| 张雪花,江震.基于CiteSpace软件分析的艾滋病防治领域卫生经济学研究进展[J].Chinese journal of Epidemiology,2025,46(2):325-333 |
| 基于CiteSpace软件分析的艾滋病防治领域卫生经济学研究进展 |
| Progress in research of health economics in HIV/AIDS prevention and treatment based on CiteSpace software analysis |
| Received:June 12, 2024 |
| DOI：10.3760/cma.j.cn112338-20240612-00344 |
| KeyWord: 艾滋病病毒/艾滋病 卫生经济学评价 可视化分析 |
| English Key Word: HIV/AIDS Health economics evaluation Visual literature analysis |
| FundProject:国家自然科学基金（71874169） |
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| Abstract: |
| 目的 基于CiteSpace软件分析的艾滋病防治领域卫生经济学研究进展。方法 运用可视化文献分析软件CiteSpace 6.3.R1，检索英文文献数据库Web of Science、PubMed，中文文献数据库中国知网（CNKI）、万方数据知识服务平台及维普网，对2010-2023年艾滋病防治领域卫生经济学研究的中英文文献进行分析。根据文献线索，针对该领域主要模型方法补充检索。结果 英文发表文献数年均468篇，在2018年达发表高峰后呈平缓下降趋势；中文发表文献数年均50篇，在2014年达发表高峰后持续下降。英文文献主要来自美国的波士顿、西雅图、华盛顿等地区的CDC、HIV/AIDS相关医疗机构及大学医学系等；中文文献主要自中国CDC、中国山东大学、中国安徽医科大学等国内机构。英文文献研究高频关键词依次为antiretroviral therapy、South Africa、HIV testing和pre-exposure prophylaxis等；中文文献研究高频关键词依次为暗娼、母婴传播、娱乐场所和健康教育等。艾滋病防治服务成本测算方法主要有自上而下法、自下而上法、作业成本法等，理论模型主要为HIV动态传播模型、马尔科夫模型优化和基于个体/主体的HIV综合传播模型，分析工具主要为Spectrum、Optima HIV、MicroCOSM、EMOD-HIV等软件。结论 2010-2023年艾滋病防治领域卫生经济学研究中，英文发表文献数持续处于较高水平，中文发表文献数近年来下降明显。国外研究已基本覆盖重点人群的HIV筛查、暴露前预防用药（PrEP）、抗病毒治疗（ART）及衔接护理等一系列的全链条干预模式的卫生经济学评价。国内需结合防治领域技术融合与创新，加强重点人群的“互联网+”干预、HIV自检、PrEP、快速ART等创新服务模式的卫生经济学评价，深化跨单位和跨学科合作，拓展方法学研究。 |
| English Abstract: |
| Objective An overview of the progress of health economics research in HIV/AIDS prevention and treatment based on CiteSpace analysis. Methods With the help of visual literature analysis software CiteSpace 6.3.R1, English literature databases Web of Science, PubMed, Chinese literature databases CNKI, Wanfang Data Knowledge Service Platform, and Vip.com were searched to review the Chinese and English literature on health economics research in the field of AIDS prevention and treatment from 2010 to 2023. According to the literature clues, the main model methods in this field are supplemented. Results The number of English publications averaged 468 per year and showed a gradual decline after reaching a peak in 2018. The number of Chinese publications averaged 50 per year and continued to decline after reaching a peak in 2014. The English literature mostly came from the CDC, HIV/AIDS medical institutions, and university medical departments in Boston, Seattle, and Washington. Most Chinese literature came from the China CDC, Shandong University, Anhui Medical University, etc. The keywords in the English literature study were antiviral treatment, South Africa, HIV detection, and pre-exposure prophylaxis (PrEP), respectively. The most frequent keywords in Chinese literature research are prostitution, mother-to-child transmission, entertainment places, and health education. Measurement methods on AIDS prevention and control service cost mainly include a top-down method, bottom-up method, activity-based costing method, etc; theoretical models are mainly HIV dynamic transmission model, Markov model optimization, and individual-based HIV comprehensive transmission model. Commonly used software tools are Spectrum, Optima HIV, MicroCOSM, EMOD-HIV, etc. Conclusions In the field of HIV/AIDS prevention and control from 2010 to 2023, the number of English health economics research papers remained at a high level, while the number of Chinese health economics related papers declined significantly. Overseas studies have basically covered the health economics evaluation of a series of whole-chain intervention modes, such as HIV screening, pre-exposure prophylaxis (PrEP), antiviral therapy (ART) and bridging care for key populations. The domestic field needs to combine technological integration and innovation in the field of prevention and control, strengthen the health economics evaluation of innovative service models such as "Internet +" intervention, HIV self-test, PrEP, and rapid ART for key populations, deepen cross-unit and interdisciplinary cooperation, and expand methodological research. |
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