Department of Public Health, Research Unit of General Practice, University of Southern Denmark, Finsensvej 35, 6700, Esbjerg, Denmark.
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200, Copenhagen N, Denmark.
BMC Med Educ. 2023 Jun 19;23(1):450. doi: 10.1186/s12909-023-04432-9.
Continuous medical education is essential for the individual patient care, the society, and the wellbeing of the general practitioner. There has been research into the reasons for participation in continuous medical education, but little is known about the barriers to participation. To tailor continuous medical education targeting general practitioners who are currently deselecting education, systematic knowledge of the barriers is needed. Continuous medical education can in addition to professional growth stimulate job satisfaction, diminish burnout, and reinforce feelings of competence. Continuous medical education may have positive implications for patients and for healthcare expenditures. Despite renumeration and a comprehensive continuous education model some Danish general practitioners do not participate in continuous medical education.
From a total of 3440 Danish general practitioners 243 did not apply for reimbursement for accredited continuous medical education in a two-year period. Ten general practitioners were selected for an interview regarding maximum variation in practice form, number of listed patients, seniority as a general practitioner, geography, gender, and age. All ten selected general practitioners accepted to be interviewed. The interviews were analysed using Systematic Text Condensation.
Each of the ten interviewed general practitioners mentioned several barriers for participating in continuous education. The barriers fell into three main categories: barriers related to the individual general practitioner barriers related to the clinic barriers related to the accredited continuous medical education offered CONCLUSIONS: Approximately 7% of the Danish general practitioners did not participate in accredited remunerated continuous medical education. A knowledge of the barriers for participating in accredited continuous medical education can be used to better target continuous medical education to the general practitioners.
继续教育对于个体患者护理、社会和全科医生的健康福祉至关重要。已经有研究探讨了参与继续教育的原因，但对参与的障碍知之甚少。为了针对目前选择不参加教育的全科医生量身定制继续教育，系统地了解障碍是必要的。继续教育除了可以促进专业成长外，还可以提高工作满意度、减少倦怠感，并增强能力感。继续教育可能对患者和医疗支出产生积极影响。尽管有薪酬和全面的继续教育模式，但一些丹麦全科医生不参加继续教育。
在总共 3440 名丹麦全科医生中，有 243 名在两年内没有申请认可的继续教育费用报销。从实践形式、患者数量、全科医生从业年限、地理位置、性别和年龄等方面存在最大差异的 10 名全科医生中选择了 10 名接受采访，以探讨最大差异。所有 10 名选定的全科医生都同意接受采访。使用系统文本浓缩法对采访进行分析。
接受采访的 10 名全科医生中的每一位都提到了参加继续教育的几个障碍。这些障碍分为三大类：与个体全科医生相关的障碍、与诊所相关的障碍、与认可的继续教育提供相关的障碍。
大约 7%的丹麦全科医生没有参加认可的有酬继续教育。了解参加认可的继续教育的障碍，可以更好地针对全科医生开展继续教育。
