Chinese General Practice ›› 2019, Vol. 22 ›› Issue (27): 3387-3394.DOI: 10.12114/j.issn.1007-9572.2019.00.348

• Monographic Research • Previous Articles     Next Articles

Visualization Analysis and Prospect of General Practitioner Research Based on Knowledge Mapping 

  

  1. College of Management,Shanghai University of Engineering Science,Shanghai 201620,China
    *Corresponding author:LI Hongyan,Professor,Master supervisor;E-mail:hongyanlishu@163.com
  • Published:2019-09-20 Online:2019-09-20

基于知识图谱的全科医生研究可视化分析与展望

  

  1. 201620上海市,上海工程技术大学管理学院
    *通信作者:李红艳,教授,硕士生导师;E-mail:hongyanlishu@163.com
  • 基金资助:
    教育部人文社会科学研究一般项目(16YJCZH043);上海市自然科学基金资助项目(16ZR1414000);上海人才发展资金资助(201671)

Abstract: Background General practitioners are a major force in safeguarding and maintaining people's health in the new situation.With the development of general practice,studies on general practitioners(GPs)have gradually increased.Evaluating the research on GPs objectively is a prerequisite for advancing the practice of the GP system.Objective To perform a quantitative study of the number of articles about GPs,distribution of journals,authors,institutions and keywords using Citespace and Ucinet,and to systematically analyze the course and research progress of studies about GPs,and to predict the corresponding research focus and development direction on the basis of literature review,laying a solid basis for further research.Methods From January to March 2018,we did an advanced retrieval of the articles about GPs included in CNKI database during 1986—2017 using “family doctor or family doctor system or general practitioner or general practitioner system” as the search title,“all journals” as the data source category,and “accurate” as the matching degree.A total of 3 067 articles were searched preliminarily,and the number of articles and journals in which they published were analyzed.After excluding the non-conforming and repetitive ones,1 836 articles closely related with our research topic were included,and the author distribution,institution distribution and keywords distribution were analyzed.Results From 1986 to 2017,the number of published articles showed an overall growth trend,with local fluctuations.According to the growth rate and changes,the number of articles published in this period can be divided into the following stages:1986—1996 was the budding stage of GPs research;1997—2010 was the exploratory stage of GPs research;2011—2017 was the rapid development stage of GPs research.All of the articles were published in medical journals,1 021of them were published in Chinese General Practice,accounting for the largest percent.BAO Yong(35 articles),LU Xiaoqin(20 articles),ZHAO Yali(20 articles)were the top 3 prolific authors.High levels of cooperation were found in three teams:the team consisting of BAO Yong,DU Xueli,ZHANG An,LIANG Ying,and SUN Wei,the team composed of HU Shanlian,HE Jiangjiang,and XIE Chunyan,and the team of LIANG Hong,LU Wei,ZHANG Yimin,and HUANG Jiaoling.The most prolific period for WU Chunrong,ZHANG An and BAO Yong,FANG Yuting,DU Xueli,and LIANG Ying was 2002—2003,2011—2014,2011—2013,2011—2012,2012—2014,respectively.About 190 institutes published GPs articles,among which the top three were the School of General Practice and Continuing Education,Capital Medical University(41 articles),School of Public Health,Shanghai Jiao Tong University(18 articles),and School of Public Health,Fudan University(17 articles).The mainly used keywords were general practitioner,family doctor,community health services,and so on.Research contents mainly focused on education,training,hierarchical diagnosis and treatment,health management,influencing factors,contracted services,chronic disease management,etc.The research methods mainly used were qualitative method,questionnaire survey and so on.The keywords were clustered into 17 classes,and were frequently seen in articles about international implementation experience of GP system,GP service model,GPs' performance evaluation,GPs' service capabilities,and effectiveness of GP services.Keywords frontier trend analysis:1986—1996 was the theoretical basis stage of GP research;1997—2010 was the expanding stage of the research scope and transformation stage of from basic theoretical research to applied research;2011—2017 was the stage of gradually turning to GP system implementation effect evaluation and other aspects.Conclusion GP research is relatively abundant,but there are still some problems,such as insufficient aftereffect analysis,research horizon to be expanded,and relatively lack of dynamic research.It is suggested to constantly strengthen the unity of research in this field,focus on the core issues of GP services,and formulate goals and orientations suitable for contemporary and sustainable development.

Key words: General practitioners, Knowledge mapping, Visualization analysis, Citespace, Ucinet

摘要: 背景 全科医生是新形势下保障和维护人们健康的重要主体。随着实践的深入,有关全科医生研究的文献逐渐增多。客观评价关于全科医生的研究,是推进全科医生制度实践发展的前提。目的 在文献梳理的基础上,运用Citespace和Ucinet对全科医生文献发文量、期刊分布、作者分布、机构分布及关键词分布进行计量研究,系统分析全科医生研究发展的历程以及研究进展,并对该领域研究重点及发展方向进行预测,为后续研究奠定坚实的基础。方法 2018年1—3月,在中国知网进行高级检索,检索条件为“篇名=家庭医生或家庭医生制度或全科医生或全科医生制度”,数据来源类别设定为“全部期刊”,匹配度设定为“精确”,时间为1986—2017年,共检索到3 067篇文献,并对全科医生研究发文量、期刊分布情况展开分析。剔除与主题不符合、重复的文献,筛选出1 836篇与主题密切相关的文献,并对作者分布、机构分布、关键词分布情况展开分析。结果 1986—2017年发文量整体上呈增长趋势,局部有波动。根据增长速度和变化情况可将1986—2017年的发文量分为以下阶段:1986—1996年处于全科医生研究的萌芽阶段;1997—2010年处于全科医生研究的探索阶段;2011—2017年处于全科医生研究的快速发展阶段。关于全科医生研究的文献全部集中于医学类杂志,其中《中国全科医学》载文量最多(1 021篇)。鲍勇(35篇)、路孝琴(20篇)、赵亚利(20篇)等在全科医生研究方面发文量相对较多,其中鲍勇、杜学礼、张安、梁颖、孙纬等团队合作度较高;胡善联、何江江、谢春艳等团队合作度较高;梁鸿、芦炜、张宜民、黄蛟灵等团队合作度较高。吴春容在2002—2003年,张安、鲍勇在2011—2014年,方玉婷在2011—2013年,杜学礼在2011—2012年,梁颖在2012—2014年,研究较频繁。全科医生研究来源机构共约有190个,其中发文量前3位机构依次为首都医科大学全科医学与继续教育学院(41篇)、上海交通大学公共卫生学院(18篇)、复旦大学公共卫生学院(17篇)。全科医生研究关键词主要为全科医生、家庭医生、社区卫生服务等,研究内容主要偏向于教育、培训、分级诊疗、健康管理、影响因素、签约服务、慢性病管理等,采用的研究方法主要为定性研究、问卷调查等。全科医生研究关键词共聚为17类,主要从全科医生制度国际经验借鉴、全科医生服务模式研究、全科医生绩效评价研究、全科医生服务能力研究、全科医生服务效果研究等方面展开分析。关键词前沿趋势分析:1986—1996年是全科医生研究的理论基础阶段;1997—2010年研究范围不断扩大,从理论基础研究逐渐转向应用型研究;2011—2017年研究方向逐渐转向对全科医生制度实施效果评价等方面的探讨。结论 全科医生研究相对丰富,但还存在事后成效分析相对不足、研究视野有待拓展、动态研究相对缺乏等问题,应不断加强该领域研究的统一性,聚焦全科医生服务的核心问题,制定适合当代和可持续发展的目标和定位。

关键词: 全科医生, 知识图谱, 可视化分析, Citespace, Ucinet