Devitt P J, Devitt A C, Dewan M
Department of Psychiatry, State University of New York Health Science Center, Syracuse 13210, USA.
J Fam Pract. 2000 Mar;49(3):224-7.
One in every 65 to 120 discharges from general hospitals are against medical advice and have an expected increased risk of adverse consequences and subsequent litigation. Does the term "against medical advice" confer legal protection?
We searched the MEDLINE and PsychInfo databases for relevant articles. We also searched the national medico-legal databases of LEXIS-NEXIS. Additional case law was obtained through a search for "against medical advice" in the West Premise CD-ROM database of New York State cases.
We found 8 relevant cases. There was no case in which "against medical advice" was entirely protective, though partial protection existed in some cases.
Since patients are admitted voluntarily to a general hospital, a discharge against medical advice is merely a withdrawal of the original consent.
综合医院每65至120例出院病例中就有1例属于违反医嘱出院，这类出院病例出现不良后果及后续诉讼的风险预计会增加。“违反医嘱”这一术语能提供法律保护吗？
我们在MEDLINE和PsychInfo数据库中检索相关文章。我们还检索了LEXIS-NEXIS的国家医疗法律数据库。通过在纽约州案例的West Premise光盘数据库中搜索“违反医嘱”获取了其他判例法。
我们找到了8个相关案例。没有一个案例表明“违反医嘱”具有完全的保护作用，不过在一些案例中存在部分保护作用。
由于患者是自愿入住综合医院的，违反医嘱出院仅仅是对最初同意的撤回。
