Evaluating psychiatric consultations in the general hospital. Multivariate prediction of concordance.
A study of 316 consultation cases was undertaken to examine the concordance between the psychiatric consultants' recommendations and the consultees' follow-through. Using a model of case concordance (defined as the proportion of all recommendations followed on each case), it was demonstrated that process variables, including who (the referring doctor p < or = 0.07) recommended what (psychosocial ward management p < 0.01, psychosocial diagnostic action p < 0.01, biological diagnostic action p < 0.01, aftercare p < or = 0.02, and number of recommendations p < or = 0.03), and when (timing of consultation p < or = 0.02), were the significant predictors of case concordance rather than clinical or demographic variables.
Huyse
F J
FJ
Department of Psychiatry, Free University, Amsterdam, The Netherlands.
Lyons
J S
JS
Strain
J J
JJ
D015897:Comorbidity; D005069:Evaluation Studies as Topic; D005260:Female; D005544:Forecasting; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008505:Medical Staff, Hospital / Q000592:standards*; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology / Q000628:therapy*; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands / Q000453:epidemiology; D010818:Practice Patterns, Physicians' / Q000592:standards* / Q000706:statistics & numerical data; D017064:Process Assessment, Health Care; D011570:Psychiatry / Q000592:standards*; D012017:Referral and Consultation / Q000592:standards* / Q000706:statistics & numerical data