当代卫生经济学研究趋势：对专业期刊集体内容的科学计量分析
Research trends in contemporary health economics: a scientometric analysis on collective content of specialty journals.
作者信息
Zwack Clara C, Haghani Milad, de Bekker-Grob Esther W
机构信息
Department of Nursing and Allied Health, School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia.
School of Civil and Environmental Engineering, University of New South Wales, Sydney, NSW, Australia.
出版信息
Health Econ Rev. 2024 Jan 25;14(1):6. doi: 10.1186/s13561-023-00471-6.
INTRODUCTION
Health economics is a thriving sub-discipline of economics. Applied health economics research is considered essential in the health care sector and is used extensively by public policy makers. For scholars, it is important to understand the history and status of health economics-when it emerged, the rate of research output, trending topics, and its temporal evolution-to ensure clarity and direction when formulating research questions.
METHODS
Nearly 13,000 articles were analysed, which were found in the collective publications of the ten most specialised health economic journals. We explored this literature using patterns of term co-occurrence and document co-citation.
RESULTS
The research output in this field is growing exponentially. Five main research divisions were identified: (i) macroeconomic evaluation, (ii) microeconomic evaluation, (iii) measurement and valuation of outcomes, (iv) monitoring mechanisms (evaluation), and (v) guidance and appraisal. Document co-citation analysis revealed eighteen major research streams and identified variation in the magnitude of activities in each of the streams. A recent emergence of research activities in health economics was seen in the Medicaid Expansion stream. Established research streams that continue to show high levels of activity include Child Health, Health-related Quality of Life (HRQoL) and Cost-effectiveness. Conversely, Patient Preference, Health Care Expenditure and Economic Evaluation are now past their peak of activity in specialised health economic journals. Analysis also identified several streams that emerged in the past but are no longer active.
CONCLUSIONS
Health economics is a growing field, yet there is minimal evidence of creation of new research trends. Over the past 10 years, the average rate of annual increase in internationally collaborated publications is almost double that of domestic collaborations (8.4% vs 4.9%), but most of the top scholarly collaborations remain between six countries only.
引言
健康经济学是经济学中一个蓬勃发展的子学科。应用健康经济学研究在医疗保健领域被视为至关重要，并且被公共政策制定者广泛使用。对于学者而言，了解健康经济学的历史和现状——它何时出现、研究产出率、热门话题及其时间演变——对于在制定研究问题时确保清晰性和方向性很重要。
方法
分析了在十本最专业的健康经济学期刊的集体出版物中找到的近13000篇文章。我们使用术语共现模式和文献共被引情况来探索这一文献。
结果
该领域的研究产出呈指数增长。确定了五个主要研究领域：（i）宏观经济评估，（ii）微观经济评估，（iii）结果的测量与估值，（iv）监测机制（评估），以及（v）指导与评估。文献共被引分析揭示了十八个主要研究方向，并确定了每个方向活动规模的差异。在医疗补助扩大方向上出现了健康经济学研究活动的近期兴起。持续显示高活动水平的既定研究方向包括儿童健康、健康相关生活质量（HRQoL）和成本效益。相反，患者偏好、医疗保健支出和经济评估现在已过了在专业健康经济学期刊中的活动高峰期。分析还确定了过去出现但现在不再活跃的几个方向。
结论
健康经济学是一个不断发展的领域，但几乎没有证据表明有新的研究趋势产生。在过去10年中，国际合作出版物的年平均增长率几乎是国内合作的两倍（8.4%对4.9%），但大多数顶级学术合作仍仅在六个国家之间。
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