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。
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.
出处
《中国循证医学杂志》
CSCD
2012年第5期542-549,共8页
Chinese Journal of Evidence-based Medicine
基金
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)
