2001-2011年中文期刊发表的艾滋病评价研究文献计量分析

目的分析中文期刊发表的关于艾滋病评价方面的中文文献的现状、特点及发展方向。方法由两名研究人员讨论确定检索词,以中国知网(China national knowledge internet,CNKI)为基础进行检索,然后根据纳入和排除标准对检索到的文献进行筛选。对筛选过后的文献从发表年份和数量、题录类型、发表期刊、评价主题及基金资助情况进行分析。结果筛选出符合纳入标准的903篇文献,发表文献数量总体上呈上升趋势;刊登此类文献最多的杂志是《中国健康教育》;有307篇文献(33.40%)获得了基金资助,其中有144项为国际合作项目基金;有43.74%的文献的评价主题/对象是关于艾滋病宣传教育评价的,而对艾滋病其他方面的评价涉及较少。结论国内应加大对艾滋病评价工作的投入,注意艾滋病各领域评价工作的均衡发展。     

中文期刊发表的以网络为基础的健康教育文献计量分析

目的分析中文期刊发表的以网络为基础开展的健康教育研究的中文文献现状、特点及发展方向。方法由1名研究人员和1名检索人员讨论确定检索词,共检索了4个中文数据库,根据纳入标准筛选文献。对筛选的文献从发表年份、发表期刊、应用领域、研究对象、研究类型和基金资助情况进行统计分析。结果筛选出符合纳入标准的139篇文献,发表数量总体上呈上升趋势;刊发此类文献最多的是《中国健康教育》;69.8%的文献集中于心理健康教育领域;63.5%的健康教育对象为学生;第一作者主要来自大学(58.3%);较少有文献对网络的健康教育效果进行评价(5.0%);较少的文献获得了基金的资助(7.9%)。结论以网络为基础的健康教育研究要提高健康教育的质量,加大对应用效果的评估,扩大研究应用的领域。     

我国家庭医生签约服务绩效评价研究

目的:了解我国家庭医生签约服务绩效评价研究现状.方法:系统检索中国生物医学文献数据库、中国知网、万方数据知识服务平台等关于家庭医生签约服务绩效评价的文献,检索时间限定为2008年1月-2018年11月.运用文献计量法和内容分析法对纳入文献进行资料分析.结果:最终纳入分析的文献有29篇.第一作者工作单位为高校和科研机构、政府管理部门、基层医疗卫生服务机构的分别为16篇(55.17%)、3篇(10.34%)、10篇(34.48%);发表于核心期刊的文献为11篇(68.75%),其中《中国全科医学》占5篇(31.25%);华东地区高校学位论文数量最多,为8篇(61.54%).家庭医生签约服务产出评价以服务数量、质量、费用、可及性等方面为主;签约服务结果评价以签约居民的健康状况改善、健康和就医行为的变化及供需方的满意度测量方面为主.文献调研法和德尔菲法是研究使用频次最高的方法,确定权重方法使用较多的是层次分析法和百分权重法.结论:斟酌评价指标的合理性和可操作性;组合使用评价方法;绩效评价研究可在评价内容、模式、指标目标值及方向上继续深入探索.     

中文期刊发表的以网络为基础的健康教育文献计量分析

目的 分析中文期刊发表的以网络为基础开展的健康教育研究的中文文献现状、特点及发展方向.方法 由1名研究人员和1名检索人员讨论确定检索词,共检索了4个中文数据库,根据纳入标准筛选文献.对筛选的文献从发表年份、发表期刊、应用领域、研究对象、研究类型和基金资助情况进行统计分析.结果 筛选出符合纳入标准的139篇文献,发表数量总体上呈上升趋势;刊发此类文献最多的是<中国健康教育>;69.8%的文献集中于心理健康教育领域;63.5%的健康教育对象为学生;第一作者主要来自大学(58.3%);较少有文献对网络的健康教育效果进行评价(5.0%);较少的文献获得了基金的资助(7.9%).结论 以网络为基础的健康教育研究要提高健康教育的质量,加大对应用效果的评估,扩大研究应用的领域.     

