基于多维尺度和社会网络分析的社区卫生服务设计国际研究热点演进及本土化进路

楚东晓; 王康; 罗丽

doi:10.19554/j.cnki.1001-3563.2026.06.011

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包装工程（设计栏目） ›› 2026, Vol. 47 ›› Issue (6) : 114-126. DOI: 10.19554/j.cnki.1001-3563.2026.06.011

工业设计

基于多维尺度和社会网络分析的社区卫生服务设计国际研究热点演进及本土化进路

楚东晓^a,b, 王康^a*, 罗丽^a

作者信息 +

Mapping Global Trends in Community Health Service Design: Hotspot Evolution and Localization Strategies via Multidimensional Scaling-social Network Analysis

CHU Dongxiao^a,b, WANG Kang^a*, LUO Li^a

Author information +

文章历史 +

摘要

目的了解国外社区卫生服务设计研究热点和演变路径,为我国服务设计介入社区卫生服务质量改进提供理论指导和建议。方法系统检索Web of Science核心合集、PubMed、Embase、Scopus、Science Direct、ProQuest、CINAHL等7个数据库中社区卫生和服务设计相关文献,使用BICOMB软件提取关键词,并构建词篇矩阵和共现矩阵,使用SPSS进行聚类分析和多维尺度分析,使用UCINET进行社会网络分析。结果共检索相关文献1 379篇,系统聚类结果表明当前研究主要围绕社区卫生服务整合、包容性服务设计与质量改进、卫生公平、多方参与的社区卫生服务数字化四大热点议题展开;多维尺度分析结果表明四大议题处于不同研究地位与发展阶段;社会网络分析结果表明当前研究呈现出以初级卫生保健、服务交付、患者参与等关键词为核心的多层次网络结构。结论未来国内研究应围绕数字赋能和人本导向的社区卫生服务整合创新、本土化实践与方法开发的社区包容性服务设计深化、公平导向与协同治理的社区卫生数字生态建构三方面展开。

Abstract

The work aims to investigate research hotspots and evolution pathways in international community health service design, to provide theoretical guidance for improving service design interventions in China's community health quality enhancement. A systematic search was conducted across seven databases (Web of Science Core Collection, PubMed, Embase, Scopus, ScienceDirect, ProQuest, CINAHL) for literature on community health and service design. BICOMB software was used to extract keywords and construct document-term and co-occurrence matrices. SPSS was used to facilitate cluster analysis and multidimensional scaling analysis, while UCINET was employed to conduct social network analysis. From 1,379 identified studies, cluster analysis revealed four focal themes, namely community health service integration, inclusive service design and quality improvement, health equity, and multi-stakeholder digital health services. Multidimensional scaling analysis indicated distinct research statuses and developmental stages across these themes. Social network analysis demonstrated a hierarchical structure centered on keywords such as primary healthcare, service delivery, and patient engagement. In conclusion, future research should prioritize integration and innovation of community health services with digital empowerment and human-oriented approaches, the deepening of inclusive community service design through localized practices and method development, and the construction of a community health digital ecosystem oriented towards fairness and collaborative governance.

导出引用1

楚东晓, 王康, 罗丽. 基于多维尺度和社会网络分析的社区卫生服务设计国际研究热点演进及本土化进路[J]. 包装工程. 2026, 47(6): 114-126 https://doi.org/10.19554/j.cnki.1001-3563.2026.06.011

CHU Dongxiao, WANG Kang, LUO Li. Mapping Global Trends in Community Health Service Design: Hotspot Evolution and Localization Strategies via Multidimensional Scaling-social Network Analysis[J]. Packaging Engineering. 2026, 47(6): 114-126 https://doi.org/10.19554/j.cnki.1001-3563.2026.06.011

