“健康中国”背景下我国社区中医药服务研究热点和前沿趋势的可视化分析

Visual Analysis of Hotspots and Cutting-edge Trends of Community TCM Service Research in China in the Context of Healthy China

背景 社区中医药服务是推进“健康中国”建设的有利“抓手”。国内学术界在社区中医药服务研究领域积累了丰富的研究成果,但是缺乏对研究成果的梳理。运用文献计量学方法系统梳理社区中医药服务研究相关文献,可以从宏观层面把握该领域研究进展和热点,为该领域今后的研究提供借鉴与参考。目的 运用文献计量学方法梳理我国社区中医药服务研究热点和发展趋势。方法 于2022-05-02,检索中国知网(CNKI)、万方数据知识服务平台和维普中文期刊服务平台(VIP)中我国社区中医药服务研究主题相关研究文献,检索时间设定为2000年1月—2022年4月。通过CiteSpace软件对纳入文献的作者进行共现分析,关键词共现、聚类、时间线分布及突现词进行可视化分析,并绘制相关图谱。结果 共纳入文献1 440篇,国内社区中医药服务研究的发文整体呈递增趋势,2000—2005年发文75篇(5.2%),2006—2011年发文382篇(26.5%),2012—2022年发文983篇(68.3%)。发文量排名前3位的作者依次是施永兴(25篇)、鲍勇(16篇)、刘登(14篇)。中心度排名前5位的高频关键词依次为“中医药”“中医”“社区”“全科医生”“全科医学”。关键词聚类分析形成12个聚类标签,聚类规模排名前3位的依次是“社区”“中医药”“全科医生”。时间线分布提示“社区”“中医药”“全科医生”“中医护理”等聚类在该领域具备研究热点。从突现词来看,“家庭医生”突现值最高(8.07),“老年人”“糖尿病”“家庭医生”“医联体”“中医全科”“医养结合”是未来研究方向。结论 关注我国社区中医药服务现状、聚焦中医全科和社区中医护理人才培养、提高社区卫生服务机构中医药服务能力是研究热点。未来该领域将更多地关注基于互联网平台构建的数字化紧密型中医医联体和中医全科医生参与下的家庭医生签约服务模式,更好发挥社区中医药服务在“医养结合”方面的特色和优势。

Background Community traditional Chinese medicine(TCM)service is an important step in promoting the construction of Healthy China.There are abundant academic research results in the field of community TCM service in China,but there is a lack of collation of these research results.Systematically sorting out the relevant literature in the field of community TCM service by using the method of bibliometrics can provide a macroscopic understanding of the research progress and hotspots in this field and reference for future research.Objective To sort out the hotspots and development trends of community TCM service research in China by using bibliometric methods.Methods On May 2 in 2022,CNKI,Wanfang Data Knowledge Service Platform and VIP were searched for relevant research literature on community TCM service research in China from January 2000 to April 2022.By using CiteSpace software,the visual analysis of the co-occurrence of authors included in the literature,keywords co-occurrence,clustering,timeline distribution,and burst terms were performed and the relevant graphs were plotted.Results A total of 1440 papers were included,and the publication volume of community TCM services in China showed an overall increasing trend,with 75 papers(5.2%)published in 2000-2005,382 papers(26.5%)in 2006-2011,and 983 papers(68.3%)in 2012-2022.The top three authors in the publication volume were Shi Yongxing(25 articles),Bao Yong(16 articles),and Liu Deng(14 articles).The top 5 high-frequency keywords in terms of centrality were"TCM""Chinese medicine""community""general practitioner"and"general practice".The keyword clustering analysis formed 12 cluster labels,and the top three clusters by scale were"community""TCM"and"general practitioner".The timeline distribution suggested that clusters such as"community""TCM""general practitioner"and"TCM nursing"were research hotspots in this field.From the perspective of burst terms,"family doctor"has the highest burst value(8.07),and"elderly people""diabetes""family doctor""medical consortium""general practice of TCM"and the"integrated medical care and elderly services"are future research directions.Conclusion The current status of community TCM service in China,development of TCM general practitioners and community TCM nurses,and the improvement of TCM service capabilities of community health care institutions are research hotspots.In the future,more attention will be paid to the digital compact TCM medical consortium based on the Internet platform and the contracted family doctor service model with the participation of TCM general practitioners,so as to better utilize the characteristics and advantages of community TCM services in integrated medical care and elderly services.