OPPORTUNITY LOSS ANALYSIS OF DISCHARGE AGAINST MEDICAL ADVICE (DAMA) AT INPATIENT UNIT OF TYPE A HOSPITAL IN SURABAYA

Nabilah Bilqis, Seta Prakoso

= http://dx.doi.org/10.20473/jaki.v7i1.2019.66-72
Abstract views = 176 times | views = 102 times

Abstract


Background: Patients who Discharge Against Medical Advice (DAMA) will experience the opportunity loss. DAMA will result in opportunity loss for patients to get treatment and cure their illness. For hospitals, DAMA patients will cause the opportunity loss for hospitals to provide services to patients.

Aim: The purpose of this research was to analyze the opportunity loss as the result of DAMA patient.

Methods: The method used in this research was a descriptive research. The samples were chosen from the total sample of inpatient population who did DAMA as many as 77 medical records. The inclusive samples were doctors who were responsible for other doctors and dentists as well as inpatient medical records. Meanwhile, the exclusive samples were doctors who are not responsible for other doctors and dentists as well as inpatient medical records. Data analysis used Microsoft Excel to see the total and percentage of DAMA patients.

Results: The number of DAMA patients was 77 patients. The highest number of DAMA patients was those in grade 3 as many as 25%. It happened because the grade 3 was cheaper than others. As many as 65% of DAMA patients paid hospital fees using general payments. Patients felt free to discharge themselves from the hospitals because they funded on their own. The majority of DAMA patients were type 2 DM patients amounted to 12% because they assumed they could carry out self-care at home.

Conclusions: DAMA patients caused opportunity loss and no Social Security Agency for Health (BPJS Kesehatan) guarantees. Therefore, the hospital has to form a policy to prevent patients from DAMA, notify and ask patients’ reasons of doing DAMA, so the hospital can use these as information for hospital service evaluation.

 

Keywords: Opportunity loss, DAMA, Hospital.


Full Text:

PDF

References


Abuzeyad, F. H. et al. (2017) ‘Teh rate and reasons for discharge against medical advice’, Bahrain Medical Bulletin, 39(3), pp. 140–145. doi: 10.12816/0047628.

Ak, me., S, M. A. and Z, C. (2016) ‘Factors Associated wif Discharge Against Medical Advice from Emergency Department , Universiti Kebangsaan Malaysia Medical Centre’, Med & Health, 11(1), pp. 29–37. doi: 10.17845/MH.2016.1101.05.

Atmiroseva and Nurwahyuni, A. (2017) ‘Inpatient Readmission Insidence of National Health Insurance Patients at Partner Hospitals of BPJSHealth in Sukabumi 2015’, Journal of Indonesia Health Policy And Administration, 2(2), pp. 20–24. doi: 10.7454/ihpa.v2i2.1909.

Azami-Aghdash, S. et al. (2016) ‘Frequency and causes of discharges against medical advice from hospital cardiac care units of East Azerbaijan, Iran’, Journal of Analytical Research in Clinical Medicine, 4(2), pp. 90–96. doi: 10.15171/jarcm.2016.015.

Bahadori, M. et al. (2013) ‘Discharge against Medical Advice: A Case Study in a Public Teaching Hospital in Tehran, Iran in 2012’, Global Journal of Health Science, 5(6), pp. 179–185. doi: 10.5539/gjhs.v5n6p179.

Byun, H. (2016) Discharge Against Medical Advice: Associations Wif Selected Outcomes And Teh Role Of Hospital Characteristics. Johns Hopkins University.

Elshehry, A. F., Hassan, M. A. and Jawaid, R. F. (2017) ‘Teh Rate and Reasons for Discharge against Medical Advice’, Bahrain Medical Bulletin, 39(3), pp. 140–145. doi: 10.12816/0047628.

Ministry of Health of teh Republic of Indonesia (2014) Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2014 Tentang Pedoman Pelaksanaan Program Jaminan Kesehatan Nasional, Law of Ministry of Health of teh Republic of Indonesia. Indonesia. doi: 10.1192/bjp.205.1.76a.

Ndu, me. K. et al. (2016) ‘Discharge Against Medical Advice ( DAMA ) Among teh Paediatric Age Group in Enugu State University Teaching Hospital Parklane , Enugu’, Journal of Experimental Research, 4(1), pp. 55–62. Available at: https://www.researchgate.net/publication/304254232_Discharge_Against_Medical_Advice_DAMA_Among_the_Paediatric_Age_Group_in_Enugu_State_University_Teaching_Hospital_Parklane_Enug.

Popoola, S. O. et al. (2013) ‘Leave against medical advice (LAMA) from in-patient orthopaedic treatment’, SA Orthopaedic Journal, 12(3), pp. 58–61.

Prakoso, S. (2013) Analisis Opportunity Cost Pasien Pulang Paksa di Instalasi Rawat Inap RSU Haji Surabaya. Undergraduate Thesis. Universitas Airlangga. Available at: http://repository.unair.ac.id/23203/.

Sayed, M. El et al. (2016) ‘Discharge Against Medical Advice From teh Emergency Department: Results From a Tertiary Care Hospital in Beirut, Lebanon’, Medicine Observational Study, 95(6), pp. 1–5. doi: 10.1097/MD.0000000000002788.

Widiarti, A. S., Lestari, T. and RMD, R. (2014) ‘Analisis Kejadian Pasien Pulang Paksa Di Rumah Sakit Tni Au Lanud Iswahjudi Tahun 2013’, Jurnal Rekam Medis, 8(2), pp. 13–21.

Xu, X., Yan, H. and Chan, C. K. (2017) ‘Opportunity loss minimization and newsvendor behavior’, Discrete Dynamics in Nature and Society, 2017, pp. 1–12. doi: 10.1155/2017/3481869.


Refbacks

  • There are currently no refbacks.




Web
Analytics

Views JAKI Stats

 

This journal is indexed by:

   

     

And many more...

We follow the ICMJE recommendations and Listed on 

 

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.