The last word: An analysis of power dynamics in clinical notes documenting against-medical-advice discharges
Kelly M, Vick J, McArthur A, Beach M. The last word: An analysis of power dynamics in clinical notes documenting against-medical-advice discharges. Social Science & Medicine 2024, 357: 117162. PMID: 39142953, PMCID: PMC11521238, DOI: 10.1016/j.socscimed.2024.117162.Peer-Reviewed Original ResearchConceptsAgainst Medical AdvicePatient-clinician relationshipHealthcare systemContemporary healthcare systemsQualitative thematic analysisUrban US medical centerPatients' medical recordsClinician notesAgainst-medical-advice dischargeThematic analysisAvoidable morbidityUS medical centersPatient departureClinician recognitionMedical adviceClinical notesRecognition of powerMedical CenterMedical recordsClinical relationshipInterpretation of powerCliniciansSocial interactionPower differentialsMax Weber"Against Medical Advice" Discharges After Respiratory-Related Hospitalizations Strategies for Respectful Care
Brems J, Vick J, Ashana D, Beach M. "Against Medical Advice" Discharges After Respiratory-Related Hospitalizations Strategies for Respectful Care. CHEST Journal 2024, 166: 1155-1161. PMID: 38906461, PMCID: PMC11562651, DOI: 10.1016/j.chest.2024.05.035.Peer-Reviewed Original ResearchAgainst Medical AdviceDischarge careRespiratory-related hospitalizationsHigher-quality careLow-quality careStigmatization of patientsRespectful carePatient-centeredImprove carePrescribed inhalersDiscussion of risksEducating traineesMedical adviceCareClinicians treating patientsPopulation of patientsRespiratory conditionsCliniciansAssociated with poor outcomesCOPD exacerbationsFormal educationRespiratory diseaseHospitalCOPDPoor outcome