Abstract

High health care costs and lack of insurance is one of the reasons for discharge against medical advice. Health Overhaul Plan reduces the costs paid by patients. One of the criteria of satisfaction with medical centers is discharge against medical advice. Therefore, this study was conducted in order to find the numbers and reasons of discharge against medical advice after the implementation of the Health Overhaul Plan in Sanandaj Tohid Hospital in 2014. This study is cross-sectional descriptive analytic which was conducted from early May to late March 2014. In this study the reasons of discharge against medical advice was investigated in 200 cases with their personal content. The data were collected using the special form of discharge against medical advice which was available in patients' cases. Collected data were analyzed using SPSS version 20, descriptive statistics (frequency and average) and chi- square test. The results indicated the rate of discharge against medical advice was (6.30). The highest rate of discharge against medical advice was for emergency ward 893 patients (22.64) and the lowest number was for the oncology ward 8 patients (8). The reasons of discharge against medical advice included feeling better (51.1), family problems (14.8) and dissatisfaction with doctors (9.3). Considering the results, it is necessary that the managers and administrators provide requisite solutions to inform the patients regarding the disease, the threatening problems of not completing the treatment process, and solve their family problems related to discharge against medical advice and other relevant reasons.