[14]宫芳芳,孙喜琢,林汉群,等.深圳市罗湖区推进区域医疗资源整合的探索与实践[J].中国医院,2017(11):4-6.
[15]孙辉,赵颖波,陈薇薇,等.基于分级诊疗的医疗联合体及其信息化建设[J].中国数字医学,2017(4):26-28.
[16]王琼,孙雪,黄宵,等.紧密型“医疗联合体”改革模式的SWOT分析[J].重庆医学,2014,44(22):2958-2960.
[17]吴雪影,李向东,王秋节,等.基于区域医疗联合体双向转诊云平台在分级诊疗应用中的路径分析[J].中国医疗管理科学,2017,7(4):27-31.
[18]王安其,郑雪倩.我国互联网医疗运行现状[J].中国卫生政策研究,2016,9(1):69-73.
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