The University of Oklahoma-Tulsa, USA.
Oklahoma State University-Tulsa, USA.
Health Informatics J. 2018 Dec;24(4):432-452. doi: 10.1177/1460458216678443. Epub 2016 Dec 1.
The objective of this research is to identify major subject areas of medical informatics and explore the time-variant changes therein. As such it can inform the field about where medical informatics research has been and where it is heading. Furthermore, by identifying subject areas, this study identifies the development trends and the boundaries of medical informatics as an academic field. To conduct the study, first we identified 26,307 articles in PubMed archives which were published in the top medical informatics journals within the timeframe of 2002 to 2013. And then, employing a text mining -based semi-automated analytic approach, we clustered major research topics by analyzing the most frequently appearing subject terms extracted from the abstracts of these articles. The results indicated that some subject areas, such as biomedical, are declining, while other research areas such as health information technology (HIT), Internet-enabled research, and electronic medical/health records (EMR/EHR), are growing. The changes within the research subject areas can largely be attributed to the increasing capabilities and use of HIT. The Internet, for example, has changed the way medical research is conducted in the health care field. While discovering new medical knowledge through clinical and biological experiments is important, the utilization of EMR/EHR enabled the researchers to discover novel medical insight buried deep inside massive data sets, and hence, data analytics research has become a common complement in the medical field, rapidly growing in popularity.
本研究旨在确定医学信息学的主要学科领域,并探讨其中的时变变化。因此,它可以为该领域提供信息,了解医学信息学研究的过去和未来方向。此外,通过确定学科领域,本研究可以确定医学信息学作为一个学术领域的发展趋势和边界。为了进行这项研究,我们首先在 PubMed 档案中确定了 26307 篇文章,这些文章发表在 2002 年至 2013 年期间的顶级医学信息学期刊上。然后,我们采用基于文本挖掘的半自动分析方法,通过分析这些文章摘要中提取的最常出现的主题术语,对主要研究主题进行聚类。结果表明,一些学科领域,如生物医学,正在衰落,而其他研究领域,如健康信息技术(HIT)、互联网支持的研究以及电子医疗/健康记录(EMR/EHR),正在增长。研究主题领域的变化主要归因于 HIT 功能和使用的增加。例如,互联网改变了医疗保健领域进行医学研究的方式。虽然通过临床和生物实验发现新的医学知识很重要,但 EMR/EHR 的使用使研究人员能够从大量数据集的深处发现新的医学见解,因此,数据分析研究已成为医学领域的常用补充,迅速普及。