Smith D B, Telles J L
Department of Health Administration (006-00), Temple University, Philadelphia, PA 19122.
Am J Public Health. 1991 Feb;81(2):212-5. doi: 10.2105/ajph.81.2.212.
Data from 67 acute care hospitals in the Philadelphia metropolitan area indicate that there were 7,613 discharges against medical advice (AMA) in fiscal year 1987, or 1.20 percent of all discharges that year. Diagnosis-related group (DRG), type of insurance, and sex had independent effects on the rate of AMA discharges. Urban community hospitals had the highest percent of AMA discharges. Previous studies, done in teaching facilities, may have underestimated the rate of AMA discharges.
来自费城都会区67家急症护理医院的数据表明，1987财年有7613例患者违反医嘱出院（AMA），占该年所有出院病例的1.20%。诊断相关分组（DRG）、保险类型和性别对违反医嘱出院率有独立影响。城市社区医院的违反医嘱出院率最高。此前在教学机构进行的研究可能低估了违反医嘱出院率。
