Geyman J P, Berg A O
Department of Family Medicine, School of Medicine, University of Washington, Seattle 98195.
J Fam Pract. 1989 Mar;28(3):301-4.
This paper examines the spontaneous evolution of original work in family practice as published in The Journal of Family Practice over the 15-year period since it began publication in 1974. An analysis was carried out by principal content and type of paper for the last five years in a manner comparable to an earlier analysis of the journal's first ten years of publication. Trends that emerge from this reanalysis provide a window to observe the further development of family medicine as a scientific and academic discipline. The last five years have seen a marked increase in clinical content of papers (from approximately 60 to 80 percent of published papers) together with continued emphasis on health services subjects. There has been a concurrent sharp increase in research papers, continued strong representation of case studies, and some decrease in both reviews and methods papers. Descriptive research continues to predominate among research papers. Although experimental research still represents only 5 percent of published papers, this percentage has more than doubled over the last five years. The reanalysis also revealed a substantial decline in the proportion of educational papers, as other journals in the field have assumed the primary role for this content area. It appears that the manuscript supply represented by original work in the field is still limited and that there is at present adequate or even surplus journal capacity for publication of work carried out in family practice settings. The quality and type of work continue to mature consistent with the needs of family medicine as a scientific and academic discipline.
本文考察了《家庭医疗杂志》自1974年创刊以来15年间发表的家庭医疗原创作品的自然演变。以与该杂志创刊头十年早期分析类似的方式，对过去五年的论文主要内容和类型进行了分析。此次重新分析得出的趋势为观察家庭医学作为一门科学和学术学科的进一步发展提供了一个窗口。在过去五年中，论文的临床内容显著增加（从发表论文的约60%增至80%），同时继续强调卫生服务主题。研究论文同时大幅增加，病例研究持续占据较大比重，综述和方法类论文则有所减少。描述性研究在研究论文中仍占主导地位。尽管实验性研究在发表论文中仍仅占5%，但这一比例在过去五年中已增长了一倍多。重新分析还显示，教育类论文的比例大幅下降，因为该领域的其他期刊已在这一内容领域承担了主要角色。看来该领域原创作品所代表的稿件供应仍然有限，目前家庭医疗环境中开展的工作在期刊上发表的能力充足甚至过剩。作品的质量和类型继续与家庭医学作为一门科学和学术学科的需求保持一致并不断成熟。
