我国电子健康档案研究进展与挑战

目的通过检索我国电子健康档案研究相关文献,分析该领域的研究进展及挑战。方法以"电子健康档案""电子健康记录""电子病历"为检索词,采用主题检索法,对中国知网数据库(CNKI)中2019年12月31日之前发表的相关文献进行检索。用SATI、Netdraw、VOSviewer、UCINET、CiteSpace等软件进行计量分析和知识图谱绘制,从整体视角分析并可视化展现我国电子健康档案研究的力量分布、热点主题与演化趋势。结果检索共获得2146篇文献。研究发现,我国电子健康档案研究领域基本形成了相对稳定的核心作者群,但尚未形成具有代表性的权威机构,良好研究生态正在逐步形成;现有研究凝聚出7个热点主题,并呈现明显的技术化倾向。结论电子健康档案的数据安全保护、全国一体化系统整合、应用绩效提升机制以及健康档案数据产业化等问题,既是未来发展机遇,也是面临的重大挑战。

Research progress and challenges of electronic health records in China

Objective To analyze the research progress and challenges in electronic health records(EHR)in China by means of literature retrieval of EHR research in China.Methods"Electronic health record""Electronic health archive"and"Electronic medical record"were used as search terms,and subject retrieving method was used to retrieve literatures published before December 312019 on China National Knowledge Infrastructure(CNKI)database.Such software as SATI,Netdraw,VOSviewer,UCINET and CiteSpace etc.were used for bibliometric analysis and knowledge graphing.These practices could analyze and visualize in an overall perspective the power distsribution,hot spots and evolution trends of EHR study in China.Results 2146 papers on EHR research were retrieved.The study found that relatively stable groups of core authors on EHR had taken shape in China,and there were not representative authority organizations as of now,while a healthy research ecology was emerging gradually;the current studies were centering on seven hot spots and presented a clear technology-based tendency.Conclusions Such areas as data security,nation-wide system integration,application performance upgrading mechanism and EHR data industrialization constitute both development opportunities and major challenges as well.