中图分类号： TB472

参考文献

[1] BITNER M J, OSTROM A L, MORGAN F N.Service Blueprinting:A Practical Technique for Service Innovation[J]. California Management Review, 2008, 50(3):66-94.
[2] PRENDIVILLE A.Service Design Methods:Knowledge Co-Production in Health and Social Care[M]//Service Design and Service Thinking in Healthcare and Hospital Management. Cham:Springer International Publishing, 2018:359-375.
[3] Bringing User Experience to Healthcare Improvement:the Concepts, Methods and Practices of Experience-based Design[J]. International Journal of Health Care Quality Assurance, 2008, 21(1).
[4] MAGER B.Service Design Impact Report:Health Sector[M]. Service Design Network, 2017.
[5] WORLD HEALTH ORGANIZATION.A Vision for Primary Health Care in the 21st Century:Towards Universal Health Coverage and the Sustainable Development Goals[M]. Geneva:WHO, 2019.
[6] 中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL]. (2016-10-25)[2025-09-11]. https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
The CPC Central Committee and the State Council. Outline of the "Healthy China2030" Plan[EB/OL]. (2016-10-25)[2025-09-11]. https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
[7] STAROSTKA J, DE GÖTZEN A, MORELLI N. Design Thinking in the Public Sector -a Case Study of Three Danish Municipalities[J]. Policy Design and Practice, 2022, 5(4):504-515.
[8] 潘玮, 牟冬梅, 李茵, 等. 关键词共现方法识别领域研究热点过程中的数据清洗方法[J]. 图书情报工作, 2017, 61(7):111-117.
PAN W, MU D M, LI Y, et al.Data Cleaning in the Process of Identifying Research Hotpot Based on Keywords Co-Occurrence[J]. Library and Information Service, 2017, 61(7):111-117.
[9] 钟文娟. 基于普赖斯定律与综合指数法的核心作者测评——以《图书馆建设》为例[J]. 科技管理研究, 2012, 32(2):57-60.
ZHONG W J.Evaluation about the Core Authors Based on Price Law and Comprehensive Index Method—Take Journal of Library Development as an Example[J]. Science and Technology Management Research, 2012, 32(2):57-60.
[10] National Academy of Engineering (US) andInstitute of Medicine (US) Committee on Engineering and the Health Care System. Building a Better Delivery System:A New Engineering/Health Care Partnership[M]. Washington (DC):National Academies Press (US), 2005.
[11] ENTHOVEN A C, TOLLEN L A. Competition in Health Care:It Takes Systems to Pursue Quality and Efficiency[J]. Health Affairs, 2005, Suppl Web Exclusives:W5-W420-33.
[12] PRICE M, FRAZER A, ROSS A, et al.Primary and Community Care Mapping:Helping Communities Collaboratively Plan Health Services in a Patient-Centred Manner[J]. Healthcare Quarterly, 2023, 25(4):41-48.
[13] ROBERT G, DONETTO S, WILLIAMS O.Co-Designing Healthcare Services with Patients[M]//The Palgrave Handbook of Co-Production of Public Services and Outcomes. Cham:Springer International Publishing, 2020:313-333.
[14] YADAV U N, LLOYD J, BARAL K P, et al.Using a Co-Design Process to Develop an Integrated Model of Care for Delivering Self-Management Intervention to Multi-Morbid COPD People in Rural Nepal[J]. Health Research Policy and Systems, 2021, 19(1):17.
[15] BAAYD J, LLOYD M, GARCIA G, et al.Catalyzing Collaboration among Interprofessional Birth Transfer Teams through Simulation[J]. Journal of Midwifery & Women’s Health, 2023, 68(4):458-465.
[16] MONTEJO M, PANIAGUA N, SAIZ-HERNANDO C, et al.Reducing Unnecessary Treatments for Acute Bronchiolitis through an Integrated Care Pathway[J]. Pediatrics, 2021, 147(6):e20194021.
[17] The EIDD Stockholm Declaration2004[EB/OL]. (2024-05-28)[2025-09-28]. https://dfaeurope.eu/what-is-dfa/dfa-documents/the-eidd-stockholm-declaration-2004/.
[18] JOHN CLARKSON P, COLEMAN R.History of Inclusive Design in the UK[J]. Applied Ergonomics, 2015, 46:235-247.
