Figure 1
Timeline view of integrated care research in China.
Table 1
Summary of thematic concentrations in the Chinese language literature.
| CLUSTER | SIZE | SILHOUETTE | AVERAGE YEAR | KEYWORDS BURSTNESS |
|---|---|---|---|---|
| #0 Resource integration (资源整合) | 105 | 0.847 | 2013 | 2006–2010: Urban–rural two-way referral (城乡双向转诊) and health information (健康信息). 2010–2015: Coordinated management (协调管理), continuous service (联续性服务). 2016–2020: Resource Integration Practice (资源整合实践), rural medical insurance system (农村医疗保障体系), doctor–patient relationship (医患关系); |
| #1 Longitudinal integration (纵向整合) | 88 | 0.889 | 2013 | 2005–2014: Hospital management (医院管理), medical resources (医疗资源), longitudinal integration (纵向整合), index system (指标体系); 2015–2019: Medical alliance (医疗联盟), two-way referral (双向转诊), rural health care (农村卫生服务), hospital group (医院集团); 2019–2020: Fragmentation (碎片化), patient preference (患者偏好), health care consortium (卫生保健联合体), general ward (综合病房), payment system (付费制度), counterpart support (对口帮扶), multidisciplinary team (多学科团队); |
| #2 Integrated type (整合型) | 83 | 0.868 | 2014 | 2007–2010: Public hospital reform (公立医院改革), integrated health care service (整合型医疗卫生服务); 2010–2016: County-level medical community (县域医共体), medical consortium (医疗联合体), medical group (医疗集体); 2016–2020: Senior care innovation (养老创新), compact type (紧密型), and specialist alliance (专科联盟), etc.; |
| #3 Combination of medical and elderly care (医养结合) | 81 | 0.844 | 2016 | 2013–2016: Combination of medical and elderly care (医养结合), innovative elderly care model (创新养老模式), healthy aging (健康老龄化), healthy elderly care (健康养老), long-term elderly care (老年长期照护), and community home (社区居家), etc.; 2016–2019: Optimisation of practical difficulties (优化实践困境), integrated care of disabled elderly (失能老人整合照护), and quality of life (生命质量), etc.; 2020: Informatisation of medical and elderly care (医养信息化), Internet+ (互联网+), and function integration (功能整合), etc.; |
| #4 Medical consortium (医疗联合体) | 80 | 0.814 | 2015 | 2008–2015: Integration and optimisation (整合优化), hierarchical diagnosis and treatment (分级诊疗), organisational model (组织模式), and benefit mechanism (利益机制); 2015–2020: Hospital reorganisation (医院重组), chronic disease prevention and treatment (慢病防治), symbiosis theory (共生理论), corporate governance structure (法人治理结构), and payment system reform (支付制度改革), etc.; |
| #5 Integration of medical resources (医疗资源整合) | 78 | 0.869 | 2013 | 2007–2020: Medical resource integration (医疗资源整合), performance appraisal (绩效考核), continuous service (连续性服务), single disease (单病种), system construction (制度建设), data sharing (数据共享), care model (服务模式), dual matching (双向匹配), and health poverty alleviation (健康扶贫), etc. |
| #6 Two-way referral (双向转诊) | 74 | 0.852 | 2013 | 2005–2013: Two-way referral (双向转诊), regional coordination (区域协调), and hierarchical diagnosis and treatment (分级诊疗); 2013–2020: Green channel (绿色通道), primary care (基层医疗), and health care information system (医疗卫生信息系统) |
| #7 Integration (整合) | 69 | 0.859 | 2014 | 2009–2020: Integration mechanism (整合机制), medical insurance settlement (医保结算), equal emphasis on Chinese and Western medicine (中西医并重), healthy China strategy (健康中国战略), incentive plus constraint (激励约束), preliminary model exploration (模式初探), hierarchical diagnosis and treatment system (分级诊疗体系), family physician contracting system (家庭医生签约制度), contractual (契约式), medical–insurance–medicine Linkage (三医联动), rural integration path (农村整合路径), and people-oriented (以人为本), etc. |
| #8 Integrated health care (整合服务) | 64 | 0.885 | 2016 | 2010–2016: Integrated health care system (整合型卫生服务体系), payment method of medical insurance (医疗保险的支付方式), health integration (健康整合), and healthy China (健康中国); 2016–2020: People-oriented (以人为本), patient-centered (以患者为中心), multi-level regional health care centers (多层级区域医疗卫生中心), and value-based care (价值医疗); |
| #9 Medical community (医共体) | 63 | 0.84 | 2015 | 2006–2016: Chronic diseases (慢性疾病), contracted family physician service (家庭医生签约服务), operating mechanism (运行机制), and medical insurance payment (医保支付); 2016–2020: Incentive mechanism (激励机制), integrated management (一体化管理), informatisation (信息化), prevention first (预防为主), and resource sharing (资源共享) |
[i] Note: Size is the number of keyword nodes in the cluster. Silhouette value is a parameter used to evaluate the clustering effect; specifically, it evaluates clustering by measuring the network homogeneity index. Silhouette values closer to 1 indicate higher network homogeneity. Silhouette = 0.7 indicates that the clustering result has high reliability, and silhouette >0.5 indicates that the clustering result is logical.
Figure 2
Burst detection of integrated care research in China.
Figure 3
A visual map based on keyword cluster analysis of integrated care research in China.
Table 2
Summary of thematic concentrations in the English language literature.
| CLUSTER | SIZE | SILHOUETTE | AVERAGE YEAR | KEYWORDS BURSTNESS | CITING ARTICLE (COVERAGE, %) |
|---|---|---|---|---|---|
| #0 integrated care | 18 | 0.917 | 2015 | integrated care model, medical consortium influence health outcomes, integrated prospective payment program, effectiveness, chronic diseases | Xin, W et al. 2018 [20] (9%) Sun, X. et al. 2014 [21] (8%) |
| #1 oncology | 11 | 0.837 | 2017 | expanded access, ovarian cancer patients, staff contextualise experiences, rural China, cross-sectional study, poverty | Li, Z.; Zhang, L. 2020 [22] (6%) |
| #3 noncommunicable diseases | 11 | 0.985 | 2016 | allocating ancillary service costs, cooperative game-based mechanism, uncontrolled chronic conditions, social health insurance consolidation | Cai, M. et al 2018 [23] (5%) Fei, H.; Hongyu, L. 2018 [24] (4%) |
| #4 medical insurance integration system | 10 | 0.947 | 2011 | catastrophic health expenditure incidence and its equity in China, a study on the initial implementation of the medical insurance integration system | Liu, C. et al 2018 [25] (4%) Liu, H. et al 2019 [26] (4%) |
[i] Note: Size is the number of keyword nodes in the cluster. Silhouette value is a parameter used to evaluate the clustering effect; specifically it evaluates clustering by measuring the network homogeneity index. Silhouette values closer to 1 indicate higher network homogeneity. Silhouette = 0.7 indicates that the clustering result has high reliability and silhouette >0.5 indicates that the clustering result is logical. The percentage of coverage = the percentage of references cited by a citing article.
Figure 4
Keywords with the strongest frequency bursts in the core dataset.