Jeremiah J, O'Sullivan P, Stein M D
Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA.
J Gen Intern Med. 1995 Jul;10(7):403-5. doi: 10.1007/BF02599843.
Patients who leave hospitals against medical advice (AMA) frustrate physicians and may put themselves at medical risk. A case-control study was conducted to characterize the factors associated with AMA discharges from an impatient medical service. Logistic regression analysis indicated that not having a primary care physician and previous AMA discharge were significantly associated with leaving AMA. The patients most often stated that they were leaving because they "felt better" or had personal or financial obligations. However, the patients leaving AMA were more likely to return for care within the next week than were the control patients.
违反医嘱自行出院（AMA）的患者让医生感到沮丧，并且可能使自己处于医疗风险之中。开展了一项病例对照研究，以确定与非住院医疗服务中违反医嘱出院相关的因素。逻辑回归分析表明，没有初级保健医生以及之前有过违反医嘱出院的情况与违反医嘱出院显著相关。患者最常表示他们出院是因为“感觉好多了”或者有个人或经济方面的事务。然而，违反医嘱出院的患者比对照组患者在接下来一周内更有可能回来接受治疗。
