[Home ] [Archive]   [ فارسی ]  
:: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 2, Number 4 (winter 2017) ::
hbrj 2017, 2(4): 319-327 Back to browse issues page
Causes of Discharge against Medical Advice in patients of a Number of Selected Hospitals
rahil ghorbani , Mahbobe Moradi Magin
Abstract:   (130 Views)

Causes of Discharge against Medical Advice in patients of a Number of Selected Hospitals

Ghorbani Rahil1*, Moradi Magin Mahbobeh2

1. Lecturer, Department of Health Services Management, Bam University of Medical Sciences, Bam, Iran.

2. BSc student, Department of Health Services Management, School of Public Health, Bam University of Medical Sciences, Bam,Iran.

*Correspondence: School of Public Health, Campus of Bam, Khalij Fars Highway, Bam University of Medical Sciences.

Tel: 09396558571                                                                                      Email: r.Ghorbani6790@gmail.com

Abstract:

Background & Objectives:  Discharge Against Medical Advice (DAMA) is one of the important concerns of health systems. This could be potentially life-threatening and cause readmission. The purpose of this study was to determine causes of DAMA in patients of some selected hospitals.

Methods: This cross-sectional, descriptive-analytic study was performed in winter 2016. The medical files of 261 patients discharged against medical advice were selected by simple random sampling and reviewed. Data were gathered through Hospital Information System and using a self-designed check list. Data were analyzed through SPSS software and using descriptive statistics and Chi-square test.

Results: From all, 58.6% were male, 66.3% were married and 22.2% did not have any insurance coverage. The most common reason of DAMA was feeling better (43.3%). Discharge against medical advice showed significant relationship with marital status (P= 0.02), and insurance type (P= 0.05).

Conclusion: Since the most common reason of DAMA was feeling better, more attention of authorities and also a stronger patient-physician relationship are recommended in order to aware patients of their clinical conditions and treatment process.

Key­words: Teaching Hospital, Discharge, Discharge Against Medical Advice (DAMA)

Citation: Ghorbani R, Moradi Magin M. Causes of Discharge against Medical Advice in patients of a Number of Selected Hospitals. Journal of Health Based Research 2016; 2(4): 319-327.

Keywords: Teaching Hospital, Discharge, Discharge Against Medical Advice (DAMA)
Full-Text [PDF 622 kb]   (78 Downloads)    
Type of Study: Research | Subject: Special
Send email to the article author

Add your comments about this article
Your username or email:

Write the security code in the box >



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

ghorbani R, Moradi Magin M. Causes of Discharge against Medical Advice in patients of a Number of Selected Hospitals. hbrj. 2017; 2 (4) :319-327
URL: http://hbrj.kmu.ac.ir/article-1-130-en.html
Volume 2, Number 4 (winter 2017) Back to browse issues page
نشریه پژوهش های سلامت محور Journal of Health Based Research
Persian site map - English site map - Created in 0.053 seconds with 789 queries by yektaweb 3465