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我国循证医学教学改革研究的文献计量分析

Bibliometric Analysis of Research on Evidence-based Medicine Teaching Reform in China

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【作者】 申奥琪; 甘勇; 冯晶; 李欣妍; 孙宇超; 卢祖洵;

【Author】 SHEN Aoqi;School of Public Health, Tongji Medical College, Huazhong University of Science and Technology;

【通讯作者】 甘勇;

【机构】 华中科技大学同济医学院公共卫生学院;

【摘要】 目的:通过文献计量分析了解我国循证医学教学改革研究的现状、热点和前沿,为优化循证医学教学方法、增强医学生和医务人员循证思维能力以及提高临床决策的科学性提供参考。方法:以中国知网、万方和维普数据库2010-2024年收录的循证医学教学改革相关文献为研究对象,使用CiteSpace 6.2.R6软件进行文献计量分析。结果:共纳入文献1227篇。我国循证医学教学改革领域发文量在2013-2015年、2017-2020年呈现上升趋势。机构合作网络围绕高校展开,各大高校及附属医院是主要研究机构。词频前3位的关键词分别是临床教学、教学和教学改革。关键词聚类分析中共得到18个聚类,包括“循证医学”“实习”“循证护理”“教学改革”“教学模式”等。关键词突现分析共得到突现词18个,“教学质量”“教学效果”“翻转课堂”“考核成绩”和“课程思政”是最新突现词。结论:循证医学教学改革研究发文量受政策影响较大,各院校不同的教学目标、教学理念和人才培养方案可能是机构合作受限的原因;探索新型教学模式和临床实践应用是该领域的研究热点主题;应用实践和教学效果评价是当前循证医学教学改革研究的前沿。未来,相关学者可从完善循证医学教学队伍、优化课程内容和教学模式、循证医学联合临床实践3个方面入手,着重提高我国循证医学课程的教学质量和临床医护人员循证实践能力。

【Abstract】 Objective: Through bibliometric analysis, this study explores the current status, research hotspots, and frontiers of evidence-based medicine(EBM) teaching reform in China, so as to provide references for optimizing EBM teaching methods, strengthening evidence-based competencies among medical students and healthcare professionals, and enhancing the scientific rigor of clinical decision-making. Methods: This study focused on evidence-based medical education reform-related literature indexed in the China National Knowledge Infrastructure(CNKI), Wanfang, and China Science and Technology Journal Database(VIP) databases from 2010 to 2024, and conduct bibliometric analysis using CiteSpace 6.2.R6 software. Results: A total of 1227 journal articles were included. Over the past decade, the number of publications in this field has remained relatively stable, with an upward trend observed between 2013 and 2015 as well as from 2017 to 2020. The top three keywords by frequency were "clinical teaching, " "teaching, " and "teaching reform." Keyword clustering analysis identified 18 clusters, including "evidence-based medicine, " "internship, " "evidence-based nursing, " "teaching reform, " and "model of teaching." Burst analysis revealed 18 burst keywords, among which "teaching quality, " "teaching result, " "flipped classroom, " "result of examination, " and "curriculum ideology and politics" were the most recent emergent terms. Conclusion: The volume of publications on evidence-based medicine teaching reform may be influenced by policies. Variations in teaching philosophies across institutions may be a key factor limiting inter-institutional collaboration. Key research focuses include exploring innovative teaching models and clinical practice applications, while the forefront of current studies lies in practical application and teaching effectiveness evaluation. In the future, relevant scholars can focus on three aspects to enhance the teaching quality of evidence-based medicine courses in China and the evidence-based practice capabilities of clinical medical staff: improving the team for teaching evidence-based medicine, optimizing curriculum content and teaching methods, and integrating evidence-based medicine and clinical practice.

【基金】 国家自然科学基金资助项目,编号为71804049;世界卫生组织项目,编号为2023/HEP/PVL/001;华中科技大学教学研究项目“新时代背景下《循证医学》课程教学探索与实践”,编号为2022202;中央高校基本科研业务费专项资金资助项目,编号为2024WKYXQN009
  • 【文献出处】 医学与社会 ,Medicine and Society , 编辑部邮箱 ,2026年01期
  • 【分类号】G642;G353.1;R-4
  • 【下载频次】88
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