基于CiteSpace的疾病診斷相關(guān)分組研究熱點(diǎn)分析

趙同香 王海英

[關(guān)鍵詞] DRGs;疾病診斷相關(guān)分組;Citespace;數(shù)據(jù)可視化

[中圖分類(lèi)號(hào)] G353.1;R-05? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）19-0001-06

Analysis of research hot spots of diagnosis related group system based on CiteSpace

ZHAO Tongxiang1? ?WANG Haiying2

1.Drug Clinical Trial Office，Shougang Hospital，Peking University，Beijing? ?100144， China; 2.Shougang Hospital，Peking University，Beijing? ?100144， China

[Abstract] Objective To analyze the literature data of DRGS research and determine the hot spots and development frontiers of DRGs research at home and abroad. Methods CNKI database and Web of Science database were used as data sources，and CiteSpace software was used to analyze the literature quantity，cooperative network and keyword co-occurrence of the research data. Results The DRGs research in the United States and Germany has a certain world-wide influence. The overall DRGs research in China fluctuated，but its international influence needed to be improved.The cooperation network of domestic authors and research institutions was more scattered than that of international ones，and there was less cross-regional cooperation.Overseas research focused on the payment characteristics and hot issues of DRGs，focusing on the disease research areas not covered by DRGs in the past，while domestic research focused on the reform of payment methods，data quality and performance evaluation. Conclusion China's DRGs system has been localized on the basis of drawing lessons from the experience of other countries，and the DRGs payment system has been promoted nationwide，which requires the joint participation of all parties and coordination of resources to make it applicable to clinical practice and serve hospitals.

[Key words] DRGs; Diagnosis related group system; Citespace; Data visualization

疾病診斷相關(guān)分組（Diagnosis related groups，DRGs）是20世紀(jì)60年代耶魯大學(xué)學(xué)者們研發(fā)的根據(jù)疾病診斷、合并癥、并發(fā)癥、治療方式、病癥嚴(yán)重程度等因素，將患者分入若干診斷組進(jìn)行管理的工具[1]。德國(guó)、澳大利亞、法國(guó)、英國(guó)、波蘭、奧地利、泰國(guó)、新加坡等國(guó)家相繼開(kāi)展了DRGs的相關(guān)研究，并取得不錯(cuò)的成果[2]。隨著臨床數(shù)據(jù)可得性、編碼質(zhì)量、管理能力的逐步提升，以及各國(guó)經(jīng)驗(yàn)的積累，全球DGRs經(jīng)歷了多個(gè)版本的重大演變，DGRs在原來(lái)的病歷組合、費(fèi)用控制基礎(chǔ)上衍生出風(fēng)險(xiǎn)調(diào)整、醫(yī)院成本管理、醫(yī)療服務(wù)績(jī)效評(píng)價(jià)等功能。我國(guó)DRGs起步較晚，基于美國(guó)、德國(guó)等經(jīng)驗(yàn)和我國(guó)政策環(huán)境，對(duì)DRGs進(jìn)行了本土化改革[3]，2014年國(guó)家DRGs質(zhì)控中心建立了CN-DRGs系統(tǒng)（China diagnosis related groups，CN-DRGs），2017年國(guó)家衛(wèi)健委主導(dǎo)C-DRGs（Classification of cases diagnosis related groups，C-DRGs）改革試點(diǎn)，本文通過(guò)以CNKI數(shù)據(jù)庫(kù)和Web of Science數(shù)據(jù)庫(kù)為基礎(chǔ)，分析國(guó)內(nèi)外DRGs研究現(xiàn)狀、熱點(diǎn)和發(fā)展趨勢(shì)。

1資料與方法

1.1數(shù)據(jù)來(lái)源

①CNKI數(shù)據(jù)庫(kù)：檢索策略：主題=“Diagnosis Related Groups”或“疾病診斷相關(guān)分組”或摘要=“Diagnosis Related Groups”或“疾病診斷相關(guān)分組”;時(shí)間限定=1981年1月1日至2019年12月31日，剔除背根神經(jīng)節(jié)（Dorsal root ganglion）、神經(jīng)元（Neurons）、神經(jīng)組織（Nerve tissue）等與本研究無(wú)關(guān)的記錄，共篩選出中文文獻(xiàn)2215篇，全部記錄以RefWorks格式輸出數(shù)據(jù)。②Web of Science數(shù)據(jù)庫(kù)：檢索策略：選擇數(shù)據(jù)庫(kù)：web of science核心集合，主體：diagnosis-related-groups，時(shí)間跨度：1981年1月1日至2019年12月31 日，引文索引：“Science Citation Index Expanded（SCI-EXPANDED）--1900年至今”;共篩選出2483篇文獻(xiàn)，全部記錄以WOS格式輸出數(shù)據(jù)。