在COPD中未满足的医疗保健需求:文本网络分析和COVID-19前后研究趋势的主题建模
1Department of Nursing, Nambu University, Gwangju 62271, Republic of Korea.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
在慢性阻塞性肺病 (COPD) 中解决未满足的医疗保健需求需要综合系统. 研究表明,疫情后,人们正在转向数字健康和公平的药物获取,以改善患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 肺部医学 肺部医学
- 卫生政策 卫生政策
背景情况:
- 在慢性阻塞性肺病 (COPD) 中,未满足的医疗保健需求至关重要,受结构和患者障碍的影响.
- 关于COPD未满足需求的学术主题的演变的研究有限.
- 本研究分析了研究趋势,以确定关键概念,主题和政策影响.
研究的目的:
- 分析COPD未得到满足的医疗保健需求的研究结构和时间变化.
- 识别关键概念,不断发展的主题和政策影响.
- 使用5A医疗保健准入框架了解未满足需求的多维性质.
主要方法:
- 在PubMed,Embase和CINAHL系统搜索英语摘要 (2025年3月).
- 分析了451个摘要,使用文本网络分析和隐性迪里克莱特分配.
- 使用奇平方测试评估流行病前和流行病后的主题分布.
主要成果:
- 六个关键主题出现了:社会经济差异,诊断/症状管理,信息/技术使用,综合护理,肺部康复的获取和药物的可用性.
- 这些主题与5A医疗保健获取维度相一致.
- 网络分析强调"管理"",诊断"和"症状"作为核心主题. 流行病后的研究强调数字交付,技术和药物治疗.
结论:
- 减少COPD的未满足需求需要综合系统来解决疾病的复杂性和进入障碍.
- 针对性,多学科和政策驱动的干预措施对于减少差距和改善结果至关重要.
- 疫情后研究重点的转变凸显了对公平和适应性的医疗保健政策的需要.
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