大数据背景下基于VOS viewer的医院信息化研究应用领域发展现状与热点分析
康敏，赖凤松，丘海轶1
中国科学院大学深圳医院（光明）病案统计办，广东 深圳 518000
第一作者及通讯作者：康敏（1988— ），女，硕士研究生，中级统计师，主要研究方向为医院DRG、病案编码、医院统计等。联系电话：18207670613，E-mail：664194710@qq.com
摘要：背景 医疗服务的信息化不仅是国际发展的趋势，还是我国响应“十四五”规划努力提升的目标。随着信息技术的快速发展，越来越多的医院正逐步研究将大数据、物联网、人工智能与医院信息化平台的应用深度融合，从而提高医院的服务水平和核心竞争力。信息化水平的提高不仅能提高医务工作者的工作效率，还能使患者就医更加便捷，从而提高医院满意度和绩效考核指标。因此，利用现代信息技术提升医疗卫生服务质量是未来公立医院高质量发展研究的热点。目的 基于VOS viewer 1.6.18软件分析大数据背景下国内外医院信息化研究应用领域发展现状和前沿热点，以期为医院信息化管理和智能化领域应用方面提供借鉴。方法 本文通过检索中国知网、万方数据库、维普中文数据库和Web of Science，获取2000年以来国内外医院信息化研究领域方面的文献相关信息，并运用信息可视化软件VOS viewer 1.6.18绘制知识图谱。一共纳入文献21801篇，其中英文期刊文献938篇，中文期刊文献20863篇。国外相关文献呈逐年增长趋势且具有相关性（P＜0.05）主要研究领域为数据挖掘，人工智能和信息系统的管理、信息化研究；我国研究成果较为丰富，研究主题涉及信息共享和互通互联，大数据和人工智能在医院感染、财务系统、人事系统等方面的融合应用。结论 目前大数据背景下医院信息化应用研究成果较为丰富，但从总体上来看，我国相关研究呈现下降趋势，而国外则呈现逐年增长的趋势。随着大数据、物联网、人工智能等前沿技术的快速发展，我国医院信息化应用研究要提升专业水平和加强多方协作资源整合，为促进医疗信息化发展和医院管理决策提供有力的支持。
关键词：大数据；医院信息化；文献计量学；数据分析
Development status and hotspot analysis of hospital informatization research and application field based on VOS viewer in the context of Big data(https://www.daowen.com)
Kang Min, Lai Fengsong, Qiu Haiyi
Shenzhen Hospital (Guangming) of Chinese Academy of Sciences, Shenzhen 518000, China
Abstract:Background Medical services is not only a trend of international development, but also a goal that China is striving to improve in response to the 14th Five Year Plan.With the rapid development of information technology, more and more hospitals are gradually studying the deep integration of Big data, Internet of Things, artificial intelligence and the application of hospital information platform, so as to improve the service level and core competitiveness of hospitals.The improvement of informatization not only improves the work efficiency of medical workers, but also makes it more convenient for patients to seek medical treatment, thereby improving hospital satisfaction and performance evaluation indicators.Therefore, utilizing modern information technology to improve the quality of medical and health services is a hot research topic for the high-quality development of public hospitals in the future.Objective Based on the VOS viewer version 1.6.18 software, this paper analyzes the development status and cutting-edge hotspots in the field of hospital informatization research and application at home and abroad in the context of Big data, in order to provide reference for the application of hospital informatization management and intelligence.Methods By searching CNKI, Wanfang database, VIP Chinese database and Web of Science, this paper obtained the literature related information in the field of hospital informatization research at home and abroad since 2000, and used the Information visualization software VOS viewer 1.6.18 to draw the Knowledge graph.A total of 21801 articles were included, including 938 English journal articles and 20863 Chinese journal articles.The relevant foreign literature shows an increasing trend year by year and has relevance (P＜0.05), with the main research fields being data mining, artificial intelligence and information system management, and information technology research;China has rich research achievements, with research topics covering information sharing and interconnection, the integration of Big data and artificial intelligence in hospital infection, financial system, personnel system, etc.Conclusion At present, the research achievements of hospital informatization application under the background of Big data are relatively rich, but on the whole, the relevant research in China shows a downward trend, while that in foreign countries shows an increasing trend year by year.With the rapid development of Big data, the Internet of Things, artificial intelligence and other cutting-edge technologies, China’s hospital informatization application research should strengthen professional upgrading and multi-party collaboration resource integration to provide strong support for promoting the development of medical informatization and hospital management decisions.
Keywords:Big data;Hospital statistics;Bibliometrics;Data analysis
近年来，在国家实施健康中国战略，尤其是推动公立医院高质量发展，进一步改善医疗服务质量的背景下，云计算、大数据、物联网等新一代信息技术与医疗服务深度融合，引进先进的技术与平台，这是未来公立医院发展的必然趋势和需求。医疗信息化即医疗服务的数字化、网络化、信息化，是指通过计算机科学和现代网络通信技术及数据库技术，为各医院之间以及医院所属各部门之间提供病人信息和管理信息的收集、存储、处理、提取和数据交换，并满足所有授权用户的功能需求[1]。根据国际统一的医疗系统信息化水平划分，医疗信息化的建设分为三个层次：医院信息管理系统、临床信息管理系统和公共卫生信息化[2]。信息化在医疗行业的应用具有重要的意义，既能提高服务质量、挖掘医疗潜能，又能方便调配资源，更为重要的是对于保障医疗安全具有重要意义。从所处阶段来看，我国医疗信息化行业尚处于第二阶段（临床管理信息化）的初级阶段，但从发展来看，目前我国医疗信息化建设正如火如荼，医疗信息化行业处于发展以来的最好时期。本文在既有研究的基础之上，通过梳理现有文献，并运用VOS viewer 1.6.18软件对2000年以来国内外大数据背景下医院信息化研究应用领域的文献进行计量学研究，系统分析其研究发展历程和热点趋势，为全面赋能医学与卫生健康事业发展提供借鉴。