Liu Xuedong, Ye Mengliang
Department of Medical Administration, The First People's Hospital of Neijiang, Neijiang, China.
School of Public Health, Chongqing Medical University, Chongqing, China.
Front Med (Lausanne). 2024 Nov 8;11:1464039. doi: 10.3389/fmed.2024.1464039. eCollection 2024.
This cross-sectional study was designed to explore the completion of continuing medical education (CME) programs and identify the factors influencing their completion.
The data for this study were generated from the National CME Program Application and Information Feedback Online System and the Sichuan CME Administrative Platform. The data were processed using descriptive analysis, Chi-square test, and binary logistic regression methods. The completion of each CME program was determined by the research team members according to the criteria created by the Office of the Sichuan CME Commission.
A total of 180 hospitals and 3,622 CME programs were included. Among the 3,622 CME programs, 2,936 (81.1%) were determined to be completed. Comparative analysis showed that in terms of hospital characteristics, specialist hospitals, county hospitals, hospitals with 500-1,000 beds, and hospitals in the regions with government medical expenditure input equal to or more than 3,000 million RMB displayed the highest completion rates. For program attributes, national programs, programs in the field of pharmacy, and programs with 1-3 duration days demonstrated the highest completion rates. The binary logistic regression analysis showed that hospital region with different government medical expenditure input had the strongest positive association with the completion of CME programs [OR = 2.922, 95%CI (1.642-5.198)], while the duration time showed the strongest negative association [OR = 0.235, 95%CI (0.141-0.393)].
This is the first study in China to analyze the completion of CME programs and identify its influencing factors at the provincial level. It is recommended that the government in the region should pay great attention to the construction of measures regarding the factors affecting the completion of CME programs. This includes providing more financial support to CME providers to ensure the formal operation of their CME activities, formulating guidelines on the application of CME programs to reasonably allocate and control the distribution of accredited CME programs across different hospital scales and disciplines, especially offering more training support to county hospitals, promulgating administrative documents to raise attention to the completion of CME programs, and special scrutiny on CME programs with longer durations to provide and protect training opportunities for those in need.
本横断面研究旨在探讨继续医学教育（CME）项目的完成情况，并确定影响其完成的因素。
本研究的数据来自国家CME项目申请与信息反馈在线系统以及四川CME管理平台。数据采用描述性分析、卡方检验和二元逻辑回归方法进行处理。每个CME项目的完成情况由研究团队成员根据四川CME委员会办公室制定的标准确定。
共纳入180家医院和3622个CME项目。在3622个CME项目中，2936个（81.1%）被确定为已完成。比较分析表明，就医院特征而言，专科医院、县级医院、床位为500 - 1000张的医院以及政府医疗支出投入等于或超过30亿元人民币地区的医院完成率最高。对于项目属性，国家级项目、药学领域项目以及时长为1 - 3天的项目完成率最高。二元逻辑回归分析表明，不同政府医疗支出投入的医院地区与CME项目的完成具有最强的正相关关系[OR = 2.992，95%CI（1.642 - 5.198）]，而时长显示出最强的负相关关系[OR = 0.235，95%CI（0.141 - 0.393）]。
这是中国首次在省级层面分析CME项目的完成情况并确定其影响因素的研究。建议该地区政府高度重视有关影响CME项目完成因素的措施建设。这包括为CME提供者提供更多财政支持，以确保其CME活动的正规开展；制定CME项目申请指南，合理分配和控制不同医院规模和学科间认可的CME项目分布，特别是为县级医院提供更多培训支持；颁布行政文件以提高对CME项目完成情况的重视；对时长较长的CME项目进行专项审查，为有需要的人提供并保障培训机会。
