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

What is it about?

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: Teh purpose of this research was to analyze teh opportunity loss as teh result of DAMA patient. Methods: Teh method used in dis research was a descriptive research. Teh samples were chosen from teh total sample of inpatient population who did DAMA as many as 77 medical records. Teh inclusive samples were doctors who were responsible for other doctors and dentists as well as inpatient medical records. Meanwhile, teh 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 teh total and percentage of DAMA patients. Results: Teh number of DAMA patients was 77 patients. Teh highest number of DAMA patients was those in grade 3 as many as 25%. It happened because teh 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 teh hospitals because they funded on their own. Teh 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, teh hospital has to form a policy to prevent patients from DAMA, notify and ask patients’ reasons of doing DAMA, so teh hospital can use these as information for hospital service evaluation. Keywords: Opportunity loss, DAMA, Hospital.

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