Research progress and hotspots of clinical pathway informatization at home and abroad
10.3760/cma.j.cn111325-20240607-00472
- VernacularTitle:国内外临床路径信息化研究进展及热点分析
- Author:
Xiaolei XIU
1
;
Qing QIAN
1
;
Sizhu WU
1
;
Anran WANG
1
;
Shengyu LIU
1
Author Information
1. 中国医学科学院/北京协和医学院医学信息研究所医学数据共享研究室，北京 100020
- Publication Type:Journal Article
- Keywords:
Clinical pathway;
Informatization;
Research hotspots;
Thematic analysis;
Literature
- From:
Chinese Journal of Hospital Administration
2025;41(6):411-419
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the research progress and hotspots of clinical pathway informatization at home and abroad, and provide references and guidance for the construction of clinical pathway informatization in China.Methods:The relevant literature on clinical pathway informatization research were retrieved from China National Knowledge Infrastructure and Web of Science databases, which were published from January 1, 2000 to July 20, 2023. Bibliometric and thematic analysis methods were used to analyze the commonalities and differences in annual publication volume, high-frequency author collaboration networks, high-frequency keywords, and research hotspots of domestic and foreign literature.Results:This study included a total of 257 domestic literature and 174 foreign literature. The number of domestic publications had gradually increased since 2005, with the highest number in 2012 and a significant downward trend after 2015; The overall number of foreign publications was on the rise. Domestic high-frequency authors mostly came from medical institutions, while foreign high-frequency authors were mainly concentrated in universities and research institutes, and both had formed author collaboration networks. However, the research continuity of foreign authors were better than that of domestic authors. There were commonalities in the electronicization and semantics of clinical pathways, process design and management, disease management, and clinical decision support in relevant research hotspots at home and abroad, but there were significant differences in system integration, process design, pathway analysis, and disease management. Foreign related researches had the advantages of leading technology.Conclusions:There were certain similarities and differences in the research topics of clinical pathway informatization at home and abroad, and relevant studies abroad had shown certain frontiers in the application of new technologies. In the future, China should learn from international advanced experience, utilize emerging technologies such as machine learning and big language models, strengthen patient-centered, promote the precise and intelligent development of clinical pathway management, and improve the quality of medical services.
