[Qualitative evaluation of medical compliance].
OBJECTIVE
The effectiveness of CLP (Consultation and liaison psychiatry) interventions in a general hospital is difficult to evaluate; parameters potentially determinant as to effectiveness are numerous. Effectiveness evaluations are almost exclusively restricted to the duration of hospitalization. Since CLP may and often should be manifest beyond discharge, we intended to determine the agreement between our proposition and its execution as a measure of effectiveness.


METHODS
We based our analyses principally on the general practitioner's appreciation of the CLP impact, a measure of effectiveness at distance from the consultation by a judge not directly involved in the consulting process. This qualitative assessment is based on a population of 50 patients.


RESULTS
Our results suggest that agreement between our proposal and its complete execution is good concerning medication (90%) and referral rate after the hospitalization (85%), average as to liaison suggestions (65%) and clearly weak as to propositions regarding further investigations (< 30%).


CONCLUSIONS
CLP proposals must be as close as possible to the in-patient physician's preoccupations to enhance the probability that they be executed. The concordance as to the proposal and its execution as well as the CLP impact estimation need be evaluated at distance. This evaluation must imply the general practitioner's assessment.
von Gunten
A
A
Policlinique Universitaire de Psychogériatrie et consultation de la Mémoire, Lausanne. A.vGunten@ion.ucl.ac.uk
Villoz
F
F
D000328:Adult; D005194:Family Practice; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D006769:Hospitals, General; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011570:Psychiatry / Q000592:standards*; D012017:Referral and Consultation / Q000592:standards*; D013557:Switzerland