我国医防融合研究前沿与热点问题分析

Research frontiers and hot issues of treatment-prevention integration in China

目的全面分析近10年我国医防融合领域的研究发展历程及进展,预测未来研究热点与趋势,为后续研究奠定坚实基础。方法采取主题检索,以“医防融合”OR“医防整合”OR“医防结合”为检索词,检索中国知网(CNKI)自2013年1月1日至2022—12月31日发表的医防融合相关论文,并利用CiteSpace 6.1.R6软件进行文献计量分析。结果共检索到345篇文献,剔除会议报道、通知等文献,共纳入文献281篇。发文趋势:2013—2016年为萌芽期,发文量从1篇增至12篇;2017—2022年为快速增长期,发文量从7篇增至112篇。目前我国医防融合领域研究机构及单位之间的合作较少,只形成了3个相对集中的团队:以许国章、于亚航、刘毅学者为核心的研究团队,未来有待加强。研究关键词共展现10个有意义的聚类,近10年来研究的主流集中在医防融合相关概念演进、相关应用领域、实现场所和路径方面。结论应深化疾控、高校和医疗机构人员合作;深化医防融合理论框架研究;以时间空间为依据开展纵向、横向比较研究。未来我国医防融合的研究热点集中在慢病管理、医共体建设和突发公共卫生事件的预警与处置。

Objective To predict the future research hot spots and trend by comprehensively analyze the research development history and progress in the field of treatment-prevention integration over the last decade,and to lay a solid foundation for the follow-up research.Methods“Treatment-prevention integration”OR“Combination of treatment and prevention”OR“Integrated medical and preventive services”were used as the search terms for the retrieval of literature published from January 1,2013 to December 31,2022 on CNKI using the method of topic search.And CiteSpace 6.1.R6 visualization software was used for bibliometric analysis.Results A total of 345 papers were retrieved,and excluding conference reports and notices,a total of 281 papers were included in the study.The number of studies published between 2013 and 2016 grew slowly(from 1 to 12),but increased rapidly between 2017 and 2022(from 7 to 112).Currently,there is less cooperation in research among research institutions and units in the field of treatment-prevention integration,and only three teams have been formed,with Xu Guozhang,Yu Yahang and Liu Yi as the respective core experts,which need to be strengthened in the future.The research key words can be classified into 10 meaningful clusters,which focused on the concept,application,implementation sites and paths of treatment-prevention integration in the past decade.Conclusions Cooperation among disease control and prevention centers,universities and medical institutions should be promoted.The theoretical framework of treatment-prevention integration should be studied in depth.Longitudinal and horizontal comparative research should be carried out on the basis of time and space.Future researches can focus on chronic disease management,medical community development and early warning and response of public health emergencies.