2017—2018年我国社区卫生中心与社康中心学术论文分析
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摘要
目的近年来,随着我国不断加大对基层医疗机构建设的投入,在设备、人员及临床水平提升的同时,其科研水平亦得到较大提升,本文拟通过分析2017—2018年我国社区卫生中心与社康中心发表文献情况,了解我国基层医疗机构在全科医学领域科学研究的现状及存在的问题。方法以中国期刊全文数据库(CNKI)、万方数据知识服务平台和维普网的论文为数据源,检索国内基层医疗机构在2017年1月—2018年1月发表的科学文献,对其数量、期刊分布、地区分布及获得基金支持等方面进行定性分析和定量分析。结果研究发现,2017年1月—2018年1月全国社区卫生服务中心发表文章共5 499篇,所有文章中被核心期刊收录的共有697篇,占12.7%;其余4 802篇文章所发表期刊均未被核心期刊目录收录,占87.3%。发表科研文献排名前5位的省级行政区分别是:上海、北京、广东、天津、江苏。文章类型方面,各期刊收录现况研究的数量最多,描述性研究有3 338篇(60.7%),分析性研究2 033篇(36.9%),实验性研究717篇(13.0%),这其中,有536篇(9.7%)文章涉及2种或者2种以上研究方法。纳入研究的文献中共有1 134篇文献获得基金支持。结论我国基层医疗机构科研水平参差不齐,文献质量有待提高,应注重提高全科领域临床研究水平,促进基层的研究积极性,营造良好科研氛围,加快我国全科医学的发展。
Objective In recent years,with the increasing investment in the construction of community health center and community rehabilitation center in China,not only the level of equipment,personnel and clinical practice has been upgraded,but also the level of scientific research has been greatly upgraded.In order to investigate the current situation and problems of primary medical institutions in China on scientific research of general medicine practice.We searched the literature published in primary medical institutions in China between 2017 and 2018.Methods Retrieving the scientific literature published by primary medical institutions in China from January 2017 to January 2018 from CNKI,Wanfang data and VIP network,we conducted qualitative and quantitative analysis of the distribution of periodicals,the distribution of regional distribution,and the situation of the funds of these papers.Results The study found that the number of articles published in the national community health service center from January 2017 to January 2018 was 5 499,and all the articles published in the core periodicals were 697,accounting for 12.7%,and the other 4 802 articles were published in non-core periodicals,which accounted for 87.3%.The top five provincial-level administrative regions for scientific research are Shanghai,Beijing,Guangdong,Tianjin and Jiangsu.The number of current studies in each journal was the largest,with 3 338 descriptive studies(60.7%),2 033 analytical studies(36.9%),and 717 experimental studies(13.0%) among them,536(9.7%) articles involved two or more research methods.A total of 1 134 articles in the study were supported by various funds.Conclusion In our community hospitals,the level of scientific research is uneven and the quality of literature needs to be improved.We should pay more attention to improving the level of clinical research in the field of general science,promote the enthusiasm of the research in the community hospitals,create a good scientific research atmosphere,and accelerate the development of the general medicine in our country.
Objective In recent years,with the increasing investment in the construction of community health center and community rehabilitation center in China,not only the level of equipment,personnel and clinical practice has been upgraded,but also the level of scientific research has been greatly upgraded.In order to investigate the current situation and problems of primary medical institutions in China on scientific research of general medicine practice.We searched the literature published in primary medical institutions in China between 2017 and 2018.Methods Retrieving the scientific literature published by primary medical institutions in China from January 2017 to January 2018 from CNKI,Wanfang data and VIP network,we conducted qualitative and quantitative analysis of the distribution of periodicals,the distribution of regional distribution,and the situation of the funds of these papers.Results The study found that the number of articles published in the national community health service center from January 2017 to January 2018 was 5 499,and all the articles published in the core periodicals were 697,accounting for 12.7%,and the other 4 802 articles were published in non-core periodicals,which accounted for 87.3%.The top five provincial-level administrative regions for scientific research are Shanghai,Beijing,Guangdong,Tianjin and Jiangsu.The number of current studies in each journal was the largest,with 3 338 descriptive studies(60.7%),2 033 analytical studies(36.9%),and 717 experimental studies(13.0%) among them,536(9.7%) articles involved two or more research methods.A total of 1 134 articles in the study were supported by various funds.Conclusion In our community hospitals,the level of scientific research is uneven and the quality of literature needs to be improved.We should pay more attention to improving the level of clinical research in the field of general science,promote the enthusiasm of the research in the community hospitals,create a good scientific research atmosphere,and accelerate the development of the general medicine in our country.
引文
[1]潘莹,于德华,陆媛,等.基于文献分析的全科医生综合能力评价指标体系构建研究[J].中国全科医学,2016,19(S1):248-250.
[2]赵雪雪,路孝琴,金光辉,等.2003~2013年我国全科医学相关领域基于不同研究方法的文献分布现状[J].中国医药导报,2017,14(3):188-192.
[3]陈超,邵爽,金光辉,等.1993~2012年基于不同核心期刊的我国“全科医学”相关领域研究现状的分析[J].继续医学教育,2015,29(1):74-76.
[4]朱亮,孟宪学.文献计量法与内容分析法比较研究[J].图书馆工作与研究,2013,1(6):64-66.
