Details
Against‐Medical‐Advice Discharges from the Hospital
Optimizing Prevention and Management to Promote High Quality, Patient-Centered Care|
106,99 € |
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| Verlag: | Springer |
| Format: | |
| Veröffentl.: | 17.05.2018 |
| ISBN/EAN: | 9783319751306 |
| Sprache: | englisch |
Dieses eBook enthält ein Wasserzeichen.
Beschreibungen
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.<p></p><p></p><p></p><p></p>
<p>Part I.- Chapter 1. Introduction.- Chapter 2. <b><i>Discharges Against Medical Advice: Prevalence, Predictors, and Populations.- </i></b>Chapter 3. Legal Considerations of Patient Refusals of Treatment Against Medical Advice.- Chapter 4. Ethical Considerations in <b><i>Against Medical Advice</i></b> 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. <b><i>Against Medical Advice</i></b> 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. <b><i>Against Medical Advice</i></b> Discharges: Considerations in the PsychiatricPopulation.</p>
<p>David Alfandre, MD, MSPH</p><p>VHA National Center for Ethics in Health Care </p><p>US Department of Veterans Affairs</p><p>Associate Professor of Medicine and Population Health</p><p>NYU School of Medicine</p><p> </p><p>New York, NY, USA</p>
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.<p></p><p></p>
First-of-its-kind text addressing the problem of against medical advice discharges in hospital-based healthcare Provides a comprehensive, multidisciplinary overview of a significant health care quality problem Addresses the legal, ethical, and institutional aspects of the problem as well as provides a framework for best practices for varied clinical disciplines including emergency medicine, pediatrics, psychiatry, hospital medicine, and nursing
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