违背医嘱出院:原因、后果和可能的纠正措施。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Akshay Gaur, Elizabeth Gilham, Laura Machin, David Warriner
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引用次数: 0

摘要

不听医嘱自行出院的病人占住院病人的 1%-2%。不听医嘱出院(DAMA)是指住院患者在治疗医疗团队建议出院前选择离开医院。不听医嘱出院的行为会对患者、医护人员及其持续护理造成影响。具体来说,这意味着病人的医疗问题可能没有得到充分的评估或治疗。决定 DAMA 的患者多为年轻男性,社会经济背景较差,有精神疾病或药物滥用病史。DAMA 会增加发病和死亡风险。在本综述中,我们将对西方医疗机构(特别是成人内科住院病人)的研究证据进行回顾,并寻求解决这种常见情况的原因、后果和可能的纠正措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Discharge Against Medical Advice: The Causes, Consequences and Possible Corrective Measures.

Patients who discharge themselves against medical advice comprise 1%-2% of hospital admissions. Discharge against medical advice (DAMA) is defined as when a hospitalised patient chooses to leave the hospital before the treating medical team recommends discharge. The act of DAMA impacts on both the patient, the staff and their ongoing care. Specifically, this means that the patient's medical problems maybe inadequately assessed or treated. Patients who decide to DAMA tend to be young males, from a lower socioeconomic background and with a history of mental health or substance misuse disorder. DAMA has an associated increased risk of morbidity and mortality. In this review of studies across Western healthcare settings, specifically adult medical inpatients, we will review the evidence and seek to address the causes, consequences and possible corrective measures in this common scenario.

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来源期刊
British journal of hospital medicine
British journal of hospital medicine 医学-医学:内科
CiteScore
1.50
自引率
0.00%
发文量
176
审稿时长
4-8 weeks
期刊介绍: British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.
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