新医改以来我国DRG研究热点的聚类分析

Cluster Analysis of Hot Spots of DRG Research in China since the New Medical Reform

目的:分析新医改以来我国在疾病诊断相关分组(DRG)领域的研究热点。方法:运用高频关键词系统聚类方法,对2009-2018年CNKI、万方数据库收录的DRG相关文献计量分析。结果:DRG研究热点集中在分组机理及本土化研究、收付费制度改革、卫生资源配置、医院绩效评价、医疗质量管理、DRG工具开发6个方面。结论:我国DRG的研究已逐步由理论分析型向应用实操型过渡,运用效果显著,但存在思想、方法、数据、导向的壁垒,需以标准、政府、问题为导向,理顺卫生服务体系中各方关系,合理配置医疗资源。

Objective To analyze the research hotspots in the field of disease diagnosis related group (DRG) in China since the new medical reform. Methods The high-frequency keyword system clustering method was used to measure the DRG related literature collected by CNKI and Wanfang database from 2009 to 2018. Results The focuses of DRG included six aspects: grouping mechanism and localization research,fee collection system reform,health resource allocation,hospital performance evaluation,medical quality management,and DRG tool development. Conclusion The research on DRG in China has gradually shifted from theoretical analysis to practical operation. The application effect was remarkable,but there were barriers of thought,method,data and orientation. It needs to be guided by standards,government and problems,rationalize relationships among the parties in the health service system,and allocate medical resources rationally.