中国医疗卫生机构资源配置效率研究热点及前沿分析

Mapping knowledge analysis of resource allocation efficiency in Chinese medical and health institutions

梳理中国医疗卫生资源配置的研究现状和研究脉络,运用文献计量学及可视化软件CiteSpace,对1992—2021年中国知网(CNKI)收录的1370篇文献的机构、作者、关键词共现、热点主题、突变词等进行全景式动态可视化分析,文献来源于中文核心期刊要目总览(北大核心)期刊、中文社会科学引文索引(CSSCI)期刊和中国科学引文数据库来源(CSCD)期刊。结果显示,近30年医疗卫生资源配置的年度发文量整体呈现增长趋势;高校科研院所是研究的主力军;除了发文量靠前的作者,其余作者之间的合作关系并不是十分密切。词频前三位的关键词是卫生资源配置、卫生资源、公平性;关键词的平均轮廓值均大于0.7,内部紧密程度良好。与发达国家相比,我国医疗卫生资源配置总量以及人均医疗卫生资源配置水平仍存在较大差距。国家制度、政策变化对医疗卫生资源的影响以及如何改善医疗卫生资源配置将成为未来研究的热点之一。

To sort out the current research status and context of China's health care resources allocation,we used the bibliometrics and visualization software CiteSpace to conduct a panoramic dynamic visual analysis of the institutions,authors,keyword co⁃occurrences,hot topics,and mutant words of 1370 Peking University core,CSSCI,and CSCD literatures included in the CNKI database(CNKI)from 1992 to 2021.The results showed that the annual publication volume of the healthcare resource allocation had shown an overall increasing trend in the past 30 years.University scientific research institutes are the main force of research.Except for the authors with the highest number of publications,the cooperation among the remaining authors is not very close.The top three keywords of word frequency are health resource allocation,health resources,and equity while the average contour values of keywords are all greater than 0.7,with good internal closeness.Compared with developed countries,there is still a large gap between the total allocation of healthcare resources and the per capita allocation of medical and health resources in China.The impact of the national system and policy changes on healthcare resources and how to improve their allocation will become one of the hotspots of future research.