Patients leave the hospital AMA for a variety of reasons. Most consistent among several studies of patient’s leaving AMA is the association between substance abuse, especially alcohol, and AMA discharge. Some of the other common reasons for signing out AMA relate to patient dissatisfaction, including disliked the physician; expected a shorter stay; and expected more help from the staff. It is quite common for the patient to express a need to leave to take care of personal, family, or financial affairs. Some patients simply feel better, and don’t feel the need for continuing management. In one study, 82% of AMA patients left because they didn’t agree with the physician’s management plan.