introduction: the rate of access to health care is known as the main index of community health. teleconsultation is defined as using comminuting equipments to connect physicians and patients. this study aimed to survey the readiness of specialized hospitals to implement teleconsultation, focusing on manpower readiness, as well as communicational equipments and procedures. methods: the present d...

Intestinal Heterophyid infections are almost unknown in India with only one documented case report. We report a case of six year old child with diarrhoea without any other associated gastrointestinal symptoms. Examination of the faeces revealed eggs of Metagonimus yokogawai. However, the patient left against medical advice and was lost to follow up. The case is being reported because of its rar...

Using monthly data from the Understanding Society (UKHLS) COVID-19 Survey we analyse evolution of unmet need and assess how UK health care system performed against principle horizontal equity in use during first wave wave. Unmet was most evident for hospital care, less pronounced primary services (non-emergency medical helplines, GP consultations, community pharmacist advice, over counter medic...

OBJECTIVE We compared the readmission rates and the pattern of readmission among patients discharged against medical advice (AMA) to control patients discharged with approval over a one-year follow-up period. METHODS A retrospective matched-cohort study of 656 patients(328 were discharged AMA) who were followed for one year after their initial hospitalization at an urban university-affiliated...

BACKGROUND Discharge against medical advice (DAMA) is a global clinical phenomenon contributing significantly to adverse patients' outcome. Literatures abound on self-discharges in specific medical subpopulations. However, multidisciplinary studies on this subject in our region are few. AIM To prospectively evaluate cases of DAMA in a wholesale multidisciplinary perspective at Federal Staff M...

BACKGROUND Cardiovascular disease (CVD) is responsible for the largest number of discharges against medical advice (AMA). However, there is limited information regarding the reasons for discharges AMA in the CVD setting. OBJECTIVE To identify reasons for discharges AMA among patients with CVD. DESIGN Qualitative study using focus group interviews (FGIs). PARTICIPANTS A convenience sample ...

BACKGROUND Discharge against medical advice (DAMA) is a relatively common problem worldwide. We sought to determine the prevalence of and reasons for DAMA among inpatients of our cardiac center. METHODS From a total of 20289 discharges from our cardiac teaching hospital, 992 (4.9%) patients at a minimum age of 18 years were cases of DAMA. After excluding 49 cases due to missing data, we retro...

BACKGROUND Prior studies of patients leaving hospital against medical advice (AMA) have been limited by not being population-based or assessing only one type of patient. METHODS We used administrative data at the Manitoba Centre for Health Policy to evaluate all adult residents of Manitoba, Canada discharged alive from acute care hospitals between April 1, 1990 and February 28, 2009. We ident...