Ibsen Helle, Ahrenfeldt Linda Juel, Søndergaard Jens, Švab Igor, Kjær Niels Kristian
Department of Public Health, Research Unit for General Practice, University of Southern Denmark, Esbjerg, Denmark.
Department of Public Health, Research Unit for General Practice, University of Southern Denmark, Odense M, Denmark.
Scand J Prim Health Care. 2025 Sep;43(3):684-692. doi: 10.1080/02813432.2025.2498508. Epub 2025 May 5.
General practitioners' (GPs) participation in continuous medical education (CME) is crucial for patient care, GPs' well-being and healthcare costs. Despite this, 25% of Danish GPs did not participate in CME in 2022. It is vital to understand motivational factors for engaging in CME.
To analyze motivation for CME and differences in motivational factors among GPs with different levels of participating.
A cross-sectional questionnaire informed from qualitative interviews was conducted among all 3257 GPs in Denmark in May 2023.
The response rate was 40%. Responders were categorized as 'frequent', 'partial' and 'infrequent' CME users. We employed descriptive statistics and logistic regression analysis to quantify predefined motivational factors. Free text comments were analyzed using systematic text condensation. We used self-determination theory as a framework in the interpretation.
Most reported motivational factors were 'relevant medical update' (98%) and 'topics of interest' (96%). Financial incentives had a minor impact across all groups. Infrequent users were less easy to motivate and were more likely to state controlled motivational factors, e.g. a duty. Frequent and partial users of CME reported more autonomous motivation, i.e. personal development, collegial togetherness and professional well-being.
Relevant medical updates that enhance perceived competence in patient care are crucial for all GPs. Infrequent users seem less motivated by avoiding burnout, collegial togetherness and well-being.
全科医生参与继续医学教育（CME）对于患者护理、全科医生的福祉和医疗成本至关重要。尽管如此，2022年丹麦25%的全科医生未参与继续医学教育。了解参与继续医学教育的动机因素至关重要。
分析继续医学教育的动机以及不同参与水平的全科医生在动机因素上的差异。
2023年5月，对丹麦所有3257名全科医生进行了一项基于定性访谈的横断面问卷调查。
回复率为40%。回复者被分为“频繁”“部分”和“不频繁”使用继续医学教育的用户。我们采用描述性统计和逻辑回归分析来量化预先定义的动机因素。使用系统文本浓缩法分析自由文本评论。我们在解释中以自我决定理论为框架。
大多数报告的动机因素是“相关医学更新”（98%）和“感兴趣的主题”（96%）。经济激励对所有群体的影响较小。不频繁使用者较难被激励，且更倾向于陈述受控制的动机因素，例如职责。继续医学教育的频繁和部分使用者报告了更多的自主动机，即个人发展、同事间的团结和职业幸福感。
增强患者护理方面感知能力的相关医学更新对所有全科医生都至关重要。不频繁使用者似乎较少受到避免职业倦怠、同事间团结和幸福感的激励。
