Document Type : Original Article
Authors
- Afsane Esmaeili Ranjbar 1
- Hamid Ostadebrahimi 2
- Gholamreza Bazmandegan 2
- Mitra Abasifard 3
- Mojtaba Sanji Rafsanjani 4
- zahra kamyab 5
1 Assistant Professor of Emergency Medicine, Department of Internal Medicine, Ali Ibn Abitalib (AS) Educational and Therapeutic Center, Faculty of Medicine, Rafsanjan University of Medical Sciences, Iran.
2 Assistant Professor of Pharmacology, Clinical Research Development Unit, Ali Ibn Abitalib Educational and Therapeutic Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
3 Assistant Professor of Rheumatology, Department of Internal Medicine, School of Medicine, Immunology of Infectious Diseases Research Center, Research Institute on Basic Sciences, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, R
4 Assistant Professor of Emergency Medicine, Department of Internal Medicine, Ali Ibn Abitalib (AS) Educational and Therapeutic Center, Faculty of Medicine, Rafsanjan University of Medical Sciences, Iran
5 Assistant professor Rafsanjan University of Medical Sciences - - Ali-Ibn Abi-Talib Hospital, Mofteh Boulevard, Rafsanjan, Iran
Abstract
Background and Objectives: Discharge against medical advice can lead to a negative impact on treatment outcomes and costs. The aim of this recent study was to evaluate the causes of discharge against medical advice from the emergency department in Ali-Ibn Abi-Talib hospital, Rafsanjan.
Materials and Methods: In this descriptive-analytical study, all 400 patients who were discharged against medical advice (DAMA) from the emergency department of Ali-Ibn Abi-Talib Hospital in the first half of 2019 entered the study by convineint sampling. To collect information, the Questionnaire of the ministry of health was applied.
Results: Our findings indicated in total of 25931 patients who dichargeed the prevalence of discharge against medical advice from the emergency department was 11.5% with a 95% confidence interval of 11.1% to 11.9%. In our sample, 57.8% (231 people) were male and 42.5% (170 people) were in the age range of 20 to 39 years. Our results revealed the rasons of DAMA in 300 cases (75%) was related to the patient such as feeling recovery or desire for treatment in private centers.There was a significant difference between patients' economic status, discharge insurance and age and the frequency of DAMA.
Conclusion: Based on the results of the present study, the majority of DAMA were due to personal reasons. Increasing the knowledge of the patients regarding probable consequences and improving the quality of medical services can help decrease DAMA cases.
Keywords
Main Subjects
)