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The American Journal of Drug and Alcohol Abuse
Encompassing All Addictive Disorders
Volume 30, 2004 - Issue 2
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Why Patients Sign Out Against Medical Advice (AMA): Factors Motivating Patients to Sign Out AMA

Patricia Green VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, C.N.A.‐B.C. , R.N. , M.S.N.,
Diane Watts VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, B.S.N. , R.N.,
Sabrina Poole VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, M.Ed. &
Vasant Dhopesh VAMC Medical Center, 116A, Philadelphia, Pennsylvania, 19104, USA
, M.D.
Pages 489-493 | Published online: 25 May 2004
 
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Abstract

A retrospective review of the against medical advice (AMA) discharges revealed that the majority of the patients left AMA for personal reasons, i.e., sickness or death in the family; reconciliation with spouse, girl friend, or family members; financial problems; and legal issues such as a court date. Strategies to reduce AMA discharges and increase patient retention in treatment are suggested.

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