广东省非省会地市医务人员继续医学教育内容需求的潜类别分析

吴晴晴; 刘奉彪; 于康; 谢诗瑶; 徐东晨; 刘仕杰

doi:10.3760/cma.j.cn116021-20260110-02271

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广东省非省会地市医务人员继续医学教育内容需求的潜类别分析

继续医学教育 | 更新时间：2026-07-27

- 广东省非省会地市医务人员继续医学教育内容需求的潜类别分析
- Latent class analysis of continuing medical education needs among medical staff in non-provincial capital municipal tertiary hospitals of Guangdong, China
- 中华医学教育探索杂志 2026年25卷第7期页码：880-887
- 作者机构：
  
  1.广东省医学会继续医学教育部，广州 510180
  2.广东省医学学术交流中心（省医学情报研究所）继续医学教育部，广州 510180
- 作者简介：
  
  刘仕杰，Email：gdmawqq@126.com
- 基金信息：
  
  2025年广东省医学科学技术研究基金项目(C2025050);广东省科学技术协会2025年学会学术项目领航项目;广东省振兴科技基金会2025年度资助项目学术类（11）
- DOI：10.3760/cma.j.cn116021-20260110-02271
  中图分类号： R-0;R-4
- 收稿：2026-01-10，
  
  网络首发：2026-04-27，
  
  纸质出版：2026-07-20
- 稿件说明：
移动端阅览
吴晴晴, 刘奉彪, 于康, 等. 广东省非省会地市医务人员继续医学教育内容需求的潜类别分析[J]. 中华医学教育探索杂志, 2026, 25(7): 880-887.

Wu Qingqing, Liu Fengbiao, Yu Kang, et al. Latent class analysis of continuing medical education needs among medical staff in non-provincial capital municipal tertiary hospitals of Guangdong, China[J]. Chinese Journal of Medical Education Research, 2026, 25(7): 880-887.
吴晴晴, 刘奉彪, 于康, 等. 广东省非省会地市医务人员继续医学教育内容需求的潜类别分析[J]. 中华医学教育探索杂志, 2026, 25(7): 880-887. DOI： 10.3760/cma.j.cn116021-20260110-02271.

Wu Qingqing, Liu Fengbiao, Yu Kang, et al. Latent class analysis of continuing medical education needs among medical staff in non-provincial capital municipal tertiary hospitals of Guangdong, China[J]. Chinese Journal of Medical Education Research, 2026, 25(7): 880-887. DOI： 10.3760/cma.j.cn116021-20260110-02271.

摘要

目的

识别广东省内非省会城市地市级三甲医院医务人员继续医学教育内容需求的潜在类别特征，为“十五五”期间构建区域医疗精准供给体系、强化地市级医疗中心辐射带动功能提供参考。

方法

采用横断面调查法，于2025年1月至12月对广东省内156场“广东省医学学术直通车”（均在广东省内、广州市外举行）的参会学员进行问卷调查。选取未来期望作为分类指标，运用R软件进行潜类别分析，并采用多项Logistic回归分析人口学特征对类别归属的影响。

结果

共纳入有效问卷3 493份。模型拟合指标显示4个潜在类别模型最佳（Entropy=0.741）。地市级医务人员需求可分为全面进取型、前沿追赶型、风险防控型及一线诊疗型4个潜在类别，各类别在知识维度的偏好呈现显著异质性。其中全面进取型表现为全维度高需求，前沿追赶型与一线诊疗型高度聚焦临床诊疗能力的迭代，而风险防控型则在医患沟通与风险管理方面表现出更高的敏感性；回归分析显示专业背景和职称水平均可影响医护人员需求类别归属。

结论

非省会地市级三甲医院医务人员继续医学教育内容需求呈显著“金字塔”异质性特征，应通过实施科研孵化、诊疗规范同质化及胜任力基石工程，构建分层分类的精准供给体系以助力区域医疗高质量发展。

Abstract

Objective

To identify the latent class characteristics of continuing medical education (CME) needs among medical staff in non-provincial capital municipal grade-A tertiary hospitals of Guangdong

China

and to provide a reference for constructing a precise regional medical supply system and strengthening the radiation and driving function of municipal-level medical centers during the "15th Five-Year Plan" period.

Methods

A cross-sectional survey was conducted from January to December 2025 among participants of 156 "Guangdong Medical Academic Express" sessions (held within Guangdong Province but outside Guangzhou). With future expectations as classification indicators

the latent class analysis was performed using R software. Multivariable logistic regression was employed to analyze the impact of demographic characteristics on class membership.

Results

A total of 3

493 valid questionnaires were included. Model fit indices indicated that a four-class model was optimal (entropy=0.741). The CME needs of municipal medical staff were categorized into four latent classes

i.e.

all-round enterprising

frontier-pursuing

risk-preventing

and front-line clinical-core

with each class showing significant heterogeneity in knowledge dimension preferences. Specifically

the all-round enterprising class exhibited high demand across all dimensions; the frontier-pursuing and front-line clinical-core classes focused heavily on the iteration of clinical diagnosis and treatment capabilities; the risk-preventing class demonstrated higher sensitivity toward physician-patient communication and risk management. The regression analysis revealed that specialty and professional title were factors influencing class membership.

Conclusions

The CME needs of medical staff in non-provincial capital municipal grade-A tertiary hospitals exhibited significant "pyramid-like" heterogeneity. A stratified and categorized precise supply system should be constructed by implementing research incubation

standardization and homogenization of diagnosis and treatment

and competency foundation projects to facilitate high-quality regional medical development.

关键词

Keywords

references

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