• Willy Chou and Julie Chi Chow.
• Department of Physical Medicine and Rehabilitation, Chiali Chi-Mei Hospital, Tainan, Taiwan.
• Medicine (Baltimore). 2024 Aug 30; 103 (35): e39234e39234.

AbstractThe landscape of research roles within academic journals often remains uncharted territory, with authorial contributions frequently reduced to linear hierarchies (e.g., professor and assistant professor). The Kano model, traditionally used in customer satisfaction research, offers a nuanced framework for identifying the multifaceted roles of authors in scholarly publications. This study utilizes the Kano model to dissect and categorize the roles of authors in the medicine field. To conform to the hypothesis, China is the research leader while the US is the research collaborator, as reflected in the publications of the journal of Medicine (Baltimore) in the year 2023. We conducted a comprehensive bibliometric analysis of all research articles published in the journal of Medicine (Baltimore) in 2023. The Kano model was applied to classify authors into 5 categories reflective of their research roles: followers, leaders, partners, contributors, and collaborators. Data on author publications and co-authorship networks with multi-author rates (MARs) were analyzed to assign Kano categories based on the authorship positions of first and corresponding authors. Descriptive statistics and network analysis tools were used to interpret the data, including radar plots, geographical maps, and Kano diagrams. The analysis covered 1976 articles, uncovering a complex network of author roles that extends beyond the conventional binary distinction of lead and supporting authors (i.e., leading, and following researchers). A research leader in China and a collaborator in the US were conformed to support the hypothesis, based on their publications (1148 vs 51) and MARs (12.20% vs 19.61%). The Kano classification was visually adapted to classify authors (or entities) into 5 categories. The combined choropleth and geographical network maps were illustrated to identify author roles in research briefly. The Kano model serves as an effective tool for uncovering the diverse contributions of authors in medical research. By moving beyond the lead and follower dichotomy, this study highlights the intricate ecosystem of authorial roles, emphasizing the importance of each in advancing knowledge within the field of medicine. Future application of the Kano model could foster a more collaborative and inclusive recognition of contributions across various disciplines.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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