继续医学教育的障碍:对丹麦全科医生的横断面问卷调查。

IF 2.5 Q2 PRIMARY HEALTH CARE
BJGP Open Pub Date : 2024-10-29 Print Date: 2024-10-01 DOI:10.3399/BJGPO.2023.0228
Helle Ibsen, Linda Juel Ahrenfeldt, Jesper Lykkegaard, Jens Søndergaard, Igor Švab, Niels Kristian Kjaer
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引用次数: 0

摘要

背景:全科医生(GPs)参加继续医学教育(CME)对患者护理、全科医生的健康和医疗支出至关重要。2022 年,四分之一的丹麦全科医生没有使用他们的继续医学教育报销额度。目的:分析全科医生参与继续医学教育的障碍以及感知障碍的模式:研究对象包括丹麦所有3257名全科医生,他们在2023年5月登记为有权获得继续医学教育报销:回复率为1303/3257(40%)。根据是否使用继续医学教育的问题,受访者被分为经常使用、部分使用和很少使用。部分和很少使用的受访者回答了与继续医学教育相关的障碍问题(人数=726)。对存在的障碍进行了量化,并使用潜类分析(LCA)根据障碍模式对全科医生进行分层:最常见的障碍是太忙(68%)、课程排满(47%)和没有替代者(41%)。根据 LCA,我们发现了三种不同的模式,主要集中在以下几个方面:来自没有继续医学教育传统的诊所的全科医生(17%),将时间用于诊所以外的专业工作(教学、组织工作)的全科医生(43%),以及受到个人或专业影响的全科医生(40%)。很少使用继续医学教育的全科医生中,单手和男性的比例略高:我们发现了继续医学教育的障碍。我们发现有三种不同的全科医生认为存在不同的障碍。在未来的继续医学教育活动中,应考虑到所发现的障碍模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers for continuous medical education: a cross-sectional questionnaire study among Danish GPs.

Background: GPs' participation in continuous medical education (CME) is essential for patient care, GPs' wellbeing, and healthcare expenditure. However, one-quarter of Danish GPs did not use their reimbursement for CME in 2022. Knowledge of barriers for participating in CME is limited.

Aim: To analyse the barriers GPs face to participation in CME, and patterns in perceived barriers.

Design & setting: A cross-sectional questionnaire study design was used. The study population comprised all 3257 GPs in Denmark who, in May 2023, were registered as entitled to reimbursement for CME.

Method: The response rate was n = 1303/3257 (40%). Based on a question about use of CME, the responders were divided into 'frequent', 'partial', and 'seldom' users. Partial and seldom users answered questions about barriers related to CME (n = 726). The presence of barriers was quantified, and a latent class analysis (LCA) was used to stratify GPs according to their barrier patterns.

Results: The most frequent barriers were as follows: too busy (67%); fully booked courses (45%); and no substitute or locum doctor (39%). Based on the LCA, we found three distinctive patterns, clustering around the following: GPs from clinics with no tradition for CME (class 1, 17%); GPs who used time on professional work outside clinic (teaching, organisational work) (class 2, 43%); and GPs who were personally or professionally affected (class 3, 40%). Singled-handed and male GPs were slightly overrepresented among seldom users.

Conclusion: We have identified barriers for CME. We found three different profiles of GPs who perceived different patterns of barriers. Identified patterns in barriers should be considered in future CME initiatives.

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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
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