CAJ | 학술논문

背景：随着科技的发展和人民生活水平的提高，远程医疗技术已在人们的生活中起到了举足轻重的作用，尤其是在老年疾病的诊治和抢救过程中发挥了重要作用。目的：以汤森路透Web of Science数据库及北美临床试验注册中心的信息为数据源，分析国际远程医疗与老年疾患发展的趋势，以期为国内该领域研究提供可借鉴的依据。方法：①被收录的文章及以关键词“telemedicine”(远程医疗)，“geriatric diseases”(老年疾病)进行检索。②检索文献时间范围10年(2003至2013年)。③检索信息源：Web of Science数据库和北美临床试验注册中心的临床试验项目。结果与结论：①在汤森路透Web of Science数据库，2003至2013年关于远程医疗与老年疾患发表的文献共239篇。美国发文量最多，93篇，占总数比重最大，为38.912%；2003至2013年发表远程医疗与老年疾患的研究文献较多的机构是美国华盛顿大学，美国哥伦比亚大学，澳大利亚昆士兰大学，澳大利亚西澳大学；Journal of telemedicine and telecare (《远程医疗与远程护理杂志》)杂志发表此领域文献最多，20篇，占全部文献的8.368%；近年来，国际远程医疗与老年疾患相关文献呈总体逐渐上升的趋势；从2003至2013年，在上述239篇远程医疗与老年疾患的研究文献中来自中国的文章仅有4篇，说明中国对此领域的研究关注相对较少，文章数量和质量极有待提高。②2003-2013年，在北美临床试验注册中心注册的远程医疗与老年疾患相关临床试验注册项目共有18项，干预性研究所占比重最大，15项，其次为观察性研究。
배경：수착과기적발전화인민생활수평적제고，원정의료기술이재인문적생활중기도료거족경중적작용，우기시재노년질병적진치화창구과정중발휘료중요작용。목적：이탕삼로투Web of Science수거고급북미림상시험주책중심적신식위수거원，분석국제원정의료여노년질환발전적추세，이기위국내해영역연구제공가차감적의거。방법：①피수록적문장급이관건사“telemedicine”(원정의료)，“geriatric diseases”(노년질병)진행검색。②검색문헌시간범위10년(2003지2013년)。③검색신식원：Web of Science수거고화북미림상시험주책중심적림상시험항목。결과여결론：①재탕삼로투Web of Science수거고，2003지2013년관우원정의료여노년질환발표적문헌공239편。미국발문량최다，93편，점총수비중최대，위38.912%；2003지2013년발표원정의료여노년질환적연구문헌교다적궤구시미국화성돈대학，미국가륜비아대학，오대리아곤사란대학，오대리아서오대학；Journal of telemedicine and telecare (《원정의료여원정호리잡지》)잡지발표차영역문헌최다，20편，점전부문헌적8.368%；근년래，국제원정의료여노년질환상관문헌정총체축점상승적추세；종2003지2013년，재상술239편원정의료여노년질환적연구문헌중래자중국적문장부유4편，설명중국대차영역적연구관주상대교소，문장수량화질량겁유대제고。②2003-2013년，재북미림상시험주책중심주책적원정의료여노년질환상관림상시험주책항목공유18항，간예성연구소점비중최대，15항，기차위관찰성연구。
BACKGROUND:With the development of science and technology and improvement in living quality, telemedicine has played an important role in daily life, in particular in disease diagnosis and treatment as wel as rescue process for elderly people. OBJECTIVE: Based on Web of Science and ClinicalTrials.gov databases, to analyze the international telemedicine and elderly disease development so as to provide referential basis for the related study in China. METHODS: An online retrieval of Web of Science and ClinicalTrials.gov databases was performed with the key words “telemedicine” and “geriatric diseases” for papers regarding telemedicine for geriatric diseases published from 2003 to 2013. RESULTS AND CONCLUSION: (1) 239 papers regarding telemedicine for geriatric diseases were retrieved in Web of Science from 2003 to 2013. As per distribution by country for publications, USA published the highest number of papers (n=93, 38.912%). As per distribution by institute for publications (2003-2013), University of Washington was most prolific, folowed by Columbia University, The University of Queensland and The University of Western Australia (Australia). Among the included journals,Journal of Telemedicine and Telecare published the greatest number of papers (n=20, 8.368%). The number of included papers gradualy increased over the 10-year study period. Among these 239 papers, only 4 of them were from China, indicating that Chinese scholars paid relatively little attention in this research field, and the number and quality of Chinese papers on telemedicine for geriatric diseases need to be improved. (2) 18 studies regarding telemedicine for geriatric diseases were registered in ClinicalTrials.gov database from 2003 to 2013. Interventional studies (n=15) accounted for the largest proportion, folowed by observational studies.