[19] BUSCIANTELLA-RICCI D, ACEVES-GONZALEZ C, SCATAGLINI S.Inclusive Innovation through Design for Services:A Service Ergonomics Perspective[M]//Internet of Things for Human-Centered Design. Singapore:Springer Nature Singapore, 2022:3-24.
[20] FISK R P, DEAN A M, ALKIRE NÉE NASR L, et al. Design for Service Inclusion:Creating Inclusive Service Systems by 2050[J]. Journal of Service Management, 2018, 29(5):834-858.
[21] DOWNE L.Good Services:How to Design Services That Work[M]. Amsterdam:BIS Publ, 2021.
[22] ATKINSON SMITH M, TORRES L, BURTON T C.Patient Rights at the End of Life:The Ethics of Aid-in-Dying[J]. Professional Case Management, 2020, 25(2):77-84.
[23] VERMA I.Aging Neighborhood and Social Inclusion[J]. Studies in Health Technology & Informatics, 2022, 297:193-200.
[24] LEUNG A Y M, CHEUNG T, FONG T K H, et al. The Use of an Electronic Painting Platform by Family Caregivers of Persons with Dementia:A Feasibility and Acceptability Study[J]. Healthcare, 2022, 10(5):870.
[25] DAVIES N, MATHEW R, WILCOCK J, et al.A Co-Design Process Developing Heuristics for Practitioners Providing End of Life Care for People with Dementia[J]. BMC Palliative Care, 2016, 15(1):68.
[26] REIGADA C, HERMIDA-ROMERO S, TABERA A, et al.Combining Interdisciplinarity and Creative Design -a Powerful Strategy to Increase Palliative Care Awareness within a University Community[J]. Thinking Skills and Creativity, 2022, 46:101179.
[27] COMMISSION ON SOCIAL DETERMINANTS OF HEALTH. Closing the Gap in a Generation:Health Equity Through Action on the Social Determinants of Health:Final Report of the Commission on Social Determinants of Health[J]. Combler le Fossé en une Génération:Instaurer l’Équité en Santé en Agissant sur les Déterminants Sociaux de la Santé:Rapport Final de la Commission des Déterminants Sociaux de la Santé, 2008:247.
[28] GÓMEZ C A, KLEINMAN D V, PRONK N, et al. Addressing Health Equity and Social Determinants of Health Through Healthy People 2030[J]. Journal of Public Health Management and Practice, 2021, 27(S6):S249.
[29] MCGOWAN V J, BUCKNER S, MEAD R, et al.Examining the Effectiveness of Place-Based Interventions to Improve Public Health and Reduce Health Inequalities:An Umbrella Review[J]. BMC Public Health, 2021, 21(1):1888.
[30] GOODWIN G.The Problem and Promise of Coproduction:Politics, History, and Autonomy[J]. World Development, 2019, 122:501-513.
[31] GREENHALGH T, JACKSON C, SHAW S, et al.Achieving Research Impact through Co-Creation in Community-Based Health Services:Literature Review and Case Study[J]. The Milbank Quarterly, 2016, 94(2):392-429.
[32] PALMER V J, WEAVELL W, CALLANDER R, et al.The Participatory Zeitgeist:An Explanatory Theoretical Model of Change in an Era of Coproduction and Codesign in Healthcare Improvement[J]. Medical Humanities, 2019, 45(3):247-257.
[33] WALKER S C, WHITE J, RODRIGUEZ V, et al.Cocreating Evidence-Informed Health Equity Policy with Community[J]. Health Services Research, 2022, 57(S1):137-148.
[34] BARTLETT R, BOYLE J A.Developing Multi-Language Maternal Health Education Videos for Refugee and Migrant Women in Southeast Melbourne[J]. Midwifery, 2022, 111:103369.
[35] CALVIN Z, SKINNER J, DIMITROPOULOS Y, et al.The Indigenous Adolescent Oral Health Partnership Study:A Co-Design Study Protocol[J]. International Journal of Environmental Research and Public Health, 2022, 19(15):9104.
[36] CRAWSHAW A F, KITOKO L M, NKEMBI S L, et al.Co-Designing a Theory-Informed, Multicomponent Intervention to Increase Vaccine Uptake with Congolese Migrants:A Qualitative, Community-Based Participatory Research Study (LISOLO MALAMU)[J]. Health Expectations, 2024, 27(1):e13884.
