Marco CA, et al. - As emergency department (ED) patients may choose to refuse any aspect of medical care, researchers here sought to investigate patient perspectives and reasons for refusal of care. In this prospective study, they investigated 298 ED patients at an urban Level 1 Trauma Center, who were reported to have left without being seen, eloped during treatment, or left against medical advice during September to December 2018. The majority of the patients were females (54%) and were White (61%) or African American. They identified 38% of the participants had left against medical advice, 23% had eloped, and 39% had left without being seen by a provider. Refusal of care was more commonly reported in correlation to the following reasons as cited by patients: wait time, unmet expectations, and negative interactions with ED staff.