以质量求发展,以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (2): 1-6.doi: 10.16460/j.issn1008-9969.2023.02.001

    Next Articles

Hotspots and trend of nursing research in China under background of medical insurance payment method reform

SHEN Chen1, WANG Zhen-hui2a, ZHANG Qun2a, MA Ke-jing2a, SUN Hong2b, LIANG Tao1   

  1. 1. College of Nursing, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100144, China;
    2a. Medical Insurance Department; 2b. Nursing Department, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China
  • Received:2022-06-08 Online:2023-01-25 Published:2023-02-22

Abstract: Objective To understand the current status and hotspots of nursing-related research under the background of medical insurance payment method reform, to sort out the development trajectory and trend of research topics, and to provide reference for nursing scientific research and clinical practice. Methods Literature on nursing research under the background of medical insurance payment method reform included in CNKI, Wanfang, China Biomedical, VIP Database from August 17, 2004 to March 10, 2022 was searched, and the CiteSpace software was used to analyze the literature. Results A total of 398 articles were finally included after two-person screening and verification. The overall annual number of articles showed a steady upward trend, and there was relatively scattered and less cooperation between researchers and institutions. Under the background of medical insurance payment method reform, research hotspots in the nursing field included single disease, clinical pathway, nursing management, nursing quality, performance evaluation, diagnosis-related groups (DRG), etc. Keyword presentation and cluster analysis showed that DRG was the research frontier in this field. Conclusion The research of nursing field under the background of medical insurance payment method reform in China is still in the exploratory stage. It is urgent to carry out national policy-guided in-depth research considering research hotspots, frontier and trend, so as to promote the sustainable and healthy development of nursing cause in China.

Key words: nursing administration, reform of medical insurance payment method, diagnosis-related groups, single disease, bibliometrics

CLC Number: 

  • R47
[1] 中共中央国务院.中共中央国务院关于深化医药卫生体制改革的意见[EB/OL].(2009-03-17)[2022-03-05].http://www.gov.cn/jrzg/2009-04/06/content_1278721.htm.
[2] 统计信息中心.2020中国卫生健康统计年鉴[EB/OL].(2021-12-06)[2022-03-06].http://www.nhc.gov.cn/mohwsbwstjxxzx/tjtjnj/202112/dcd39654d66c4e6abf4d7b1389becd01.shtml.
[3] 中共中央国务院.中共中央国务院关于深化医疗保障制度改革的意见[EB/OL].(2020-03-05)[2022-03-08].http://www.gov.cn/zhengce/2020-03/05/content_5487407.htm.
[4] 黄德斌. 以价值为导向改革医保支付方式[J].中国社会保障, 2021(11):27.
[5] 医保局.国家医疗保障局关于印发DRG/DIP 支付方式改革三年行动计划的通知[EB/OL].(2021-11-19)[2022-03-06].http://www.gov.cn/zhengce/zhengceku/2021-11/28/content_5653858.htm.
[6] 侯剑华,胡志刚.CiteSpace软件应用研究的回顾与展望[J].现代情报, 2013, 33(4):99-103.DOI:10.3969/j.issn.1008-0821.2013.04.022.
[7] 余泽芸,武平,胡远樟,等.基于CiteSpace分析针灸在治疗类风湿性关节炎中的应用[J].世界科学技术-中医药现代化,2020,22(8):2758-2763.DOI:10.11842/wst.20190626011.
[8] 卫生部办公厅.卫生部办公厅关于开展按病种收费管理试点工作的通知[EB/OL].(2004-08-17)[2022-03-06].http://www.law-lib.com/law/law_view.asp?id=86661.
[9] 刘晓梅,宋晓雪,李红文,等.单病种管理在烧伤瘢痕修复患者中的应用[J].中华现代护理杂志,2019,25(5):596-599.
[10] 刘晓梅,刘红梅,惠蓉,等.单病种护理管理对颈部烧伤瘢痕挛缩畸形病人依从性及自我管理的影响[J]. 护理研究,2019,33(3):485-488.DOI:10.12102/j.issn.1009-6493.2019.03.0.28.
[11] 刘晓梅,李红文,宋晓雪,等.单病种护理健康教育联合多媒体在老年内科的应用效果[J].中国数字医学,2020,15(8):165-167.DOI:10.3969/j.issn.1673-7571.2020.08.058.
[12] 王英,刘晓梅,姚莉珮.单病种护理质量标准对老年冠心病患者治疗依从性、自我管理能力的影响[J].临床医学研究与实践,2022,7(5):135-137.
[13] 陈悦,陈超美,刘则渊,等.CiteSpace知识图谱的方法论功能[J].科学学研究,2015,33(2):242-253.DOI:10.16192/j.cnki.1003-2053.2015.02.009.
[14] Chen C.Science Mapping:A Systematic Review of the Literature[J].数据与情报科学学报(英文版),2017,2(2):1-40.DOI:10.1515/jdis-2017-0006.
[15] 国家发展改革委,卫生部.国家发展改革委、卫生部关于开展按病种收费方式改革试点有关问题的通知[EB/OL].(2011-04-18)[2022-03-06].http://www.nhc.gov.cn/wjw/gfxwj/201304/cb3552d91c4045c7a010fe29bde59252.shtml.
[16] 国务院办公厅.国务院办公厅关于进一步深化基本医疗保险支付方式改革的指导意见[EB/OL].(2017-06-28)[2022-03-06].http://www.gov.cn/zhengce/content/2017-06/28/content_5206315.htm.
[17] 医保局办公室. 国家医疗保障局办公室关于印发DRG/DIP付费示范点名单的通知[EB/OL].(2021-12-30)[2022-03-06]. http://www.gov.cn/zhengce/zhengceku/2021-12/21/content_5663873.htm
[18] 国家医疗保障局办公室.国家医疗保障局办公室关于印发区域点数法总额预算和按病种分值付费试点城市名单的通知[EB/OL].(2020-11-03)[2022-03-06].http://www.gov.cn/zhengce/zhengceku/2020-11/05/content_5557625.htm.
[19] 翁艳秋,张玲娟.我国单病种护理质量评价的文献计量学研究[J].护理研究,2017,31(7):880-883.DOI:10.3969/j.issn.1009-6493.2017.07.038.
[20] 王霞. 单病种护理质量标准下的护理措施对下肢浅静脉曲张患者住院护理质量的影响[J].当代护士(专科版),2021,28(1):78-80.DOI:10.19793/j.cnki.1006-6411.2021.03.030.
[21] 韦跃宇. 临床路径——质量与效益[J].护士进修杂志,2002(12):908-909.
[22] 邹蓓蕾,杨一红,李小方.临床护理路径在急诊胸外伤患者中应用的效果评价[J].中华现代护理杂志, 2022,28(27):3793-3797.
[23] 徐佳佳,张玲玲,周丹丹.基于目标导向的临床护理路径在急性胆囊炎患者中的应用效果[J].中国医药导报,2022,19(10):177-180.
[24] 李爽,王立伟,胡文滕,等.临床护理路径应用于食管癌手术患者效果的Meta分析[J].中国循证医学杂志,2015,15(8):951-956.DOI:10.7507/1672-2531.20150159.
[25] 郑海伦,黄巧萍,王春,等.临床护理路径在股骨颈骨折患者中应用效果的Meta分析[J].中国循证医学杂志,2015,15(11):1327-1333.DOI:10.7507/1672-2531.20150218.
[26] 叶欣欣,邵静,任子扬,等.基于GRADE系统的中医护理临床路径应用于神经根型颈椎病患者效果的系统评价[J].护士进修杂志,2021,36(14):1307-1314.
[27] 任红梅,周慧.单病种付费对护理管理的影响研究[J].中国卫生产业, 2018, 15(23):111-112.DOI:10.16659/j.cnki.1672-5654.2018.23.111.
[28] 赖静. 基于DRGs为导向的ICU慢性阻塞性肺疾病患者护理服务成本研究[J].中西医结合护理(中英文),2019,5(3):1-5.DOI:10.11997/nitcwm.201903001.
[29] 黄凤毛,肖佳,李映兰,等.湖南省三级医院护理项目成本核算及分析[J].护理研究, 2018,32(16): 2528-2531.
[30] Han B, Chen X, Li Q.Application of case mix index in the allocation of nursing human resources[J]. J Nurs Manag,2018,26(6):647-652.DOI:10.1111/jonm.12593.
[31] 李姗,侯铭,郭健,等.基于DRGs和RBRVS的护士绩效薪酬改革方案的探索[J].中国卫生质量管理, 2020,27(3):59-62.DOI:10.13912/j.cnki.chqm.2020.27.3.17.
[32] 胡靖琛,孙璇,李煜,等.基于DRGs的湖北省某医院护理绩效评价研究[J].中华医院管理杂志,2019,35(5):376-380.
[33] 敬洁,温贤秀,王波,等.以公益性为导向的公立医院护理绩效工资分配方案构建与实践[J]. 实用医院临床杂志,2019,16(6):82-85.
[1] TIAN Yun-wei, LI Shan-ling, TIAN Wen-wen, LI Wei-guo, SHAO Qin. Qualitative Research of Cognition on Near-miss Events in Nursing Staff [J]. Journal of Nursing, 2022, 29(7): 32-35.
[2] RUAN An-ran, HU Hao-ran, REN Ya-hao, YANG Xue-ting, CHENG Kang-yao, TENG Wen-zhe. Visual Analysis of Research Hotspots in Psychological Care for Inflammatory Bowel Disease from 2010 to 2020 [J]. Journal of Nursing, 2022, 29(6): 26-31.
[3] LI Xiao-ting, LIAO Jin-hua, HUANG Long, ZHANG Yu-hong, CHEN Na, HU Rong-fang. Bibliometrics and Visualization Analysis of Research on ICU Diary [J]. Journal of Nursing, 2022, 29(16): 26-31.
[4] SONG Jia-ting, HUANG Qi-hua, XIAO Wen-li, YANG Zuan-zuan, LUO Hui-fang. Effect of Moxibustion on Chemotherapy-related Adverse Reaction of Cancer Patients: A Bibliometric Analysis [J]. Journal of Nursing, 2021, 28(15): 20-24.
[5] DU Jing, SONG Jie, LIU Yan-li. Visualization and Bibliometric Analysis of Dementia Nursing Based of Web of Science [J]. Journal of Nursing, 2020, 27(22): 10-15.
[6] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke [J]. Journal of Nursing, 2020, 27(11): 16-20.
[7] CHEN Hui, WANG Chen-chen, SHI Ju, LIANG Jing, WANG Liang-mei, LI Ping, FU Qiao-mei. Operation Mode and Nursing Management of Single Disease Ward for Prostate Cancer [J]. Journal of Nursing, 2019, 26(2): 16-19.
[8] HUO Wan-jun ,LIU Rong-min ,FENG Su-yun ,ZENG Fan-duan ,XIONG Xiao-ling . Biliometric Analysis of Literatures on Risk Factors of Pressure Ulcer in China from 2007 to 2016 [J]. Journal of Nursing, 2017, 24(20): 14-16.
[9] HU Ye,LUO Jun-fei. Research Status and Hotspots of Geriatric Nursing Based on Pubmed Database from 2012 to 2016 [J]. Journal of Nursing, 2017, 24(20): 17-21.
[10] LI Yi-lin,KANG Xiao-feng,XING Hai-ying,CHEN Jing-li. Bibliometric Analysis on Literatures of Nursing-related Concept Analysis in PubMed Database [J]. , 2016, 23(23): 6-10.
[11] KANG Dong-qin,YUE Shu-jin. Biliometric Analysis on Application of Flipped Classroom in Nursing Teaching [J]. , 2016, 23(21): 22-25.
[12] CHEN Hui-bing,LIU Ying-chun,LI Zhi. Nursing Defect in First-class Third-level Hospitals of Zhongshan and Its Influential Factors [J]. Journal of Nursing, 2015, (9): 43-45,46.
[13] ZHANG Ting,LI Hui-ping,WANG De-bin. Review of Literatures on Resilience in Recent 10 years and Its Revelation for Psychological Nursing [J]. Journal of Nursing, 2014, (3): 73-75,76.
[14] CAI De-fang,DUAN Hong-jing,LI Chang-qiong,LI Hai-yan. Performance Evaluation and Distribution of Head Nurses with Vertical Administration [J]. Journal of Nursing, 2014, (3): 15-18.
[15] . Bibliometrical Analysis of Self-care Theory Research in Domestic Periodicals [J]. Journal of Nursing, 2013, (4): 11-14.
Viewed
Full text


