Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report
Background: Discharge with personal satisfaction means the patient's withdrawal from the permission that had previously been given to the care unit for services. Discharge with personal satisfaction is initiated with the untimely termination of treatment by the patient or parents and in some ca...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2020-03-01
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| Series: | Tehran University Medical Journal |
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| Online Access: | http://tumj.tums.ac.ir/article-1-10372-en.html |
| _version_ | 1811293176921587712 |
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| author | Mohammad Hossien Kamaloddini Khadije Saravani |
| author_facet | Mohammad Hossien Kamaloddini Khadije Saravani |
| author_sort | Mohammad Hossien Kamaloddini |
| collection | DOAJ |
| description | Background: Discharge with personal satisfaction means the patient's withdrawal from the permission that had previously been given to the care unit for services. Discharge with personal satisfaction is initiated with the untimely termination of treatment by the patient or parents and in some cases leads to hospitalization or even death of the patient. This study aimed to determining the main causes of discharge with personal satisfaction in hospitalized patients.
Methods: The present cross-sectional study examines at hospitalized patients of Amiralmomenin Hospital in Zabol, Iran, to examine the reasons discharge with personal satisfaction in relation to the patient, hospital staff and the housing status of the hospital during the period from April 2017 to March 2018. All clearance patients with personal satisfaction entered the study. Demographic data, insurance status, type of insurance (social security, health services, resettlement, relief, armed forces, maternity, maternity, other supplementary insurance), number of admission days, hospital admission (morning, evening, night), type of illness or cause of referral (multiple trauma, surgery, orthopedics, neurology, neurology), the reason for possible re-admittance within the next two weeks and the main reasons for clearance with personal consent was collected and recorded using a pre-designed checklist.
Results: The most of the cases of which were due to neurological complaints (51%). 803 (80%) of patients referred back to the hospital due to self-correlated problems, 163 (16%) patients were hospital left with satisfaction due to the hospital-made staffing problem (P=0.001). The results of the study showed that the highest frequency was related to male (67%) and most of them were married (84%), while most of them had insurance (74%), especially army and municipality insurance (34%).
Conclusion: Based on the results of the present study, most cases of discharge were patient related. Adequate recovery feeling and the desire to continue treatment in private centers were the main causes. |
| first_indexed | 2024-04-13T04:57:25Z |
| format | Article |
| id | doaj.art-cb5c672f2eb34a21a1b3e74a97968fb7 |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-04-13T04:57:25Z |
| publishDate | 2020-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-cb5c672f2eb34a21a1b3e74a97968fb72022-12-22T03:01:26ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222020-03-017814347Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief reportMohammad Hossien Kamaloddini0Khadije Saravani1 Department of Forensic Medicine and Toxicology, Faculty of Medicine, Mashhad University of Medical Sciences, Deputy of Treatment, Mashhad, Iran. Department of Forensic Medicine and Toxicology, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran. Background: Discharge with personal satisfaction means the patient's withdrawal from the permission that had previously been given to the care unit for services. Discharge with personal satisfaction is initiated with the untimely termination of treatment by the patient or parents and in some cases leads to hospitalization or even death of the patient. This study aimed to determining the main causes of discharge with personal satisfaction in hospitalized patients. Methods: The present cross-sectional study examines at hospitalized patients of Amiralmomenin Hospital in Zabol, Iran, to examine the reasons discharge with personal satisfaction in relation to the patient, hospital staff and the housing status of the hospital during the period from April 2017 to March 2018. All clearance patients with personal satisfaction entered the study. Demographic data, insurance status, type of insurance (social security, health services, resettlement, relief, armed forces, maternity, maternity, other supplementary insurance), number of admission days, hospital admission (morning, evening, night), type of illness or cause of referral (multiple trauma, surgery, orthopedics, neurology, neurology), the reason for possible re-admittance within the next two weeks and the main reasons for clearance with personal consent was collected and recorded using a pre-designed checklist. Results: The most of the cases of which were due to neurological complaints (51%). 803 (80%) of patients referred back to the hospital due to self-correlated problems, 163 (16%) patients were hospital left with satisfaction due to the hospital-made staffing problem (P=0.001). The results of the study showed that the highest frequency was related to male (67%) and most of them were married (84%), while most of them had insurance (74%), especially army and municipality insurance (34%). Conclusion: Based on the results of the present study, most cases of discharge were patient related. Adequate recovery feeling and the desire to continue treatment in private centers were the main causes.http://tumj.tums.ac.ir/article-1-10372-en.htmliranpatient dischargepersonal satisfaction |
| spellingShingle | Mohammad Hossien Kamaloddini Khadije Saravani Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report Tehran University Medical Journal iran patient discharge personal satisfaction |
| title | Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report |
| title_full | Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report |
| title_fullStr | Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report |
| title_full_unstemmed | Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report |
| title_short | Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report |
| title_sort | determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in iran brief report |
| topic | iran patient discharge personal satisfaction |
| url | http://tumj.tums.ac.ir/article-1-10372-en.html |
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