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Who leaves against medical advice?

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Abstract

Patients who leave hospitals against medical advice (AMA) frustrate physicians and may put themselves at medical risk. A case—control study was conducted to characterize the factors associated with AMA discharges from an inpatient medical service. Logistic regression analysis indicated that not having a primary care physician and previous AMA discharge were significantly associated with leaving AMA. The patients most often stated that they were leaving because they “felt better” or had personal or financial obligations. However, the patients leaving AMA were more likely to return for care within the next week than were the control patients.

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References

  1. Sclauch RW, Reich P, Kelly M. Leaving against medical advice. N Engl J Med. 1979; 300:22–4.

    Article  Google Scholar 

  2. Beck NC, Shekim WO, Gilbert F, Fraps C. AMA discharges at a community mental health center. Hosp Community Psychiatry. 1983;34:69–71.

    CAS  PubMed  Google Scholar 

  3. Jankowski CB, Drum DE. Diagnostic correlates of discharge against medical advice. Arch Gen Psychiatry. 1977;34:153–5.

    Article  CAS  PubMed  Google Scholar 

  4. Smith DB. Telles JL. Discharges against medical advice at regional acute care hospitals. Am J Public Health. 1991;81:210–3.

    Article  Google Scholar 

  5. Corley MC, Link K. Men patients who leave a general hospital against medical advice: mortality rate within six months. J Stud Alcohol. 1981; 42:1058–61.

    Article  CAS  PubMed  Google Scholar 

  6. Albert HD, Kornfeld DS. The threat to sign out against medical advice. Ann Intern Med. 1973; 79:888–91.

    Article  CAS  PubMed  Google Scholar 

  7. Green JA. Minimizing malpractice risks by role clarification. Ann Intern Med. 1988;109:234–41.

    Article  CAS  PubMed  Google Scholar 

  8. Targum SD, Capodanno MA, Hoffman HA, Foudraine C. An intervention to reduce the rate of hospital discharges against medical advice. Am J Psychiatry. 1982;139:657–9.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of General Internal Medicine, Rhode Island Hospital, 593 Eddy Street, 02903, Providence, RI

    Michael D. Stein MD

Authors
  1. Jennifer Jeremiah MD
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  2. Patricia O’Sullivan EdD
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  3. Michael D. Stein MD
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Additional information

Received from the Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence, Rhode Island.

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Jeremiah, J., O’Sullivan, P. & Stein, M.D. Who leaves against medical advice?. J Gen Intern Med 10, 403–405 (1995). https://doi.org/10.1007/BF02599843

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  • DOI: https://doi.org/10.1007/BF02599843

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