持续医学教育的障碍:丹麦全科医生之间的横截面问卷研究
Helle Ibsen1, Linda Juel Ahrenfeldt2, Jesper Lykkegaard2
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark heibsen@health.sdu.dk.
BJGP open
|March 15, 2024
概括
许多全科医生 (GPs) 面临着持续医学教育 (CME) 的障碍. 主要障碍包括过于忙碌,课程被完全预订,缺乏替代医生,影响患者的护理.
科学领域:
- 医学教育 医学教育
- 一般实践 一般实践
- 医疗保健政策 医疗保健政策
背景情况:
- 持续医学教育 (CME) 对全科医生至关重要,影响患者护理,全科医生福利和医疗费用.
- 大部分丹麦一般医生在2022年没有使用CME退款,这表明参与的潜在障碍.
- 关于阻止一般医生从事CME的具体障碍的知识有限.
研究的目的:
- 确定和分析全科医生在参与持续医学教育 (CME) 时遇到的障碍.
- 探索和分类关于CME参与的全科医生的感知障碍的模式.
- 通过了解GP特定的挑战,为未来的CME倡议提供信息.
主要方法:
- 涉及丹麦3257名有资格获得CME补偿的全科医生的横截面问卷研究.
- 响应率为40% (n=1303);分析重点是部分和罕见的CME用户 (n=726).
- 隐性类分析 (LCA) 用于识别全科医生之间的障碍的独特模式.
主要成果:
- 一般医生报告的最常见的障碍是过于忙碌 (67%),完全预订的课程 (45%) 和缺乏替代医生 (39%).
- 潜在类分析显示了基于感知障碍的三个不同的GP个人资料:来自没有CME传统的诊所 (17%),具有外部专业承诺 (43%) 的诊所,以及受到个人/专业影响的诊所 (40%).
- 单手和男性全科医生略有更可能是CME的罕见使用者.
结论:
- 这项研究发现,在全科医生中,CME参与存在重大障碍.
- 确定了三种不同的感知障碍的模式,突出了不同的GP配置文件.
- 了解这些已识别的障碍模式对于制定未来有效的CME战略和干预措施至关重要.
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