基于CiteSpace的中国家庭医生签约服务研究热点和趋势分析
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摘要
背景家庭医生签约服务是推进分级诊疗、深化医疗卫生体制改革的重大举措,了解家庭医生签约服务领域的研究热点和研究演进趋势,是进一步开展相关研究的基础。目的系统地梳理家庭医生签约服务领域的研究热点和研究演进趋势。方法本文运用CiteSpace软件,对1986-01-01至2018-09-29中国知网收录的家庭医生签约服务领域的研究从作者、研究机构和关键词3个方面进行共现网络分析,并根据关键词的时区图和相关政策文件,归纳梳理我国家庭医生签约服务的研究演进趋势。结果我国家庭医生签约服务领域的研究呈现出文献数量增加速度加快、区域间研究合作网络松散、研究尚未取得突破性进展的演进趋势。结论目前家庭医生签约服务领域的研究多为实证性研究,应切实加强相关理论的应用和创新研究,同时未来应加强跨区域机构间、作者间的密切交流合作。
Background The implementation of contracted family doctor services is a major initiative to promote the development of hierarchical medical system and deepen the reform of medical and health care system.Understanding the research hotspots and emerging trends of contracted family doctor services is the foundation of further research.Objective To systematically combine the research hotspots with emerging trends of contracted family doctor services.Methods We used CiteSpace software to conduct a co-occurrence network analysis of authors,institutions and keywords of the articles indexed in CNKI database between 1 January 1986 and 29 September 2018.According to the time zone map of keywords and related policy documents,we summarized the emerging trends of the contracted family doctor services.Results The emerging research trends showed that accelerated increase in the number of documents,the loose network of inter-regional research cooperation and the lack of breakthroughs in the area.Conclusion At present,most of the research in the field of contracted family doctor services is empirical research.We should strengthen the application and innovation of relevant theories,and strengthen the close communication and cooperation between inter-regional organizations and authors in the future.
Background The implementation of contracted family doctor services is a major initiative to promote the development of hierarchical medical system and deepen the reform of medical and health care system.Understanding the research hotspots and emerging trends of contracted family doctor services is the foundation of further research.Objective To systematically combine the research hotspots with emerging trends of contracted family doctor services.Methods We used CiteSpace software to conduct a co-occurrence network analysis of authors,institutions and keywords of the articles indexed in CNKI database between 1 January 1986 and 29 September 2018.According to the time zone map of keywords and related policy documents,we summarized the emerging trends of the contracted family doctor services.Results The emerging research trends showed that accelerated increase in the number of documents,the loose network of inter-regional research cooperation and the lack of breakthroughs in the area.Conclusion At present,most of the research in the field of contracted family doctor services is empirical research.We should strengthen the application and innovation of relevant theories,and strengthen the close communication and cooperation between inter-regional organizations and authors in the future.
引文
[1]国务院.关于印发推进家庭医生签约服务指导意见的通知[Z].2016.
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[13]欧阳好,林炳锐,李平.深圳市龙园社区居民对家庭医生签约服务模式的满意度与健康需求的调查[J].中国社区医师,2017,33(35):159-160,163.DOI:10.3969/j.issn.1007-614x.2017.35.92.OUYANG H,LIN B R,LI P.Investigation on the satisfaction and health needs of residents in Longyuan Community of Shenzhen City for family doctor contracted service model[J].Chinese Community Doctors,2017,33(35):159-160,163.DOI:10.3969/j.issn.1007-614x.2017.35.92.
[14]孙华君.天津市签约家庭医生服务实施后患者满意度调查[J].中国初级卫生保健,2017,31(10):31-32.DOI:10.3969/j.issn.1001-568X.2017.10.0012.SUN H J.Investigation on patients'satisfaction after the service of contracted family doctors in Tianjin[J].Chinese Primary Health Care,2017,31(10):31-32.DOI:10.3969/j.issn.1001-568X.2017.10.0012.
[15]戴慧敏,李娅玲,杜兆辉.“1+1+1”签约下居民的社区首诊意愿及影响因素研究[J].中国全科医学,2018,21(25):3068-3072.DOI:10.12114/j.issn.1007-9572.2018.25.008.DAI H M,LI Y L,DU Z H.Willingness and influencing factors of initial diagnosis at community level in the mode of"1+1+1"hierarchical medical system in Shanghai[J].Chinese General Practice,2018,21(25):3068-3072.DOI:10.12114/j.issn.1007-9572.2018.25.008.
[16]李兴春,李华.我国家庭医生签约服务现状及存在问题研究进展[J].中国社区医师,2018,34(22):11-13,15.DOI:10.3969/j.issn.1007-614x.2018.22.004.LI X C,LI H.Research progress of present situation and existing problems of the signing service of family doctor in China[J].Chinese Community Doctors,2018,34(22):11-13,15.DOI:10.3969/j.issn.1007-614x.2018.22.004.
