Appropriateness of Hospital Services

Identifying Attributes

Care Settings
Hospital Care
Country
Australia
Publishing Organisation
Productivity Commission: Health - Public Hospitals
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Service Delivery and Care Planning

Defining Attributes

Definition

The proportion of patients who discharge against medical advice as a proportion of all emergency department presentations and hospital separations.

Numerator
Denominator
Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

By patient status (did not wait, left at own risk, discharged against medical advice), jurisdiction (state/territory), Indigenous status and year.

Collection and Reporting Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

AIHW (unpublished) National Non-admitted Patient Emergency Department Care Database

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025