Patients leaving against medical advice: an inpatient psychiatric hospital-based study.
نویسندگان
چکیده
OBJECTIVE To determine the frequency of patients leaving against medical advice (LAMA) in an inpatient psychiatric facility in Rawalpindi, Pakistan. STUDY DESIGN Descriptive cross-sectional study. PLACE AND DURATION OF STUDY Institute of Psychiatry, Benazir Bhutto Hospital, Rawalpindi, from August 2010 to February 2011. METHODOLOGY Patients who got admitted during study period irrespective of duration of illness and mode of admission were recruited through non-probability consecutive sampling and followed till discharge to determine their mode of leaving hospital. A thirteen-item proforma was developed and information was obtained on demographic, socioeconomic, patient related and disease related variables. Descriptive statistics were calculated on SPSS 14. RESULTS The total number (n) of participants was 246. Among the participants, 96 (39%) left against medical advice (LAMA) whereas 150 (61%) left on regular discharge on physician's advice. Frequency of patients who left against medical advice was found to be more in males (63.5%), younger age groups (21 - 30 years), lesser educated (more than half were under matric) and with the ICD-10 diagnosis of substance abuse (23.9%). About half of patients who LAMA had a prior history of psychiatric illness and a significant number (37.5%) had a history of previous psychiatric admission. CONCLUSION Leaving against medical advice is a frequent problem in psychiatric inpatients and is a matter of great concern for the treating doctors.
منابع مشابه
Leaving Against Medical Advice From In-patients Departments Rate, Reasons and Predicting Risk Factors for Re-visiting Hospital Retrospective Cohort From a Tertiary Care Hospital
Background Approximately 1% to 2% of hospitalized patients get discharged or leave from the hospital against medical advice and up to 26% in some centers. They have higher readmission rate and risk of complications than patients who receive complete care. In this study we aimed to determine the rate of leave against medical advice (...
متن کاملDischarge 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...
متن کاملبررسی موارد ترخیص با رضایت شخصی در بیماران مبتلا به اختلالات روان پزشکی و علل مرتبط با آن
Background and purpose: Leaving the hospital against physician advice is associated with negative consequences. The aim of this study was to investigate the prevalence of discharge against medical advice in a psychiatric hospital and factors associated with this decision. Materials and methods: The study was conducted using the records of 1112 patients admitted to Sari Zere Hospital, Iran betw...
متن کاملترک با مسئولیت شخصی و عوامل مؤثر بر آن در بیماران مراجعه کننده به مرکز آموزشی درمانی ضیائیان
Background: Decision to stop or continue the treatment after awareness about complications and risks is patients' rights. On the other hand, patient`s discharge against medical advice could threaten patients' health. This study aimed to determine the causes of patient`s discharge against medical advice to prevent negative effects on patients and health costs. Materials and Methods: In this s...
متن کاملRates of readmission and death associated with leaving hospital against medical advice: a population-based study.
BACKGROUND Leaving hospital against medical advice may have adverse consequences. Previous studies have been limited by evaluating specific types of patients, small sample sizes and incomplete determination of outcomes. We hypothesized that leaving hospital against medical advice would be associated with increases in subsequent readmission and death. METHODS In a population-based analysis inv...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
دوره 23 5 شماره
صفحات -
تاریخ انتشار 2013