[2]CHEN C M.CiteSpaceⅡ:detecting and visualizing emerging trends and transient patterns in scientific literature[J].Journal of the American Society for Information Science and Technology,2006,57(3):359-377.
[3]储振华.国外的家庭医生制度[J].中国医院管理,1986,6(4):49,63.CHU Z H.Foreign family doctor system[J].Chinese Hospital Management,1986,6(4):49,63.
[4]宗淑萍.基于普赖斯定律和综合指数法的核心著者测评:以《中国科技期刊研究》为例[J].中国科技期刊研究,2016,27(12):1310-1314.DOI:10.11946/cjstp.201610080819.ZONG S P.Evaluation of core authors based on price law and the comprehensive index method:a case study of Chinese Journal of Scientific and Technical Periodicals[J].Chinese Journal of Scientific and Technical Periodicals,2016,27(12):1310-1314.DOI:10.11946/cjstp.201610080819.
[5]国务院.关于发展城市社区卫生服务的指导意见[Z].2006.
[6]原北京市卫生局.关于进一步推进社区卫生改革与管理工作的意见[Z].2010.
[7]关于本市全面推广家庭医生制度的指导意见[Z].2013.
[8]国家卫生健康委员会体制改革司.国务院医改办召开全科医生执业方式和服务模式改革试点工作座谈会[EB/OL].(2013-12-10)[2018-09-18].http://www.nhfpc.gov.cn/tigs/ptpxw/201312/d7858edeeaf04a1ba61e2a8af89124b7.shtml.
[9]鲍勇,杜学礼,张安,等.基于健康管理的中国家庭医生制度研究(待续)[J].中华全科医学,2011,9(6):831,904.BAO Y,DU X L,ZHANG A,et al.Family doctor system study in China based on community health management[J].Chinese Journal of General Practice,2011,9(6):831,904.
[10]鲍勇,杜学礼,张安,等.基于健康管理的中国家庭医生制度研究(续完)[J].中华全科医学,2011,9(7):997-998.BAO Y,DU X L,ZHANG A,et al.Family doctor system study in China based on community health management[J].Chinese Journal of General Practice,2011,9(7):997-998.
[11]魏学娟,吴浩,于海洋,等.方庄社区家庭医生式服务推进分级诊疗的实践效果研究[J].中国全科医学,2017,20(13):1558-1563.DOI:10.3969/j.issn.1007-9572.2017.13.007.WEI X J,WU H,YU H Y,et al.Practical effect of family doctor service on promoting hierarchical diagnosis and treatment in Fangzhuang Community[J].Chinese General Practice,2017,20(13):1558-1563.DOI:10.3969/j.issn.1007-9572.2017.13.007.
[12]周志林.家庭医生团队签约服务对慢性病健康管理的效果评价[J].中国卫生产业,2018,15(15):30-31,34.DOI:10.16659/j.cnki.1672-5654.2018.15.030.ZHOU Z L.Evaluation of the effect of family doctor team signing service on the health management of chronic diseases[J].China Health Industry,2018,15(15):30-31,34.DOI:10.16659/j.cnki.1672-5654.2018.15.030.
[13]欧阳好,林炳锐,李平.深圳市龙园社区居民对家庭医生签约服务模式的满意度与健康需求的调查[J].中国社区医师,2017,33(35):159-160,163.DOI:10.3969/j.issn.1007-614x.2017.35.92.OUYANG H,LIN B R,LI P.Investigation on the satisfaction and health needs of residents in Longyuan Community of Shenzhen City for family doctor contracted service model[J].Chinese Community Doctors,2017,33(35):159-160,163.DOI:10.3969/j.issn.1007-614x.2017.35.92.
[14]孙华君.天津市签约家庭医生服务实施后患者满意度调查[J].中国初级卫生保健,2017,31(10):31-32.DOI:10.3969/j.issn.1001-568X.2017.10.0012.SUN H J.Investigation on patients'satisfaction after the service of contracted family doctors in Tianjin[J].Chinese Primary Health Care,2017,31(10):31-32.DOI:10.3969/j.issn.1001-568X.2017.10.0012.
[15]戴慧敏,李娅玲,杜兆辉.“1+1+1”签约下居民的社区首诊意愿及影响因素研究[J].中国全科医学,2018,21(25):3068-3072.DOI:10.12114/j.issn.1007-9572.2018.25.008.DAI H M,LI Y L,DU Z H.Willingness and influencing factors of initial diagnosis at community level in the mode of"1+1+1"hierarchical medical system in Shanghai[J].Chinese General Practice,2018,21(25):3068-3072.DOI:10.12114/j.issn.1007-9572.2018.25.008.
[16]李兴春,李华.我国家庭医生签约服务现状及存在问题研究进展[J].中国社区医师,2018,34(22):11-13,15.DOI:10.3969/j.issn.1007-614x.2018.22.004.LI X C,LI H.Research progress of present situation and existing problems of the signing service of family doctor in China[J].Chinese Community Doctors,2018,34(22):11-13,15.DOI:10.3969/j.issn.1007-614x.2018.22.004.