ReviewHealthcare (Basel, Switzerland)2021
Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions.
Review in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 71 citations in OpenAlex.
- Prevalence, Reasons, and Determinants of Discharge Against Medical Advice Among Hospitalized Pediatric Patients at the University of Gondar Comprehensive Specialized Hospital: A Prospective Observational Study.Health science reports · 2026Article
- "He said he could take his own advice": Stigmatizing language in notes documenting discharges against medical advice.Journal of hospital medicine · 2026Article
- Article
- Discharge against medical advice among pediatric patients: A retrospective study from a Saudi tertiary emergency department.Saudi medical journal · 2025Article
- 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
- Article
- Enhancing the Conversion of Patients from Outpatient to Inpatient Department: A Comprehensive Analysis.Journal of pharmacy & bioallied sciences · 2025Article
- Invisible harm in patient safety: a framework and definition for preventable psychological harm in cancer care.BMJ open quality · 2025Article
- Improving Equity at Premature Discharge: Reframing Discharge Against Medical Advice Using the Structural Competency Framework.Journal of general internal medicine · 2025Article
- Disparities in inpatient treatment and expenditures among lung cancer patients under tiered social health insurance: a population-based study in China.International journal for equity in health · 2025Article
- Discharge Against Medical Advice Among Schizophrenia Patients in Germany: A Multicenter Cross-Sectional Study.Brain sciences · 2025Article
- Article
- Socioeconomic differences in discharge against medical advice and hospital admission among emergency department visits associated with substance use in the United States.Frontiers in public health · 2025Article
- Observational
- Factors Influencing Patient Decisions to Discharge Against Medical Advice from Hospital Emergency: Insights From a Saudi Tertiary Hospital.Journal of patient experience · 2025Article
- Review
- Factors Associated With Child and Youth Mental Health Readmissions From a US National Database.JAACAP open · 2024Article
- Article
- Leaving emergency departments without completing treatment among First Nations and non-First Nations patients in Alberta: a mixed-methods study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Approach to working with at-risk patients expressing a desire for discharge.Canadian family physician Medecin de famille canadien · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA patient decides to leave the hospital against medical advice. Is this an erratic eccentric behavior of the patient, or a gap in the quality of care provided by the hospital? With a significant and increasing prevalence of up to 1-2% of all hospital admissions, leaving against medical advice affects both the patient and the healthcare provider. We hereby explore this persistent problem in the healthcare system. We searched Medline and PubMed within the last 10 years, using the keywords "discharge against medical advice," "DAMA," "leave against medical advice," and "AMA." We retrospectively reviewed 49 articles in our project. Ishikawa fishbone root cause analysis (RCA) was employed to explore reasons for leaving against medical advice (AMA). This report presents the results of the RCA and highlights the consequences of discharge against medical advice (DAMA). In addition, the article explores preventive strategies, as well as interventions to ameliorate leaving AMA.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.