摘要
目的:梳理和总结近 10 年国内外医疗转诊的研究现状、研究热点及发展趋势.通过对比分析国内外医疗转诊研究,为我国医疗转诊的建设与发展提供借鉴.方法:在中国知网(CNKI)、Web of Science(WOS)核心合集数据库中检索2014年1月1日至2023年11月24日医疗转诊研究的相关文献,应用VOSviewer 1.6.19软件对发文量、国家/地区、作者、期刊及关键词绘制知识图谱并进行可视化分析.结果:共纳入中文文献869篇,英文文献1491篇.近 10 年来,国内外转诊研究领域的发文总量均呈现稳定上升趋势.国内形成以张亮为核心的作者群,国外形成以Hui David为核心的作者群.国外发文期刊方向多为临床疾病类,而国内多集中在公共卫生等.国外高频关键词包括palliative care、diagnosis和childre等,国内高频关键词包括分级诊疗、双向转诊和医联体等.结论:近 10 年国内外转诊研究领域发文总量均呈现稳定上升趋势,国外年发文量的大幅波动受特定疾病的影响,而国内受政策影响.国外研究热点主要聚焦于临床疾病方面,包括姑息治疗、癌症等,而国内研究重点在于制度构建及政策完善.
Abstract
Objective To review and summarize the research status,hot topics,and study trends in medical referrals both domestically and internationally over the past decade.By conducting a comparative analysis of medical referral research between China and other countries,it seeks to provide insights for the development and construction of medical referrals in China.Methods Relevant literature on medical referrals from January 1,2014,to November 24,2023,was retrieved from the China National Knowledge Infrastructure(CNKI)and the Web of Science(WOS)core collection databases.VOSviewer 1.6.19 software was applied for visualizing and analyzing knowledge maps,including publication volume,country/region,authors,journals,and keywords.Results The study included 869 Chinese and 1491 English literature.Over the past decade,both domestic and foreign medical referral research has exhibited a steady upward trend in publication volume.Notably,Chinese authors,particularly led by Zhang Liang,formed a core group domestically,while internationally,Hui David emerged as a central figure.Foreign publications predominantly focused on clinical diseases,whereas domestic research concentrated on public health.High-frequency keywords in foreign literature included palliative care,diagnosis,and children,while domestic literature emphasized hierarchical diagnosis and treatment,bidirectional referrals,and medical alliances.Conclusion Over the past decade,both domestic and international medical referral research has seen a consistent increase in publications.The number of published annual papers is influenced by specific diseases,while domestic research is influenced by policies.Foreign research emphasizes clinical diseases,including palliative care and cancer.However,domestic research focuses on institutional construction and policy improvement.
基金项目
国家自然科学基金项目(61963007)
广东省医学科研基金项目(A2021169)
广东省医学科研基金项目(B2023109)
广东省基础与应用基础研究基金项目(2023A1515140026)
深圳市科创委基础研究面上项目(JCYJ20210324122200002)
深圳市三名工程"南京医科大学励建安团队"资助项目(SZSM202111010)
维普
万方数据