Determinants of Discharge against Medical Advice among Paediatric Patients in a Tertiary Hospital in Nigeria: A Retrospective Observational Study
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View abstract on PubMed
Summary
This summary is machine-generated.Financial constraints drive paediatric Discharge Against Medical Advice (DAMA) in Nigeria. Promoting health insurance awareness is crucial for preventing DAMA and improving child health outcomes.
Area Of Science
- Public Health
- Pediatrics
- Health Economics
Background
- Discharge Against Medical Advice (DAMA) in children is a critical public health concern in low- and middle-income countries.
- DAMA can negatively impact healthcare delivery, leading to increased child morbidity and mortality.
Purpose Of The Study
- To determine the prevalence of DAMA among pediatric patients.
- To identify the primary reasons for DAMA in a Nigerian tertiary healthcare facility.
Main Methods
- A descriptive retrospective study was conducted over two years (October 2020 - September 2022).
- Data were collected from 875 pediatric admissions, including demographics, diagnoses, and socioeconomic factors.
- Statistical analysis involved proportions and Pearson's chi-square test.
Main Results
- The prevalence of DAMA was 3.4% (30 cases).
- The majority of DAMA cases involved females from lower socioeconomic backgrounds.
- Common diagnoses included sepsis, malignancy, malaria, and sickle cell anemia; financial constraints were the leading reason for DAMA.
Conclusions
- Financial constraints are a major driver of paediatric DAMA.
- Lack of health insurance among affected families highlights the need for increased awareness and accessibility of insurance schemes.
- Interventions addressing financial barriers are essential to reduce DAMA rates and improve pediatric healthcare outcomes.
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