title: Concordance with recommendations in a consultation-liaison psychiatry service.
abstract: We studied the concordance of physicians with the recommendations of psychiatric consultants in a sample of 270 consultations in a 400-bed general hospital. Of the patients about whom a consultation was sought, 37% had a past psychiatric history, and 67% were on psychotropic drugs. Twelve percent had Organic Mental Disorder, 35% Affective Disorder, and for 24% no DSM-III diagnosis could be made. The psychiatrist made psychotropic drug recommendations in 62%, and the physicians' concordance with this recommendation was 86%. The physician's discharge summary included a diagnosis which concorded with the psychiatrist's diagnosis in 53% of files. The psychiatrist recommended further investigations in only 5.2% of files.
authors.affiliation: Monash University, Department of Psychological Medicine, Melbourne, Vic.
authors.forename: L N
authors.initials: LN
authors.lastname: Seward
authors.forename: G C
authors.initials: GC
authors.lastname: Smith
authors.forename: G W
authors.initials: GW
authors.lastname: Stuart
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D008875:Middle Aged; D010351:Patient Discharge; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012189:Retrospective Studies
chemical_list: D011619:Psychotropic Drugs