Department of Medicine, Alexandra Hospital, National University Health System, Singapore, Singapore.
Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
BMC Med Educ. 2024 Sep 2;24(1):953. doi: 10.1186/s12909-024-05946-6.
With the proliferation of Hospital at Home (HaH) programmes globally, there is a need to equip junior doctors with the skills necessary for provision of HaH care. The ideal training structure and clinical requirements for junior doctors to be considered competent in providing HaH care is still poorly understood. This study examines the perceptions of junior doctors towards HaH, and aims to determine the learning needs that might be helpful for future curriculum planning.
We conducted a cross-sectional study of residents at the National University Health System (NUHS) Singapore. Using a 45-item questionnaire, we explored the knowledge, attitudes and perceptions of residents towards HaH, and their interest in participating in HaH as part of residency training.
One hundred six residents responded. Overall knowledge and attitudes were mostly average. Perceptions were neutral but comparatively lower in the domains of safety, efficiency and equity. 69% of residents showed a positive attitude and interest to participate in HaH as part of residency rotations. 80% of respondents were keen to have a 2-4 week rotation incorporated into routine training. Demographic factors that influenced higher scores in various domains included type of residency programme and years of work experience.
Our findings suggest that residents are interested in participating in HaH. Incorporation of HaH rotations in residency training will allow juniors doctors to receive greater exposure and training in the skills specific to provision of HaH care. Further studies on the introduction of a HaH curriculum and Entrustable Professional Activities (EPAs) specific for HaH in residency training may be useful to to ensure that we have a competent HaH workforce that can support and keep up with the growth of HaH globally.
随着全球居家医院（HaH）项目的激增，需要使初级医生具备提供 HaH 护理所需的技能。对于初级医生来说，提供 HaH 护理所需的理想培训结构和临床要求仍未得到很好的理解。本研究调查了初级医生对 HaH 的看法，并旨在确定有助于未来课程规划的学习需求。
我们对新加坡国立大学卫生系统（NUHS）的住院医师进行了横断面研究。使用 45 项问卷，我们探讨了住院医师对 HaH 的知识、态度和看法，以及他们对参与 HaH 作为住院医师培训一部分的兴趣。
106 名住院医师做出了回应。总体知识和态度大多处于中等水平。看法是中立的，但在安全性、效率和公平性方面相对较低。69%的住院医师对作为住院医师轮转的一部分参与 HaH 持积极态度和兴趣。80%的受访者热衷于将 2-4 周的轮转纳入常规培训。在各个领域得分较高的人口统计学因素包括住院医师计划的类型和工作年限。
我们的研究结果表明，住院医师有兴趣参与 HaH。将 HaH 轮转纳入住院医师培训将使初级医生能够在提供 HaH 护理方面获得更多的接触和培训。关于在住院医师培训中引入 HaH 课程和特定于 HaH 的可信赖专业活动（EPAs）的进一步研究可能有助于确保我们拥有一支有能力的 HaH 劳动力，以支持和跟上全球 HaH 的增长。
