The Causes of Discharge against Medical Advice from the Emergency Department of a Teaching Hospital of Tehran in ۲۰۱۲
محل انتشار: مجله بهداشت و توسعه، دوره: 5، شماره: 3
سال انتشار: 1395
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 176
فایل این مقاله در 10 صفحه با فرمت PDF قابل دریافت می باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_JHD-5-3_008
تاریخ نمایه سازی: 8 خرداد 1400
چکیده مقاله:
Background: Discharge against medical advice (DAMA) occurs when a patient leaves the hospital against the physician’s advice. The aim of this study was to investigate the causes of discharge against medical advice. Methods: In this cross-sectional study, all patients who were discharged against medical advice from the Emergency Department of Shohada-e-Tajrish teaching hospital in the second half of ۲۰۱۲, were included. Data were collected by a researcher-made checklist that its validity and reliability had been confirmed. Data were analyzed by using Chi square and independent two-sample t-test. Results: The results show that among all the units of Emergency Department, the units of general surgery (۱۴.۴%), internal medicine (۱۱.۹%), and neurosurgery (۱۱.۹%) had the highest rate of discharge against medical advice, respectively. The main causes of discharge against medical advice were partial recovery according to patients’ opinion, the distance from home to hospital, and patients’ exhaustion from the hospital environment. However, there was no statistically significant relationship between discharge against medical advice and the type of Emergency Department unit, work shifts, or income. Conclusion: Due to the high rate of discharge against medical advice in teaching hospitals of Iran, it is essential to pay more attention to this important issue as the main issue emphasized on in clinical governance in teaching hospitals of Iran, and also prioritize providing high quality services in order to increase patients’ satisfaction and decrease the rate of discharge against medical advice.
کلیدواژه ها:
مراجع و منابع این مقاله:
لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :