ArticleInternational journal of health policy and management2013
Reasons for Discharge against Medical Advice: A Case Study of Emergency Departments in Iran.
Article in International journal of health policy and management, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 44 citations in OpenAlex.
- Article
- Magnitude and associated factors of discharge against medical advice among patients treated in the adult Emergency Department at an Ethiopian University Hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Factors Influencing Patient Decisions to Discharge Against Medical Advice from Hospital Emergency: Insights From a Saudi Tertiary Hospital.Journal of patient experience · 2025Article
- Incidence of Discharge Against Medical Advice in Queensland Hospital Emergency Departments Among Indigenous Patients from 2016 to 2021.Journal of racial and ethnic health disparities · 2024Article
- Article
- Article
- Discharge against Medical Advice at a Teaching Hospital in Ghana.Nursing research and practice · 2023Article
- Discharge against medical advice from the emergency department in a university hospital.BMC emergency medicine · 2021Article
- Chronic Pancreatitis Patients Who Leave Against Medical Advice: Prevalence, Trend, and Predictors.Digestive diseases and sciences · 2021Article
- Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions.Healthcare (Basel, Switzerland) · 2021Review
- Rate and causes of discharge against medical advice from a university hospital emergency department in Iran: an ethical perspective.Journal of medical ethics and history of medicine · 2020Article
- Effects of Iranian healthcare transformation plan on discharge against medical advice rate and related factors in 2012 and 2016.BMJ open · 2019Article
- Discharge against Medical Advice (DAMA) from an Emergency Department of a Tertiary Care Hospital in Saudi Arabia.Emergency medicine international · 2019Article
- What Happens to Patients Discharged Against Medical Advice?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2018Article
- [Concerns about neonates discharged against medical advice from the neonatal intensive care unit].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2017Review
- Hospitalized Pregnant Women Who Leave Against Medical Advice: Attributes and Reasons.Maternal and child health journal · 2016Article
- Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2015Review
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncomplete hospitalization is the cause of disease relapse, readmission, and increase in medical costs. Discharge Against Medical Advice (DAMA) in emergency department (ED) is critical for hospitals. This paper aims to explore the underlying reasons behind DAMA in ED of four teaching hospitals in Kerman, Iran.
methodsThis was a cross-sectional study in which the samples were drawn from the patients who chose to leave against medical advice from the ED of teaching hospitals in Kerman from February to March 2011. The sampling was based on census. Data were gathered by a self-constructed questionnaire. The reasons for DAMA were divided into three parts: reasons related to patient, medical staff, and hospital environment. The questionnaire was filled out by a face-to-face interview with patient or a reliable companion.
resultsThere were 121 cases (5.6%) of DAMA out of the total admissions. The main reason of AMA discharges was related to patient factors in 43.9% of cases, while two other factors (i.e., hospital environment and medical staff) constituded 41.2% and 35.2% of cases, respectively. The majority of patients 65.9% (80 cases) were either uninformed or less informed of the entailing side effects and outcomes of their decision to DAMA.
conclusionIn comparison to studies conducted in other countries, the rate of DAMA is markedly higher in Iran. The results revealed that patients awareness of the consequences of their decisions is evidently inadequate. The study suggests a number of recommendations. These include, 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.
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