[5]白国强.学术研究能力在临床医生岗位胜任力的现状及评价——基于河南省的调查实践[J].中国卫生事业管理,2017,34(4):316-318.
[6]邵爽,金光辉,陈超,等.2003—2012年全科医学学科相关科研论文的分布情况研究[J].中国全科医学,2015,18(1):116-120.
[7]范宏伟,周琪,黄卫东.医学院校附属医院临床医生科研能力影响因素分析[J].中国医院管理,2015,35(8):53-55.
[8]WEBSTER F,KRUEGER P,MACDONALD H,et al.A scoping review of medical education research in family medicine[J].BMC Med Educ,2015,15(1):79.
[9]郭以河,钟渊福,夏挺.基层医院科研精细化管理[J].解放军医院管理杂志,2017,24(6):536-537,541.
[10]王帅.我国基层卫生人力资源现状研究及政策建议[D].北京:首都医科大学,2016.
[11]张勘,沈福来.社区卫生机构开展科研的回顾与建议[J].中国卫生资源,2014,17(2):125-128.
[12]余梦,吴戈,任天顺.继续推进和完善农村订单定向免费全科医学生培养教育模式[J].中华全科医学,2016,14(8):1395-1398.
[13]陆媛,王朝昕,石建伟,等.全科医生开展科研工作的必要性及策略建议[J].中华全科医师杂志,2017,16(1):11-14.
[14]张淑梅,田新华.加强社区卫生与医院合作,做好高危儿童预防保健工作[J].中国保健营养,2016(2):398.
[15]王俊,王巍,孙立前.浅谈医联体对基层医院科研的促进作用[J].国外医学·卫生经济分册,2016,33(3):137-139.
[16]BOWMAN M A,LUCAN S C,ROSENTHAL T C,et al.Family medicine research in the united states from the late 1960s into the future[J].Fam Med,2017,49(4):289-295.
[17]薛冰.科研能力培养在临床医生成长中的作用与地位[J].内蒙古教育(职教版),2016(10):67-68.
[18]王增武,庞艳蕾.社区医生如何开展科研工作[J].中华医学信息导报,2015,30(11):20.
[19]BOWMAN M A,SEEHUSEN D A,NEALE A V.Family medicine research that provides compelling,urgent data to improve patient care[J].J Am Board Fam Med,2016,29(1):1-3.
[20]刘秀梅,吴浩.科研促进社区卫生服务发展的研究与实践[J].中华全科医学,2012,10(10):1595-1596.
[2]赵雪雪,路孝琴,金光辉,等.2003~2013年我国全科医学相关领域基于不同研究方法的文献分布现状[J].中国医药导报,2017,14(3):188-192.
[3]陈超,邵爽,金光辉,等.1993~2012年基于不同核心期刊的我国“全科医学”相关领域研究现状的分析[J].继续医学教育,2015,29(1):74-76.
[4]朱亮,孟宪学.文献计量法与内容分析法比较研究[J].图书馆工作与研究,2013,1(6):64-66.
[5]白国强.学术研究能力在临床医生岗位胜任力的现状及评价——基于河南省的调查实践[J].中国卫生事业管理,2017,34(4):316-318.
[6]邵爽,金光辉,陈超,等.2003—2012年全科医学学科相关科研论文的分布情况研究[J].中国全科医学,2015,18(1):116-120.
[7]范宏伟,周琪,黄卫东.医学院校附属医院临床医生科研能力影响因素分析[J].中国医院管理,2015,35(8):53-55.
[8]WEBSTER F,KRUEGER P,MACDONALD H,et al.A scoping review of medical education research in family medicine[J].BMC Med Educ,2015,15(1):79.
[9]郭以河,钟渊福,夏挺.基层医院科研精细化管理[J].解放军医院管理杂志,2017,24(6):536-537,541.
[10]王帅.我国基层卫生人力资源现状研究及政策建议[D].北京:首都医科大学,2016.
[11]张勘,沈福来.社区卫生机构开展科研的回顾与建议[J].中国卫生资源,2014,17(2):125-128.
[12]余梦,吴戈,任天顺.继续推进和完善农村订单定向免费全科医学生培养教育模式[J].中华全科医学,2016,14(8):1395-1398.
[13]陆媛,王朝昕,石建伟,等.全科医生开展科研工作的必要性及策略建议[J].中华全科医师杂志,2017,16(1):11-14.
[14]张淑梅,田新华.加强社区卫生与医院合作,做好高危儿童预防保健工作[J].中国保健营养,2016(2):398.
[15]王俊,王巍,孙立前.浅谈医联体对基层医院科研的促进作用[J].国外医学·卫生经济分册,2016,33(3):137-139.
[16]BOWMAN M A,LUCAN S C,ROSENTHAL T C,et al.Family medicine research in the united states from the late 1960s into the future[J].Fam Med,2017,49(4):289-295.
[17]薛冰.科研能力培养在临床医生成长中的作用与地位[J].内蒙古教育(职教版),2016(10):67-68.
[18]王增武,庞艳蕾.社区医生如何开展科研工作[J].中华医学信息导报,2015,30(11):20.
[19]BOWMAN M A,SEEHUSEN D A,NEALE A V.Family medicine research that provides compelling,urgent data to improve patient care[J].J Am Board Fam Med,2016,29(1):1-3.
[20]刘秀梅,吴浩.科研促进社区卫生服务发展的研究与实践[J].中华全科医学,2012,10(10):1595-1596.