基于文献计量的医疗卫生资源研究动态与重点分析

A Bibliometric Analysis of Dynamics and Focuses of Healthcare Resources Research

医疗卫生资源的合理配置与充分利用是推进分级诊疗制度改革、解决中国“看病难、看病贵”问题的突破口。基于中国知网(CNKI)期刊数据库,本文以1998—2023年医疗卫生资源研究的CSSCI期刊文献为研究样本,采用文献计量分析法从复杂的研究网络中梳理出目前的研究动态。进一步,根据高频关键词统计和共现网络关系图刻画出具有学术价值的研究重点问题,并采用定性分析法进行详细综述,旨在厘清医疗卫生资源的研究脉络,洞察前沿方向。研究结果表明,目前国内医疗卫生资源理论研究滞后于现实问题的解决,存在可以继续拓展的空间。未来研究应紧扣国家政策演变、瞄准社会问题展开更细化、更系统的分析,以期为未来政策制定、现实难题解决提供理论参考。

In recent years,there has been a serious bias in the allocation of healthcare resources in China,making the healthcare system operate inefficiently.The contradiction between people′s demand for high-quality healthcare resources and the unbalanced allocation and inadequate supply of healthcare resources have become the main contradiction in the healthcare field.The COVID-19 epidemic that broke out in early 2020 exposes the long-standing imbalance in the allocation of healthcare resources in China,as evidenced by the lack of healthcare resources in primary healthcare institutions hindering prevention and control efforts.The report to the 20th National Congress of the Communist Party of China and the 2023 Government Work Report emphasize the expansion of the availability of quality medical resources and their balanced distribution among regions.China′s healthcare system reform and policy evolution exhibit distinct Chinese characteristics,necessitating a more comprehensive and profound analysis of domestic healthcare resources research findings.In view of this,it is of great theoretical and practical significance to apply quantitative and qualitative analysis methods to examine in depth the research dynamics and focuses of domestic healthcare resources.Based on the China Academic Journals Full-text Database,this paper uses the CSSCI journal literature on healthcare resources from 1998—2023 as the research sample and employs the bibliometric analysis to sort out the current domestic research dynamics on healthcare resources from the complex research network.First,Regarding healthcare resources research,the years 2009,2016,and 2021 have seen three theoretical research booms that closely align with the real problems of economic and social development and national strategic planning.Second,Different stages of healthcare resources research show characteristics that are compatible with the national economic,social,and institutional environment.Third,In recent years,the themes of healthcare resources research have become more comprehensive and the research methods have been enriched.There are four key areas for healthcare resources research:healthcare resources allocation,healthcare resources utilization,effects of healthcare resources allocation and utilization,and the system reform and policy recommendations.Further,this paper adopts a qualitative analysis method to provide a detailed review of the focuses of healthcare resources research,aiming to clarify the research lineage and gain insight into the frontier direction of healthcare resources research.The main contributions are as follows.First,Through word frequency analysis and keyword co-occurrence network analysis,it summarizes the temporal evolution characteristics,high-frequency keyword distribution,dynamics,and focuses of healthcare resources research.Second,Four main research lines are sorted out from the complex research network,and the internal logical relationships between different research focuses are revealed along the research lines.Third,Through qualitative induction,analysis,and overview of representative research results,the key issues of healthcare resources research are systematically analyzed,and the frontier directions worth exploring in the future are identified,providing references for subsequent theoretical research and future policy formulation.