公共卫生Cochrane系统评价证据流行病学特征分析

目的以Cochrane系统评价为例,分析公共卫生领域高级别证据的流行病学和描述性特征,为公共卫生循证决策提供参考依据。方法于2018年4月30日检索Cochrane library数据库收集公共卫生领域相关的Cochrane系统评价,应用EndNote X7、Excel 2013和Ucinet 6.0软件对纳入的文献进行筛选管理和数据分析。结果初检获得112篇文献,依据纳入排除标准筛选最终纳入69篇文献,其中高质量33篇、中等质量34篇;发表年份为2008—2018年,其中2010年发表文献最多(14篇,20.3%),2014年发表文献最少(2篇,2.9%);通讯作者主要来自英国(28篇,40.6%)、澳大利亚(12篇,17.4%)和美国(9篇,13.0%),仅5名中国学者以合作者身份参与研究;研究主题以"预防伤害"(22篇,31.9%)和"预防道路交通伤害"(18篇,26.1%)为主;纳入研究设计主要包括随机对照试验(58篇,84.1%)、临床对照试验/非随机和半随机对照试验(26篇,37.7%)、前后对照试验(32篇,46.4%)和间断地时间序列研究(19篇,27.5%);关键词社会网络图显示,"Intervention"、"Prevention"、"Program"、"Injury"、"Education"、"Children"、"Worker"、"Adults"均位于网络的核心位置,是公共卫生领域的研究热点。结论公共卫生研究领域中Cochrane系统评价以中国学者作为第一作者或通讯作者发表的研究甚少,纳入的研究主要关注伤害与道路交通伤害的预防。     

我国老年人艾滋病防治文献计量学分析

目的通过对国内老年人艾滋病相关文献进行计量学分析,了解其发展现状及特点,为制定相关防治措施提供科学依据。方法按照严格的检索策略,检索CNKI、VIP、WANFANG三大中文数据库,检索时间为2000—2016年,对文献发表年份、作者情况、科研基金资助情况、关键词情况、期刊分布、文献引用和被引情况、文献质量等数据进行计量,通过Excel、Ucinet 6.0等软件进行可视化分析。结果共纳入文献182篇,年均发文量为14篇,2004年开始出现该类文献2篇(1.1%),2016年发文量最多33篇(18.13%);作者共计782名,人均发文量0.23篇,合著率为88.46%,合作度为4.3。第1作者发文量最多7篇(3.85%),所有作者单位共计178个,发文量最多的单位10篇(3.80%);共有68篇(37.36%)获得基金资助;发表期刊中核心期刊34个(45.33%),7篇随机对照实验文献质量处于中低水平。结论我国老年人艾滋病防治文献处于发展阶段,研究主题有待扩展及深入,应加强人员合作,扩大基金支持覆盖,进一步提高文献质量,从而促进我国老年人艾滋病防治工作的发展。     

中国母乳喂养与学龄儿童乳牙龋齿关系meta分析

目的综合评价母乳喂养对学龄儿童龋齿的影响作用,为龋齿早期预防提供科学依据。方法系统检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、维普(VIP)和万方数据库中1996—2015年发表的有关喂养方式与儿童龋齿文章,采用Stata 11.0软件进行meta分析。结果共纳入符合标准文献20篇,17篇为横断面研究,3篇为病例对照研究,样本总量为18 707例;与非母乳喂养组比较,母乳喂养降低儿童龋齿的发病风险(OR=0.581,95%CI=0.433~0.779,P0.001);亚组分析结果没有明显降低异质性,并且显示只有在2005年之前发表、非核心期刊、横断面研究、汉族、龋齿未参考WHO诊断标准、北方地区人群的研究中,母乳喂养可降低儿童龋齿的患病率;敏感性分析结果显示,所有纳入文献稳定性较好;所纳入文献不存在发表偏倚。结论母乳喂养对学龄儿童龋齿发生有明显保护作用,因此要提倡母乳喂养。     

我国癌症患者就医延迟相关研究文献计量学分析

目的:分析我国癌症患者就医延迟的研究现状。方法:检索中国知网(CNKI)、万方数据知识服务平台、中国生物医学文献数据库(CBM)、维普科技期刊数据库(VIP)四大中文数据库从建库至2022年10月31日发表的有关我国癌症患者就医延迟的相关文献。经文献筛选后,采用Excel 2016建立数据库,对筛选出的文献的发表年份、地域分布、机构分布、期刊分布、研究内容等进行计量学分析。结果:共纳入34篇文献,51.3%的文献均发表在护理期刊。研究方法以定量研究居多,定量研究文献16篇,占47.1%;质性研究文献5篇,占14.7%。研究内容主要集中在现状与影响因素分析。结论:我国对癌症患者就医延迟问题的关注较晚,研究较少。而癌症患者就医延迟率差异较大,就医行为受多种因素的影响,需要丰富相关研究,依据已明确的就医延迟影响因素,实施干预研究,促进患者及时就医,改善患者预后。     

