国际健康管理主流研究领域回顾及趋势分析

Mainstream studies review in world health management research

目的揭示国际健康管理主流研究领域及其研究趋势，为国内学者及相关机构进行健康管理战略研究领域选择与健康管理学学科建设提供决策依据。方法采用高频引文同被引聚类分析与高频主题词共词聚类分析相结合的方法，依据各类中的内容分析当前研究的热点，并通过引文战略坐标和主题战略坐标揭示研究历史与趋势。结果2002年之前和之后的研究热点均有8个子领域，其中既有交叉领域，也有独立领域。结论健康管理具有多学科特征，目前尚未形成非常成熟、稳定的研究领域；健康管理涉及卫生保健服务全过程的管理；精神健康管理、慢性病健康管理及其初级卫生保健服务是持续性研究热点。健康素养是健康管理中一个值得关注和重视的领域。健康管理应与健康保险实现互动，使其成为医疗保障体系的一部分。

Objectives To identify the mainstream studies and their development trends in health management research, and enable domestic scholars and institutions in their decision making to select strategic research fields and their discipline development on health management. Methods Co-citation cluster analysis of high-frequency citations, combined with co-word cluster analysis of high-frequency of MeSH terms were used to discover research focuses. This was followed by statistical analysis of the content of each cluster, and demonstration of the research trends through citation and subject strategic diagrams. Results Eight hot sub-fields have been identified both before and after 2002, which include both cross and separate topics. Conclusion With a multi-disciplinary characteristic, health management has not yet developed into a mature and stable research field; Health management involves the whole management process of healthcare services; Mental health management, chronic disease management and its primary health care service are all constant hotspots of studies. Health literacy is an area deserving greater attention in health management; Health management should interact with health insurance, making it part of the medical insurance system.