PHP68 DISCHARGE AGAINST MEDICAL ADVICE (DAMA): THE CASE OF PAYER STATUS

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Discharge against medical advice (DAMA): Causes and predictors

BACKGROUND AND AIM DAMA is a result of patient dissatisfaction, which increases the rate of readmission, mortality, and complications. In this study, the causes and predictors of DAMA in Shahid Labbafinejad Hospital of Tehran were determined. METHODS The descriptive and analytical study was conducted in 2016 from the information of 1,168 hospitalized patients in the period of 2015 and the fir...

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Discharge against Medical Advice: an Interventional Study

Background and Objectives: Discharge against medical advice (DAMA) is a significant healthcare problem posing negative impact on effectiveness of patient care and costs of the health system. In order to address this problem, first the potential influencing factor should be identifies. This study followed two major objectives: first, to evaluate the prevalence and potential causes of DAMA, and s...

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Pediatrician’s perspectives on discharge against medical advice (DAMA) among pediatric patients: a qualitative study

BACKGROUND The phenomenon of discharge against medical advice (DAMA) among pediatric patients places pediatricians in a dilemma between respect for the parent's decision and the desire to provide complete care for the vulnerable child-patient. Little has been written about factors that affect a pediatrician's decision to allow a parent to discharge his child against medical advice. This qualita...

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Reasons for Discharge against Medical Advice: A Case Study of Emergency Departments in Iran

Background Incomplete 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.   Methods This was a cross-sectional study in which the samples were drawn...

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Discharge Against Medical Advice in Teaching Hospitals: A Telephone Survey

Background: Discharge with personal consent is considered as one of the main problems in hospitalization condition since many patients leave the hospital prematurely against the doctor’s advice. Thus, the aim of this study was to identify the factors affecting the discharge with personal satisfaction in selected teaching hospitals of Tehran University of Medical Sciences. Methods: The pr...

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ژورنال

عنوان ژورنال: Value in Health

سال: 2009

ISSN: 1098-3015

DOI: 10.1016/s1098-3015(10)73517-8