基于文献计量学的国际全科医学研究热点分析

Hot Topics in General Practice Research:a Bibliometrics Study

目的了解国际全科医学的研究热点,为今后我国全科医学的发展提供参考。方法于2017-06-19计算机检索Pub Med数据库中与全科医学有关的文献,检索时间为2016—2017年。根据美国国立医学图书馆《医学主题词表》选取纳入文献的主要主题词,采用书目信息共现挖掘系统(BICOMB)对主要主题词进行频次统计。以频次≥20次的主要主题词为高频主要主题词,采用Ucinet 6.199软件中的Net Draw 2.081绘制高频主要主题词共现网络分析图;采用g CLUTO 1.0软件对高频主要主题词进行聚类分析。结果共获得国际全科医学相关文献952篇,核心主要主题词为全科/家庭医学(443次)、全科/家庭医师(284次)、初级卫生保健(139次)。聚类分析共获得7个主题,分别为:主题1:全科医师的健康相关知识及态度和行为研究;主题2:紧急入院(急诊入院)与全科医疗服务;主题3:全科医师在肿瘤患者诊断及治疗过程中的角色作用;主题4:全科住院医师的能力培养;主题5:全科医疗中慢性病的筛查以及患者的接受程度;主题6:医学院校全科医学教育;主题7:全科医师诊疗过程中抗生素处方用药情况及相关培训。结论目前国际全科医学研究热点主要集中在全科医疗服务、全科医师的角色作用、教育等。

Objective To explore the hot topics in general practice research using bibliometric analysis,providing references for domestic development of general practice.Methods On June 19,2017,we searched Pub Med database for articles about general practice published between 2016 and 2017.According to the Me SHs developed by National Library of Medicine,we enrolled major key words from the included articles.BICOMB was employed to count the use frequency of these words.Those used for 20 or more times were defined as major high-frequency key words.Net Draw 2.081,a network visualization tool coming with the Ucinet 6.199,was used to draw the co-occurrence matrix.And g CLUTO 1.0 was adopted to conduct biclustering analysis.Results A total of 952 articles were included. Among them,the 3 core key words used were general practice/family medicine（443 times）,general practitioner/physicians,family（284 times） and primary health care（139 times）. Data from articles were organized into 7 themes based on the biclustering analysis：1.genreral practice health knowledge,attitude and practice;2.emergency admission and general practitioner care;3.role of general practitioners（GPs） in the diagnosis and management of cancer patients;4.clinical capabilities training for residential GPs;5.chronic disease screening and patient receptiveness in general practice care;6.general practice education in medical colleges;7.antibiotic prescribing and corresponding trainings in general practice care. Conclusion The current general practice studies mainly focus on general practice care,the role of GPs,general practice education and so on.