基于2013-2020年文献计量分析国内医联体热点研究及发展前沿  

Hotspots and frontier analysis of China’s medical cluster construction-based on bibliometric analysis from 2013 to 2020

作　　者：张彩凤 顾淑玮 马强 万晓文[1] ZHANG Caifeng;GU Shuwei;MA Qiang;WAN Xiaowen(School of Economics and Management,Jiangxi University of Traditional Chinese Medicine,No.818,Xingwan Avenue,Zhaoxian Town,Wanli District,Nanchang,330004,Jiangxi Province,PRC)

机构地区：[1]江西中医药大学经济与管理学院,江西南昌330004

出　　处：《中国医院》2021年第4期6-10,共5页Chinese Hospitals

基　　金：江西省软科学研究计划(GL19136);江西省研究生创新专项资金项目(YC2020-S384)。

摘　　要：目的:挖掘国内医联体研究的主要内容、研究前沿和研究热点,为推进医联体可持续发展提供参考。方法:利用CiteSpace软件系统对从中国知网(CNKI)数据库检索到的2013-2020年1873篇医联体研究相关文献进行可视化分析,对作者和机构合作网络共现分析,对文献关键词聚类分析、突现分析。结果:作者合作网络得到两个以郑大喜、陶红兵为核心的合作团队图谱;知名学者包括陶红兵、余昌胤和方鹏骞;机构合作图谱密度为0.0035。自2013年起相关研究文献数量逐年增加,并在2016年突破1000;聚类分析得33个聚类,163个节点,150条连线,主要聚类包括北京市、签约服务、同质化等。突现分析得22个突现词,医疗联合体和区域医疗联合体突现强度最强,区域医疗联合体、患者、医改和分级诊疗体系持续时间最长,紧密型医联体年份最近。结论:医联体研究有极少作者合作团队,缺乏机构合作网络。主要研究内容涵盖医联体组织模式探索、公立医院改革、优质医疗资源下沉、医联体内激励机制建设等内容,研究热点和重点在基层医疗机构服务能力提升(社区卫生服务)、医疗机构建设和改革、公立医院改革。紧密型医联体的探索是目前医联体建设研究前沿。Objective:To finding the main research contents,research frontier and hot-spots of China’s medical cluster construction.Providing reference and development of China’s medical cluster construction.Method:Using Citespace to analyse 1873 articles(from 2013 to 2020)related to China’s association construction retrieved from CNKI,cluster analysis and burst analysis of literature keywords,co-occurring authors and institutional cooperation analysis.Result:The author’s cooperation network has obtained the maps of the two main cooperation teams with Zheng Daxi and Tao Hongbin;the famous authors include Tao Hongbin,Yu Changyin,Fang Pengqian,etc.The Density of the institutional cooperation network is 0.0035.Since 2013 the number of related articles in this field is increasing,more than 1000 in 2016.Cluster analysis showed 33 clusters,consisting of 163 nodes and 150 lines.The main clustering results include Beijing,the contracted services,homogenization,etc.Break analysis yielded 52 emergent words.It can be seen that the density of medical cluster construction and regional medical cluster construction is the largest,and the duration of regional medical cluster construction,patients,medical reform and,hierarchical diagnosis and treatment system is the longest.close medical cluster is the newest keyword.Conlusion:This field is lacks of author’s cooperation and institutional cooperation.Main research contents contain organization models,the reform of public hospitals,sinking quality medical resources,incentive system,etc.The development of primary health care institutions,the construction,and reform of medical institutions,and reform of public hospitals is the foremost current research hotspot.Exploring close medical cluster construction is a research frontier.

关 键 词：医联体 可视化分析 聚类分析 

分 类 号：R197.3[医药卫生—卫生事业管理]