Effects of Iranian healthcare transformation plan on discharge against medical advice rate and related factors in 2012 and 2016.

ABSTRACT:

Objective

Discharge against medical advice (DAMA) is a critical problem in hospitals and has several consequences for healthcare systems. The aim of this study was to determine and compare the rate of DAMA and its related factors before and after executing the healthcare transformation plan (HTP) in Iran.

Methods

In a two-phase, cross-sectional study, the DAMA information of 200 patients in 2016 (after HTP) and the patients of a previous study in 2012 (before HTP) was compared. Samples were randomly selected from the main referral centre in the north-west of Iran. Data were collected using a validated and reliable questionnaire and analysed using the SPSS V.16 software.

Results

In the post-HTP plan period, the rate of DAMA was 3.9%, while this rate was 5.49% in 2012 (

SUBMITTER: Taghizadieh A 

PROVIDER: S-EPMC6731801 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature