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This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.
List of contents
Part I.- Chapter 1. Introduction.- Chapter 2. Discharges Against Medical Advice: Prevalence, Predictors, and Populations.- Chapter 3. Legal Considerations of Patient Refusals of Treatment Against Medical Advice.- Chapter 4. Ethical Considerations in Against Medical Advice Discharges: Values Conflicts over Patient Autonomy and Best Interests.- Chapter 5. Reframing the Phenomenon of Discharges Against Medical Advice: A Sociologist's Perspective.- Chapter 6. Social Justice and the Ethics of Care: A Nursing Perspective.- Part II.- Chapter 7. Bedside Management of Discharges Against Medical Advice.- Chapter 8. Against Medical Advice Discharges from the Emergency Department.- Chapter 9. To Thy Own Self Be True: Contributions from Consultation-Liaison Psychiatry.- Chapter 10. Against Medical Advice Discharges: Pediatric Considerations.- Chapter 11. Against Medical Advice Discharges: Considerations in the PsychiatricPopulation.
About the author
David Alfandre, MD, MSPH
VHA National Center for Ethics in Health Care
US Department of Veterans Affairs
Associate Professor of Medicine and Population Health
NYU School of Medicine
New York, NY, USA
Summary
This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.
Additional text
“This is a valuable and well-timed contribution to the clinical literature. Considering the frequency and clinical significance of AMA discharges, this book should be a common feature of both personal and institutional medical libraries. Clinicians may be most motivated to read it for the frank discussions of liability and documentation.” (Michelle Bach, Doody's Book Reviews, August, 2018)
Report
"This is a valuable and well-timed contribution to the clinical literature. Considering the frequency and clinical significance of AMA discharges, this book should be a common feature of both personal and institutional medical libraries. Clinicians may be most motivated to read it for the frank discussions of liability and documentation." (Michelle Bach, Doody's Book Reviews, August, 2018)
