门急诊服务敏感疾病的研究进展：基于CiteSpace的文献计量分析

doi:10.12114/j.issn.1007-9572.2023.0433

中国全科医学 ›› 2024, Vol. 27 ›› Issue (34): 4248-4255.DOI: 10.12114/j.issn.1007-9572.2023.0433

• 专题研究·门急诊服务敏感疾病住院 • 上一篇下一篇

门急诊服务敏感疾病的研究进展：基于CiteSpace的文献计量分析

王健健¹^,², 卢珊³^,⁴, 张研³^,⁴^,^*(), 潘杰¹^,²

1．610041　四川省成都市，四川大学华西公共卫生学院/华西第四医院
2．610041　四川省成都市，四川大学健康城市发展研究中心/西部农村卫生发展研究中心
3．430030　湖北省武汉市，华中科技大学同济医学院医药卫生管理学院
4．430030　湖北省武汉市，湖北省人文社科重点研究基地农村健康服务研究中心

收稿日期:2024-02-15 修回日期:2024-08-21 出版日期:2024-12-05 发布日期:2024-09-13
通讯作者: 张研
作者贡献：
王健健、张研进行文章的构思与设计；王健健进行研究实施、数据收集与整理、图表制作、结果分析与解释、文章撰写及修订；卢珊、张研、潘杰进行修订与质量控制；张研、潘杰负责文章的最后修订与审校，对文章整体负责。
基金资助:
国家自然科学基金面上项目(72074163); 国家自然科学基金青年项目(72104086); 四川省科技厅重点研发项目(2022YFS0052); 四川大学"从0到1"创新研究项目(2023SCUH0025); 泰康溢彩公共卫生及流行病防治专项基金

Research Status and Progress of Ambulatory Care Sensitive Conditions: a Bibliometric Analysis Based on CiteSpace

WANG Jianjian¹^,², LU Shan³^,⁴, ZHANG Yan³^,⁴^,^*(), PAN Jay¹^,²

1. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
2. Institute for Healthy Cities and West China Research Center for Rural Health Development, Sichuan University, Chengdu 610041, China
3. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
4. Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei, Wuhan 430030, China

Received:2024-02-15 Revised:2024-08-21 Published:2024-12-05 Online:2024-09-13
Contact: ZHANG Yan

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摘要/Abstract

摘要： 背景门急诊服务敏感疾病（ACSCs）指通过及时有效的门急诊服务可以避免住院的疾病。随着全球对提升医疗卫生服务质量与效率的日渐关注，深入了解ACSCs的发生发展和研究动态至关重要。目的分析近30年ACSCs研究领域的热点、前沿与趋势。方法 2023年3月，检索并分析Web of Science数据库中与ACSCs相关的英文文献，使用CiteSpace 6.1.R6信息可视化软件进行数据汇总和分析，包括发表年份、作者、研究机构、关键词和参考文献。时间跨度设置为"1992—2023年"，时间分区设置为5年。网络节点关联强度选择"Cosine"算法。根据分析主题，选择"Author""Institution""Keyword"作为节点进行可视化分析，分别得到作者、机构、关键词共现的知识图谱。结果初检获得文献1 701篇，经CiteSpace识别后，最终纳入分析1 698篇。近年来关注ACSCs的研究数量总体呈现上升趋势，发文量排名前3位的机构分别是哈佛大学[81篇（4.77%）]、加利福尼亚大学[63篇（3.71%）]及密歇根大学[47篇（2.77%）]。关键词聚类图谱得到"nursing home""public health""primary care""integrated care""impact""potentially avoidable hospitalizations""management""performance"8个聚类主题。引文分析显示，ACSCs领域高被引研究重点聚焦于可避免住院的现状与影响因素、可避免住院与医疗卫生服务的关系、减少可避免住院的措施三方面。结论近30年，ACSCs领域的研究迅速发展，目前已被世界主要发达国家广泛用于评估和改进医疗卫生服务。然而，研究者和机构之间缺乏跨区域合作，研究热点随时间演进不断变化，主题涵盖ACSCs及门急诊服务敏感疾病住院（ACSH）的研究意义与政策含义、影响因素、实践应用和政策启示四大类。国内对这些关键领域的探讨不足，未来需给予更多关注。

关键词: 门急诊服务敏感疾病, 门急诊服务敏感疾病住院, 可避免住院, 基层医疗卫生服务, 研究热点, 研究趋势, 文献计量学, CiteSpace

Abstract:

Background

Ambulatory care sensitive conditions (ACSCs) are illnesses that can be prevented from resulting in hospitalization with timely and effective ambulatory care. As the global emphasis on improving healthcare service quality and efficiency increases, understanding the evolution and research trends of ACSCs becomes increasingly vital.

Objective

To analyze the research hotspots, frontiers, and trends in the field of ACSCs over the past 30 years.

Methods

The English literature related to ACSCs published in the Web of Science was searched in March 2023. CiteSpace was utilized to perform a visualization analysis of the publication year, authors, research institutions, keywords and references extracted from the identified articles. The time frame was set from 1992 to 2023, with each time segment spanning five years. The network node correlation strength was determined using the "Cosine" algorithm. For the analysis, "Author" "Institution" and "Keyword" were selected as nodes, resulting in knowledge maps that illustrate co-occurrence among authors, institutions, and keywords.

