introduction: patient/customer satisfaction and loyalty have gained increasing attention from executives across the healthcare industry. discharge against medical advice (dama) can be considered as one of the indicators of patient dissatisfaction. it has negative effects on patient treatment and leads to increased hospital costs. study of predictors of dama in a teaching hospital was the aim of...

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...

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...

Suicide is a leading cause of death among Korean adolescents. Many suicide attempting adolescents often are discharged against medical advice in the emergency department. The aim of the present study was to determine the risk factors for discharge against medical advice (DAMA) after self-inflicted injury or attempted suicide in the emergency department. We extracted data on adolescents (10-19 y...

To the Editor: Discharge against medical advice (DAMA) is common among psychiatric inpatients. A comprehensive review reported that the estimated prevalence ranged from 3% to 51% and increased over time.1 DAMA has received little attention in the medical literature, and most works were published a decade ago. The literature shows that patients requesting DAMA have poorer long-term prognoses,1 h...

BACKGROUND Discharging patients against medical advice is a problem of every age-group. However, because of their physiological vulnerability, the risk for the neonatal population is greater when discharged against medical advice (DAMA). This article is a study of the prevalence of the problem, the possible causes and/or risk factors. MATERIALS AND METHODS A retrospective review of 10 years o...

Discharge against medical advice (DAMA) can have detrimental effects on patient outcomes. Recently, the diagnosis of posttraumatic stress disorder (PTSD) has been linked with DAMA in the mental health setting. However, PTSD as a risk factor for DAMA in surgical patients has not received much consideration, although such patients may be at risk for triggering or amplification of PTSD symptoms pe...

OBJECTIVE The aim of this research was to characterize hospitalizations associated with discharges against medical advice (DAMA) in a large, population-based data system. MATERIALS AND METHODS This was a retrospective cohort study on 11 436 500 hospital admissions. The hospital discharge records for residents of the Veneto region (north-east Italy) discharged from 2001 to 2012, from both publ...