WEI Lili 1,2,3# , LI Xiuxia 2,3# , SHANG Wenru 1,2,3 , XING Xin 1,2,3 , YIN Min 2,3 , LING Juan 2,3 , MAO Guorui 4 , ZHU Yiliang 5 , YANG Kehu 1,2,3
  • 1. School of Public Health, Lanzhou University, Lanzhou, 730000, P.R.China;
  • 2. Evidence-Based Medicine Center, Lanzhou University, Lanzhou, 730000, P.R.China;
  • 3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, 730000, P.R.China;
  • 4. Department of Sociology, Colorado State University, USA;
  • 5. School of Public Health, University of Florida, USA;
ZHU Yiliang, Email: yzhu@health.usf.edu; YANG Kehu, Email: kehuyangebm2006@126.com
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ObjectiveTo biliometric analysis of the status quo of tracking rural health service quality, evaluation and supervision mechanism, in order to improve the quality of rural health service, optimize the allocation of resources and increase the quality and level of health service of rural medical staff. MethodsWe searched PubMed, The Cochrane Library (Issue 3, 2016), The Campbell Library, Web of Science, CBM, CNKI, and WanFang Data, as well as relevant websites up to March 2016. EndNote X7 software and Excel 2007 software were used for screening literature and analysis data. ResultsA total of 39 studies were included in the biliometric analysis. Eighteen studies were cross-sectional studies (46.2%), 18 were reviews (46.2%), 2 were cluster randomized trials (5.1%) and 1 was randomized controlled trial (2.6%). Thirteen studies were published in journals indexed by Science Citation Index, 3 were published in journals indexed by Chinese Science Citation Database, 18 were published on other peer-review journals, and 5 were thesis's. The involved theoretical models were as follows: 10 mechanisms (30.8%), 4 frameworks (18%), 11 systems (30.8%) and 12 methods (30.8%). The serviceable range included village clinics (n=3, 7.7%), town-level hospitals (n=3, 7.7%), and community (n=2, 5.1%). The research topics included public health (n=19, 48.7%), clinical care (n=16, 41%), medical insurance (n=4, 10.3%). ConclusionThe studies for rural health service quality tracking, research evaluation and supervision mechanism are still lack of systematic, pertinence and practicability, and the level of evidence is still low. We suggest pay attention and strengthen the rural health service quality tracking, research evaluation and supervision mechanism, and to provide effective evidence for effective evaluation and supervision to promote rural health service quality, and to promote the reasonable optimization the allocation of health resources in rural areas, and to greatly improve the quality and level of rural health service.

Citation: WEILili, LIXiuxia, SHANGWenru, XINGXin, YINMin, LINGJuan, MAOGuorui, ZHUYiliang, YANGKehu. Tracking rural health service quality and evaluation mechanism: a biliometric analysis. Chinese Journal of Evidence-Based Medicine, 2017, 17(2): 221-227. doi: 10.7507/1672-2531.201612002 Copy

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