Zhongguo quanke yixue (Jul 2023)
Research Hotspots and Evolutionary Trends on Multimorbidity in China from 2002 to 2022
Abstract
Background Multimorbidity have become a major character in the course of chronic diseases that brings a challenge for public health development in China. The development of multimorbidity research in China is in an early stage with fewer literature, and there is a lack of systematic and comprehensive literature analysis. Objective To conduct a bibliometric and visual analysis of research hotspots and evolutionary trends in the field of multimorbidity in China, grasp the research frontiers and development directions in the field, thereby providing a reference for future research directions. Methods CNKI (Chinese data source) and WOS (foreign data source) were searched for the literature in the field of multimorbidity researches published by Chinese researchers from 2002 to 2022. CiteSpace software was used to analyze the spatial and temporal distribution of multimorbidity and explore the research hotspots and evolutionary trends in the field of multimorbidity by plotting the collaboration network map of institutions and co-occurrence map of keywords for researches in the field of multimorbidity published by Chinese researchers. Results The number of published literatures in the field of multimorbidity showed an increasing trend from 2002 to 2022. The top 5 Chinese keywords were "comorbidity (342 times) " "older adults (161 times) " "depression (155 times) " "chronic diseases (106 times) " "diabetes (94 times) " ; and the top 5 English keywords were "prevalence (126 times) " "older adults (92 times) " "multimorbidity (91 times) " "health (75 times) " "disease (71 times) " . There were 4 development stages in the research development history of multimorbidity: the initial stage of research, the researchers focused on the comorbidity characteristics but did not define it in a uniform way; the second stage of research, the researchers focused on comorbidity and chronic disease in older adults, discovered the high prevalence of multimorbidity in the elderly population; the third stage of research, the domestic researches on multimorbidity developed rapidly, involving influencing factors, comorbidity patterns, polypharmacy, quality of life and debilitation; the fourth stage of research, the definition of multimorbidity is becoming clearer, showing a trend of research diversification. Conclusion Researches in the field of multimorbidity is becoming increasingly diversified. Researchers should focus on the prevention and treatment of complex multimorbidity, and construct health management strategies and community intervention programs for multimorbidity population in China.
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