ArticleJournal of general internal medicine2023
Experiences of Patients and Their Caregivers Admitted to a Hospital-at-Home Program in Singapore: a Descriptive Qualitative Study.
Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 6 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Virtual Wards for Acute Care Patients: A Scoping Review.Journal of general internal medicine · 2026Pooled it
- Barriers and facilitators to the use of virtual wards: a systematic review of the qualitative evidence.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Pooled it
- The Value of Remote Vital Signs Monitoring in Detecting Clinical Deterioration in Patients in Hospital at Home Programs or Postacute Medical Patients in the Community: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Supporting older people through Hospital at Home care: a systematic review of patient, carer and healthcare professionals' perspectives.Age and ageing · 2025Pooled it
- Dimensions and components of hospital-at-home care: a systematic review.BMC health services research · 2024Pooled it
- Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2024Pooled it
- Hospital Care at Home for Adults Living in Rural Settings: A Qualitative Evaluation.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Trial
- Patients' experiences of receiving hospital care from a mobile care unit - a qualitative interview study.International journal of qualitative studies on health and well-being · 2026Article
- There is no place like home: patient perspectives on mobility outside the home during hospital-at-home care- a qualitative study.Annals of medicine · 2026Article
- Hospital at Home in 10 years-Here, borrow my binoculars.Journal of internal medicine · 2026Article
- Evolving practice of general internal medicine in the current medical landscape.Internal medicine journal · 2026Review
- Caring beyond hospital walls: Informal caregivers' experiences in a virtual and in-person hybrid hospital-at-home.BMC health services research · 2026Article
- Hospital at home for older frequent hospital users: present and future of a healthcare challenge.Aging clinical and experimental research · 2026Article
- Intrathecal pump refills at home or at the hospital: Protocol for a randomized controlled crossover trial-The IMPROVE study.PloS one · 2026Article
- Article
- Perceptions and anticipated factors influencing the adoption of early supported discharge through hospital-at-home.Annals of medicine · 2025Article
- Hospital-at-home care in Singapore: distilling policy and implementation strategies essential to support scale-up using Policy Labs.JBI evidence implementation · 2025Article
- Hybrid Hospital-at-Home Program in Singapore: Ethnographic Study.Journal of medical Internet research · 2025Article
- Stakeholders' perspectives on the necessary requirements of implementing the Hospital-at-Home program: a qualitative study.BMC health services research · 2025Article
- Health Care Providers' Experiences and Perceptions With Telehealth Tools in a Hospital-at-Home Program: Mixed Methods Study.JMIR human factors · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospital at Home (HaH) programs have been shown to improve clinical outcomes, quality of care, and patient satisfaction. However, how Asian patients experience HaH remained underexplored.
objectiveTo explore the perceptions and experiences of patients and caregivers admitted to a hospital-at-home program in Singapore.
designDescriptive qualitative study design.
participantsPurposive sampling was used to conduct 36 interviews with 13 patients, nine Legally Acceptable Representatives (LARs), and 14 caregivers until data saturation was achieved.
interventionsNUHS@Home is a HaH program providing care through a multi-disciplinary team, enabled by remote vital signs monitoring through a tablet and wireless blood pressure and oxygen meters. APPROACH: This study used in-depth semi-structured individual interviews. Interviews were transcribed and thematically analyzed using Braun and Clark's six-step inductive approach. KEY
resultsThe overarching theme identified was "Enablers, difficulties, and improvements to the HaH experiences" which was supported by three key themes: (1) Perceived better care at home, (2) Importance of social support, and (3) Organizational structures required to support HaH. Participants described overall HaH experiences around factors contributing to their impeding engagement, overall satisfaction, and quality of care.
conclusionsAlthough HaH is unfamiliar to the Singapore population, most of the participants in this study had an overall positive experience. The key challenges found in this paper were the stress and inconvenience caused to caregivers. The enablers for positive HaH experiences were (1) consideration of patient's family members as key participants in the patients' therapeutic alliance; (2) the HaH care team must be accessible, approachable, and reassuring, and communicate frequently and timely with patients and their families; and (3) financing strategies to ensure HaH out-of-pockets costs remain affordable which are critical to keeping HaH as an option for patients and families.
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