摘要
背景在医疗保险碎片化及人口流动常态化的背景下,如何为异地就医患者提供更加便捷高效的医疗结算服务日益成为实践界和理论界所共同关注的热点问题。目的分析我国异地就医问题研究现状、热点及演化趋势,为异地就医研究提供借鉴。方法在中国知网数据库中检索建库至2023-06-10以我国异地就医问题为主题的相关文献,采用CiteSpace软件定量分析异地就医领域文献数据,对发文时间、发文作者、发文机构、关键词等方面的特征开展知识图谱的可视化分析。结果共检索到有效文献590篇。我国异地就医领域研究的文献2009年突破个位数(16篇),此后年发文量呈波浪形变化趋势。核心作者(发文量≥3篇)57位,合计发文量为238篇(40.34%);作者合作网络密度值为0.051。研究机构以高校、科研院所、医疗机构和地方医保管理部门为主;发文量排名第一位的研究机构是中国医学科学院医学信息研究所(22篇),其次为中国药科大学国际医药商学院(9篇)、华北理工大学(8篇)、复旦大学附属华山医院(6篇)、江西中医药大学(6篇);研究机构合作网络密度仅为0.0016。关键词词频分析:关键词网络图谱中共有424个节点和1188条连线,网络密度为0.0132。“异地就医”“医疗保险”“跨省就医”“异地结算”在关键词共现网络中占据中心地位。关键词聚类时间线图谱分析:除“异地就医”外,共形成了“医疗保险”“直接结算”“管理”“新农合”“跨省就医”“满意度”“长三角”“分级诊疗”九大聚类主题。结论我国异地就医领域研究质量与深度在不断提升,但在研究方法、研究内容与合作网络等方面仍存在不足,需聚焦异地就医难点/热点问题,创新研究方法,不断强化研究者跨机构交流与合作。
Background In the context of fragmented medical insurance and normalized population mobility,how to provide more convenient and efficient medical fee settlement services for patients with cross-regional medical treatment has become a hot issue of common concern in practice and theory.Objective To analyze the current situation,hotspots and evolutionary trends of research on the issue of cross-regional medical treatment in China,so as to provide a reference for the research on cross-regional medical treatment.Methods CNKI was searched for papers in the field of cross-regional medical treatment in China from inception to 2023-06-10.CiteSpace software was used to perform quantitative analyze of literature data in the field of cross-regional medical treatment and visual analysis of knowledge graph in terms of publication time,author,institution and keywords.Results A total of 590 papers were finally retrieved.The publication volume in the field of cross-regional medical treatment in China broke through the single digit for the first time in 2009 to 16,and exhibited a fluctuating trend in the following years.There were 57 core authors who published more than 3 articles,and the total number of published articles was 238,accounting for 40.34%of the total number of sample articles,with the author collaborative network density of 0.051.Most of the articles were published by universities,research institutes,medical institutions and local health insurance management departments.Institute of Medical Information Sciences Chinese Academy of Medical Sciences ranked first with 22 publications,followed by the School of International Pharmaceutical Business,China Pharmaceutical University with 9 publications,North China University of Science and Technology with 8 publications,Huashan Hospital affiliated to Fudan University with 6 publications,and Jiangxi University of Chinese Medicine with 6 publications.The collaborative network density among research institutions was only 0.0016.Keyword frequency analysis showed 424 nodes and 1,188 edges in the keyword network mapping,with a network density of 0.0132,"cross-regional medical treatment""medical insurance""cross-provincial medical treatment"and"different settlement"occupied a central positions in the co-occurring keyword network.Keyword clustering timeline mapping analysis showed a total of nine clustering themes formed,including"different settlement""medical insurance""immediate reimbursement""management""New Rural Cooperative""cross-provincial medical treatment""satisfaction""Yangtze River Delta""hierarchical diagnosis and treatment".Conclusion The quality and depth of research in the field of cross-regional medical treatment in China are continuously improving.However,there are still deficiencies in research methodology,research content and collaborative network.It is necessary to focus on challenges and issues in the field of cross-regional medical treatment,promote the innovation of research methods,and continuously strengthen the communication and cooperation among scholars.
作者
刘畅
王宇菲
LIU Chang;WANG Yufei(School of Public Finance and Administration,Tianjin University of Finance and Economics,Tianjin 300222,China)
出处
《中国全科医学》
北大核心
2024年第12期1525-1532,共8页
Chinese General Practice
基金
国家社会科学基金项目(21BGL236)
天津市研究生科研创新项目(2022SKY340)。
关键词
诊室就医
异地就医
保险
长期医疗
CITESPACE
文献计量分析
研究热点
研究趋势
Office visits
Cross-regional medical treatment
Insurance,long-term care
CiteSpace
Bibliometric analysis
Research hotspot
Emerging trends
