Predictors of Discharge Against Medical Advice of Schizophrenic Inpatients－Based on a Public Psychiatric Teaching Hospital
| Autor: | Hsin-Pei Tang, 唐心北 |
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| Rok vydání: | 2004 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 92 Purpose：The main group of inpatients in mental hospital are schizophrenics. The rate of discharged against medical advice (DAMA) is one of the important quality indexes of medical service. This project was intended to examine the predictors of DAMA on acute schizophrenic inpatients, the influence of the consequent utility of medical service and the outcome. The results may be helpful for the clinicians to prevent DAMA and improve the quality of medical care. Methods：The subjects were the schizophrenic inpatients who were discharged from the acute wards of a public psychiatric teaching hospital on south area of Taiwan, from Jan. 1, 1999 to Dec. 31, 2002. There were102 DAMA cases included as the study group. There were 826 cases discharged by permitted (DBP), and 206 cases were chosen by a systematic sampling as the comparing group. A retro-prospective design to review the chart to analyze the basic data, the characters on disease, and the utility on medical service after discharged. Results：The past DAMA history, substance abused history, and age could predict DAMA of schizophrenic acute inpatients, and the odds ratio (OR) were 26.373, 2.195, and 0.961 respectively. The returning rate of outpatient after discharged one-month was lower on the group of DAMA. The duration between date of discharged and readmission was shorter on the group of DAMA. Conclusion：To identify predictive factors of DAMA on acute schizophrenic inpatients is critical to clinical care. The early intervention, and well prepare discharge planning, could increase the compliance, and decrease the DAMA rate. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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