“He said he could take his own advice”: Stigmatizing language in notes documenting discharges against medical advice
Many notes documenting AMA discharges contain stigmatizing language, with writers frequently taking a defensive or paternalistic stance toward their interactions with patients. Our findings reflect a lack of clarity about what should be documented in the medical record regarding the events surrounding this type of contentious discharge.
Authors
- Matthew Kelly (ORCID: https://orcid.org/0000-0001-6272-0247)
- Mary Catherine Beach (ORCID: https://orcid.org/0000-0002-1112-6309)
- Shanshan Huang (ORCID: https://orcid.org/0000-0002-4018-820X)
- Amanda McArthur (ORCID: https://orcid.org/0000-0002-0912-8006)
- Judith B. Vick (ORCID: https://orcid.org/0000-0002-1637-5275)
Institutions
- Johns Hopkins University (US)
- Johns Hopkins Medicine (US)
- Yale University (US)
- Johns Hopkins Berman Institute of Bioethics (US)
- Johns Hopkins Hospital (US)
Publication Details
- Journal
- Journal of Hospital Medicine
- Published
- 2025-09-03
- DOI
- https://doi.org/10.1002/jhm.70148
- Citations
- 3
- Primary Topic
- Healthcare Decision-Making and Restraints
- Type
- article
- Field-Weighted Citation Impact
- 6.92
Funders
- Robert Wood Johnson Foundation
- National Institute on Minority Health and Health Disparities