Departments of Health Services Administration.
Medicine, The University of Alabama at Birmingham, Birmingham, Alabama.
Med Care. 2022 Mar 1;60(3):264-272. doi: 10.1097/MLR.0000000000001685.
To identify major research topics and exhibit trends in these topics in 15 health services research, health policy, and health economics journals over 2 decades.
The study sample of 35,159 abstracts (1999-2020) were collected from PubMed for 15 journals.
The study used a 3-phase approach for text analyses: (1) developing the corpus of 40,618 references from PubMed (excluding 5459 of those without abstract or author information); (2) preprocessing and generating the term list using natural language processing to eliminate irrelevant textual data and identify important terms and phrases; (3) analyzing the preprocessed text data using latent semantic analysis, topic analyses, and multiple correspondence analysis.
Application of analyses generated 16 major research topics: (1) implementation/intervention science; (2) HIV and women's health; (3) outcomes research and quality; (4) veterans/military studies; (5) provider/primary-care interventions; (6) geriatrics and formal/informal care; (7) policies and health outcomes; (8) medication treatment/therapy; (9) patient interventions; (10) health insurance legislation and policies; (11) public health policies; (12) literature reviews; (13) cost-effectiveness and economic evaluation; (14) cancer care; (15) workforce issues; and (16) socioeconomic status and disparities. The 2-dimensional map revealed that some journals have stronger associations with specific topics. Findings were not consistent with previous studies based on user perceptions.
Findings of this study can be used by the stakeholders of health services research, policy, and economics to develop future research agendas, target journal submissions, and generate interdisciplinary solutions by examining overlapping journals for particular topics.
在过去 20 多年的 15 种卫生服务研究、卫生政策和卫生经济学期刊中,确定主要研究主题,并展示这些主题的发展趋势。
本研究从 PubMed 收集了 15 种期刊的 35159 篇摘要(1999-2020 年)作为研究样本。
该研究采用了文本分析的 3 阶段方法:(1)从 PubMed 中建立包含 40618 篇参考文献的语料库(排除了 5459 篇无摘要或作者信息的参考文献);(2)使用自然语言处理对语料库进行预处理并生成术语列表,以消除无关的文本数据并识别重要的术语和短语;(3)使用潜在语义分析、主题分析和多元对应分析对预处理后的文本数据进行分析。
分析结果生成了 16 个主要研究主题:(1)实施/干预科学;(2)艾滋病毒与妇女健康;(3)结果研究与质量;(4)退伍军人/军事研究;(5)提供者/初级保健干预;(6)老年医学和正式/非正式护理;(7)政策与健康结果;(8)药物治疗/疗法;(9)患者干预;(10)健康保险立法和政策;(11)公共卫生政策;(12)文献综述;(13)成本效益和经济评估;(14)癌症护理;(15)劳动力问题;(16)社会经济地位与差异。二维图谱显示,一些期刊与特定主题的关联更强。这一发现与基于用户认知的先前研究不一致。
本研究结果可被卫生服务研究、政策和经济学的利益相关者用于制定未来的研究议程,有针对性地向期刊投稿,并通过检查特定主题的重叠期刊,为跨学科解决方案提供依据。