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In addition, we found no differences in re-admission when comparing patients who agreed or disagreed with the clinical team's recommended discharge disposition.
There are a number of explanations for our finding no difference in re-admission rates between patients who agreed and disagreed with the clinical team's recommended discharge disposition.
There were no differences in re-admission when comparing patients who agreed or disagreed with the clinical team's recommended discharge disposition.
We then compared sample characteristics between discharges where patients or their surrogates agreed and disagreed with the clinical team's recommended discharge disposition using χ and t tests.
Before its implementation, by the early 2000s, 65% of the rural residents requiring hospitalization were either opting not to be admitted or checking themselves out of care before their doctors recommended discharge, with the main reason of financial concerns [ 6].
Disagreements can occur in either direction, including when the patient disagrees with the clinical team's recommended discharge location or vice versa, when the clinical team disagrees with the patient's requested discharge location.
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Respondents appear to recognize these principles, but contend that, although the October, 1979, consent judgment halted the implementation of adverse URC decisions recommending discharge or transfer to lower levels of care, the URC determinations themselves were left undisturbed.
"He has shown little interest in the welfare of his fellow Marines, and has showed a lack of effort in his day-to-day tasks," his commander wrote in recommending discharge.
However, National Institute of Clinical Excellence NICEE) clinical outcomes guidance recommends discharge from follow-up at 3 years (National Institute of Clinical Excellence, 2002).
The phenomenon of discharge against medical advice (DAMA) involves a situation wherein a patient chooses to leave the hospital before the attending physician recommends discharge [ 1].
If the patient were comatose but not in SE and not requiring advanced organ support, I would recommend discharge to an acute neurology ward with a tracheostomy and PEG or RIG (radiologically inserted gastrostomy) feeding.
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