Table 1 Select survey questions and potential responses
Survey questions | Multiple choice responses |
|---|---|
Why did you sign out against medical advice? | • Financial restrictions |
• Time constraints | |
• Dissatisfaction with service | |
• Long wait time | |
• No hope of improvement in my illness | |
• Emotional stress at home | |
• Child care | |
What is your annual income? | • Under Rs. 50,000 |
• Rs. 50,000 % Rs. 1,00,000 | |
• Rs. 1,00,000 % Rs. 2,50,000 | |
• Above Rs. 2,50,000 | |
What percent of your annual income do you think this bill will represent? | • Under 10% |
• 10% % 25% | |
• More than 25% | |
Do you have health insurance? | • Yes |
• No | |
Will you seek medical attention at another medical facility | • Yes |
• No | |
Who is deciding to leave? | • Self |
• Family | |
• Friends | |
• Others | |
Did the doctors explain the consequences of leaving against medical advice? | • Yes |
• No |