Prevalence, Predictors and Reasons for Discharge Against Medical Advice Among Patients With Chronic Disease During COVID-19.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-06 DOI:10.1002/hpm.3868

Raya T Al-Bataineh, Ahmad H Ghaith

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引用次数: 0

Abstract

Background: Discharge against medical advice (DAMA) is used in healthcare facilities in a situation where patients refuse care or decide to leave the hospital before the treating physician recommends discharge. Previous studies have found DAMA to be prevalent among patients with various chronic conditions. The study had four objectives. The study aimed to investigate: (1) the prevalence of DAMA during COVID-19 (2020-2021) among Jordanian patients with chronic diseases, (2) the association between DAMA and sociodemographic and clinical characteristics of patients with chronic diseases, (3) the predictors of DAMA and (4) the reasons behind DAMA at the patient, hospital and environmental levels.

Methods: A descriptive cross-sectional correlational design was used in the study. A convenience sampling approach was used to collect data from 1576 patients with chronic diseases from 3 private hospitals.

Results: The study found that the prevalence rate of DAMA was 33.3%. There was a significant association between the sociodemographic and clinical characteristics of patients with chronic diseases and DAMA. Health insurance found to be the strongest predictor of DAMA. Finally, the study found that patient, hospital and environmental-related factors had a low impact on DAMA.

Conclusions: DAMA is prevalent among patients with chronic diseases in Jordan during COVID-19 pandemic. The current study's findings can serve as an empirical basis for planning and implementing DAMA prevention programs and/or establishing or revising policies for the target population.

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COVID-19 期间慢性病患者不听医嘱出院的发生率、预测因素和原因。

背景：违背医嘱出院（DAMA）是指医疗机构在主治医生建议出院前，患者拒绝接受治疗或决定出院的情况。以往的研究发现，DAMA 在各种慢性病患者中普遍存在。本研究有四个目标。研究旨在调查：(1) COVID-19 期间（2020-2021 年）约旦慢性病患者中 DAMA 的发生率；(2) DAMA 与慢性病患者的社会人口学和临床特征之间的关联；(3) DAMA 的预测因素；(4) DAMA 在患者、医院和环境层面的原因：研究采用描述性横断面相关设计。方法：研究采用了描述性横断面相关性设计，以方便抽样的方式从 3 家私立医院的 1576 名慢性病患者中收集数据：研究发现，DAMA 的患病率为 33.3%。慢性病患者的社会人口学和临床特征与 DAMA 之间存在明显关联。医疗保险是预测 DAMA 的最有力因素。最后，研究发现患者、医院和环境相关因素对 DAMA 的影响较小：结论：在 COVID-19 大流行期间，约旦的慢性病患者中普遍存在 DAMA。目前的研究结果可作为规划和实施 DAMA 预防计划和/或制定或修订目标人群政策的经验依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.