大骨节病中文文献计量学分析情报信息

目的分析中国内地大骨节病研究的现状,为未来大骨节病的研究提供借鉴意义。方法系统检索中国期刊全文数据库、中国生物医学文献数据库、中文科技期刊全文数据库和数字化期刊全文数据库,纳入所有关于大骨节病的中文期刊文章。数据计算采用SPSS17.0软件进行描述性分析。结果 1957-2012/08发表的大骨节病文献为2 680篇,其中1980年以后文献量为2 495篇(93.10%);共有3 454个作者在此期间从事大骨节病的相关研究,其中2 298个作者(66.53%)参与1篇研究,但仅20个作者(0.58%)参与的研究多于30篇;34.78%的研究以"大骨节病"作为关键词;纳入的2 680篇研究分布于512种期刊,由681个研究结构参与完成。结论我国大骨节病相关论文集中发表于1980年之后。具有参与作者众多、核心作者数少,研究机构和期刊分布广泛等特点。     

青少年和成人百日咳疫苗加强免疫策略卫生经济学研究的系统评价北大核心

目的系统评价青少年和成人百日咳疫苗加强免疫的卫生经济学研究质量和结果。方法通过Pubmed、中国知网等数据库检索2000年1月-2020年1月发表的青少年和成人百日咳疫苗加强免疫卫生经济学研究文献,采用卫生经济研究统一整理评估报告标准(Consolidated health economic evaluation reporting standards,CHEERS)评分(满分24分)评价文献质量,分析卫生经济学评价结果。结果共纳入符合标准的研究文献16篇,均为国外文献,文献的CHEERS评分平均为22.56分(范围:20-24分)。针对青少年或成人百日咳加强免疫策略,8篇研究认为符合成本效果或节约成本(7篇研究人群为青少年),5篇研究认为在一定条件下(如百日咳发病率>50/10万)符合成本效果,3篇研究认为不符合成本效果。结论纳入的研究文献质量较高;经济学评价结果倾向于支持青少年百日咳加强免疫策略,而成人加强免疫策略评价结果差异较大。建议开展中国百日咳免疫策略的卫生经济学研究。     

中国科学引文数据库及其在科技期刊评价工作中的应用

简要介绍了中国科学引文数据库的来源文献、引文数据的加工原则、检索和统计分析功能以及印刷版、光盘版产品,结合实例讨论了利用该库数据在科技期刊统计分析和评价工作中的应用,介绍了该库扩大来源期刊收录范围、研制出版《中国科技期刊引文报告》等的情况。     

The comparative performance of for-profit and nonprofit home health care services in the US

OBJECTIVE: To determine, by way of an exhaustive, systematic, and comprehensive review and summary of all scientific published studies, whether or not there are any performance differences between private for-profit and private nonprofit home health care providers. The second objective is to discover the proportion of all research on this topic that is devoted to home health care services compared to all other health services providers. DATA SOURCES: Computerized bibliographic searches of relevant databases and published indexes and abstracts were undertaken. They included Medline (Ovid and Pubmed versions), Web of Science (Social Sciences Citation Index and Science Citation Index), ABI/Inform, and Sociological Abstracts. Follow-up searches of reference lists in each article obtained from the computerized search were then completed. STUDY DESIGN: This systematic review retained for analysis all published studies that compared the performance of for-profit and nonprofit health care providers on access, quality, cost/efficiency, and/or amount of charity care, based on data collected after 1980. As a quality control measure only studies published in peer reviewed journals were included. Studies were coded according to the article's stated conclusions: for-profit superiority, nonprofit superiority, or no difference/mixed results. PRINCIPAL FINDINGS: The comparative performance of for-profit and nonprofit home health service organizations is one of the most understudied areas of health care provider services in the US today. Only 6 of the over 1030 comparisons of the two concerned home health care. No data on this topic have been collected since 1991, and no articles about it have been published in a peer-reviewed journal since 1995. CONCLUSION: Research on the relative performance of for-profit and nonprofit home health care services is a research priority urgently in need of attention.     

