基于CiteSpace的疾病診斷相關分組研究熱點分析

趙同香 王海英

[關鍵詞] DRGs;疾病診斷相關分組;Citespace;數據可視化

[中圖分類號] G353.1;R-05? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）19-0001-06

Analysis of research hot spots of diagnosis related group system based on CiteSpace

ZHAO Tongxiang1? ?WANG Haiying2

1.Drug Clinical Trial Office，Shougang Hospital，Peking University，Beijing? ?100144， China; 2.Shougang Hospital，Peking University，Beijing? ?100144， China

[Abstract] Objective To analyze the literature data of DRGS research and determine the hot spots and development frontiers of DRGs research at home and abroad. Methods CNKI database and Web of Science database were used as data sources，and CiteSpace software was used to analyze the literature quantity，cooperative network and keyword co-occurrence of the research data. Results The DRGs research in the United States and Germany has a certain world-wide influence. The overall DRGs research in China fluctuated，but its international influence needed to be improved.The cooperation network of domestic authors and research institutions was more scattered than that of international ones，and there was less cross-regional cooperation.Overseas research focused on the payment characteristics and hot issues of DRGs，focusing on the disease research areas not covered by DRGs in the past，while domestic research focused on the reform of payment methods，data quality and performance evaluation. Conclusion China's DRGs system has been localized on the basis of drawing lessons from the experience of other countries，and the DRGs payment system has been promoted nationwide，which requires the joint participation of all parties and coordination of resources to make it applicable to clinical practice and serve hospitals.

[Key words] DRGs; Diagnosis related group system; Citespace; Data visualization

疾病診斷相關分組（Diagnosis related groups，DRGs）是20世紀60年代耶魯大學學者們研發的根據疾病診斷、合并癥、并發癥、治療方式、病癥嚴重程度等因素，將患者分入若干診斷組進行管理的工具[1]。德國、澳大利亞、法國、英國、波蘭、奧地利、泰國、新加坡等國家相繼開展了DRGs的相關研究，并取得不錯的成果[2]。隨著臨床數據可得性、編碼質量、管理能力的逐步提升，以及各國經驗的積累，全球DGRs經歷了多個版本的重大演變，DGRs在原來的病歷組合、費用控制基礎上衍生出風險調整、醫院成本管理、醫療服務績效評價等功能。我國DRGs起步較晚，基于美國、德國等經驗和我國政策環境，對DRGs進行了本土化改革[3]，2014年國家DRGs質控中心建立了CN-DRGs系統（China diagnosis related groups，CN-DRGs），2017年國家衛健委主導C-DRGs（Classification of cases diagnosis related groups，C-DRGs）改革試點，本文通過以CNKI數據庫和Web of Science數據庫為基礎，分析國內外DRGs研究現狀、熱點和發展趨勢。

1資料與方法

1.1數據來源

①CNKI數據庫：檢索策略：主題=“Diagnosis Related Groups”或“疾病診斷相關分組”或摘要=“Diagnosis Related Groups”或“疾病診斷相關分組”;時間限定=1981年1月1日至2019年12月31日，剔除背根神經節（Dorsal root ganglion）、神經元（Neurons）、神經組織（Nerve tissue）等與本研究無關的記錄，共篩選出中文文獻2215篇，全部記錄以RefWorks格式輸出數據。②Web of Science數據庫：檢索策略：選擇數據庫：web of science核心集合，主體：diagnosis-related-groups，時間跨度：1981年1月1日至2019年12月31 日，引文索引：“Science Citation Index Expanded（SCI-EXPANDED）--1900年至今”;共篩選出2483篇文獻，全部記錄以WOS格式輸出數據。