Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching Hospital
Background: Discharge against medical advices is leaving hospital despite medical advice, which can be a sign of the patient's dissatisfaction and a significant challenge for health system managers. This study examined the reasons for discharge against medical advices and compared the results w...
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Shahid Sadoughi University of Medical Sciences
2017-06-01
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doaj-54c25da03b5e469d8b9892940fb5ed1d2020-11-25T00:05:40ZfasShahid Sadoughi University of Medical SciencesRāhburdhā-yi Mudīriyyat dar Niẓām-i Salāmat2476-68792538-15632017-06-01213947Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching HospitalZhila Najafpour0Mohamad Reza Jafari1Maryam Hatamizadeh2Sousan Rahimi3Zahra Bigdeli4Abbas Homauni5 Ph.D. student of Healthcare Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran M.D., Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran MSc in Healthcare Management, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran BSc in Healthcare Management, School of Paramedical, Tehran University of Medical Sciences, Tehran, Iran BSc in Healthcare Management, School of Paramedical, Tehran University of Medical Sciences, Tehran, Iran Ph.D. student of Healthcare Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Background: Discharge against medical advices is leaving hospital despite medical advice, which can be a sign of the patient's dissatisfaction and a significant challenge for health system managers. This study examined the reasons for discharge against medical advices and compared the results with the control group (discharge with the doctor's opinion). Methods: The present study is a case-control study in which 280 samples were selected randomly in two groups of patients discharged against medical advices and those who discharged with doctor's opinion. Data were collected through the questionnaire measuring patient-companion satisfaction in different wards of the hospital. Data were then analyzed using Chi-square and linear regression tests by SPSS 16 software. Results: Results showed that patient's age, having basic and complementary insurance, day of referring to hospital, education, and occupation made significant differences between the two groups. Among these factors, the most effective ones for discharge against medical advice were basic insurance (p = 0.020), age (p = 0.020), and occupation (p = 0.030). The most important reasons for discharge against medical advice from patients' viewpoints were failure to determine the patient's status, personal problems, feeling relative relief and partial recovery, as well as lack of physicians' considerations in that hospital. Conclusion: It seems that patients decide to discharge against medical advices due to lack of necessary supervision over the performance of medical and nursing services, and also lack of motivation in personnel to prevent from this event. In order to earn patients' satisfaction, managers are required to improve the hospital's services.http://mshsj.ssu.ac.ir/browse.php?a_code=A-10-1-11&slc_lang=en&sid=1Patient's satisfaction Hospital Patient |
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DOAJ |
language |
fas |
format |
Article |
sources |
DOAJ |
author |
Zhila Najafpour Mohamad Reza Jafari Maryam Hatamizadeh Sousan Rahimi Zahra Bigdeli Abbas Homauni |
spellingShingle |
Zhila Najafpour Mohamad Reza Jafari Maryam Hatamizadeh Sousan Rahimi Zahra Bigdeli Abbas Homauni Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching Hospital Rāhburdhā-yi Mudīriyyat dar Niẓām-i Salāmat Patient's satisfaction Hospital Patient |
author_facet |
Zhila Najafpour Mohamad Reza Jafari Maryam Hatamizadeh Sousan Rahimi Zahra Bigdeli Abbas Homauni |
author_sort |
Zhila Najafpour |
title |
Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching Hospital |
title_short |
Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching Hospital |
title_full |
Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching Hospital |
title_fullStr |
Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching Hospital |
title_full_unstemmed |
Factors Affecting Discharge Against Medical Advices: A Case-Control Study in a Treatment-Teaching Hospital |
title_sort |
factors affecting discharge against medical advices: a case-control study in a treatment-teaching hospital |
publisher |
Shahid Sadoughi University of Medical Sciences |
series |
Rāhburdhā-yi Mudīriyyat dar Niẓām-i Salāmat |
issn |
2476-6879 2538-1563 |
publishDate |
2017-06-01 |
description |
Background: Discharge against medical advices is leaving hospital despite medical advice, which can be a sign of the patient's dissatisfaction and a significant challenge for health system managers. This study examined the reasons for discharge against medical advices and compared the results with the control group (discharge with the doctor's opinion).
Methods: The present study is a case-control study in which 280 samples were selected randomly in two groups of patients discharged against medical advices and those who discharged with doctor's opinion. Data were collected through the questionnaire measuring patient-companion satisfaction in different wards of the hospital. Data were then analyzed using Chi-square and linear regression tests by SPSS 16 software.
Results: Results showed that patient's age, having basic and complementary insurance, day of referring to hospital, education, and occupation made significant differences between the two groups. Among these factors, the most effective ones for discharge against medical advice were basic insurance (p = 0.020), age (p = 0.020), and occupation (p = 0.030). The most important reasons for discharge against medical advice from patients' viewpoints were failure to determine the patient's status, personal problems, feeling relative relief and partial recovery, as well as lack of physicians' considerations in that hospital.
Conclusion: It seems that patients decide to discharge against medical advices due to lack of necessary supervision over the performance of medical and nursing services, and also lack of motivation in personnel to prevent from this event.
In order to earn patients' satisfaction, managers are required to improve the hospital's services. |
topic |
Patient's satisfaction Hospital Patient |
url |
http://mshsj.ssu.ac.ir/browse.php?a_code=A-10-1-11&slc_lang=en&sid=1 |
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