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Article first published online: 9 JUN 2010
Copyright © 2010 Society of Hospital Medicine
Journal of Hospital Medicine
Volume 5, Issue 5, pages 289–294, May/June 2010
How to Cite
Haywood, C., Lanzkron, S., Ratanawongsa, N., Bediako, S. M., Lattimer-Nelson, L. and Beach, M. C. (2010), Hospital self-discharge among adults with sickle-cell disease (SCD): Associations with trust and interpersonal experiences with care. J. Hosp. Med., 5: 289–294. doi: 10.1002/jhm.643
Supported by the Johns Hopkins Blaustein Pain Research Fund (to M.C.B), a National Research Service Award from the National Heart, Lung and Blood Institute (5F31HL082037-03 to C.H.), and a grant from the Agency for Healthcare Research and Quality (K08 HS013903-05 to M.C.B.). M.C.B. is a recipient of a Robert Wood Johnson Generalist Physician Faculty Scholars Award. S.L. was supported by a mentored career award from the National Heart, Lung and Blood Institute (5K23HL083089-02).
Disclosure: Nothing to report.
- Issue published online: 9 JUN 2010
- Article first published online: 9 JUN 2010
- Manuscript Accepted: 18 OCT 2009
- Manuscript Revised: 1 OCT 2009
- Manuscript Received: 25 JUL 2009
- Johns Hopkins Blaustein Pain Research Fund
- National Research Service Award from the National Heart, Lung and Blood Institute. Grant Number: 5F31HL082037-03
- Agency for Healthcare Research and Quality. Grant Number: K08 HS013903-05
- Robert Wood Johnson Generalist Physician Faculty Scholars Award
- National Heart, Lung and Blood Institute. Grant Number: 5K23HL083089-02
- health care quality;
- hospital self-discharge;
- sickle-cell disease;
Patient self-discharge from hospitals has been associated with a number of negative clinical outcomes. Research suggests that low patient trust and poor quality interpersonal experiences with care may be associated with hospital self-discharge. Although adults with sickle-cell disease (SCD) often report poorer quality healthcare experiences, research examining hospital self-discharge and its associations with both patient trust and quality of healthcare experiences is lacking for this patient population.
To examine the association of interpersonal experiences with care and trust in the medical profession with hospital self-discharge history among patients with SCD.
A large, urban academic medical center.
Adults (age 18+ years) with SCD seeking outpatient or inpatient care.
We compared patient characteristics, patient perceptions of the quality of interpersonal experiences with care, and levels of trust between patients with and without a history of hospital self-discharge.
Adjusted analyses indicated that having a history of hospital self-discharge was associated with more negative interpersonal experiences and lower levels of trust.
Hospital self-discharge may be an important indicator of the quality of care received by adults with SCD. Further research is needed to better understand this phenomenon so that effective interventions can be designed to prevent its occurrence. Journal of Hospital Medicine 2010;5:289–294. © 2010 Society of Hospital Medicine.