Discharge against Medical Advice among Children in Oman : A University Hospital Experience = الخروج ضد المشورة الطبية بين الأطفال في عمان : تجربة مستشفى جامعي

Al-Sadoon, Muna; Al-Shamousi, Khalid

doi:10.12816/0003312

Cited by 13 publications

(19 citation statements)

References 10 publications

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“…This is because health care is free for patients in Oman, while in other countries where health care is not free, financial factors might contribute to DAMA. Also, the other reasons associated with dissatisfaction with hospital services did not play a big role in DAMA, in contrast with other studies (Al Saadoon and Al Shamousi 2013), which could be a real satisfaction or reporting bias as the method of data collection could affect the mothersresponses.…”

Section: Reasons and Factors Associated With Damacontrasting

confidence: 76%

“…This study found a small percentage of families seeking traditional care for the children (6.4%), compared with other studies (Al Saadoon and Al Shamousi 2013). This is very important as there are many risks expected from such practices and might expose child life to risk (delay in starting proper treatment, exacerbate pre-existing health problems, risk from the traditional treatment).…”

Section: Reasons and Factors Associated With Damamentioning

confidence: 47%

“…The risk factors of DAMA according to this study were young age, being male, being a Saudi national, and short length of stay (Roodpeyma and Hoseyni 2010). Other studies reported the reasons of DAMA to include: dissatisfaction of the parents with the treatment, inconvenience of hospitalization, child improvement, inadequate facilities in the hospital for their children, and traditional and/or religious beliefs (Bernadette 2012;Al Saadoon and Al Shamousi 2013;Youssef 2012;Mabiala-Babela et al 2012;Stephen, Jianlili, and Rochelle 2003). However, the reasons for DAMA were not well-documented in the patients' medical records in around half of the patients (Youssef 2012;Mabiala-Babela et al 2012).…”

mentioning

confidence: 51%

“…DAMA accounts for approximately 1% of general clinical discharges and reachs up to 13% for patients affected by HIV (human immunodeficiency virus) disease and psychiatric disorders (Jeffrey 2008;Al Saadoon and Al Shamousi 2013;Abd El Malak, Alexander, and Al Anezi 2014). Studies in the Arabian Gulf region reported lower rate among children ranging between .32% and 8.49% (Youssef 2012;Mabiala-Babela et al 2012).…”

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confidence: 99%

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Reasons of Discharge Against Medical Advice Among Children in Oman: A Teaching Hospital Experience

Saadoon¹,

Mahrouqi²,

Jaafari³

et al. 2015

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Discharge against medical advice (DAMA) is a serious problem in healthcare delivery, as it can lead to further complications of the diseases that patients are suffering from. This study aimed to evaluate the reasons for signing DAMA for children in a tertiary teaching hospital in Oman. A prospective study was performed through telephone interviews with the mothers of children who were DAMA during one year (November 2013-November 2014). Out of 3,647 discharges in general pediatric wards, there were 38 cases of DAMA, giving a prevalence rate of 1%. The DAMA happened within 24 hours of admission in 63.8%. Around two thirds of the patients were infants (65.96%). In some cases, the diagnosis at time of discharge was life threatening diseases. The most common reason for the DAMA as stated by the mothers was child improvement, based on clinical and laboratory findings (40.4%), while social problems attributed for 29.8% of DAMA. However, the reasons were not documented in the electronic medical files of 57.4% of the patients, 57.4% of the cases reported by the mothers to be better two weeks after DAMA and the remaining either remained the same, readmitted or were following up in the clinic. Despite the low prevalence rate of DAMA found in this study, this is a stressing phenomenon occurring in a tertiary hospital in Oman, thus, further studies should be conducted to establish specific protocols to protect children from such practices.

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Section: Reasons and Factors Associated With Damacontrasting

confidence: 76%

Section: Reasons and Factors Associated With Damamentioning

confidence: 47%

mentioning

confidence: 51%

mentioning

confidence: 99%

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Reasons of Discharge Against Medical Advice Among Children in Oman: A Teaching Hospital Experience

Saadoon¹,

Mahrouqi²,

Jaafari³

et al. 2015

View full text Add to dashboard Cite

show abstract

“…1,11 In contrast, Al-Sadoon et al and Abdulateef et al reported a LAMA prevalence of only 0.32% and 0.11% in Oman and Qatar, respectively. 12,13 The setting of the latter study was different from other studies as it was conducted in a paediatric emergency centre within the ideal observation period of 48 hours. 13 Al-Turkistani reported a LAMA prevalence of 1.6% in a neonatal intensive care unit at a university hospital in Saudi Arabia.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of and Reasons for Patients Leaving Against Medical Advice from Paediatric Wards in Oman

Al-Ghafri

Al-Bulushi

Al-Qasmi

2016

SQUMJ

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abstract:The objective of this study was to determine the prevalence of and reasons for patients leaving against medical advice (LAMA) in a paediatric setting in Oman. This retrospective study was carried out between January 2007 and December 2009 and assessed patients who left the paediatric wards at the Royal Hospital, Muscat, Oman, against medical advice. Of 11,482 regular discharges, there were 183 cases of LAMA (prevalence: 1.6%). Dissatisfaction with treatment and a desire to seek a second opinion were collectively the most cited reasons for LAMA according to data from the hospital's electronic system (27.9%) and telephone conversations with patients' parents (55.0%). No reasons for LAMA were documented in the hospital's electronic system for 109 patients (59.6%). The low observed prevalence of LAMA suggests good medical practice at the Royal Hospital. This study indicates the need for thorough documentation of all LAMA cases to ensure the availability of high-quality data for healthcare workers involved in preventing LAMA.

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

Al‐Bataineh,

Ghaith

2024

Health Planning & Management

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BackgroundDischarge 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.MethodsA 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.ResultsThe 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.ConclusionsDAMA 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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Discharge against Medical Advice among Children in Oman : A University Hospital Experience = الخروج ضد المشورة الطبية بين الأطفال في عمان : تجربة مستشفى جامعي

Cited by 13 publications

References 10 publications

Reasons of Discharge Against Medical Advice Among Children in Oman: A Teaching Hospital Experience

Reasons of Discharge Against Medical Advice Among Children in Oman: A Teaching Hospital Experience

Prevalence of and Reasons for Patients Leaving Against Medical Advice from Paediatric Wards in Oman

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

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