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Welcome to the nexus of ethics, psychology, morality, philosophy and health care

Saturday, November 30, 2013

What Is Wrong With Discharges Against Medical Advice (And How to Fix It)

By David Alfrandre and John Henning Schumann
JAMA
First published November 11, 2013

Here is an excerpt:

It is time to rethink the approach to this issue. For a profession accountable to the public and committed to patient-centered care, continued use of the discharged against medical advice designation is clinically and ethically problematic. Designating a discharge as against medical advice is a clinical practice without standards, legal requirements, or demonstrated benefits to patients, and there is evidence of its harm. The more relevant and pressing question should be, “Why would you discharge a patient against medical advice?” Without a compelling answer to that question, continued use of the practice does not seem justified. Taking leadership on this problem through enhanced research, teaching, and quality patient care ensures that the profession will honor its commitment to providing patient-centered care and improving clinical outcomes.

The entire article is here.

Thanks to Gary Schoener for this information.
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