基于内容分析法的多学科诊疗政策文件的可视化分析  

Visual Analysis of Multidisciplinary Diagnosis and Treatment Policy Documents Based on Content Analysis Method

作　　者：欧秋琦 刘兰萱 杨曦[3] 刘南芳 苏鹏[1] 梁司蕾 吴向华[1] OU Qiuqi;LIU Lanxuan;YANG Xi;LIU Nanfang;SU Peng;LIANG Silei;WU Xianghua(Medical Department of the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China;College of Humanities and Social Sciences,Guangxi Medical University,Nanning 530021,Guangxi,China;The First Clinical Medical College of Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学第一附属医院医务部,广西南宁530021 [2]广西医科大学人文社会科学学院,广西南宁530021 [3]广西医科大学第一临床医学院,广西南宁530021

出　　处：《医学信息》2025年第6期55-60,共6页Journal of Medical Information

基　　金：2022年度广西医科大学第一附属医院医院管理研究培育项目(编号:YYZS2022022);2024年度广西医科大学哲学社会科学研究课题项目(编号:2024C02)。

摘　　要：目的对国家层面2016-2023年多学科诊疗(MDT)政策文件进行文献计量和可视化分析,回顾MDT政策发展和演变过程,分析MDT政策的内容特征和未来趋势,以期为今后MDT政策规范化、研究深入化提供参考和借鉴。方法以“多学科诊疗”“多学科会诊”“MDT”为关键词进行多轮匹配检索,选取中国政府网、国家卫生健康委员会官网、国家医疗保障局官网、各地方人民政府门户网发布的文件作为文本主要来源,检索时间截至2023年8月1日。利用DiVoMiner在线文本分析软件进行政策文件可视化分析。结果共筛选出MDT政策文本60篇,首份文件发布于2016年,2021年达到最高峰。发文机构涉及国务院、国家卫生健康委员会等13个中央政府部门。政策性质分类以导向性质为主,内容重点多倾向于制度完善等顶层设计,时效以中长期居多。政策核心内容以“医疗”“服务”“医疗机构”“管理”“健康”“质量”为主。结论MDT政策遵循次序发展和渐进演变规律,政策文件供给主体均衡,但政策组合不平衡性突出仍待进一步提升,MDT执行过程应具有规范化和个性化。Objective To conduct bibliometric and visual analysis of multidisciplinary treatment(MDT)policy documents at the national level from 2016 to 2023,review the development and evolution of MDT policy,and analyze the content characteristics and future trends of MDT policy,so as to provide reference for the standardization and in-depth research of MDT policy in the future.Methods“Multidisciplinary diagnosis and treatment”“multidisciplinary consultation”and“MDT”were used as keywords for multi-round matching search.The documents published by the Chinese Government Website,the official website of the National Health Commission,the official website of the National Medical Security Bureau and the portals of local people's governments were selected as the main sources of texts.The search time was up to August 1,2023.Use DiVoMiner online text analysis software for visual analysis of policy documents.Results A total of 60 MDT policy documents were screened,with the first document published in 2016 and the peaked in 2021.The issuing institutions involved 13 central government departments such as the National Health Commission and the State Council.The nature of the policy was mainly oriented,and the content focus was mostly inclined to top-level design such as institutional improvement,and the prescription was mostly medium and long-term.The core content of the policy was“medical”“service”“medical institution”“management”“health”and“quality”.Conclusion MDT policy follows a sequential development pattern,with a balanced supply of policy documents to the main body.Although it is still an imbalance in the policy mix that needs further improvement.Its implementation process should be standardized and personalized.MDT policy development is universal and specific.

关 键 词：多学科诊疗 内容分析法 可视化分析 

分 类 号：R19-0[医药卫生—卫生事业管理]