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Discharge against medical advice in paediatric patients
OBJECTIVES: Discharge against medical advice (DAMA) from the hospital may negatively impact patients’ well-being. The present study aimed to investigate the main reasons for DAMA among parents of children admitted to the paediatric ward of the Ali Ebne Abitaleb Hospital in Zahedan, Iran. METHODS: Pa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taibah University
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695015/ https://www.ncbi.nlm.nih.gov/pubmed/31435415 http://dx.doi.org/10.1016/j.jtumed.2019.03.001 |
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author | Khalili, Manijeh Teimouri, Alireza Shahramian, Iraj Sargolzaei, Narjes YazTappeh, Jafar S. Farzanehfar, Mitra |
author_facet | Khalili, Manijeh Teimouri, Alireza Shahramian, Iraj Sargolzaei, Narjes YazTappeh, Jafar S. Farzanehfar, Mitra |
author_sort | Khalili, Manijeh |
collection | PubMed |
description | OBJECTIVES: Discharge against medical advice (DAMA) from the hospital may negatively impact patients’ well-being. The present study aimed to investigate the main reasons for DAMA among parents of children admitted to the paediatric ward of the Ali Ebne Abitaleb Hospital in Zahedan, Iran. METHODS: Participants in this case–control study included 130 children who had been admitted to the hospital's paediatric ward. Participants were divided into two equal groups: (1) those with incomplete treatment and (2) those who stayed in the hospital until the completion of their management and followed regular discharge procedures. A self-administered questionnaire was utilised for data collection. RESULTS: Participants included 130 children aged <1–18 years with an average of 3.3 ± 3.7 years; 51.5% (67) were girls, and 48.5% (63) were boys. The results showed a significant relationship between DAMA and the father's level of education (p < 0.05), length of hospitalization (p < 0.001), and duration of treatment (p = 0.027). No significant correlation was found for other factors (p > 0.05). CONCLUSION: This study found that the key reasons for DAMA were as follows: lack of satisfaction with physicians and hospital staff, family disturbance due to the presence of other children at home, inadequate economic situation, and being away from home. Providing professional education to parents and expressing the benefits and disadvantages of refusing complete treatment may help parents make better decisions. |
format | Online Article Text |
id | pubmed-6695015 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Taibah University |
record_format | MEDLINE/PubMed |
spelling | pubmed-66950152019-08-21 Discharge against medical advice in paediatric patients Khalili, Manijeh Teimouri, Alireza Shahramian, Iraj Sargolzaei, Narjes YazTappeh, Jafar S. Farzanehfar, Mitra J Taibah Univ Med Sci Original Article OBJECTIVES: Discharge against medical advice (DAMA) from the hospital may negatively impact patients’ well-being. The present study aimed to investigate the main reasons for DAMA among parents of children admitted to the paediatric ward of the Ali Ebne Abitaleb Hospital in Zahedan, Iran. METHODS: Participants in this case–control study included 130 children who had been admitted to the hospital's paediatric ward. Participants were divided into two equal groups: (1) those with incomplete treatment and (2) those who stayed in the hospital until the completion of their management and followed regular discharge procedures. A self-administered questionnaire was utilised for data collection. RESULTS: Participants included 130 children aged <1–18 years with an average of 3.3 ± 3.7 years; 51.5% (67) were girls, and 48.5% (63) were boys. The results showed a significant relationship between DAMA and the father's level of education (p < 0.05), length of hospitalization (p < 0.001), and duration of treatment (p = 0.027). No significant correlation was found for other factors (p > 0.05). CONCLUSION: This study found that the key reasons for DAMA were as follows: lack of satisfaction with physicians and hospital staff, family disturbance due to the presence of other children at home, inadequate economic situation, and being away from home. Providing professional education to parents and expressing the benefits and disadvantages of refusing complete treatment may help parents make better decisions. Taibah University 2019-04-05 /pmc/articles/PMC6695015/ /pubmed/31435415 http://dx.doi.org/10.1016/j.jtumed.2019.03.001 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Khalili, Manijeh Teimouri, Alireza Shahramian, Iraj Sargolzaei, Narjes YazTappeh, Jafar S. Farzanehfar, Mitra Discharge against medical advice in paediatric patients |
title | Discharge against medical advice in paediatric patients |
title_full | Discharge against medical advice in paediatric patients |
title_fullStr | Discharge against medical advice in paediatric patients |
title_full_unstemmed | Discharge against medical advice in paediatric patients |
title_short | Discharge against medical advice in paediatric patients |
title_sort | discharge against medical advice in paediatric patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695015/ https://www.ncbi.nlm.nih.gov/pubmed/31435415 http://dx.doi.org/10.1016/j.jtumed.2019.03.001 |
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