中国全科医学 ›› 2020, Vol. 23 ›› Issue (31): 3988-3993.DOI: 10.12114/j.issn.1007-9572.2019.00.765

• 专题研究 • 上一篇    下一篇

我国全科医师规范化培训的文献计量学研究

安振玉1,张绍群2*,胡虹3,邹宛均1   

  1. 1.400016重庆市,重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心 2.400016重庆市,重庆医科大学研究生院 3.400016重庆市,重庆医科大学图书馆
    *通信作者:张绍群,副教授,研究生导师;E-mail:316241639@qq.com
  • 出版日期:2020-11-05 发布日期:2020-11-05
  • 基金资助:
    基金项目:中华医学会医学教育分会、中国高等教育学会医学教育专业委员会2018年医学教育研究立项课题(2018B-N17026)

Bibliometric Study on Standardized Training of General Practitioners in China 

AN Zhenyu1,ZHANG Shaoqun2*,HU Hong3,ZOU Wanjun1   

  1. 1.School of Public Health and Management,Chongqing Medical University/Research Center for Medicine and Social Development/The Innovation Center for Social Risk Governance in Health,Chongqing 400016,China
    2.Graduate School of Chongqing Medical University,Chongqing 400016,China
    3.Library of Chongqing Medical University,Chongqing 400016,China
    *Corresponding author:ZHANG Shaoqun,Associate professor,Master supervisor;E-mail:316241639@qq.com
  • Published:2020-11-05 Online:2020-11-05

摘要: 背景 目前适合我国国情的全科医师培养模式已基本形成,但是培养体系还不健全。全科医师规范化培训作为我国培养高质量全科医生的主要途径,对此领域的研究进展进行总结显得尤为重要。目的 系统评价我国全科医师规范化培训领域的文献,为进一步完善全科医师规范化培训领域研究提供借鉴参考。方法 于2019年3—5月,以中国知网、万方数据知识服务平台和维普网3个数据库为数据来源,以“全科医生”+“规范化培训”、“全科医生”+“规范化培养”、“全科医生”+“规培”、“全科医师”+“规范化培训”、“全科医师”+“规范化培养”、“全科医师”+“规培”为关键词系统检索与我国全科医师规范化培训有关的文献,检索时间均设定为自建库至2018-12-31。利用文献计量学方法对纳入文献的作者、题名、文献来源、发表年份、发表机构等信息进行数据统计和描述性统计分析。利用CiteSpace对纳入文献关键词进行研究热点知识图谱分析。结果 最终纳入文献共459篇,刊载于140种期刊。第一作者所属单位共分布在166家机构,其中高等院校有85所(51.2%),首都医科大学发文量最高,为59篇;全科医师规范化培训研究作者单位较为集中,主要分布在北京、上海、浙江,3个城市或地区共计发布242篇文章(52.7%)。2002—2018年,我国全科医师规范化培训领域的文献数量总体上呈递增趋势(4篇增至86篇),其中2002—2011年发文量较少(3~14篇)且不稳定;2011—2012年发文量急剧增加(10篇增至38篇);2012—2013年发文量有下降的趋势(38篇减至27篇);2013—2018年发文量处于稳步增长阶段(27篇增至86篇)。发表1、2、3、4、5篇文章的作者数分别为307、41、16、3、2例,不符合洛特卡定律所规定的理论作者人数。全科医师规范化培训研究领域的高频关键词主要包括“全科医学”“社区卫生服务”“医学教育”“培养模式”“培训效果”等。结论 我国全科医师规范化培训研究处于稳定发展阶段但还不成熟。全科医师规范化培训受到我国较多学者关注,已形成了一批高产研究机构与发文期刊,但文章质量有待提高,缺少持续、稳定研究的学者。该领域研究热点主要集中于住院医师规范化培训教育的发展、全科医师规范化培训的现状调查、全科医师规范化培训模式的探索与创新3个方面。

关键词: 文献计量学, 全科医生, 规范化培训, 知识图谱分析

Abstract: Background The training mode of general practitioners(GPs) suitable for the national conditions of our country has been basically formed at present,while its training system is not perfect. As the main way to train high-quality GPs in China,it is particularly important to summarize the research progress of standardized training. Objective Through systematically evaluating the literature in the field of standardized training of GPs in China,it may provide reference for further improvement of the research on standardized training of GPs. Methods From March to May in 2019,three databases,China CNKI database,Wanfang Data Knowledge Service Platform and CQVIP database,were used as data sources to systematically retrieve literature related to the standardized training of GPs in China with the keywords of "全科医生"+"规范化培训","全科医生"+"规范化培养","全科医生"+"规培","全科医师"+"规范化培训","全科医师"+"规范化培养" and "全科医师"+"规培". The retrieval time was set from the establishment of the database to December 31, 2018. Data statistics and descriptive statistical analysis on the authors,titles,sources,years of publication,and publishing organizations included in the literature was conducted through bibliometric methods. CiteSpace was used to analyze the hotspot knowledge map of the key words included in the literature. Results A total of 459 articles were included from 140 journals. The first author belongs to 166 institutions,of which 85(51.2%) are colleges and universities,and Capital Medical University had the highest number of publications(59). The authors were concentrated in Beijing,Shanghai and Zhejiang with a total of 242(52.7%) publications. From 2002 to 2018,the number of publications in the field of standardized training of GPs in China showed an overall increasing trend(4 to 86 articles),among which the number of publications from 2002 to 2011 was small(3 to 14 articles) and unstable;the number of publications from 2011 to 2012 increased sharply(10 to 38 articles);the number of publications from 2012 to 2013 decreased(38 to 27 articles);the number of publications from 2013 to 2018 was in a steadily increasing stage(27 to 86 articles). The number of authors who published 1,2,3,4 and 5 articles was 307,41,16,3 and 2,respectively,which did not accord with the number of theoretical authors stipulated by Lotka's law. As for the key words frequently used in the field of standardized training of GPs,it included "general practice" "community health service" "medical education" "training mode" and "training effect". Conclusion When it comes to the research on standardized training of GPs in China,it is in a stable stage of development,but it has not been perfect yet. The standardized training of GPs has attracted the attention of many scholars in China,which has formed high-yield research institutions and periodicals. However,the quality of the articles needs to be improved because of lacking stable scholars researching continuously. The research hotspots in this field mainly focus on three aspects,such as the development of standardized training and education for residents,the investigation on the present situation of standardized training of GPs,and the exploration and innovation of standardized training mode for GPs.

Key words: Bibliometrics, General practitioners, Standardized training, Knowledge map analysis