東部區域醫院(慈濟醫院)自動出院原因初探

Discharge Against Medical Advice at a Regional Acute Care Hospital

賴鈺嘉(Lai-Yu Jia)

《慈濟醫學雜誌》 5卷3期 (1993/09) Pp. 191-197

https://doi.org/10.6440/TZUCMJ.199309.0191

摘要

本研究主要是以回朔性方法，調查慈濟醫院於民國80年7月至12月期間住院病人自動出院的原因，並嘗試描述影響此行為的因素。
於上述期間自動出院病人共397人，佔總住院人數之5.7%。平均年齡為46.7歲，平均住院天數為9.1。其中男性216人(54.4%)，女性181人(45.6%)。病家自述其出院理由依次為：臨終返家159人(40.1%)、情緒問題129人(32.5%)要轉診花蓮34人(8.6%)、轉診台北24人(6.0%)、拒絕治療18人(4.5%)、其它6人(1.5%)。
針對自動出院的原因、性別、保險別、年齡、科別、居住區域及其後是否再次住院作描述性統計分析。

關鍵字

自動出院 ； discharge against medical advice ； AAD

並列摘要

Discharge against medical advice is almost always an unsatisfactory solution to the patient’s problems. Systemic analysis of this subject has been published. We collected the demographic data of 397 patients admitted to Tz’u-Chi General Hospital, who were listed as discharged AAD, over seven months period between July 1, and December 31, 1991. Patients who were discharged AAD accounted for about 5.7 percent of all discharges with a mean age of 46.7 years. Patients identified as self-paying were more likely to be discharged AAD.
Causes of AAD were described by sex, insurance, age and department of admission. These 26 ICDs accounted for 50.6 percent of AAD discharges.

並列關鍵字

discharge against medical advice ； AAD