Nagano Hiroyuki, Tsugihashi Yukio, Tatsuno Mai
Department of General Internal Medicine Tenri Hospital Tenri City, Nara Japan.
Medical Home Care Center Tenri Hospital Shirakawa Branch Tenri city, Nara Japan.
J Gen Fam Med. 2022 Mar 30;23(4):261-267. doi: 10.1002/jgf2.542. eCollection 2022 Jul.
In Japan, many older people hope to receive end-of-life care at home. In such situations, team-based home medical care with the support of on-call physicians is needed. However, to date, necessary competencies for the on-call physicians have yet to be clarified. We aim to reveal the competencies for on-call physicians in home medical care settings.
This was a qualitative study of semi-structured interviews concerning competencies for on-call physicians in home medical care. We evaluated digitally recorded interviews with eight home care professionals in seven home care facilities (three clinics, one hospital, and three nursing agencies) in A City, Japan. The transcribed data were analyzed by three researchers using thematic analysis.
The competencies for on-call physicians were divided into the following six categories: clinical skills for frequent complaints, collecting patients' information in advance, understanding purposes of home care, understanding general roles of home care health professionals, thoughtfulness toward patients' families, and an attitude of humility.
These competencies were classified into disease-specific and interpersonal (collaborative) skills in home medical care. The competencies revealed by the study could contribute to the development of effective learning and preparation for on-call physicians who support home medical care.
在日本，许多老年人希望在家中接受临终关怀。在这种情况下，需要有随叫随到医生支持的团队式家庭医疗护理。然而，迄今为止，随叫随到医生所需的能力尚未明确。我们旨在揭示家庭医疗护理环境中随叫随到医生的能力。
这是一项关于家庭医疗护理中随叫随到医生能力的半结构化访谈的定性研究。我们评估了对日本A市七个家庭护理机构（三家诊所、一家医院和三家护理机构）的八位家庭护理专业人员的数字录音访谈。转录的数据由三位研究人员使用主题分析法进行分析。
随叫随到医生的能力分为以下六类：常见病症的临床技能、提前收集患者信息、理解家庭护理的目的、理解家庭护理健康专业人员的一般角色、对患者家属的体贴以及谦逊的态度。
这些能力在家庭医疗护理中分为特定疾病技能和人际（协作）技能。该研究揭示的能力有助于为支持家庭医疗护理的随叫随到医生开展有效的学习和准备工作。
