循證醫學學科知識可視化研究之一：循證醫學研究主題圖譜△_《中國循證醫學雜志》

作者：

沈建通 ¹ , 姚樂野 ² ,  李幼平 ¹ , Mike Clarke ³ , 甘奇 ⁴ , 樊怡 ⁵ , 李一飛 ⁴ , 芶永超 ⁵ , 鐘大可 ¹ , 王莉 ¹

1. 四川大學華西醫院中國循證醫學中心（成都?610041）；2. 四川大學公共管理學院(成都?610064)；3. UK Cochrane中心；4. 四川大學華西臨床醫學院（成都?610041）；5. 四川大學華西口腔醫學院（成都?610041）;

關鍵詞：

循證醫學信息可視化共詞分析主題分析

DOI：

10.7507/1672-2531.20110108

視頻：

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目的　采用可視化方法系統、全面、直觀地揭示和比較中外循證醫學領域近年來的主要研究主題、學科結構和發展趨勢。
方法　以MEDLINE和CNKI數據庫中循證醫學相關文獻的MeSH詞和關鍵詞為研究對象，用共詞分析法、PFNET算法和可視化技術繪制國內外循證醫學主題圖、研究領域關系圖和循證醫學戰略坐標圖。
結果　國內外循證醫學都處于大發展期，國外有關“Humans”的研究占94.41%，而“Animals”僅占2.57%，其中75.2%是靈長類。6個高頻國別主題詞和發表論文最多的前108種期刊所在國都是發達國家。國內31個省、直轄市、自治區都有論文發表，但發文量居前的省份和機構大多都處發達地區。共詞分析結果顯示國外循證醫學研究主要集中在7個領域，依次為Therapy、Methods、Standards、Research、Education、Nursing、Organization amp; Administration；國內7個領域則依次為治療、護理、中醫藥、研究、教育、管理、信息資源，且各領域間相互聯系。我國獨有的特色領域是中醫藥和信息資源，但在方法和標準方面則大大落后于國外。
結論　循證醫學發展最好的國家、地區和機構大都集中在經濟發達地區。優勢地區和機構主要應承擔證據生產和方法學研究，而最迫切需要學習和使用證據的欠發達地區和機構，當務之急是學習和普及循證醫學理念和證據。國內循證醫學文獻量、高頻詞和詞頻閾值分別為國外的28.9%、66.7%和5%，不排除樣本量少帶來的偏倚，國內結果僅供參考。

引用本文： 沈建通,姚樂野,李幼平,Mike Clarke,甘奇,樊怡,李一飛,芶永超,鐘大可,王莉. 循證醫學學科知識可視化研究之一：循證醫學研究主題圖譜△. 中國循證醫學雜志, 2011, 11(6): 612-621. doi: 10.7507/1672-2531.20110108 復制

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14.	Weinbrenner S, Meyerrose B, Vega-Perez A, et al . EUebm--integrating a Europe-wide harmonised training and continuing medical education in evidence-based medicine (BbM) with patient care. Z Evid Fortbild Qual Gesundhwes , 2009, 103(1): 35-39.
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17.	Weatherly H, Drummond M, Smith D. Using evidence in the development of local health policies. Some evidence from the United Kingdom. Int J Technol Assess Health Care , 2002, 18(4): 771-781.

1. 1 Evidence-Based Medicine Work Cluster. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA , 1992, 268(17): 2420-2425.
2. Davidoff F. In the teeth of the evidence: The curious case of evidence based medicine. The Mount Sinal Journal of Medicine , 1999, 66(2): 75–83.
3. 李幼平, 王莉, 文進, 等. 注重證據, 循證決策. 中國循證醫學雜志, 2008, 8(1): 1-3.
4. He Q. Knowledge Discovery through Co-word Analysis. Library Trends , 1999, 48(1): 133-159.
5. Claire Allen, Mike Clarke. Cochrane系統評價小組的全球合作及中國的突出貢獻. 中國循證醫學雜志, 2006, 6(8): 541-545.
6. Chen CM. Bridging the Gap: The Use of Pathfinder Networks in Visual Navigation. Journal of Visual Languages and Computing , 1998, 9: 267-286.
7. Chen M. Generalised similarity analysis and pathfinder network scaling. Interacting with Computers , 1998, 10: 107-128.
8. White HD. Pathfinder Networks and Author Cocitation Analysis: A Remapping of Paradigmatic Information Scientists. Journal of the American Society for Information Science and Technology , 2003, 54(5): 423-434.
9. International Data Base (IDB). http://www.census.gov/ipc/www/idb/.
10. Callon M, Courtial JP, Laville F. Co-word analysis as a tool for describing the network of interactions between basic and technological research : the case of polymer chemistry. Scientornetrics , 1991, 22(1): 155-205.
11. Bauin S, Michelet B, Schweighoffer MG, et al . Using bibliometrics in strategic analysis: understanding chemical reactions at the CNRS. Scientometrics , 1991, 22(1): 113-137.
12. Boelen C. THE FIVE-STAR DOCTOR:An asset to health care reform? http://www.who.int/hrh/en/HRDJ_1_1_02.pdf.
13. Green M L. A train-the-trainer model for integrating evidence-based medicine training into podiatric medical education. Journal of the American Podiatric Medical Association , 2005, 95(5): 497-504.
14. Weinbrenner S, Meyerrose B, Vega-Perez A, et al . EUebm--integrating a Europe-wide harmonised training and continuing medical education in evidence-based medicine (BbM) with patient care. Z Evid Fortbild Qual Gesundhwes , 2009, 103(1): 35-39.
15. Green ML. Evidence-based medicine training in graduate medical education: past, present and future. Journal of Evaluation in Clinical Practice , 2000, 6(2): 121-138.
16. Stronks K. Generating evidence on interventions to reduce inequalities in health: the Dutch case. Scand J Public Health , 2002, 30: 20-25.
17. Weatherly H, Drummond M, Smith D. Using evidence in the development of local health policies. Some evidence from the United Kingdom. Int J Technol Assess Health Care , 2002, 18(4): 771-781.

《中國循證醫學雜志》

循證醫學學科知識可視化研究之一：循證醫學研究主題圖譜△

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《中國循證醫學雜志》

循證醫學學科知識可視化研究之一：循證醫學研究主題圖譜△

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