Discharge Against Medical Advice (DAMA): Causes, Consequences, and Mitigation
Introduction Discharge Against Medical Advice (DAMA) is a significant challenge in healthcare systems globally. It occurs when a patient voluntarily leaves a healthcare facility before the completion of medical evaluation and treatment, often against the recommendation of their healthcare providers. DAMA is a multifaceted issue with causes rooted in financial, cultural, social, and psychological factors. Its implications are wide-ranging, affecting patients, healthcare providers, and the broader health system. This article provides an in-depth exploration of DAMA, including its causes, consequences, and strategies for mitigation. Causes of DAMA Understanding the reasons why patients choose to leave healthcare facilities against medical advice is critical for addressing the issue. These causes can be broadly categorized as follows: 1. Financial Constraints In countries with inadequate health insurance coverage or where healthcare costs are paid out-of-pocket, financial difficulties are ...