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Comment & Response |

Discharges Against Medical Advice

John Querques, MD1; Nicholas Kontos, MD1; Oliver Freudenreich, MD1
[+] Author Affiliations
1Massachusetts General Hospital, Boston, Massachusetts
JAMA. 2014;311(17):1807-1808. doi:10.1001/jama.2014.1754.
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To the Editor In their Viewpoint about discharges against medical advice, Drs Alfandre and Schumann1 asked, “Why would you discharge a patient against medical advice?” Until this question is answered, they argued, “continued use of the practice does not seem justified.” We believe the authors conflated 3 different scenarios, a clarification of which may help to answer their question.


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May 7, 2014
David Alfandre, MD, MSPH; John Henning Schumann, MD
1VA National Center for Ethics in Health Care, NYU School of Medicine, New York, New York
2Department of Internal Medicine, University of Oklahoma School of Community Medicine, Tulsa
JAMA. 2014;311(17):1808-1809. doi:10.1001/jama.2014.1481.
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