目的通过对国际上关于健康贫困治理文献进行可视化分析,了解国际健康贫困治理的知识结构及其变化趋势,为中国有关工作和研究提供借鉴。方法利用CiteSpace对Web of Science核心库2016—2021年健康贫困治理文献进行可视化分析。结果健康...目的通过对国际上关于健康贫困治理文献进行可视化分析,了解国际健康贫困治理的知识结构及其变化趋势,为中国有关工作和研究提供借鉴。方法利用CiteSpace对Web of Science核心库2016—2021年健康贫困治理文献进行可视化分析。结果健康贫困治理领域文献数量逐年增加;发达国家发文频次较高,其中美国最多;发文较多的是英国伦敦卫生与热带医学院;该领域缺少高影响力作者,研究机构以及研究者之间合作不紧密;中心性最高的关键词为健康政策,健康保险覆盖在该领域关键程度最重要;被引频次数较多的文献主要来自《柳叶刀》、《公共科学图书馆·综合》以及《社会科学医学》等国际著名杂志。结论国际之间研究差异较大,发达国家优于发展中国家;加强作者、机构之间学术交流与合作;重点关注弱势群体健康贫困治理,提高治理效能。展开更多
Background Since 2009, health reform had launched in China and essential public health services were provided for all residents to ensure service equity and accessibility, and to achieve sustained population-wide heal...Background Since 2009, health reform had launched in China and essential public health services were provided for all residents to ensure service equity and accessibility, and to achieve sustained population-wide health improvement. This study aimed to investigate the differences and determinants among populations with different characteristics access to essential public health services in China, especially hypertension people and children aged 0-6 years. Methods A cross-sectional study with socio-demographic data analysis was undertaken to estimate distribution characteristics of receiving essential public health services of hypertension patients and children. Regular follow-ups and effective blood pressure control reflected the effective management for hypertension patients, and for children, public services provided were vaccination on schedule and regular physical check-up. Logistic regression was used to determine the predictors for effective management. Results A total of 1 505 hypertension patients and 749 children were involved; 39.14% of hypertension participants could control their blood pressure in the normal range, and the rate in urban areas （43.61%） was higher than that in rural （31.88%）. And 34.68% of them could receive more than 4 times follow-ups by the medical technician. Of 754 children, 79.84% could receive the periodic physical examination and 98.40% had vaccinated regularly. Children living in rural areas were more likely to have regular check-ups （83.96%） and regular vaccination （nearly 99%）. Overall, geographic location and education level were the determinants of people access to essential public health services. Conclusions Implementation of the health reform since 2009 has headed China＇s public health system in the right direction and promoted the improvement of public health system development. Our study highlights the growing needs for more public health services in China, and China＇s public health system needs to be greatly improved in terms of its quality and accessibility.展开更多
文摘目的通过对国际上关于健康贫困治理文献进行可视化分析,了解国际健康贫困治理的知识结构及其变化趋势,为中国有关工作和研究提供借鉴。方法利用CiteSpace对Web of Science核心库2016—2021年健康贫困治理文献进行可视化分析。结果健康贫困治理领域文献数量逐年增加;发达国家发文频次较高,其中美国最多;发文较多的是英国伦敦卫生与热带医学院;该领域缺少高影响力作者,研究机构以及研究者之间合作不紧密;中心性最高的关键词为健康政策,健康保险覆盖在该领域关键程度最重要;被引频次数较多的文献主要来自《柳叶刀》、《公共科学图书馆·综合》以及《社会科学医学》等国际著名杂志。结论国际之间研究差异较大,发达国家优于发展中国家;加强作者、机构之间学术交流与合作;重点关注弱势群体健康贫困治理,提高治理效能。
文摘Background Since 2009, health reform had launched in China and essential public health services were provided for all residents to ensure service equity and accessibility, and to achieve sustained population-wide health improvement. This study aimed to investigate the differences and determinants among populations with different characteristics access to essential public health services in China, especially hypertension people and children aged 0-6 years. Methods A cross-sectional study with socio-demographic data analysis was undertaken to estimate distribution characteristics of receiving essential public health services of hypertension patients and children. Regular follow-ups and effective blood pressure control reflected the effective management for hypertension patients, and for children, public services provided were vaccination on schedule and regular physical check-up. Logistic regression was used to determine the predictors for effective management. Results A total of 1 505 hypertension patients and 749 children were involved; 39.14% of hypertension participants could control their blood pressure in the normal range, and the rate in urban areas （43.61%） was higher than that in rural （31.88%）. And 34.68% of them could receive more than 4 times follow-ups by the medical technician. Of 754 children, 79.84% could receive the periodic physical examination and 98.40% had vaccinated regularly. Children living in rural areas were more likely to have regular check-ups （83.96%） and regular vaccination （nearly 99%）. Overall, geographic location and education level were the determinants of people access to essential public health services. Conclusions Implementation of the health reform since 2009 has headed China＇s public health system in the right direction and promoted the improvement of public health system development. Our study highlights the growing needs for more public health services in China, and China＇s public health system needs to be greatly improved in terms of its quality and accessibility.
