This episode of "At the Bedside," a segment of Core IM, features a discussion on discharges against medical advice (AMA). The hosts, along with Dr. David Alfandre, explore the statistics, patient-specific factors, and healthcare system factors contributing to AMA discharges. They emphasize the importance of clear communication, shared decision-making, and understanding patients' competing priorities. The podcast debunks the myth that insurance won't cover hospitalizations if a patient leaves AMA and provides strategies for improving conversations with patients considering AMA discharges, reframing these situations as opportunities to connect with patients and address their needs while also focusing on harm reduction.
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