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Factors Influencing Patients to Decide to Discharge Themselves against medical Advice at Tertiary Hospitals: A Cross-Sectional Study

引用

International Journal of Clinical medicine 2023年第3期14卷 163-174页

作者： malak Alsharif Aeshah Alatawi Abdulhadi m. Alqahtani m.ham.ed alufi Faisal Alghamdi Emergency medicine Ministry of Health Riyadh Saudi Arabia Emergency medicine King Fahd Medical City Riyadh Saudi Arabia Clinical Research Department Research Centre King Fahd Medical City Riyadh Saudi Arabia Imam mohammad Ibn Saud Islamic University Riyadh Saudi Arabia Pediatric Emergency King Fahd Medical City Riyadh Saudi Arabia

Background: Discharged against medical advice (DAmA) is defined as any instance when a patient wants to leave the hospital against the managing physician’s decision. This study aimed to identify factors that influence patients to decide to be DAmA. methods: A descriptive, cross-sectional study. The study was conducted in the emergency department (ed) of King Fahad medical City (KFmC)-Saudi Arabia-Riyadh city. A questionnaire in both Arabic and English was distributed to all participants to fill in either English or Arabic. Results: Between 1 march and 30 April 2021, 510 responses were collected. most of the study participants (31.4%) were over the age of 54. Our findings showed that 12.5% of our participants had taken discharge against medical advice in the past. Results Regarding Factors That Influence Patients to Decide on DAmA Showed: Regarding Inappropriate behavior and disrespect of the physician or staff to the patient and his relatives, 262 (51.4%) participants, 85 (16.7%) participants, and 163 (32%) participants agreed, neutral, and disagreed, respectively. Regarding the Lack of physicians’ and nurses’ attention to the patient and his relatives (emotionally), our result showed that 278 (54.5%) participants, 95 (18.6%) participants, and 137 (26.9%) participants agreed, neutral, and disagree, respectively. Regarding failure to inform the patient or his relatives of his condition, it showed that 257 (50.4%) participants, 95 (18.6%) participants, and 158 (31%) participants agreed, neutral, and disagreed, respectively. Regarding feeling better from DAmA, our result showed 226 (44.3%) participants, 119 (23.3%) participants, and 165 (32.4%) participants agreed, neutral, and disagreed, respectively. Regarding patients’ or their relative’s tiredness of hospital stay, the result showed that 166 (32.5%) participants, 104 (20.4%) participants, and 240 (47.1%) participants agreed, neutral, and disagreed, respectively. Conclusion: The long wait time to be seen by a physic

关键词： Against medical Advice DAmA Discharge Factor Saudi Arabia

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