Chinese General Practice ›› 2021, Vol. 24 ›› Issue (1): 1-10.DOI: 10.12114/j.issn.1007-9572.2021.00.073

• Monographic Research •     Next Articles

Theme Analysis of Academic Journals of General Practice Worldwide 

  

  1. 1.Monash University,Melbourne 3168,Australia
    2.Chinese General Practice Press,Beijing 100053,China
  • Published:2021-01-05 Online:2021-01-05

国际全科期刊的主题分析

  

  1. 1.3168 Monash University,Melbourne,Australia
    2.100053北京市,中国全科医学杂志社

Abstract: Background Articles published in academic journals of professional colleges reflect status and direction of the discipline. Different with standardized systematic review,purposeful analysis of college journals will provide much specific information for development of the discipline,the journals and the industry. Objective To analyze the journals of general practice worldwide to grasp the development trend of general practice research,providing a significant reference for general practice research and management of related academic journals in China. Methods Representative academic journals worldwide published by general practice/family medicine organizations were purposively selected and searched,in which the articles published during September 2019 to September 2020 were enrolled,and their themes,study objects,research methods and other key essentials were analyzed. Results (1)The included 10 journals have rapid responses to the times,for example,101 articles about COVID-19 were published in them during the year,including 9 research articles.(2)The journals published a total of 1 524 articles in the year. Among them,the top four with the most number of articles published were British Journal of General Practice(BJGP),Canadian Family Physician(CFP),Australian Journal of General Practice(AJGP),and the Annals of Family Medicine(AFM).(3)Research articles numbered 463,accounting for 30.4% of the total articles. Most of them published in BJGP and AFM,followed by Scandinavian Journal of Primary Health Care(SJPHC),AJGP,and CFP.(4)The first authors of the research articles come from 25 countries / regions,with the U.K.,the United States,Canada,Australia,New Zealand,Japan,Sweden,Norway,Malaysia,the Netherlands,Denmark and Finland ranking high.(5)One hundred and six research articles had participants with clear socio-demographic features,with the elderly,children and adolescents,women,vulnerable groups and ethnic groups as the target populations sorted in terms of study frequencies from most to least. One hundred and seven focused on current and future human resources of general practices,involving general practitioners / essential medical services providers,members of the general practice team,other workers,medical students and general practitioner trainees. The present performances of general practices were also a frequent concern. One hundred and fifty-six articles studied specific diseases and problems,with four categories classified by the ICPC-2 were mainly involved:cardiovascular diseases or problems,endocrine,metabolic and nutritional diseases,psychological or mental disorders,and respiratory diseases.(6)The studying problems of research articles were diversified,involving a wide range of aspects.(7)The interventions or measures included in the research articles consisted of general clinical diagnosis and treatment,service system management,critical thinking,general practice education and leadership,rational use of drugs,integrated multidisciplinary care,electronic services,quality and safety,and so on.(8)Quantitative research method was the most frequently used method,which was adopted in 284(61.3%) research articles,including 47 with an experimental design(23 randomized controlled trials and 24 non-randomized controlled trials),and 237 with an observational design(containing 161 descriptive analyses without controls). Qualitative research method was used in 108(23.3%) research articles. The most frequently used type was key informant in-depth interview(72 articles),followed by focus group discussion(11 articles). Mixed research methods were used in 24 research articles(5.2%). Conclusion Academic journals of general practice organisations should give responses to community needs,with subjects determined in accordance with community health needs,and a focus on general practice human resource development,and various problems and diversified interventions. Moreover,for articles to be published in an issue,quantitative or observational research method is recommend for most of which,and the number of articles using qualitative research method is suggested to be less than 20% of the reviews. Furthermore,for improving the academic level of academic journals of general practice in China,the review of related academic journals worldwide is a good approach.

Key words: General practice, Family medicine, Periodicals, Journal article, COVID-19

摘要: 背景 专业学会的学术期刊所刊载的文章,反映出该学科领域的发展程度和方向。不同于通常的科研文章的“海选”式的系统评估,从学科期刊的角度评价,可以对学科、期刊和行业发展提出更有针对性的信息。目的 通过对国际上全科医学学科同行期刊的分析,了解全科医学科研的发展现状与趋势,为中国全科医学学术研究和学术期刊管理提供有意义的借鉴。方法 有目的地选择和检索国际有代表性的全科医学/家庭医学专业组织的学术期刊,并提取其中2019年9月—2020年9月的期刊文章、研究主题、研究对象及研究方法等关键信息。结果 (1)以新型冠状病毒肺炎为例,发表101篇文章,其中9篇为研究类文章,反映出全科学术期刊具有一定的响应性。(2)近一年10本期刊共发表文章1 524篇,发文量排在前4位的分别为《英国全科医学杂志》(BJGP)、《加拿大家庭医师》(CFP)、《澳大利亚全科医学杂志》(AJGP)、美国《家庭医学年报》(AFM)。(3)科研文章的发文量为463篇,占总发文量的30.4%。科研文章发文量以BJGP和AFM居多,其次是《斯堪的纳维亚初级卫生保健杂志》(SJPHC)、AJGP、新西兰《初级卫生保健杂志》(JPHC)、CFP。(4)10本期刊科研文章的第一作者来自25个国家/地区,排在前列的为英国、美国、加拿大、澳大利亚、新西兰、日本、瑞典、挪威、马来西亚、荷兰、丹麦、芬兰。(5)106篇科研文章有明确的人口社会学特征服务对象,排序分别为老年人、儿童和青少年、妇女、弱势群体和族群。有107篇研究关注全科医学服务现在和未来的人力资源及所做工作,涉及全科医生/基本医疗服务提供者、全科团队成员、其他工作者、医学生和全科学员。有156篇文章的研究对象是具体疾病和问题人群,按照基层医疗国际分类第2版(ICPC-2),第1类为心血管系统疾病或问题,第2类为内分泌/代谢和营养疾病或问题,第3类为心理和精神疾病或问题,第4类为呼吸系统疾病或问题。(6)科研文章的研究问题多样化,涉及广泛。(7)科研文章涉及的干预或措施包括全科临床诊治、服务系统管理、评判思维、全科教育和领导、药物合理使用、多科学整合服务、电子化服务、质量与安全等。(8)科研文章最常用的研究方法是定量方法,占全部科研文章的61.3%(284/463)。在定量研究中,试验性研究有47篇,包括随机对照试验23篇、非随机对照试验24篇;余237篇(83.5%)定量研究为观察性研究,且161篇为未设立对照组的描述性研究。108篇(23.3%)科研文章采用质性研究方法,知情人个别深入访谈是采用最多的质性研究方法(72篇),其次为焦点小组访谈方法(11篇)。多种研究方法混合使用的科研文章为24篇(5.2%)。结论 全科医学学会期刊对社区需要具有一定的响应性,研究对象与社区健康需要相一致,并关注全科人力资源发展,研究问题和干预措施多样化。研究方法以定量观察研究为主,且质性研究文章超过文章总数的1/5。建议通过对国际学科文献的评价,进一步提高国内学科期刊的学科水平。

关键词: 全科医学, 家庭医学, 期刊, 期刊论文, 新型冠状病毒肺炎