目的 梳理我国DRGs领域相关研究,揭示该领域的热点主题和发展态势,为国内学术研究和医院实践提供指导.方法 在中国学术期刊(网络版)和万方数据库中,以"DRGs"及其中英文同义词检索2017年4月以前发表的文献,描述论文发表年代、期刊、第一作者的分布情况.对高频关键词共现矩阵进行聚类分析,结合主题词战略坐标揭示热点主题及其发展态势.结果 共检索到文献2594篇,删除重复和不相关题录后剩余1303篇.观察文献的年代、期刊和第一作者分布情况可知,国内DRGs领域论文的发文量呈快速增加趋势,期刊和第一作者分布分散.研究内容主要集中在8个主题:医保支付制度、医疗质量和效率、医院管理、DRGs付费、病例组合、编码统一、病案管理、评价体系.在战略坐标中,医保支付制度、医疗质量和效率位于第四象限,医院管理、DRGs付费和病例组合位于第一象限,编码统一位于第二象限,其他2个主题位于第三象限.结论 DRGs受到了我国许多学者和机构的关注,论文、期刊数量众多.论文涉及主题广泛、探讨内容丰富,各主题发展阶段不一,研究者应关注成熟主题的进展,推动不成熟主题的实践探索.%Objective To reveal the research hotspots and development trend of DRGs based on literature, and to provide a basis for domestic scholars and hospitals .Methods Literature review was made in database CNKI and Wanfang database , using DRGs and its co-words ( both Chinese and English ) to retrieve literatures published before April 2017 , and describing such distribution as paper publication year , journal, and first author.Co-word cluster analysis was then performed on the co-occurrence matrix of high frequency keywords to reveal the research hotspots and development trends in line with the subject strategic diagram.Results 2594paperswereretrievedand1303ofthemwereretainedwiththoseredundantand irrelevant bibliographies excluded .Observation of the distribution of the year , journal and first author revealed that papers in DRGs field were in rapid growth , while the journals and first authors were distributed evenly.These literature focused on eight research hotspots , namely medical insurance payment system , medical quality and efficiency, hospital management, DRGs payment, case-mix, coding uniformity, medical records management , and evaluation system .In the subject strategic diagram , medical insurance payment system, medical quality and efficiency were placed in the fourth quadrant , the DRGs payment , case-mix, coding uniformity in the first quadrant , hotspot coding uniformity in the second , and the last two hotspots were in the third .Conclusions DRGs has attracted attention of many scholars and institutions in China , as evidenced by numerous articles published in various journals .These articles covered a wide range of topics , and were in different development stages .Researchers should keep an eye on progress of mature themes , and promote practical exploration of immature topics .
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