Results

From an initial pool of 1 701 articles, 1 698 were ultimately selected for analysis by CiteSpace. Research focusing on ACSCs had generally shown an upward trend in recent years. The top three prolific institutions were Harvard University [81 articles (4.77%) ], University of California [63 articles (3.71%) ] and University of Michigan [47 articles (2.77%) ]. Eight topic clusters were derived from keyword cluster mapping, namely "nursing home""public health""primary care""integrated care""impact""potentially avoidable hospitalizations""management", and "performance". Citation analysis showed that highly cited studies in this field focused on the status of avoidable hospitalizations, influencing factors, healthcare relationships, and reduction strategies.

Conclusion

Over the past 30 years, research in the field of ACSCs has rapidly progressed and is extensively utilized by major developed nations worldwide to evaluate and improve healthcare services. However, there is a lack of cross-regional collaboration among researchers and institutions, and research interests continually evolve. The main themes include the significance and policy implications of ACSCs and hospitalization for ambulatory care sensitive conditions (ACSH), influencing factors, practical applications, and policy insights. Domestic exploration of these crucial areas is insufficient and requires more attention in the future.

Key words: Ambulatory care sensitive conditions, Hospitalization for ambulatory care sensitive conditions, Preventable hospitalizations, Primary health services, Research hotspots, Research trends, Bibliometrics, CiteSpace

王健健,卢珊,张研,等. 门急诊服务敏感疾病的研究进展：基于CiteSpace的文献计量分析[J]. 中国全科医学, 2024, 27(34): 4248-4255. DOI: 10.12114/j.issn.1007-9572.2023.0433.
WANG Jianjian,LU Shan,ZHANG Yan, et al. Research Status and Progress of Ambulatory Care Sensitive Conditions: a Bibliometric Analysis Based on CiteSpace[J]. Chinese General Practice, 2024, 27(34): 4248-4255. DOI: 10.12114/j.issn.1007-9572.2023.0433.

图/表 8

参考文献 35

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序号	研究机构名称	发文量[篇（%），n=1 698]	首次发文时间（年）
1	Harvard University	81（4.77）	2000
2	University of California	63（3.71）	2002
3	University of Michigan	47（2.77）	2009
4	University of Toronto	38（2.24）	2003
5	University of Pennsylvania	35（2.06）	2012
6	University of Washington	34（2.00）	2007
7	Brigham and Women's Hospital	32（1.88）	2013
8	University of Minnesota	28（1.65）	2000
9	Boston University	27（1.59）	2003
10	Columbia University	26（1.53）	2000

序号	研究机构名称	发文量[篇（%），n=1 698]	首次发文时间（年）
1	Harvard University	81（4.77）	2000
2	University of California	63（3.71）	2002
3	University of Michigan	47（2.77）	2009
4	University of Toronto	38（2.24）	2003
5	University of Pennsylvania	35（2.06）	2012
6	University of Washington	34（2.00）	2007
7	Brigham and Women's Hospital	32（1.88）	2013
8	University of Minnesota	28（1.65）	2000
9	Boston University	27（1.59）	2003
10	Columbia University	26（1.53）	2000

序号	关键词	频次（次）	中介中心性
1	access	257	0.03
2	health care	252	0.05
3	preventable hospitalizations	244	0.04
4	quality	232	0.01
5	primary care	217	0.07
6	impact	201	0.03
7	care	196	0.00
8	rates	194	0.09
9	health	168	0.07
10	outcome	151	0.03

序号	关键词	频次（次）	中介中心性
1	access	257	0.03
2	health care	252	0.05
3	preventable hospitalizations	244	0.04
4	quality	232	0.01
5	primary care	217	0.07
6	impact	201	0.03
7	care	196	0.00
8	rates	194	0.09
9	health	168	0.07
10	outcome	151	0.03

第一作者	年份（年）	研究主题	被引量（次）
BINDMAN^[12]	1995	可避免住院与医疗卫生服务可及性的关系及影响因素	690
OUSLANDER^[9]	2010	疗养院居民可避免住院的频率、原因及成本	326
PURDY^[13]	2009	不同ACSCs目录对医疗卫生服务评价的影响	243
ROSANO^[14]	2013	可避免住院与初级卫生保健之间的关系及影响因素	181
WALSH^[15]	2012	获得医疗保险和医疗补助双重资格的受益人群的可避免住院情况及影响因素	140
VAN LOENEN^[16]	2014	与可避免住院相关的初级卫生保健的特点	110
INGBER^[17]	2017	减少可避免住院的可能举措	73
RANTZ^[18]	2017	美国密苏里州减少可避免住院的举措与效果	63
FALSTER^[19]	2015	社会人口和健康特征及全科医生比例对可避免住院的影响程度	56
WEEKS^[20]	2016	法国ACSCs相关的住院率趋势、成本与地理差异	39

门急诊服务敏感疾病的研究进展：基于CiteSpace的文献计量分析

Research Status and Progress of Ambulatory Care Sensitive Conditions: a Bibliometric Analysis Based on CiteSpace

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