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中国全科医学 ›› 2022, Vol. 25 ›› Issue (28): 3493-3501.DOI: 10.12114/j.issn.1007-9572.2022.0393

• 慢性病管理专题研究 • 上一篇    下一篇

基于VOSviewer的国内基层慢性病管理领域研究进展与热点分析

于凯, 王嘉淳, 周召媛, 陈歆悦, 王爽*()   

  1. 110001　辽宁省沈阳市，中国医科大学附属第一医院全科医学科
  • 收稿日期:2022-05-31 修回日期:2022-08-02 出版日期:2022-10-05 发布日期:2022-08-18
  • 通讯作者: 王爽
  • 于凯，王嘉淳，周召媛，等.基于VOSviewer的国内基层慢性病管理领域研究进展与热点分析[J].中国全科医学，2022，25（28）：3493-3501. [www.chinagp.net]
    作者贡献：于凯、王嘉淳、周召媛、陈歆悦、王爽负责研究设计、数据库检索和文献筛选、统计分析，以及论文的撰写与修订；王爽负责文章的质量控制及审校，并对文章整体负责，监督管理。
  • 基金资助:
    2021年辽宁省民生科技计划项目（2021JH2/10300014）——家庭医生签约服务背景下基层老年人以人为中心脑卒中预防管理模式创新研究与应用

Chronic Disease Management in Primary Care in China: Recent Advances and Hotspot Analysis Using VOSviewer

Kai YU, Jiachun WANG, Zhaoyuan ZHOU, Xinyue CHEN, Shuang WANG*()   

  1. Department of General Practice, 1st Hospital of China Medical University, Shenyang 110001, China
  • Received:2022-05-31 Revised:2022-08-02 Published:2022-10-05 Online:2022-08-18
  • Contact: Shuang WANG
  • About author:
    YU K, WANG J C, ZHOU Z Y, et al. Chronic disease management in primary care in China: recent advances and hotspot analysis using VOSviewer[J]. Chinese General Practice, 2022, 25 (28) : 3493-3501.

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摘要： 背景 慢性病已成为危害我国居民健康的重大公共卫生问题，国家政策强调要发挥基层在慢性病管理中的"主战场"作用。 目的 了解我国基层慢性病管理领域研究主题、热点和发展趋势，旨在为后续研究提供参考。 方法 于2021年9月，通过检索万方数据知识服务平台、中国知网、中国生物医学文献数据库、维普中文科技期刊全文数据库，获取关于基层慢性病管理的文献，检索时限均为建库至2021-09-13。应用Endnote X9软件，从年度发文数量、期刊分布、发文机构分布等方面进行统计分析；运用VOSviewer 1.6.14软件进行高频关键词分析、关键词共现聚类分析、关键词共现时间线分析，并对知识图谱进行可视化。 结果 共纳入自1977年以来发表的研究型文献4 060篇，发文量整体上呈现上升趋势。发文量最多的期刊是《中国全科医学》，共发文329篇（8.10%）。复旦大学是发表基层慢性病管理相关文献数量最多的机构〔1.75%（71/4 060）〕。高频关键词分析结果显示，出现频次排在前10位的关键词依次为慢性病〔8.75%（895/10 224）〕、社区〔7.49%（766/10 224）〕、老年人〔4.90%（501/10 224）〕、糖尿病〔4.62%（472/10 224）〕、高血压〔4.28%（438/10 224）〕、慢性阻塞性肺疾病〔4.22%（431/10 224）〕、患病率〔4.04%（413/10 224）〕、影响因素〔3.29%（336/10 224）〕、危险因素〔2.60%（266/10 224）〕和生活质量〔1.95%（199/10 224）〕。关键词共现聚类分析结果显示，热点研究主题主要集中在社区老年人慢性病管理、慢性病危险因素的流行病学、高血压和糖尿病等慢性病的管理与社区综合防治，以及以慢性阻塞性肺疾病为主的慢性病社区护理与康复4个方面。关键词共现时间线分析结果显示，分级诊疗与家庭医生签约服务、信息化与"互联网+"、心理/睡眠健康、共病、全科医生与药学服务是近年来新兴的研究主题。 结论 我国基层慢性病管理领域研究总体呈现上升趋势，高血压、糖尿病、慢性阻塞性肺疾病的基层管理是研究者关注的热点话题，分级诊疗与家庭医生签约服务、信息化与"互联网+"、心理/睡眠健康、共病、全科医生与药学服务相关研究方兴未艾。

关键词: 慢性病, 初级卫生保健, 社区卫生服务, 研究热点, 文献计量学, VOSviewer

Abstract:

Background

In China, chronic diseases have become a major public health problem threatening residents' health. Highlighted in the national policies, primary care settings should act as the "main battlefield" for fighting chronic diseases.

Objective

To understand the topics, hot spots and development trends in chronic disease management in primary care of China, providing evidence for further research.

Methods

In September 2021, relevant literature of chronic disease management in primary care in China were searched in databases of SinoMed, CNKI, Wanfang Data, and CQVIP from inception to September 13, 2021. Endnote X9 was used to conduct statistical analysis of the annual number of publications, distribution of journals, and distribution of institutions.VOSviewer 1.6.14 was adopted for high-frequency keywords analysis, network analysis of keyword co-occurrence, timeline view of keyword co-occurrence network, and visualizing the knowledge map.

Results

In total, 4 060 articles published since 1977 (as of September 13, 2021) were included. The annual number of published articles demonstrated an upward trend in general. The journal with the highest number of articles was Chinese General Practice〔329 articles (8.10%) 〕. Fudan University was the most prolific institution〔1.75% (71/4 060) 〕. The top 10 high-frequency keywords were chronic diseases〔8.75% (895/10 224) 〕, community〔7.49% (766/10 224) 〕, elderly people〔4.90% (501/10 224) 〕, diabetes〔4.62% (472/10 224) 〕, hypertension〔4.28% (438/10 224) 〕, chronic obstructive pulmonary disease〔4.22% (431/10 224) 〕, prevalence〔4.04% (413/10 224) 〕, influencing factors〔3.29% (336/10 224) 〕, risk factors〔2.60% (266/10 224) 〕 and quality of life〔1.95% (199/10 224) 〕. Four major hot topics were identified by network analysis of keyword co-occurrence: chronic disease management of the elderly in the community, epidemiology of risk factors for chronic diseases, management and community-based comprehensive prevention and treatment regarding chronic diseases (such as hypertension and diabetes) , community-based nursing and rehabilitation of chronic diseases (mainly for chronic obstructive pulmonary disease) . Hierarchical diagnosis and treatment and contracted family doctor services, informationization and Internet-based services, mental or sleep health, multimorbidity, general practitioner and pharmaceutical care were recently emgerged research themes identified by timeline view of keyword co-occurrence network.

Conclusion

The number of studies about of chronic disease management in primary care in China demonstrated an overall upward trend, with management of hypertension, diabetes, and chronic obstructive pulmonary disease in primary care as the research hotspots. Studies on hierarchical diagnosis and treatment and contracted family doctor service, informationization and Internet-based services, mental or sleep health, multimorbidity, and general practitioner and pharmaceutical care are in the ascendant.

Key words: Chronic disease, Primary health care, Community health services, Research hotspots, Bibliometrics, VOSviewer

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