Approximately 1%-2% of hospitalizations in the United States result an against medical advice discharge. Still, practice discharging patients is highly subjective and variable. Discharges are associated with physician distress, patient stigma, adverse outcomes, including increased morbidity mortality. This review summarizes discharge research, proposes a definition for discharge, recommends sta...

OBJECTIVE The present study aimed to describe contact made by the elderly to Sweden's nationwide medical helpline, Healthcare Guide 1177 by Phone (HGP). Other objectives were to study potential gender differences and the association between different HGP referral levels and acute visits to hospital-based emergency departments and acute visits to primary care centres. DESIGN De-identified data...

objective: infertility is an important social concern. environmental factors such as smoking and tobacco consumption can affect sperm and follicular function and infertility. smoke cessation reduces its complications and makes infertility treatment more effective which motivates and encourages infertile smokers to consider quitting. the aim of current study was to assess brief smoking cessation...

Preventive medical services not covered by public health insurance started in the Daiko Medical Center of Nagoya University in June, 2004. Those services included: (1) Helicobacter pylori (H. pylori) diagnosis and eradication treatments, for which CYP2C19 genotyping was introduced in November 2005; (2) smoking cessation support with genotype tests of CYP1A1 Ile462Val, GSTM1 present/null, GSTT1 ...

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...

OBJECTIVES There is concern across a range of healthcare settings worldwide that trust in physicians is declining. Decreased trust may lead to lesser tolerance of prognosis uncertainty and an increased demand for tests, referrals and second opinions. Literature suggests that there has been a recent cultural shift towards decreased trust in, and increased questioning of, medical advice. We inves...