Show simple item record

dc.contributor.authorAlfandre, D.
dc.contributor.authorBrenner, J.
dc.contributor.authorOnukwugha, E.
dc.date.accessioned2019-09-19T18:35:48Z
dc.date.available2019-09-19T18:35:48Z
dc.date.issued2017
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85037832754&doi=10.12788%2fjhm.2796&partnerID=40&md5=cc4334f9e6bf643a3448de640cf2ec9b
dc.identifier.urihttp://hdl.handle.net/10713/10987
dc.description.abstractAgainst medical advice (AMA) discharges, which account for up to 2% of all inpatient discharges, are associated with worse health and health services outcomes and disproportionately affect vulnerable patient populations. This paper will review the background data on AMA discharges as well as the reasons physicians may choose to discharge patients AMA. From a healthcare quality perspective, the designation of a discharge as AMA is low-value care in that it is a routine hospital practice without demonstrated benefit and is not supported by a strong evidence base. We argue that designating discharges as AMA has never been shown to advance patient care and that it has the potential to harm patients by reducing access to care and promoting stigma. We believe that greater attention to both shared decision-making as well as harm reduction principles in discharge planning can serve as effective, patient-centered alternatives when patients choose not to follow a healthcare professional’s recommended advice.en_US
dc.description.urihttps://doi.org/10.12788/jhm.2796en_US
dc.language.isoen_USen_US
dc.publisherSociety of hospital medicineen_US
dc.relation.ispartofJournal of Hospital Medicine
dc.subjectagainst medical advice dischargesen_US
dc.subject.meshPatient Dischargeen_US
dc.subject.meshDecision Makingen_US
dc.subject.meshHarm Reductionen_US
dc.subject.meshAttentionen_US
dc.subject.meshPatient-Centered Careen_US
dc.titleThings We Do For No Reason: Against Medical Advice Dischargesen_US
dc.typeArticleen_US
dc.identifier.doi10.12788/jhm.2796
dc.identifier.pmid28991952


This item appears in the following Collection(s)

Show simple item record