Voluntary discharge and hospital readmission: ethical and legal healthcare implications
Resumen
The present research addresses the issue of the ethical and legal implications of voluntary discharge and readmission in the hospital area, taking into consideration that a patient's decision to request voluntary discharge from the hospital may have various motivations, such as the desire to continue the home treatment, financial difficulties, or disagreement with clinical management. The objective of this research focuses on analyzing the depth of the ethical, legal and healthcare implications of voluntary discharge and hospital readmission. Among the main results obtained, it is observed that voluntary discharge is a right that must be duly informed, reasoned and documented when exercised by a competent patient. The health team must do everything possible to guarantee a safe transition home, establishing the necessary measures to reduce avoidable risks of unplanned re-entry. Effective communication and solid coordination between levels of care are essential for continuity of care after discharge. There is still much to advance through research into these complex phenomena, to better understand their impact on clinical outcomes and the experience of patients and their families.
Palabras clave
Referencias
Smith, D.B. et al. (2013). Discharge against medical advice: causes and consequences. Mayo Clinic proceedings, 88(6), 613–620. https://doi.org/10.1016/j.mayocp.2013.04.009
León-Salinas, A. et al. (2020). Predictive factors of early hospital readmission: Addressing patient needs. Enfermería Clínica (English Edition), 30(1), 23-27. https://doi.org/10.1016/j.enfcle.2019.04.102
Van Walraven, C. et al. (2011). The association between continuity of care and outcomes: a systematic and critical review. J Eval Clin Pract, 17(5), 947-56. https://doi.org/10.1111/j.1365-2753.2010.01549.x
Saldías, F. et al. (2018). Thirty-day readmission rate for adult patients with community-acquired pneumonia is similar between public and private hospitals in Chile. Ther Adv Respir Dis, 12, 1-9. https://doi.org/10.1177/1753465818754778
Beauchamp, T.L., & Childress, J.F. (2013). Principles of biomedical ethics. Oxford University Press, USA.
López, L., Varsi, C., & Sox, C.H. (2009). Discharge against medical advice: ethical considerations and professional obligations. J Hosp Med, 4(7), 403-6. https://doi.org/10.1002/jhm.474
Smith, A.K., & Lunde, S.J. (2010). Discharge against medical advice: ethical considerations and professional obligations. Virtual Mentor, 12(6), 455–458. https://doi.org/10.1001/virtualmentor.2010.12.6.ccas3-1006
Herrera, F., & Merino, J.M. (2019). The patient's right to refuse medical treatment in Chile. Issues in Law & Medicine, 34(2), 165-184.
Hernández-Barrera, V., Martinez-Huedo, M.A., Carrasco-Garrido, P., Lopez de Andres, A., Jimenez-Trujillo, I., & Jimenez-Garcia, R. (2017). Hospitalization rates for ambulatory care sensitive conditions in Spain: Inter-regional variability and temporal evolution. Public Health, 144, 86-95. https://doi.org/10.1016/j.puhe.2016.11.005
Santa-Ana-Tellez, Y. et al. (2013). Diabetes mellitus, hypertension and hospital readmission rates. Journal of Diabetes and its Complications, 27(1), 56-60. https://doi.org/10.1016/j.jdiacomp.2012.10.001
DOI: https://doi.org/10.23857/pc.v9i1.6391
Enlaces de Referencia
- Por el momento, no existen enlaces de referencia
Polo del Conocimiento
Revista Científico-Académica Multidisciplinaria
ISSN: 2550-682X
Casa Editora del Polo
Manta - Ecuador
Dirección: Ciudadela El Palmar, II Etapa, Manta - Manabí - Ecuador.
Código Postal: 130801
Teléfonos: 056051775/0991871420
Email: polodelconocimientorevista@gmail.com / director@polodelconocimiento.com
URL: https://www.polodelconocimiento.com/