School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.
Health Res Policy Syst. 2014 Jun 5;12:26. doi: 10.1186/1478-4505-12-26.
In the last few decades, health systems research (HSR) has garnered much attention with a rapid increase in the related literature. This study aims to review and evaluate the global progress in HSR and assess the current quantitative trends.
Based on data from the Web of Science database, scientometric methods and knowledge visualization techniques were applied to evaluate global scientific production and develop trends of HSR from 1900 to 2012.
HSR has increased rapidly over the past 20 years. Currently, there are 28,787 research articles published in 3,674 journals that are listed in 140 Web of Science subject categories. The research in this field has mainly focused on public, environmental and occupational health (6,178, 21.46%), health care sciences and services (5,840, 20.29%), and general and internal medicine (3,783, 13.14%). The top 10 journals had published 2,969 (10.31%) articles and received 5,229 local citations and 40,271 global citations. The top 20 authors together contributed 628 papers, which accounted for a 2.18% share in the cumulative worldwide publications. The most productive author was McKee, from the London School of Hygiene & Tropical Medicine, with 48 articles. In addition, USA and American institutions ranked the first in health system research productivity, with high citation times, followed by the UK and Canada.
HSR is an interdisciplinary area. Organization for Economic Co-operation and Development countries showed they are the leading nations in HSR. Meanwhile, American and Canadian institutions and the World Health Organization play a dominant role in the production, collaboration, and citation of high quality articles. Moreover, health policy and analysis research, health systems and sub-systems research, healthcare and services research, health, epidemiology and economics of communicable and non-communicable diseases, primary care research, health economics and health costs, and pharmacy of hospital have been identified as the mainstream topics in HSR fields. These findings will provide evidence of the current status and trends in HSR all over the world, as well as clues to the impact of this popular topic; thus, helping scientific researchers and policy makers understand the panorama of HSR and predict the dynamic directions of research.
在过去的几十年中，健康系统研究（HSR）受到了广泛关注，相关文献数量迅速增加。本研究旨在回顾和评估全球 HSR 的进展，并评估当前的定量趋势。
基于来自 Web of Science 数据库的数据，采用科学计量学方法和知识可视化技术，评估了 1900 年至 2012 年全球 HSR 的科学产出和发展趋势。
过去 20 年来，HSR 发展迅速。目前，在 140 个 Web of Science 学科类别中列出的 3674 种期刊上发表了 28787 篇研究文章。该领域的研究主要集中在公共、环境和职业健康（6178 篇，21.46%）、医疗保健科学和服务（5840 篇，20.29%）以及一般和内科（3783 篇，13.14%）。排名前 10 的期刊共发表了 2969 篇（10.31%）文章，获得了 5229 次本地引用和 40271 次全球引用。前 20 位作者共发表了 628 篇论文，占全球累积出版物的 2.18%。最有成果的作者是来自伦敦卫生与热带医学院的 McKee，发表了 48 篇文章。此外，美国和美国机构在卫生系统研究生产力方面排名第一，具有较高的引用次数，其次是英国和加拿大。
HSR 是一个跨学科领域。经济合作与发展组织国家表明，它们是 HSR 的领先国家。同时，美国和加拿大机构以及世界卫生组织在高质量文章的生产、合作和引用方面发挥着主导作用。此外，卫生政策和分析研究、卫生系统和子系统研究、医疗保健和服务研究、传染病和非传染病的健康、流行病学和经济学、初级保健研究、卫生经济学和卫生费用以及医院药学已被确定为 HSR 领域的主流课题。这些发现将为全球 HSR 的现状和趋势提供证据，并为这一热门话题的影响提供线索，从而帮助科学研究人员和政策制定者了解 HSR 的全景，并预测研究的动态方向。
