Discharge Against Medical Advice
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Discharge Against Medical Advice


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Discharge Against Medical Advice (DAMA) Aboriginal and Torres Strait Islander peoples' rates of DAMA is significantly higher than that of other Australians. Briefly discuss common health system factors that contribute to Aboriginal and Torres Strait Islander peoples' rates of DAMA. Then discuss one health system improvement strategy that could reduce the incidence of Aboriginal and Torres Strait Islander peoples' rates of DAMA. Your report should be structured as follows:

  1. Introduction –introduce your topic.
  2. Discussion –demonstrate your understanding of this topic through: a) defining the associated key concepts b) discussing the contemporary relevance of the topic to the Aboriginal and Torres Strait Islander peoples' health context. Use the prescribed readings and broader resources to support your discussion.
  3. Conclusion –summarise the main points of your report.



DAMA (Discharge Against Medical Advice) represents the responsiveness of the medical facilities to the healthcare challenges and individualized requirements of the treated patients. Aboriginal and Torres Strait Islander people consistently exhibit elevated DAMA levels that reveal serious deficits in their healthcare interventions (Shaw, 2016). This categorically indicates that the hospital settings in the Australian regions do not effectively engage the aboriginal patients in their treatment interventions throughout their healthcare duration. The increase in DAMA levels of the aboriginal natives is also the direct result of their loneliness, isolation, and stratification across the community environment. Miscommunication, distrust, cultural insecurity, and institutionalized racism are some of the crucial factors that facilitate the hospital discharge of the aboriginal natives against the medical advice. DAMA indicates the self-discharge by the patient before acquiring the actual discharge summary from the treating physician in the hospital setting.


Unplanned admissions of the aboriginal men and women in the rural hospitals, also lead to DAMA and associated patient adversities (Katzenellenbogen, et al., 2013). Healthcare disparities with the aboriginal natives substantially decrease their trust and confidence in the recommended treatment approaches. Eventually, aboriginal patients leave the in-patient units against medical advice and experience high-risk of morbidity and mortality. These evidence-based facts substantiate the requirement of recording the hospital experience of the Torres Islanders in the hospital settings. This research paper effectively explores the health system factors that contribute to elevated DAMA rates of the aboriginal patients in the Australian in-patient units. The paper also recommends effective health system improvement approaches that require implementation in the context of minimizing the DAMA frequency in aboriginal natives.  

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