基于文献计量分析的科研管理探索——以2008—2017年首都医科大学附属北京安贞医院SCI论文为例

目的 通过分析首都医科大学附属北京安贞医院2008—2017年SCI论文发表情况,评价医院的科研发展状况和水平,为科研管理部门制定决策提供量化依据。方法 以SCI EXPANDED数据库为数据来源,检索2008—2017年北京安贞医院以第一作者和通讯作者发表的SCI论文。分别从论文数量、发表期刊分布和影响因子、论文被引用、论文学科分布和论文的基金资助5个方面,对医院发表的SCI论文进行了统计分析。结果 2007—2018年SCI共收录论文1 731篇,其中综述和论著类论文1 156篇。论文数量呈逐年增长趋势,2008年开始明显加快。所有SCI论文发表在375种期刊上,平均每种期刊刊载4.61篇论文;期刊影响因子在3分以上杂志共收录315篇综述和论著类论文,占总数的27.2%。所有论文被引频次为8 064次,篇均被引用4.66次,篇均被引用情况随时间而下降。从论文的领域分析,心血管系统类论文最多,共829篇,占论文总数的47.9%。有基金资助的综述和论著类论文共669篇,占AR类论文总数的57.9%。结论 近年来北京安贞医院SCI收录论文呈增长趋势,但论文的质量的增长情况与数量出现不匹配。科研持续发展,有赖于健全促进有效的科研管理制度,建立完善的学科平台以及人才培养的长效机制。     

MEDIA REPORTS OF RURAL HEALTH AND SAFETY: A REVIEW OF ARTICLES PUBLISHED IN THE LAND NEWSPAPER

ABSTRACT: The Land is one of the main newspapers that service Australia's rural community. A content analysis of reports on health issues in The Land was undertaken for the period April 1998 to October 1999 (76 editions, 10 336 pages). Fifty-four articles were published, with most being about causes of farm injury. Very few articles concerning non-injury health issues facing rural residents were published. People working in health promotion should consider The Land to be an under-utilised vehicle for news and commentary on rural health and safety issues.     

《中国计划生育学杂志》创刊15年学术论文引文分析

目的:了解《中国计划生育学杂志》引文引用规律,研究该刊情报吸收能力、情报源状况以及核心期刊分布,探讨我国计划生育科技工作者对文献的需求特征,为科技工作者查阅文献提出参考依据。方法:采用引文计量分析方法对1992～2006年该刊发表的学术性论文参考文献进行统计分析。结果:发表的2998篇文章中,有引文的论文2197篇,平均引文率73.28%,篇均引文数6.45条;主要引文语种为中文(61.02%),引文类型为期刊(74.03%),引文普赖斯指数为43.21%,自引率为7.44%。被引频次前10位的期刊文献引用量占引用期刊文献总量的54.85%,《中国计划生育学杂志》被引频次位居第一。结论:该刊作者文献利用能力偏低,获取信息的可及性不高,应加强提高计划生育科技工作者对国内外信息交流和利用能力,充分利用各种信息媒体和核心期刊使科技成果及时得到有效传播和推广。同时要加强编辑业务能力建设,不断提高期刊的学术水平、权威性和影响力。     

Health and health care of rural populations in the UK: is it better or worse?

OBJECTIVE--To review available evidence on the problems facing rural health care in the UK. In particular, to determine whether the health of rural populations is worse than that of town dwellers and how the quality of health care is influenced by rurality. CRITERIA FOR INCLUSION AND EXCLUSION OF ARTICLES--A wide variety of publications and data sources were used. A number of computerised databases with different specialisations (for example medical, health care management) were used to identify relevant published articles. In addition, reports, reviews, and surveys produced by agencies for local circulation were identified by approaching academic, service, and voluntary bodies thought likely to have an interest in rural health. Although this "grey" literature is not subject to peer review, the relative lack of relevant UK publications made it a useful data source for illustrative purposes. Similarly, published articles based on rural health in other developed countries were used when UK data were lacking. CONCLUSIONS--Although the evidence concerning the health and health care of the UK rural populations is suggestive, it is very general and further research is needed. Levels of urban health seem to be generally worse than in rural areas, but contradictions do exist. The evidence on quality of care suggests that service accessibility is a central problem, and rural populations have poorer access than others. Within rural populations, such disadvantage is not uniformly experienced--it affects some groups more than others. In addition, the NHS does not seem to have a consistent policy about whether rurality should influence resource allocation, and how it should be incorporated.     

