摘要
目的分析国内基层医防融合的研究现状、热点问题及发展趋势。方法该研究为文献计量学分析。检索2015年1月1日至2025年4月1日期间中国知网、万方数据、维普、中华医学期刊全文数据库、PubMed、Web of Science中与国内基层医防融合研究相关的文献,采用CiteSpace软件对纳入文献进行发文量、作者及其合作情况、机构、关键词的可视化分析。结果共纳入国内基层医防融合领域文献292篇。2015—2025年我国基层医防融合研究总体呈现上升趋势。按照发文量及其随时间的分布可将国内基层医防融合相关研究划分为萌芽探索阶段(2015—2020年)和快速发展阶段(2021—2025年)。发文机构主要以高校和研究中心为主,机构图谱密度较低(0.013),机构之间合作较为松散。作者共现图密度为0.0139,作者合作以小组团形式为主,缺乏跨区域合作。出现频次较高且中介中心性>0.1的关键词有慢性病(0.40)、公共卫生(0.23)、健康管理(0.18)、高血压(0.17)。关键词聚类分析前3位主要涉及公共卫生、慢性病、健康管理,2024—2025年突现强度较高的关键词包括大数据、健康素养、基层医院、传染病等。结论国内基层医防融合研究已进入快速发展期,研究热点聚焦于慢性病管理、基层医防融合模式实施现状与障碍,未来可能的研究趋势主要为智能技术应用以及公共卫生应急响应。
Objective To analyze the current status,research hotspots,and development trends on the integration of primary care and prevention in China.Methods This was a bibliometric analysis.Literature related to research on the integration of primary care and prevention in China was retrieved from CNIKI,Wanfang,VIP,Chinese Medical Journal Full Text Database,PubMed,and Web of Science for the period from January 1,2015,to April 1,2025.CiteSpace software was used to conduct a visual analysis of publication volume,authors and their collaborations,institutions,and keywords in the included literature.Results A total of 292 domestic publications on the integration of primary healthcare and public health were analyzed.Research on primary healthcare-public health integration in China exhibited an overall upward trend from 2015 to 2025.Based on publication volume and temporal distribution,domestic research can be categorized into an exploratory phase(2015-2020)and a rapid development phase(2021-2025).The institutions publishing relevant research were predominantly universities and research centers,with a low institutional network density(0.013),indicating relative weak inter-institutional collaboration.The co-occurrence density among authors was 0.0139.Collaboration predominantly occurred in small clusters,with limited cross-regional cooperation.Keywords that appeared frequently and had an intermediary centrality exceeding 0.1 included chronic diseases(0.40),public health(0.23),health management(0.18),and hypertension(0.17).Keyword clustering analysis showed that the top three categories mainly focused on public health,chronic diseases,and health management.Since 2024,emerging keywords with high burst intensity have included big data,health literacy,primary care hospitals,and infectious diseases.Conclusions Research on the integration of medical and preventive care at the primary healthcare level in China has entered a stage of rapid development.Current research hotspots focus primarily on chronic disease management,the implementation status and barriers of primary healthcare and prevention integration models.Future research is expected to emphasize the application of intelligent technologies,and the enhancement of public health emergency response capacity.
作者
胡清华
赵琳琳
常冰洁
杜娟
邵爽
Hu Qinghua;Zhao Linlin;Chang Bingjie;Du Juan;Shao Shuang(School of General Practice and Continue Education,Capital Medical University,Beijing 100069,China)
出处
《中华全科医师杂志》
2025年第12期1518-1524,共7页
Chinese Journal of General Practitioners
基金
北京市高层次公共卫生技术人才建设项目(学科骨干-03-26)
四大慢病重大专项(2023ZD0509600)。
关键词
基层医疗卫生机构
医防融合
文献计量学
可视化分析
Primary health care institutions
Integration of medicine and prevention
Bibliometrics
Visualization
