基于共词分析的我国住院病案首页研究热点探析

Analysis on the Hot Topics of Fron Page Research of Inpatient Medical Records in China Based on Co-word Analysis

目的 探析我国近10年住院病案首页领域研究热点,为相关研究提供参考。方法 在中国知网中检索2013年7月1日-2023年6月30日住院病案首页相关文献,将筛选出文献导入BICOMB中统计发表时间、期刊和第一作者分布。基于共词分析法使用SPSS 20.0对经预处理之后的前48个高频关键词形成的相异矩阵进行聚类分析,得到病案首页研究热点。结果 共检索得到有效文献1317篇。近10年我国住院病案首页相关文献整体呈上升趋势,载文最多的期刊为《中国病案》,刊载了该领域28%的文献,发文最多的第一作者为首都医科大学宣武医院的黄昊。词频前10位的关键词包括DRGs、质量控制、缺陷、质量、对策等,研究热点包括:住院病案首页与公立医院绩效考核的关系、住院病案首页质量现状研究、疾病ICD编码探讨、住院病案首页数据分析与利用、DRG在医疗服务中的应用、运用PDCA等方法提升住院病案首页质量等6个领域。结论 住院病案首页在我国关注度较高,论文量、载文期刊和作者数量众多。研究热点广泛、探讨内容丰富,不仅局限于住院病案首页质量、ICD编码等住院病案首页直接相关主题,而且还扩大到了绩效考核、DRGs等领域。

Objectives This paper analyzed the research hot topics of the front page of inpatient medical records in China in the past decade,provided reference for relevant research.Methods To retrieve relevant literature in the past decade from CNKI,and import the selected articles into BICOMB to describe the distribution of publication year,journal,and first author.Based on the co-word analysis method,SPSS20 was used to cluster the dissimilarity matrix formed by the first 48 high-frequency keywords after preprocessing,and the research hotspots on the front page of medical records were obtained.Results A total of 1317 valid literatures were retrieved.In recent ten years,the literature related to the front page of inpatient medical records in China had shown an overall upward trend,and the journal with the most papers was"China Medical Records",which published 28%of the literature in this field.The first author with the most papers was Huang Hao from Xuanwu Hospital of Capital Medical University.The top 10 keywords of word frequency include DRGs,quality control,defects,quality,countermeasures,etc.Research hotspots include:The relationship between the front page of inpatient medical records and the performance assessment of public hospitals,the status quo of the front page of inpatient medical records,the discussion of disease ICD coding,the data analysis and utilization of the front page of inpatient medical records,the application of DRG in medical services,and the use of PDCA methods to improve the quality of the front page of inpatient medical records were six areas.Conclusions The front page of inpatient medical records was paid more attention in China,and the number of papers,journals and authors was large.The research focus was extensive and the content was rich,which was not only limited to the directly related topics such as the quality of the front page of the inpatient medical records and ICD coding,but also extended to the fields of performance appraisal and DRGs.