Systematic review of the use and value of computer simulation modelling in population health and health care delivery

BACKGROUND: The objective of the review was to evaluate the extent, quality and value of computer simulation modelling in population health and health care delivery. METHODS: A narrative systematic review was carried out of world literature from 1980 to 1999, searching Medline, INSPEC, Embase, HealthSTAR, Science Citation Index, CINAHL, MathSci, INFORMS Online and SIGLE databases, and researchers in the field were contacted. Papers were included if they contained a computer simulation model of individuals in a stochastic system and the topic or setting related to population health or health service delivery. RESULTS: A total of 182 papers met the inclusion criteria. Simulation modelling has been undertaken in a wide range of health care topic areas, including hospital scheduling and organization, communicable disease, screening, costs of illness and economic evaluation. However, the quality of published papers was variable and few reported on the outcomes of implementation of models, so that the value of modelling could not be assessed. CONCLUSION: Simulation modelling is a powerful method for modelling both small and large populations to inform policy makers in the provision of health care. It has been applied to a wide variety of health care problems. Although the number of modelling papers has grown substantially over recent years, further research is required to assess the value of modelling.     

Research on health education and promotion in Spanish nursery and primary schools. A systematic review of studies published between 1995 and 2005

OBJECTIVE: To identify the characteristics of health education and promotion interventions in Spanish nursery and primary schools, through the studies published in scientific journals. METHOD: We performed a review of studies on health education and promotion interventions in Spanish nursery and primary schools, published from 1995 to 2005. The information sources were Medline (through Pubmed), Cinhal, Eric, Sociological Abstracts, Science Citation Index, and Isooc (CSIC). Studies performed in Spanish nursery and primary schools that incorporated health education and promotion interventions were selected. The studies' general features, main subject and aims, methodology, the kind of intervention described, and compliance with the criteria for Healthy Schools were analyzed. RESULTS: Only 26 of the 346 articles identified met the inclusion criteria. Health education programs focussed more on disease prevention than on health promotion and only a few studies were performed in nursery and primary schools. The criteria for health promotion in schools were included in 5 articles (19.2%). The importance of health institutions (n = 7; 26.9%) and universities (n = 8; 30.8%) as promoters of programs was notable. The most frequent subject was smoking (n = 11; 42.3%). CONCLUSIONS: Teachers play a lesser role in health promotion in schools than health institutions in the implementation and dissemination of health programs. Research into health promotion in nursery and primary schools is scarce.     

城乡一体化背景下公共卫生服务体系绩效评价指标的构建研究

摘要:目的　以城乡一体化为背景,从公共卫生投入、产出和效果三个维度构建公共卫生服务体系绩效评价指标。方法　采用专家咨询方法,经过两轮专家咨询,建立评价指标框架。结果　两轮专家咨询回收率分别为83.3%和93.3%,权威程度分别为0.557和0.709,协调系数分别为0.173和0.486（χ2＝803.654,P＜0.01）,差异具有统计学意义。确立了以投入、产出和效果为主体框架的城乡公共卫生服务体系绩效评价指标,包括一级指标3个,二级指标13个,三级指标33个,3个一级指标的权重分别为0.2080,0.5791和0.2129。结论　该指标框架的可靠性和可信性程度较高。投入指标突出了城乡公共卫生服务的政府职能,产出指标涵盖了城乡公共卫生服务的重要内容,强调了公共卫生服务过程,效果指标契合了WHO卫生系统目标的价值取向,具有很强的代表性、实用性和可操作性。     

农村公共卫生服务体系绩效评价指标在农村卫生改革中的实践

目的:评价中国农村卫生发展项目(简称"卫十一项目")实施期间,项目地区公共卫生服务体系的绩效。方法:采用项目开发的农村公共卫生服务绩效评价指标体系,连续收集40个项目县2008—2013年的投入、产出指标,进行综合分析与评价。结果:项目地区2008—2013年间公共卫生的投入和产出均逐年提高,分别由项目初期的22.73分和39.05分增加到32.62分和57.60分,增幅达43.15%和47.50%,部分项目省份投入增幅较产出明显。项目地区投入产出比从1.72增加到1.77,年间略有波动。结论:采用公共卫生服务体系绩效考核指标监测项目实施进程,有利于及时发现农村公共卫生服务体系建设中存在的薄弱环节,从而针对性地采取有效措施促进体系的完善。在加大公共卫生投入的时候,如何高效利用资源,提高服务效果依然是亟需解决的问题。