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目的分析病案在临床医师发表论文中的利用情况。方法采用统计描述中构成比的方法,对2012年-2014年临床医师在中文医学核心期刊上发表的论文进行统计,分析论文中病案的利用情况。结果 3年中临床医师利用病案资料发表的临床论文共217篇,占总论文的71.62%;其中80%以上的论文应用到统计学方法。论文的科研设计方法采用病例报告、成组的病例分析、横断面调查和叙述性研究占比达50%以上。结论论文中病案利用率较高,说明病案利用与论文产出之间的联系非常紧密;但选择论证强度较高的设计类型的能力偏低,提示临床医师要重视病案在科研、循证医学中的作用,充分挖掘利用病案资源发表高水平的论文。
Objective To analyze the utilization of medical records in the published papers of clinicians. Methods Statistical methods used in the composition ratio of the 2012-2014 clinicians published in the core journals of Chinese medicine statistics, analysis of the utilization of medical records in the paper. Results A total of 217 clinical papers were published by clinicians using medical record data in 3 years, accounting for 71.62% of the total papers. More than 80% of the papers were applied to the statistical methods. The paper’s research design method using case reports, group case analysis, cross-sectional survey and narrative research accounted for more than 50%. Conclusion The utilization rate of medical records in the essay is high, which shows that there is a close relationship between the utilization of medical records and the output of the essay. However, the low ability to select the type of design with higher argumentation strength prompts clinicians to pay attention to medical records in scientific research and evidence-based medicine The full exploitation of medical records resources to publish a high level of papers.