家庭医生主题研究领域的知识图谱分析

Knowledge Mapping Analysis of Research Fields about Family Doctors

背景家庭医生签约服务是贯彻实施分级诊疗制度的重要环节,家庭医生签约率、签约模式以及签约服务内容是广大学者探讨的重点内容。但是目前对家庭医生主题研究进行可视化分析来探测该领域的热点和发展趋势的文献不多。目的本研究通过检索中国知网和万方数据知识服务平台,对相关文献进行分析,探测家庭医生领域的研究热点和发展趋势。方法2018-06-03,以“家庭医生”“全科医生”“社区医生”“全科医师”为检索关键词,对2011—2018年在中国知网和万方数据知识服务平台中发表的相关文献进行检索。采用Citespace5.2.R2软件根据研究机构发文数量、地理位置、关键词共现、研究趋势、突现词、聚类图谱方面进行分析,探测我国家庭医生主题研究领域的研究热点和未来趋势。结果共检索出2565篇文献,剔除与家庭医生主题研究领域明显不相关、报纸发表以及重复发表的文献后,最终纳入867篇文献进行分析。研究机构发文分析显示,参与家庭医生主题研究领域的研究机构共计87所;发文数量排名前十的研究机构为复旦大学发文数量为44篇,北京大学和首都医科大学发文数量为17篇,重庆医科大学发文数量为16篇,上海市浦东卫生发展研究院发文数量为13篇,上海交通大学发文数量为12篇,上海市预防医学研究院、上海浦东新区潍坊社卫生服务中心、海南师范大学发文数量均为10篇,广州医科大学发文数量为9篇;从研究机构地理位置来看,发文数量排名前十的机构中复旦大学、重庆医科大学、上海市浦东卫生发展研究院、上海交通大学、上海市预防医学研究院、上海浦东新区潍坊社卫生服务中心、海南师范大学、广州医科大学位于我国南方地区。从关键词共现来看,社区卫生服务、家庭医生、全科医学、分级诊疗、全科医生、健康管理出现频率很高,说明这些方面是研究关注的热点。从研究趋势来看,2011—2014年出现了社区卫生服务、家庭医生式服务、全科医学、家庭医生制度、健康管理、签约服务等宏观词汇。2015—2018年出现了糖尿病、分级诊疗、影响因素分析、家庭医生签约模式、培训词汇。从突现词来看,“社区卫生”“全科医学”“家庭医生”“健康管理”“影响因素”突现。从聚类图谱来看,可视化分析后得到全科医生、健康管理、政策建议、家庭医生式服务、家庭医生服务、培训、满意度在内的7个聚类。家庭医生领域的研究热点及发展趋势为健康管理、全科医学教育、家庭医生签约服务。结论 健康管理、全科医学教育、家庭医生签约服务等方面是我国家庭医生主题研究的热点,发展趋势倾向于重点人群的疾病预防和健康管理、家庭医生的教育、规范化培训、签约服务的模式、服务形式等方面。

Background The contracted family doctor service is an important part in the implementation of the hierarchical medical system and the contracted rate,model and service contents are key points explored by scholars.However,there are not many literatures on the visual analysis of research fields about family doctor to detect hot topics and trends in this field.Objective This study explores relevant research literatures by searching China National Knowledge Infrastructure(CNKI)Database and Wanfang Data Database to detect hot topics and development trends in the research field of family doctors.Methods On 3 June,2018,family doctors,general practitioners,community doctors were used as the keywords to search related literatures published in CNKI Database and Wanfang Data Database from 2011 to 2018.The hot topics and future trends in the research field of family doctors in China were detected based on the results of analysis,such as the number,geographic location,keyword co-occurrence,research trends,burst terms,and clustering maps of publications.Results A total of 2 565 publications were retrieved.After excluding newspapers,repeated publications and documents that were clearly unrelated,867 articles were selected as the final source of analysis.The analysis results showed that from the perspective of the number of research institutions,there were 87 research institutions participating in the research of family doctors,and the top ten research institutions in the number of publications were Fudan University(44 publications),Peking University(17 publications)and Capital Medical University(17 publications),Chongqing Medical University(16 publications),Shanghai Pudong Health Development Research Institute(13 publications),Shanghai Jiao Tong University(12 publications),Shanghai Institute of Preventive Medicine(10 publications),Shanghai Pudong New Area Weifang Community Health Service Center(10 publications),Hainan Normal University(10 publications),and Guangzhou Medical University(9 publications).Geographically,the top ten research institutions in the number of publications like Fudan University,Chongqing Medical University,Shanghai Pudong Health Development Research Institute,Shanghai Jiao Tong University,Shanghai Institute of Preventive Medicine,Shanghai Pudong New Area Weifang Community Health Service Center,Hainan Normal University and Guangzhou Medical University were located in the south of China.From the perspective of keyword cooccurrence,community health services,family doctors,general practice,hierarchical diagnosis and treatment,general practitioners,and health management were frequently occurring,which showed that these aspects were the focus of researches in the field.From the perspective of research trends,from 2011 to 2014 there were macro vocabularies such as community health services,family doctor services,general practice,family doctor system,health management,and contracted services.From 2015 to 2018,diabetes,hierarchical diagnosis and treatment,analysis of influencing factors,contracted family doctor service model,and training appeared.From the perspective of burst terms,community health,general practice,family doctor,health management,and influencing factors emerged.From the perspective of clustering map,after the visual analysis,there were seven clusters including general practitioners,health management,policy advice,family doctor kind services,family doctor services,training,and satisfaction.The research hot topics and development trends in the field of family doctors were health management,general practice education,and contracted family doctor services.Conclusion Health management,general practice education and contracted family doctor services are the hot topics of research field about family doctors in China.The development tends focus on disease prevention and health management of key populations,general practice education,standardized training,contracted service model and service forms.