全科医学中以人为中心健康照顾相关研究热点与国内外发展趋势的可视化分析

高晓彤; 张强; 于凯; 陈歆悦; 何旖旎; 赫晓晴; 于晓松; 王爽

doi:10.16766/j.cnki.issn.1674-4152.004430

全科医学中以人为中心健康照顾相关研究热点与国内外发展趋势的可视化分析

doi: 10.16766/j.cnki.issn.1674-4152.004430

中国医科大学附属第一医院全科医学科，辽宁沈阳 110001

基金项目:

国家自然科学基金青年科学基金项目 82400921

辽宁省民生科技计划项目 2021JH2/10300014

详细信息

通讯作者:
王爽，E-mail：wangshuang@cmu1h.com

中图分类号: R499
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- 文章访问数: 13
- HTML全文浏览量: 7
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2025-07-14
- 网络出版日期: 2026-06-02

Visual analysis of the research hotspots and the development trends at home and abroad related to patient-centered health care in general practice

Department of General Practice, 1st Hospital of China Medical University, Shenyang, Liaoning 110001, China

摘要

摘要: 目的对全科医学(GP)中以人为中心健康照顾(PCC)进行动态和纵向的文献计量学分析, 以探究全科医学中以人为中心健康照顾(PCC)相关研究热点与国内外发展趋势。方法在Web of Science Core Collection (WoSCC)数据库中检索2013-2023年关于"GP中PCC "的相关文献和综述。使用可视化文献计量分析软件Excel、VOSviewer和CiteSpace分析。结果本次检索共纳入来自102个国家发表在733种期刊上的2 126篇研究。基于国家和地区分析, 欧美国家和中国是该研究领域的贡献主力军。基于期刊和关键词分析, 过去10年该研究领域以初级卫生保健的健康问题为研究重点, 与心脑血管疾病和糖尿病、公共卫生和精神心理疾病、老年医学和慢性病以及肿瘤学等领域存在着紧密联系和广泛交叉。" GP中PCC "的研究主题包括初级卫生保健中的PCC及质量评价、医患沟通及共同决策、癌症照顾及生命质量, 以及疾病患病率、疾病管理和疾病结局。在新时期背景下, " GP中PCC "与国家卫生政策的制定和改革密切相关, " GP中PCC"的概念和具体实施办法被不断地健全和推进。结论本分析提供了过去10年在全科医学领域中PCC相关研究的较全面概述, 为临床医生提供实践指导, 为研究人员和卫生保健政策制定者提供该领域的循证证据和科学参考。在未来, 将鼓励医疗卫生体系根据国情, 构建具有多元化和普适性的全科医学PCC模型, 更好地为医疗体系服务, 改善国民健康。
- 全科医学 /
- 以人为中心健康照顾 /
- 初级卫生保健 /
- 系统综述 /
- 文献计量学分析
Abstract: Objective To conduct a dynamic and longitudinal bibliometric analysis of patient-centered care (PCC) in general practice (GP) in order to examine the research hotspots and domestic and international development trends related to PCC in general practice. Methods Relevant literature and reviews regarding "PCC in GP" were retrieved from the Web of Science Core Collection (WoSCC) database for the period 2013-2023.Visualization bibliometric analysis software Excel, VOSviewer, and CiteSpace were used for analysis. Results A total of 2 126 studies published in 733 journals from 102 countries were included in this search.Based on analysis by country and region, European and American countries, along with China, were the main contributors to this research field.Based on journal and keyword analysis, over the past decade, the focus of research in this field has been on health issues in primary health care, with close connections and extensive intersections with cardiovascular diseases and diabetes, public health and mental health, geriatrics and chronic diseases, as well as oncology.Research themes on "PCC in GP" include PCC and quality evaluation in primary health care, doctor-patient communication and shared decision-making, cancer care and quality of life, as well as disease prevalence, disease management, and disease outcomes.In the context of the new era, "PCC in GP" was closely related to the formulation and reform of national health policies; the concept and specific implementation methods of "PCC in GP" were continuously being improved and promoted. Conclusion This analysis provides a comprehensive overview of PCC-related research in the field of general practice over the past decade, offering practical guidance for clinicians and providing evidence-based insights and scientific references for researchers and health care policymakers in this field.In the future, we encourage the healthcare system to construct a diversified and universal model of PCC in general practice, tailored to the challenges and changes of national conditions, to better serve the healthcare system and improve the health of the population.
- General practice /
- Patient-centered care /
- Primary healthcare /
- Systematic review /
- Bibliometric analysis

