日本の公衆衛生研究の歴史的概観  [in Japanese] Historical overview of studies on public health in Japan  [in Japanese]

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Abstract

目的:日本の公衆衛生に関する原著論文について,施策等時事的事項との関連を分析し,1970年から2017年までの研究動向を明らかにすることである。方法:医学中央雑誌(Web版)に掲載されている原著論文のうち,"公衆衛生"をキーワードとして検索された論文を対象とし,表題に使用された語句の傾向,年代別の推移と特徴語について,テキストマイニングの手法を用いて分析した。結果:英文を除く298,898件の論文が検索された。公衆衛生関連の論文数は経年的に増えており,特に2000年前後を境として急増していた。表題に使用される頻出語上位は,「検討」「1例」であった。係り受け頻度解析で上位の「有用性-検討」は,診断や治療に関する研究であり,「現状-課題」では,保健,看護,リハビリテ―ションに関する研究が多く見られた。年代別の特徴語では,1970年代以前は「カドミニウム」「大気汚染」「公害」,1980年~1990年代は「二重盲検比較試験」「臨床評価」「予防接種」「集団検診」,2000年代は「患者」「家族」「QOL」「高齢者」,2010年代は「東日本大震災」と「1例」「課題」が出現していた。結論:研究動向は社会的背景や施策の影響を受けており,2000年頃の治療からQOLへと舵が切られた時期が,公衆衛生研究の転換期と考えられる。病院完結型医療から地域包括ケアへと移行する過程が,研究内容にも反映されている。PURPOSE: Original articles on public health in Japan were analyzed in relation to topical events at the respective times to reveal trends in public health studies between 1970 and 2017. METHODS: Igaku Chuo Zasshi (ICHUSHI, Web version) was searched using the keyword "kōshū eisei" ("public health"), and retrieved articles written in Japanese were analyzed using a text mining approach to identify trends in words used in titles, as well as changes and characteristic words by decade. RESULTS: After excluding articles not written in Japanese, a total of 298,898 articles were retrieved. The number of public health-related articles increased over time. A particularly sharp increase was observed around the year 2000. The most frequently used title words were "study" and "case." Dependency parsing revealed that the "usefulness-study" pair was frequently used in articles related to diagnosis and therapy, and the "current situation- issues" pair was frequently used in those related to health care, nursing, and rehabilitation. "Cadmium," "air pollution," and "pollution" were characteristic words in the 1970s; "double-blind comparative study," "clinical evaluation," "vaccination," and "mass health examination" in the 1980s and 1990s; "patient," "family," "quality of life (QOL)," and "elderly" in the 2000s; and "Great East Japan Earthquake," "case," and "issues" in the 2010s. CONCLUSION: Research trends have been influenced by the social background and measures/policies being implemented at the time. Japanese public health research apparently had a turning point around the 2000s, when focus shifted from treatment to QOL. This also reflects the transition from medical care that is solely dependent on healthcare institutions to a community-based integrated care system.

Journal

  • 鹿児島大学医学部保健学科紀要 = Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University

    鹿児島大学医学部保健学科紀要 = Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University 28(1), 9-19, 2018-03-31

    鹿児島大学

Codes

  • NII Article ID (NAID)
    120006462395
  • NII NACSIS-CAT ID (NCID)
    AA11358555
  • Text Lang
    JPN
  • Article Type
    Departmental Bulletin Paper
  • ISSN
    13462180
  • Data Source
    IR 
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