“…Further investigation of patient experiences is needed to identify factors that contribute to demographic variations in AMA discharge rates. 25,26 Of the patients who left AMA multiple times, nearly all were actively using illicit drugs. In a recent study conducted at a safety-net hospital in Vancouver, Canada, 43% of patients with illicit drug use and at least 1 hospitalization left AMA at least once during the 6-year study period.…”
BACKGROUND: Patients discharged against medical advice (AMA) have higher rates of readmission and mortality than patients who are conventionally discharged. Bioethicists have proposed best practice approaches for AMA discharges, but studies have revealed that some providers have misconceptions about their roles in these discharges.
“…Further investigation of patient experiences is needed to identify factors that contribute to demographic variations in AMA discharge rates. 25,26 Of the patients who left AMA multiple times, nearly all were actively using illicit drugs. In a recent study conducted at a safety-net hospital in Vancouver, Canada, 43% of patients with illicit drug use and at least 1 hospitalization left AMA at least once during the 6-year study period.…”
BACKGROUND: Patients discharged against medical advice (AMA) have higher rates of readmission and mortality than patients who are conventionally discharged. Bioethicists have proposed best practice approaches for AMA discharges, but studies have revealed that some providers have misconceptions about their roles in these discharges.
“…Similarly, the correlation between age and satisfaction may relate to sociocultural differences in psychosocial wellbeing or patient expectations, which may vary systematically between the young and old. 32 The present study has important implications for health services researchers, healthcare providers, senior administrators, and policy makers alike. Our findings suggest that patient satisfaction ratings after AMI may fallaciously be considered to be a reflection of higher quality of care.…”
Background-Patient satisfaction is a widely used measurement for the evaluation of medical care. We examined the extent to which quality of care received after acute myocardial infarction predicted subsequent patient satisfaction with care and whether patient satisfaction itself was associated with long-term survival after acute myocardial infarction. PϽ0.001). Quality indicators for myocardial infarction care and clinical outcomes were not associated with patient satisfaction. Conclusions-Satisfaction with care was more likely in patients who were older, in those without depression, and in those with better functional capacity, but it was not associated with the quality of myocardial infarction care or survival.
Methods and Results-In
“…20 Our study found significant racial and ethnic differences along several dimensions of patients'experiences with hospital care. Furthermore, we found that these racial and ethnic differences were greater among those who are hospitalized for surgical or obstetrical care.…”
Section: Introductionmentioning
confidence: 94%
“…[15][16][17] The relationship of race to experiences with inpatient care, however, has not been as well characterized. [18][19][20] Two studies, one conducted among military hospitals 18 and another among Veterans Health Administration (VHA) hospitals, 19 noted racial differences in patient satisfaction, but the relationship between these differences and possible differences in processes of care were not well described.…”
Our findings suggest that hospitals should pursue hiring a culturally diverse work force and should collect racial and ethnically specific data about satisfaction with care including satisfaction with availability of social workers and interpreters.
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