HTML全文

图 1 2013—2023年“GP中PCC”的文章发表趋势

注：右纵轴数值代表发文量，左纵轴数值代表被引频次。柱状图表示年发文量，红色虚线表示发文量的趋势线。

Figure 1. The trends for 'PCC in GP' publications from 2013 to 2023

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图 2 “GP中PCC”期刊间合作的网络可视化(A)和密度可视化(B)

Figure 2. Network visualization (A) and density visualization (B) of inter-journal collaboration for PCC in GP

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图 3 引用期刊间合作的网络可视化(A)与“GP中PCC”研究相关期刊的双地图叠加(B)

Figure 3. Network visualization of inter-journal collaboration (A) and dual-map overlay of journals related to the 'PCC in GP' study (B)

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图 4 关键词间的关联

注：A为关键词间关联的网络可视化；B为覆盖可视化；C为与“GP中PCC”研究相关的文章中被引频次最高的25个关键词。红色表示关键词的出现。

Figure 4. Association between keywords

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表 1 2013—2023年发表“GP中PCC”相关文章排名前10的国家

Table 1. Top 10 countries that published articles on 'PCC in GP', 2013-2023

排名	国家	国家英文	篇数 (n)	百分比 (%)	引用 (n)	总关联强度
1	美国	USA	657	30.90	11 199	41 617
2	英国	England	188	8.84	4 335	26 913
3	加拿大	Canada	157	7.38	3 349	23 619
4	澳大利亚	Austrilia	133	6.26	3 468	21 503
5	荷兰	Netherlands	121	5.69	1 899	20 758
6	德国	Germany	116	5.46	1 581	11 951
7	中国	China	108	5.08	865	6 586
8	印度	India	105	4.94	756	1 398
9	瑞士	Switzerland	84	3.95	1 092	11 143
10	西班牙	Spain	70	3.29	906	8 361

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表 2 2013—2023年发表“GP中PCC”相关论文排名前10的期刊

Table 2. Top 10 journals that published papers on 'PCC in GP ', 2013-2023

期刊名	篇数 (n)	百分比 (%)	引用次数 (n)	总关联强度	国家	影响因子 (分区)	分类
Bmc health services research	82	11.19	1 346	5 295	英国	2.7(Q2)	卫生保健科学与服务
Bmj open	106	14.46	1 322	5 216	英国	2.4(Q1)	普通内科医学
PLos One	72	9.82	1 109	2 258	美国	2.9(Q1)	多学科科学
Journal of general internal medicine	34	4.64	678	1 283	美国	4.3(Q1)	卫生保健科学与服务
Annals of family medicine	19	2.59	659	733	美国	4.4(Q1)	初级保健护理
Bmc family practice	49	6.68	526	2 432	英国	3.2(Q1)	初级保健护理
Health expectations	25	3.41	477	2 743	英国	3.0(Q2)	卫生保健科学与服务
Journal of pain and symptom management	15	2.05	398	360	美国	3.2(Q2)	卫生保健科学与服务
Patient education and counseling	20	2.73	395	1 609	爱尔兰	2.9(Q1)	公共、环境与职业卫生
Journal of the American board of family medicine	24	3.27	332	520	美国	2.4(Q1)	初级保健护理

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表 3 2013—2023年“GP中PCC”相关论文中排名前25的关键词

Table 3. Top 25 keywords that published papers on 'PCC in GP', 2013-2023

排名	关键词	出现次数	总关联强度
1	以人为中心健康照顾(patient-centered care，PCC)	300	1 275
2	初级卫生保健(primary health care)	297	1 171
3	结果(outcomes)	259	1 027
4	医疗质量(quality of care)	226	920
5	医疗保健(health care)	205	880
6	管理(management)	192	627
7	影响(impact)	167	657
8	患病率(morbidity)	167	492
9	全科医生(general practitioner)	160	643
10	健康(health)	146	568
11	死亡率(mortality)	144	408
12	沟通(communication)	141	674
13	患者体验(patient experience)	129	561
14	患者满意度(satisfaction)	128	550
15	癌症(cancer)	120	483
16	共享决策(share decision-making)	119	558
17	生活质量(quality of life)	118	425
18	人(people)	108	457
19	疾病(disease)	103	368
20	干预(intervention)	103	426
21	风险(risk)	101	333
22	定性研究(qualitative research)	100	408
23	新冠(Covid 19)	98	126
24	医生(physician)	96	415
25	诊断(diagnosis)	84	275

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