Research hotspots of DRGs based on co-word cluster analysis / 中华医院管理杂志

ABSTRACT

Objective To reveal the research hotspots and development trend of DRGs based on literature, and to provide a basis for domestic scholars and hospitals .Methods Literature review was made in database CNKI and Wanfang database , using DRGs and its co-words ( both Chinese and English ) to retrieve literatures published before April 2017 , and describing such distribution as paper publication year , journal, and first author.Co-word cluster analysis was then performed on the co-occurrence matrix of high frequency keywords to reveal the research hotspots and development trends in line with the subject strategic diagram.Results 2594paperswereretrievedand1303ofthemwereretainedwiththoseredundantand irrelevant bibliographies excluded .Observation of the distribution of the year , journal and first author revealed that papers in DRGs field were in rapid growth , while the journals and first authors were distributed evenly.These literature focused on eight research hotspots , namely medical insurance payment system , medical quality and efficiency, hospital management, DRGs payment, case-mix, coding uniformity, medical records management , and evaluation system .In the subject strategic diagram , medical insurance payment system, medical quality and efficiency were placed in the fourth quadrant , the DRGs payment , case-mix, coding uniformity in the first quadrant , hotspot coding uniformity in the second , and the last two hotspots were in the third .Conclusions DRGs has attracted attention of many scholars and institutions in China , as evidenced by numerous articles published in various journals .These articles covered a wide range of topics , and were in different development stages .Researchers should keep an eye on progress of mature themes , and promote practical exploration of immature topics .