中国内地全科医学1993-2012年文献回顾分析

Publications of general practice research in China mainland 1993-2012：a bibliographic review

目的：了解中国内地全科医学论文发表情况，分析存在问题并探讨对策。方法分别利用中国期刊全文数据库（ CNKI）、万方数据库和PubMed对1993年1月1日至2012年12月31日发表的中国内地全科医学论文进行检索，通过文献管理分析软件NoteExpress2、Excel和SPSS 19.0对论文情况进行统计分析。结果1993-2012年中国内地发表全科医学中文文献16349篇，英文文献266篇，均呈现逐年上升趋势，2008-2012年中文文献发表数量急剧上升。16349篇中文文献在中文核心期刊上共发表5295篇（32.39％），266篇英文文献在 SCI 收录期刊上发表的共257篇（96.62％）。中文文献中76.01％（12427/16349）的作者来自社区卫生服务机构，英文文献中61.65％（164/266）的作者来自于医学院校和科研机构。中文文献中居前2位的研究方法是评论和描述性研究，分别占37.59％（6145/16349）和37.12％（6069/16349），随机对照试验研究占9.57％（1565/16349）；英文文献中描述性研究所占比例为52.63％（140/266），随机对照试验研究占9.02％（24/266）；中文和英文文献中研究内容为临床研究的各有60.75％（9932/16349）和75.94％（202/266）。结论我国内地全科医学文献数量不断增加，但核心期刊发表数量少，研究方法相对简单，英文文献数量少，提示中国内地全科医学领域研究的质量需要提高。应借鉴其他国家的经验，尽快建立国家级或省级基层医疗研究专项和基层医疗研究网络。

Objectives To review the publications of general practice research in China mainland from 1993 to 2012.Methods The literatures on general practice research published in China mainland from 1993 to 2012 were retrieved from the China Journal Full Text Databases , Wanfang Databases and PubMed . The publications were analyzed using the literature management software NoteExpress 2, Excelland SPSS 19.0.Results A total of 16 349 Chinese publications and 266 English publications of general practice research were collected .The amount of publications was gradually increasing during 1993 and 2012 and there was a sharp increase in the Chinese publications from 2008 to 2012 comparing with the previous years.The Chinese publications in China′s core journals accounted for 32.39%（5 295/16 349） of total of publications;and the English publications in SCI journals accounted for 96.62% （ 257/266 ） of total publications.The authors from community health service facilities accounted for 76.01%（12 427/16 349） of Chinese publications; while authors from research institutes and universities accounted for 61.65%（164/266） of the English publications .Results showed that 37.59% （ 6 145/16 349 ） and 37.12%（ 6 069/16 349 ） of the Chinese publications were commentaries and descriptive studies , only 9.57%（1 565/16 349） were randomized controlled trials;52.63% （140/266） of the English publications were descriptive studies and 9.02% （ 24/266 ） were randomized controlled trials .60.75% （ 9 932/16 349 ） of the Chinese publications and 75.94% （ 202/266 ） of the English publications were focused on clinical＆amp;nbsp;topics.Conclusion Although the number of general practice publications has been increasing during 1993-2012, the quality of publications is still less satisfactory and need to be further improved .