Abstract:
:Hospital discharges against medical advice (AMA) are common, costly, stigmatizing to patients, and are associated with excess morbidity and mortality. Achieving better quality care for patients discharged AMA has been limited both by the sparse research illuminating how best to care for this challenging patient population, as well as a lack of standards regarding this clinical practice. This paper will review elements of the AMA literature and highlight the gaps, including the predictors of AMA discharge, challenges to high quality informed consent in AMA discharges, problematic aspects of AMA discharge forms, and the stigma associated with patients discharged AMA. These gaps in the evidence base collectively limit the ability to adequately and completely address AMA discharges and improve health care quality. This paper will recommend future directions to answer remaining questions for the field, and offer guidance for providing ethically sound and high quality care for the affected population. Applying the widely accepted principles of patient-centered care and shared decision making to AMA discharges offers the opportunity to improve quality of care and promote ethical health care practice.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Alfandre Ddoi
10.1007/s11606-013-2540-zsubject
Has Abstractpub_date
2013-12-01 00:00:00pages
1657-62issue
12eissn
0884-8734issn
1525-1497journal_volume
28pub_type
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,评审
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journal_title:Journal of general internal medicine
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pub_type: 杂志文章,多中心研究
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更新日期:2006-05-01 00:00:00
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更新日期:2008-12-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2009-03-01 00:00:00
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更新日期:2019-05-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2008-03-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
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更新日期:2012-10-01 00:00:00
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journal_title:Journal of general internal medicine
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