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Against medical advice: Part II, The Army experience 1971-1988

E K Jeffer1

  • 1Army National Guard, National Guard Bureau, Alexandria, VA 22302-5125.

Military Medicine
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

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Army discharges against medical advice (AMA) significantly decreased overall from 1971-1988. However, women and obstetrics/gynecology services saw notable increases in AMA discharges.

Area of Science:

  • Military medicine
  • Healthcare utilization
  • Patient discharge trends

Background:

  • Understanding trends in discharges against medical advice (AMA) is crucial for healthcare management within military settings.
  • Historical data on AMA discharges can inform policy and resource allocation.

Purpose of the Study:

  • To analyze the trends of AMA discharges within the Army population from 1971 to 1988.
  • To identify demographic, clinical, and patient category-specific changes in AMA discharge rates.

Main Methods:

  • Retrospective analysis of Army discharge data from 1971 to 1988.
  • Statistical examination of AMA discharge rates across different patient groups and clinical services.

Main Results:

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  • Overall AMA discharges significantly declined in Army medical centers and community hospitals.
  • Discharges decreased in men but increased in women; decreased for both Black and White patients.
  • Obstetrics/gynecology services and family members showed statistically significant increases in AMA discharges.

    • Conclusions:

    • While overall AMA discharges decreased, specific demographic shifts (e.g., increased rates in women) warrant further investigation.
    • Targeted interventions may be needed for services like obstetrics/gynecology and for specific patient groups experiencing rising AMA discharge rates.