Abstract

Cited

  Shared   
[1] YE Zeng-jie,Ruan Xiao-li,ZENG Zhen,XIE Qiong,CHENG Meng-hui,PENG Chao-hua,LU Yong-Mei,QIU Hong-zhong. Psychometric Properties of 10-item Connor-davidson Resilience Scale among Nursing Students[J]. , 2016, 23(21): 9 -13 .
[2] . [J]. Journal of Nursing, 2022, 29(24): 18 -21 .
[3] . [J]. Journal of Nursing, 2022, 29(24): 27 -31 .
[4] . [J]. Journal of Nursing, 2022, 29(24): 32 -37 .
[5] TANG Fan, LI Ya-ling, LUO Man-yue, WANG Zhao-bei, LI Zhang-shuangzi, CAI Peng. Best Evidence Summary for Endotracheal Suctioning in Neonates with Mechanical Ventilation[J]. Journal of Nursing, 2022, 29(24): 38 -42 .
[6] HOU xiang-chuan, WU yan-ting, ZHOU kai-qi, MO yi-jian, HUANG li-xiang, LIU yi-sha. Best Evidence-based Practice for Improving Qualified Rate of Sputum Collection in Patients with with Respiratory Diseases[J]. Journal of Nursing, 2022, 29(24): 43 -48 .
[7] ZHAO Jia, CAO Yong-jun, WEI Shu-mei, DI Li-shuang, HU Xiang-qin, LIU Shu-xia. Current Status of Core Competency of Midwives in Tianjin and Its Influencing Factors: A 261-case Study[J]. Journal of Nursing, 2022, 29(24): 59 -63 .
[8] . [J]. Journal of Nursing, 2022, 29(24): 64 -67 .
[9] . [J]. Journal of Nursing, 2022, 29(24): 68 -70 .
[10] CHENG Qing-yun, ZHANG Yan, TIAN Yu-tong, XU Bing, LU Yi-xin, LI Xiao-hua, GAO Yue, GAO Meng-ke. Current status of online learning ability of clinical nurses in tertiary grade-A hospitals and its influencing factors: a 924-case study[J]. Journal of Nursing, 2023, 30(1): 1 -6 .