[37] HENSON C, CHAPMAN F, SHEPHERD G, et al.Amplifying Older Aboriginal and Torres Strait Islander Women’s Perspectives to Promote Digital Health Equity:Co-Designed Qualitative Study[J]. Journal of Medical Internet Research, 2023, 25:e50584.
[38] LYTHREATIS S, SINGH S K, EL-KASSAR A N. The Digital Divide:A Review and Future Research Agenda[J]. Technological Forecasting and Social Change, 2022, 175:121359.
[39] HALSKOV K, HANSEN N B.The Diversity of Participatory Design Research Practice at PDC 2002-2012[J]. International Journal of Human-Computer Studies, 2015, 74:81-92.
[40] BALDWIN J N, NAPIER S, NEVILLE S, et al.Impacts of Older People’s Patient and Public Involvement in Health and Social Care Research:A Systematic Review[J]. Age and Ageing, 2018, 47(6):801-809.
[41] AGUAYO G A, GOETZINGER C, SCIBILIA R, et al.Methods to Generate Innovative Research Ideas and Improve Patient and Public Involvement in Modern Epidemiological Research:Review, Patient Viewpoint, and Guidelines for Implementation of a Digital Cohort Study[J]. Journal of Medical Internet Research, 2021, 23(12):e25743.
[42] HUSAIN L, FINLAY T, HUSAIN A, et al.Developing User Personas to Capture Intersecting Dimensions of Disadvantage in Older Patients Who Are Marginalised:A Qualitative Study[J]. The British Journal of General Practice, 2024, 74(741):e250-e257.
[43] LI Q, ZHANG H G, HONG X P.Knowledge Structure of Technology Licensing Based on Co-Keywords Network:A Review and Future Directions[J]. International Review of Economics & Finance, 2020, 66:154-165.
[44] BAUIN S, MICHELET B, SCHWEIGHOFFER M G, et al. Using Bibliometrics in Strategic Analysis:"Understanding Chemical Reactions" at the CNRS[J]. Scientometrics, 1991, 22(1):113-137.[LinkOut]
[45] 刘军. 整体网分析——UCINET软件实用指南[M]. 2版. 上海:格致出版社, 2014.
LIU J.Lectures on Whole Network Approach[M]. 2nd ed. Shanghai:Gezhi Publishing House, 2014.
[46] 吴素雄, 余潇, 杨华. 医疗卫生服务体系整合的过程、结构与治理边界:中国实践[J]. 浙江学刊, 2022(3):54-63.
WU S X, YU X, YANG H. The Process, Structure and Governance Boundaries of Integration of Medical and Health Service Systems:Chinese Practice[J]. Zhejiang Academic Journal, 2022(3):54-63.
[47] 范宪伟, 王阳. 我国医疗服务供需矛盾及发展建议[J]. 宏观经济管理, 2018(8):40-46, 53.
FAN X W, WANG Y.China's Imbalance between Supply of and Demand for Medical Services and Relevant Suggestions[J]. Macroeconomic Management, 2018(8):40-46, 53.
[48] 赵茜, 陈华东, 伍佳, 等. 我国基层医疗体系的发展与展望[J]. 中华全科医学, 2020, 18(3):341-346.
ZHAO Q, CHEN H D, WU J, et al.The Development and Prospect of Primary Care System in China[J]. Chinese Journal of General Practice, 2020, 18(3):341-346.
[49] FREEMAN G K, OLESEN F, HJORTDAHL P.Continuity of Care:An Essential Element of Modern General Practice?[J]. Family Practice, 2003, 20(6):623-627.
[50] 韦倩晨, 袁蓓蓓, 徐进, 等. 医疗卫生服务连续性指数构建研究[J]. 中国卫生政策研究, 2022, 15(11):11-16.
WEI Q C, YUAN B B, XU J, et al.Study on Constructing Continuity Index of Health Services[J]. Chinese Journal of Health Policy, 2022, 15(11):11-16.
[51] 黄润勤, 李永红, 詹永佳, 等. 晚期癌症病人居家姑息照护现状及展望[J]. 护理研究, 2022, 36(13):2333-2337.
HUANG R Q, LI Y H, ZHAN Y J, et al.Status Quo and Prospect of Home Palliative Care for Patients with Advanced Cancer[J]. Chinese Nursing Research, 2022, 36(13):2333-2337.
[52] 张慧超, 吴金凤, 苏孟宇, 等. 分级诊疗制度下江苏省安宁疗护服务项目需求与实施现状调查[J]. 中国卫生经济, 2023, 42(8):60-65.
ZHANG H C, WU J F, SU M Y, et al.Investigation on the Demand and Implementation Status of Hospice Care Services under the Hierarchical Diagnosis in Jiangsu Province[J]. Chinese Health Economics, 2023, 42(8):60-65.
[53] 陆宇晗. 我国安宁疗护的现状及发展方向[J]. 中华护理杂志, 2017, 52(6):659-664.
LU Y H.The Status Quo and Development Direction of Hospice Care in China[J]. Chinese Journal of Nursing, 2017, 52(6):659-664.
[54] LIM Y, GIACOMIN J, NICKPOUR F.What Is Psychosocially Inclusive Design? A Definition with Constructs[J]. The Design Journal, 2021, 24(1):5-28.