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医学伦理学学科、功能与发展之一:中外医学伦理学文献计量比较研究
引用本文:蒋兰慧,沈建通,李幼平,邓绍林,吴泰相,陈宝清,谢之易,秦超毅,于志渊,秦川,黄进,刘雪梅,李琰,姜洁.医学伦理学学科、功能与发展之一:中外医学伦理学文献计量比较研究[J].中国循证医学杂志,2012(5):542-549.
作者姓名:蒋兰慧  沈建通  李幼平  邓绍林  吴泰相  陈宝清  谢之易  秦超毅  于志渊  秦川  黄进  刘雪梅  李琰  姜洁
作者单位:[1]四川大学华西医院中国循证医学中心,成都610041 [2]四川大学华西医院临床医学院,成都610041 [3]四川大学华西杂志社,成都610041 [4]四川大学政治学院,成都610041 [5]四川大学华西医院,成都610041
基金项目:国家科技重大新药创制专项基金资助项目(编号:2011ZX09302-001-01); 四川省科技厅资助项目(编号:10ZC1677)致谢本系列论文纳入文献近3万篇,需要提取大量数据,工作量极大.在此,特别感谢四川大学华西临床医学院团委书记黄进老师带领的科研志愿者团队:李舍予、李晓、于志渊、陈宝清、谢之易、秦超毅、秦川、杨晨露、张龙、李燕燕、尚孟乔、彭鸿灵、余敏、范铭钰、曾建伟、白一等同学为本系列论文作出的贡献.同时,感谢沈建通博士对本文绘图所作出的贡献.
摘    要:目的借鉴循证医学系统研究和文献分析方法,定量与定性分析系统检出的"医学伦理学"中外文献,以剖析其学科发展规律及趋势,为相关决策和后续研究提供基线数据和决策参考。方法计算机检索PubMed和CNKI中与医学伦理学相关的主题词和关键词,检索时限均从建库至2012年1月1日,用共词分析法建立共现矩阵、聚类分析,绘制国内外医学伦理主题图、研究领域关系图和医学伦理战略坐标图。结果从PubMed检获的相关研究文献是CNKI的6倍(26646 vs. 4419篇)。我国医学伦理学领域研究较国外起步晚近35年,尚处在研究初期阶段。国外研究已形成职业道德、伦理审查、医患关系、临床试验、安乐死、教育教学、临床伦理和卫生政策8个研究主题,而国内研究现只涉及职业道德、医患关系、教育教学、生命伦理和医学研究5个研究主题。结论国外重视如何运用医学伦理去解决医疗及医学研究出现的新问题(如偏重伦理审查研究),研究网络中心集中在职业道德、伦理审查、医患关系3个主题;而国内更重视探讨医学职业道德及其教育,研究网络中心集中在职业道德领域。我国应尽快从单纯道德教育研究逐渐拓展到伦理审查、医学教育为主的应用性研究,尽快缩小与国外研究的差距。

关 键 词:医学伦理  文献计量分析  聚类分析  共词分析  主题分析

Medical Ethics:Subject,Function,and Trends:A Comparative Study of Medical Ethics in Chinese and English Bibliometric
JIANG Lan-hui,SHEN Jian-tong,LI You-ping,DENG Shao-lin,WU Tai-xiang,CHEN Bao-qing,XIE Zhi-yi,QIN Chao-yi,YU Zhi-yuan,QIN Chuan,HUANG Jin,LIU Xue-mei,LI Yan,JIANG Jie.Medical Ethics:Subject,Function,and Trends:A Comparative Study of Medical Ethics in Chinese and English Bibliometric[J].Chinese Journal of Evidence-based Medicine,2012(5):542-549.
Authors:JIANG Lan-hui  SHEN Jian-tong  LI You-ping  DENG Shao-lin  WU Tai-xiang  CHEN Bao-qing  XIE Zhi-yi  QIN Chao-yi  YU Zhi-yuan  QIN Chuan  HUANG Jin  LIU Xue-mei  LI Yan  JIANG Jie
Institution:1.Chinese Evidence-based Medicine Center,Sichuan University,Chengdu 610041,China; 2.West China School of medicine / West China Hospital,Sichuan University,Chengdu 610041,China; 3.West China Press,Sichuan University,Chengdu 610041,China; 4.School Of Politics,Sichuan Universitiy,Chengdu 610041,China; 5.West China Hospital,Sichuan University,Chengdu 610041,China )
Abstract:Objective Based on evidence-based medicine systematic research and literature analysis methods,to make a quantitative and qualitative analysis on Chinese and No-Chinese literatures with subject of Medical Ethics.Concise and analyze the law and trends of subject development,to provide baseline data and decision-making reference for the relevant decision-making and follow-up study.Method We analyzed keywords in medical ethics articles in PubMed and CNKI database,and developed subject charts,research field relationship charts,and strategy coordination charts using word co-occurrence,PFNET algorithms,and visualization methods.Result Literatures collected from PubMed is six times than that from CNKI.Medical ethics research in China,starting later than abroad almost 35 years,is still at the preliminary stage of development.Eight matured research fields are formed as Morals,Ethical review,Physician-Patient relations,clinical trial,euthanasia,medical ethics education,clinical ethics,and health policy outside of China.Comparatively,in China there are only five fields are developed such as Morals,Physician-Patient relations,medical ethics education,bioethics,and medical research.Conclusion Foreign countries more focus on how to employ medical ethics to solve new problems occurred in clinics and medical research,with morals,ethical review,and Physician-Patient relations as the center of research net.Researchers in China pay more attentions on morals and education with morals as the only research net center.So an urgent need is called to make a transition from simply moral research into applied research stressing on both moral education and ethic review.
Keywords:Medical ethics  Information visualization  Word co-occurrence  Subject analysis
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