违反医疗建议的解雇:原因,后果和可能的纠正措施
Akshay Gaur1, Elizabeth Gilham2, Laura Machin3
1Department of Cardiology, Doncaster Royal Infirmary, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
British journal of hospital medicine (London, England : 2005)
|August 30, 2024
概括
违背医疗建议出院 (DAMA) 影响1-2%的住院病例,通常涉及有物质滥用问题的年轻男性. 这次审查考察了DAMA.
科学领域:
- 医学科学 医学科学 医学科学
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 违背医疗建议 (DAMA) 出院占住院病例的1-2%.
- DAMA影响患者护理,可能导致医疗问题被不充分评估或治疗.
- 患有DAMA的患者通常是来自较低社会经济背景的年轻男性,有精神健康或药物滥用障碍的病史.
研究的目的:
- 审查成人医疗住院患者DAMA的原因和后果的证据.
- 探索DAMA场景的潜在纠正措施.
- 了解DAMA对患者结果和医疗保健系统的影响.
主要方法:
- 对西方医疗保健机构的研究进行系统审查.
- 对违背医疗建议出院的成年医疗住院患者的数据分析.
- 综合有关患者人口统计学,促成因素和与DAMA相关的结果的证据.
主要成果:
- DAMA与增加发病率和死亡率的风险有关.
- 特定的患者人口统计学 (年轻男性,较低的社会经济地位,滥用药物的历史) 被DAMA.
- 医疗问题的不充分评估和治疗是DAMA的关键后果.
结论:
- DAMA对患者健康构成重大风险,需要有针对性的干预措施.
- 了解DAMA的多因素原因对于制定有效的管理策略至关重要.
- 解决DAMA需要采用综合方法,包括患者支持和医疗保健系统调整.
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