摘要
目的探索国外低价值护理(LVC)去实施化领域的发展状况、研究热点及前沿。方法计算机检索Web of Science数据库核心合集1995—2023年收录的LVC去实施化的文献,利用Excel软件对文献进行整理,采用CiteSpace软件对纳入文献的作者、机构、国家、期刊、文献共被引情况、关键词进行可视化分析。结果共纳入576篇文献,1995—2023年发文量总体呈上升,以2022年最高(150篇),发文量居前10位且中心性>0.10的研究机构分别为哈佛大学和美国退役军人服务中心。Archives of Internal Medicine、Anesthesiology、American Review of Respiratory Disease等期刊收录文献最多,共被引频次>50且中心性>0.10的期刊为Archives of Internal Medicine、The American Journal of Medicine、British Medical Journal、Annals of Internal Medicine。除本研究检索的主题词外,576篇文献中词频>30次的关键词为"impact""management""outcome""health""quality""health care""guidelines"。关键词聚类分析中时间线延伸至近5年的聚类为"value-based care""low-value care"。突现词分析研究前沿为准确识别临床实践中存在LVC和实现各类医疗干预的LVC去实施化的干预策略。结论通过对关键词和突现词的分析发现,近年来该领域研究主题集中LVC与医疗保险支出的关系、去实施化的影响因素、识别LVC的工具(清单或手册)、临床干预路径、不同类型LVC的去实施化、去实施化的效果评价等内容上。未来国内的研究还需要加强国际合作与交流,探索和构建适宜中国的LVC去实施化路径,精准制定LVC清单和干预策略,以优化护理措施,提高医疗资源的有效利用率,为患者提供有效、高质量的护理服务。
Objective To explore the development status,research hotspots,and frontiers of low value care(LVC)de-implementation in foreign countries.Methods The literature on LVC de-implementation included in the Web of Science core collection from 1995 to 2023 was electronically searched.Excel software was used to organize literature.CiteSpace software was used to visually analyze the authors,institutions,countries,journals,co-citation status,and key terms included in the literature.Results A total of 576 articles were included.The overall number of articles published from 1995 to 2023 showed an increase,with the highest in 2022(150 articles).The top 10 research institutions with publication volume and centrality>0.10 were the Harvard University and the United States Department of Veterans Affairs.Compared with other journals,Archives of Internal Medicine,Anesthesiology and American Review of Respiratory Disease had the highest number of indexed literature.The journals with a co-citation frequency greater than 50 and centrality>0.10 were Archives of Internal Medicine,The American Journal of Medicine,British Medical Journal and Annals of Internal Medicine.In addition to the key terms searched for in this study,the key terms frequently cited greater than 30 times in 576 articles were"impact""management""outcome""health""quality""health care",and"guidelines".The clusters in keyword clustering analysis that extend the timeline to the past 5 years were"value based care"and"low value care".The analysis of burst words showed that the forefront was the accurate identification of LVC in clinical practice and the intervention strategies for LVC de-implementation.Conclusions Through the analysis of key terms and burst terms,it is found that in recent years,research topics in this field focus on the relationship between LVC and medical insurance expenditures,the influencing factors of de-implementation,tools(checklists or manuals)for identifying LVC,clinical intervention pathways,de-implementation of different types of LVC,and evaluati
作者
向雨璇
丁如
吴景
卢咏梅
杨湘薇
Xiang Yuxuan;Ding Ru;Wu Jing;Lu Yongmei;Yang Xiangwei(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Nursing Department,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China)
出处
《中华现代护理杂志》
2024年第13期1780-1788,共9页
Chinese Journal of Modern Nursing
基金
2022年度广州市基础研究计划市校(院)联合资助基础与应用基础研究项目(202201020354)
广州中医药大学第一附属医院中青年骨干人才培育项目。
