基于共现网络的我国乡村医生继续教育研究现状分析

Continuing Education for Rural Doctors in China: a Concurrent Network-based Situation Analysis Based upon Literature Review

目的系统评价有关我国乡村医生继续教育的文献,以了解我国乡村医生继续教育研究的现状和存在的问题。方法于2017-05-24系统检索中国知网(CNKI,1997—2016年)中与我国乡村医生继续教育有关的文献。采用关键词逻辑组合查询的方式,中文检索词包括"乡村医生""农村医生""继续教育""在职培训""在职教育"。采用SPSS 23.0统计软件录入数据并对数据进行描述性统计分析;采用文献计量学方法和中国知网提供的可视化分析功能对文献进行分析。结果最终纳入合格文献153篇。1997—2016年每年发表文献的数量随着时间有波动,但总体呈逐渐增长趋势。共涉及94个机构单位,其中发表文献数量为≥7、3~6、2、1篇的机构分别为3、9、12、70个。共涉及11个学科,其中文献数量排在前2位的学科分别为医药卫生方针政策与法律法规研究(64.7%、99/153)、医学教育与医学边缘学科(28.8%、44/153)。第一作者所属机构为高等院校的文献占69.9%(107/153);第一作者地域分布为东部的文献占56.9%(87/153);文献总被引频次为781次,其中被引频次为0~5次的文献占74.5%(114/153)。共提取496个与乡村医生继续教育研究相关的关键词,总频次为714次。出现频次≥3次的关键词共21个,其中"乡村医生""继续教育"出现的频次较高,分别为58次和37次。关键词共现网络图谱显示,"乡村医生"与"继续教育"、"乡村医生"与"培训"、"中医药"与"继续教育"、"乡村医生"与"现状"、"农村"与"继续教育"、"农村"与"对策"共现次数较高,分别为22、8、6、5、4、4次。结论有关我国乡村医生继续教育的文献数量不多,但总体呈增长趋势。学科、作者所属机构及地域等分布不均,被引频次总体偏低。研究热点主要为"乡村医生""继续教育""培训"等。

Objective To investigate the current status and challenges of continuing education for rural doctors in China based on a systematical review of the related articles.Methods Using the search terms in Chinese("rural doctor""village doctor""continuing education""in-service training""in-service education")combined logically,we searched CNKI for studies about continuing education for rural doctors published between 1997 and 2016.Using SPSS 23.0 software,we performed a descriptive statistical analysis of the data of the included studies.The articles were analyzed by means of bibliometrics and the visualization analysis provided by CNKI.Results Totaled 153 articles were included.During the period between 1997 and 2016,the annual number of published articles varied significantly,but presented an gradually increasing trend generally.A total of 94 institutions were involved.The number of institution that published more than 7 articles,3-6 articles,2 articles and 1 article was 3,9,12 and 70 respectively.Eleven subjects were involved,of them,the most commonly studied two subjects were medical and health policies,laws and regulations〔64.7%(99/153)〕and interdisciplinary medical sciences〔28.8%(44/153)〕.The proportion of the first author from institutions of higher learning and eastern China was 69.9%(107/153),56.9%(87/153),respectively.The total citation frequency of these articles was 781,but most of them〔74.5%(114/153)〕were cited less than 6 times.A total of 496 related key words were extracted(714 times).Twenty-one key words were used≥3 times,of them,"rural doctor"(58 times)and"continuing education"(37 times)were most frequently used.Concurrent network-based analysis found that the combinations of"rural doctor"and"continuing education","rural doctor"and"training","Chinese medicine"and"continuing education","rural doctor"and"current status","rural"and"continuing education","rural"and"measures"were most concurrently used,with a frequency of 22,8,6,5,4,4 times,respectively.Conclusion The number of articles concerning continuing education for rural doctors in China is far from satisfactory,but it is on the rise.The involved subjects,institution and region that the author from are not unevenly distributed,and the citation frequency is low in general,the main focused aspects are rural doctor,continuing education,training and so on.