Healthcare Resource Utilization Following a Discharge Against Medical Advice: An Analysis of Commercially Insured Adults.

ABSTRACT:

Background

A discharge against medical advice (DAMA) is associated with adverse health outcomes. Its association with postdischarge healthcare resource utilization (HcRU) outside an inpatient setting is unknown. This information can help us understand how a DAMA may affect healthcare-seeking behavior following a hospital stay. We evaluated the relationship between a DAMA and 30-day postdischarge HcRU.

Methods

This retrospective cohort study uses a 10% random sample of enrollees in the IQVIA PharMetrics^® Plus database. We included individuals aged 18 to 64 years with an inpatient admission during 2007-2015 and continuous insurance coverage. We defined comparison groups as DAMA and routine discharge. Both groups were matched on baseline covariates. We quantified the

SUBMITTER: Gandhi AB 

PROVIDER: S-EPMC8034675 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature