基于CNKI数据库的医疗保障治理研究进展与趋势分析

Research progress and trend analysis of medical insurance governance in China based on CNKI database

目的分析我国医疗保障治理领域研究热点主题、知识演化脉络、潜在前沿趋势及未来突破方向,为完善医疗保障治理体系与治理能力现代化提供参考。方法采用主题词检索,以中国知网(CNKI)2009年1月至2021年12月发表的医疗保障治理相关文献为研究对象,使用CiteSpace V软件绘制关键词共现图谱、时区图谱、聚类图谱和突现词表等,对医疗保障治理领域前沿热点和演变趋势进行可视化分析与预测。结果检索到符合要求的文献793篇。我国医疗保障治理研究机构间的合作网络有待加强;研究主流集中于医保制度设计的基础研究、医疗保障治理路径与方式研究、结合时代背景或政策热点的研究等方面。结论当前我国医疗保障治理研究存在理论建构不完善、研究内容有待扩展、交流合作不足等问题。未来研究将聚焦于医疗保障治理的目标、结构与路径创新,大数据在医疗保障治理领域中的应用,以及突发公共卫生事件下医疗保障治理的危机应对与挑战;加强多元协作共同攻关,注重学科的交叉融合,开拓本土化医疗保障治理创新体制机制,丰富以问题为导向的实证研究。

Objective To analyze the research hot topics,knowledge evolution context,potential frontier trends and future breakthrough directions in the field of medical security governance in China.Methods Subject term retrieval was used to study the literatures related to medical security governance published by CNKI from January 2009 to December 2021.CiteSpace V software was used to draw the keyword co-occurrence network,time zone map,cluster map,and emergent word graph,and to visually analyze and predict the frontier hotspots and evolution trends in the field of medical security governance.Results A total of 793 literatures were retrieved.The cooperation network among medical security governance research institutions in China needed to be strengthened;the mainstream of research focused on basic research on medical insurance system design,research on medical security governance paths and methods,and empirical research combined with the era background or policy hotspots.Conclusions There are some problems in the current rerearch on medical security governance,such as imperfect theoretical construction,research content to be expanded,insufficient communication and cooperation,etc.Future research hotspots tend to be innovation of the goal,structure and path of medical security governance,application of big data in the field of medical security governance,and research on crisis response and challenges of medical security governance under public health emergencies.Future research should strengthen multi-cooperation to jointly tackle key problems,pay attention to the cross-integration of disciplines,develop localized medical security governance innovation systems and mechanisms,and enrich problem-oriented empirical research.