REASONS FOR DISCHARGE AGAINST MEDICAL ADVICE: A STUDY OF A GENERAL HOSPITAL IN IRAN

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AZAM RAHIMI A.; KHABBAZZADAH F.

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Journal Paper

Paper Information

Journal: Iranian Journal of Pediatrics Year:2014 | Volume:24 | Issue:2 (SUPPLEMENT) Page(s): 79-79

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Title

REASONS FOR DISCHARGE AGAINST MEDICAL ADVICE: A STUDY OF A GENERAL HOSPITAL IN IRAN

Author(s)

AZAM RAHIMI A. | KHABBAZZADAH F. | Issue Writer Certificate

Keywords

SELF-DISCHARGE

MEDICAL ADVICE

HOSPITAL

PATIENTS

Abstract

Background: Discharge Against MEDICAL ADVICE (DAMA) is a critical problem in HOSPITALization of patient in which a patient despite MEDICAL ADVICE leaves the HOSPITAL earlier than due time. The outcomes of SELF-DISCHARGE for the PATIENTS can be deterioration of their situation or imposing extra costs on the health care system because of their severe condition. So failure to complete the HOSPITALization can lead to re-lapse of disease, re-admission, and increase in medical costs for the patient. This study was conducted to explore the underlying reasons behind SELF-DISCHARGE in a general HOSPITAL in Yazd, Iran.Methods: This was a cross-sectional study through Universal Sampling among PATIENTS who chose to leave HOSPITAL against MEDICAL ADVICE. Data was collected from October 2013 till end of January of 2014 using a self administration questionnaire. The questionnaire contained demographic characteristics (sex, job and insurance status of the patient) and questions about reasons of the DAMA, divided into 2 sections of patient’s related factors, medical related factors.Results: There were 282 cases of DAMA out of the total admissions of 8930 cases. The rate of DAMA in the study HOSPITAL was found to be 3.16%. Among them 125 cases (44.5) were male. The main reason of AMA discharges was patient related factors (74.6%) include; feeling better to leave the HOSPITAL (54.3%), that personal problems (9.1%), family problems (e.g. having a child in home) (8.62%) and patient’s unaffordability to pay HOSPITAL expenses (2.58%) and 25.4% of DAMA was because medical related factors include; dissatisfaction with treatment (19.4%), not visiting by specialist (3.44%) and long stay in HOSPITAL (2.58%).Conclusion: In comparison to studies conducted in other countries, the rate of DAMA is markedly higher in Iran. The study suggests increasing patient awareness of the potential side effects of DAMA and creating the necessary culture for this, improving HOSPITAL facilities, and a more careful supervision of medical staff performance.

Cites

STUDY OF THE CAUSES OF DISCHARGE AGAINST MEDICAL ADVICE IN A HOSPITAL OF SHIRAZ UNIVERSITY OF MEDICAL SCIENCES

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APA: Copy

AZAM RAHIMI, A., & KHABBAZZADAH, F.. (2014). REASONS FOR DISCHARGE AGAINST MEDICAL ADVICE: A STUDY OF A GENERAL HOSPITAL IN IRAN. IRANIAN JOURNAL OF PEDIATRICS, 24(2 (SUPPLEMENT)), 79-79. SID. https://sid.ir/paper/671404/en

Vancouver: Copy

AZAM RAHIMI A., KHABBAZZADAH F.. REASONS FOR DISCHARGE AGAINST MEDICAL ADVICE: A STUDY OF A GENERAL HOSPITAL IN IRAN. IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2014;24(2 (SUPPLEMENT)):79-79. Available from: https://sid.ir/paper/671404/en

IEEE: Copy

A. AZAM RAHIMI, and F. KHABBAZZADAH, “REASONS FOR DISCHARGE AGAINST MEDICAL ADVICE: A STUDY OF A GENERAL HOSPITAL IN IRAN,” IRANIAN JOURNAL OF PEDIATRICS, vol. 24, no. 2 (SUPPLEMENT), pp. 79–79, 2014, [Online]. Available: https://sid.ir/paper/671404/en

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