Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis.
Background: Discharge against Medical Advice (DAMA) is a problem for hospitals which may result in increasing readmissions, morbidities, inabilities, deaths and health care costs. This study, aimed to investigate the rate and causes of DAMA in Iranian hospitals. Methods: A systematic review and meta...
| Published in: | Iranian Journal of Public Health Vol. 44; no. 7; pp. 902 - 913 |
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| Main Authors: | , , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Tehran University of Medical Sciences
Jul2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108501397&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108501397 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22516085 6N6F jtl: Iranian Journal of Public Health issn: 22516085 maglogo: N pubinfo: dt: Jul2015 vid: 44 iid: 7 pid: 21783 pub: Tehran University of Medical Sciences artinfo: ui: 108501397 108501397 108501397 108501397 ppf: 902 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis. aug: au: MOHSENI, Mohammad ALIKHANI, Mahtab TOURANI, Sogand AZAMI-AGHDASH, Saber ROYANI, Sanaz MORADI-JOO, Mohammad affil: Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran sug: subj: Patient Discharge Trends Patient Discharge Psychosocial Factors Hospitals Treatment Refusal Human Systematic Review Meta Analysis Iran PubMed Web Search Engines Embase Resource Databases, Health Data Analysis Software Male Female T-Tests P-Value Confidence Intervals Content Analysis Descriptive Statistics Sex Factors Male Female ab: Background: Discharge against Medical Advice (DAMA) is a problem for hospitals which may result in increasing readmissions, morbidities, inabilities, deaths and health care costs. This study, aimed to investigate the rate and causes of DAMA in Iranian hospitals. Methods: A systematic review and meta-analysis study was conducted in 2014. Required data were collected through searching for key words included: "Discharge Against Medical Advice", "Leaving against medical advice", "causes*", "hospital" and their Persian equivalents, over databases including PubMed, OVID, Google Scholar, Embase, Scopus, Magiran, scientific information database (SID). The reference lists of the articles, certain relevant journals and web sites in this field were also searched. Results: Out of 913 articles initially retrieved, finally 17 articles were incorporated into the study. There were 244858 individuals studied in the articles. Using a random effects model, the rate of DAMA in Iranian hospitals was estimated at 7.9% (6.3%-9.8%). While the highest rate of DAMA was associated with patients in departments of psychiatry (12%), the lowest rate was related to patients in departments of pediatrics (3.7). DAMA was in men more than women (P<0.05) Patient's perception of feeling of wellbeing, financial problems, family problems, the lack of attention from physicians and nurses, inappropriate behavior with patients by hospital team and the lack of timely care were mentioned as main causes for DAMA. Conclusion: The rate of DAMA in Iranian hospitals is relatively high. Thus effective initiatives in this area are required. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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