{"id":"https://openalex.org/W4407346830","doi":null,"title":"Leaving against medical advice of addicted to drugs in a Department of Infectious Diseases: Economical analysis","display_name":"Leaving against medical advice of addicted to drugs in a Department of Infectious Diseases: Economical analysis","publication_year":2003,"publication_date":"2003-11-01","ids":{"openalex":"https://openalex.org/W4407346830"},"language":"en","primary_location":{"id":"pmh:oai:doaj.org/article:19a753542320478cb4d84263c52c3d71","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/19a753542320478cb4d84263c52c3d71","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NURE Investigaci\u00f3n, Vol 0, Iss 0 (2003)","raw_type":"article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["doaj"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076923656","display_name":"Julia Gonz\u00e1lez","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Julia Gonz\u00e1lez","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052571351","display_name":"Gloria D\u00edaz","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gloria D\u00edaz","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"M\u00aa Angeles Torre","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M\u00aa Angeles Torre","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075286344","display_name":"Mercedes Galbald\u00f3n","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mercedes Galbald\u00f3n","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Teresa Mora","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Teresa Mora","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Nuria Mira","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nuria Mira","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Margarita Ram\u00edrez","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Margarita Ram\u00edrez","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5028798661","display_name":"Pascual Balsalobre","orcid":"https://orcid.org/0009-0000-1944-5040","observed_orcids":["https://orcid.org/0009-0000-1944-5040"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pascual Balsalobre","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.38769999146461487,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.38769999146461487,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.14139999449253082,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0794999971985817,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/leaving-against-medical-advice","display_name":"leaving against medical advice","score":0.9639999866485596},{"id":"https://openalex.org/keywords/drug-addiction","display_name":"drug addiction","score":0.6510000228881836},{"id":"https://openalex.org/keywords/hiv-infection","display_name":"HIV infection","score":0.5860000252723694},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.6940000057220459},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9779999852180481},{"id":"https://openalex.org/keywords/cost-deviation","display_name":"cost deviation","score":0.4440000057220459},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.4699999988079071}],"concepts":[{"id":"https://openalex.org/C2779955035","wikidata":"https://www.wikidata.org/wiki/Q4686785","display_name":"Advice (programming)","level":2,"score":0.6374388337135315},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5062455534934998},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4651307463645935},{"id":"https://openalex.org/C3019691859","wikidata":"https://www.wikidata.org/wiki/Q4691063","display_name":"Against medical advice","level":2,"score":0.4434422552585602},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.17836129665374756},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.1306593418121338},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:doaj.org/article:19a753542320478cb4d84263c52c3d71","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/19a753542320478cb4d84263c52c3d71","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NURE Investigaci\u00f3n, Vol 0, Iss 0 (2003)","raw_type":"article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7096679116","https://openalex.org/W6907411011","https://openalex.org/W2212723806","https://openalex.org/W142398652","https://openalex.org/W2466360994","https://openalex.org/W2004346224","https://openalex.org/W1982937837","https://openalex.org/W2811123653","https://openalex.org/W2038207099","https://openalex.org/W2351188388"],"abstract_inverted_index":{"Giving":[0],"up":[1,149],"health":[2,17],"recommendations":[3],"and":[4,123,133,177,196,210,234,248,257,269],"care":[5],"against":[6,47,113,165,272,322],"medical":[7,48,114,166,216,219,273,323],"advice":[8,49,167,274,324],"is":[9,174],"a":[10,20,78,83,158,170,175],"setback":[11],"that":[12,58,162],"may":[13],"happen":[14],"in":[15,30,41,57,65,77,95,130,139,154,169,186,264,282,300,319],"daily":[16],"work.":[18],"In":[19],"pilot":[21],"study":[22,106],"made":[23],"at":[24],"the":[25,37,43,55,93,96,121,124,131,134,137,144,150,152,155,187,238,258,265,270,305,308,320],"Department":[26,188],"of":[27,45,68,88,136,143,157,160,189,224,237,246,307],"Infectious":[28,190],"Diseases":[29,191],"Hospital":[31],"Gregorio":[32],"Mara\u00f1\u00f3n":[33],"(Madrid,":[34],"Spain),":[35],"during":[36],"first":[38],"five":[39],"months":[40],"1998,":[42],"incidence":[44],"leaving":[46,230,247,267,271,321],"was":[50,146,252,315],"12,3":[51],"times":[52],"higher":[53],"than":[54],"mean":[56],"hospital":[59,94],"(7,03%":[60],"vs":[61],"0,57%).":[62],"Patients":[63],"involved":[64],"this":[66,89,107,110],"kind":[67,245],"event":[69],"were":[70,242,262,280],"drug":[71,85,183],"abusers":[72,184],"with":[73],"acute":[74],"infectious":[75],"problems":[76],"HIV":[79,301],"primary":[80],"infection":[81],"or":[82,168],"multiple":[84],"dependency.":[86],"42%":[87],"patients":[90,161],"returned":[91],"to":[92,105,147,255,313],"next":[97],"15":[98],"days.":[99],"The":[100,200,250,298],"research":[101,145,201],"group":[102,159,268],"thought":[103],"out":[104],"problem":[108],"under":[109],"hypothesis:":[111],"Leaving":[112,215],"advice,":[115],"besides":[116],"having":[117],"harmful":[118],"consequences":[119],"for":[120],"patient":[122,138],"public":[125],"health,":[126],"produces":[127],"an":[128],"increase":[129],"cost":[132,236],"stay":[135],"hospital.The":[140],"main":[141],"objective":[142],"set":[148],"economic":[151],"deviation":[153,311],"cost/stay":[156,251,314],"had":[163],"left":[164],"regular":[171,266],"process.":[172],"It":[173],"prospective":[176],"observational":[178],"study.":[179],"We":[180],"studied":[181],"284":[182],"staying":[185],"between":[192],"Oct,":[193],"1st,":[194],"1999":[195],"Sept,":[197],"30th,":[198],"2000.":[199],"variables":[202],"were:":[203],"1.":[204],"Sociodemographic:":[205],"Initials,":[206],",":[207],"age,":[208],"sex,":[209],"history":[211],"number.":[212],"2.":[213],"Clinical:":[214],"diagnosis,":[217],"returning":[218,232],"diagnosis.":[220],"3.":[221],"Administrative:":[222],"Group":[223],"Related":[225],"Diagnosis":[226],"(GRD),":[227],"admission":[228,278],"date,":[229,231],"date":[233],"estimated":[235],"episode.":[239],"All":[240],"episodes":[241,279],"grouped":[243,281],"by":[244],"GRD.":[249],"calculated":[253],"adjusted":[254,312],"GRD,":[256],"deviations":[259],"inside":[260],"GRD":[261],"analyzed":[263],"group.Results:":[275],"Around":[276],"90%":[277],"6":[283],"GRD:":[284],"714":[285],"(47.92%),":[286],"541":[287],"(8.85%),":[288,290],"709":[289],"710":[291],"(7,81%),":[292],"101":[293],"(7,29%)":[294],"y":[295],"715":[296],"(7,29%).":[297],"Pneumonia":[299],"(GRD":[302],"714)":[303],"caused":[304],"majority":[306],"admissions.":[309],"Global":[310],"29,44%":[316],"(more":[317],"expensive":[318],"group).":[325]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2025-02-11T00:00:00"}