The sequencing of psychiatric recommendations. Concordance during the process of a psychiatric consultation.
Whether or not medical staff follow through with the recommendations of the consultation-liaison (C-L) psychiatrist, a process referred to as concordance, is an important factor that influences the outcome of C-L interventions. Previous research has demonstrated that process variables have the greatest effect on concordance. This study extends earlier research by examining the relationship of the timing of various recommendation types and concordance. In this study, the authors found that during the first two weeks of a case, psychosocial diagnostic recommendations were closely followed (most concordant) when given later in the consultation. However, concordance was better when discharge recommendations were given earlier. The findings reveal an interaction between the type of recommendation and its timing in the consultation in predicting concordance.
Huyse
F J
FJ
Consultation-Liaison Psychiatry Service, Free University Hospital, Amsterdam, The Netherlands.
Lyons
J S
JS
Strain
J J
JJ
D003431:Cross-Cultural Comparison; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D009426:Netherlands; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D010348:Patient Care Team; D011602:Psychophysiologic Disorders / Q000523:psychology / Q000628:therapy*; D012803:Sick Role