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Consultees' Concordance With Consultants' Psychotropic Drug Recommendations: Related Variables

Consultees' Concordance With Consultants' Psychotropic Drug Recommendations: Related Variables Abstract • In an attempt to identify variables critical to consultees' concordance with the recommendations of psychiatric consultants for the use of psychotropic medications in a general hospital, the medical records from 394 psychiatric consultations were reviewed. Using quantitative concordance criteria, consultee response was examined as a function of 29 variables. These characterized the patient, the consultee, the consultant, and the consultation. Seven variables were found to be significantly related to concordance. Among these were the patient's history of exposure to psychotropic medications, the presence of multiple recommendations, specification of starting dosage, the category of psychotropic drug recommendation, and the timing of the consultation. The latter two variables emerged as most noteworthy. This work extends the investigation of consultees' responses to consultants' recommendations and anticipates the development of specific consultation strategies derived from quantitative outcome studies. References 1. Popkin MK, Mackenzie TB, Hall RCW, et al: Physicians' concordance with consultants' recommendations for psychotropic medication . Arch Gen Psychiatry 36:386-389, 1979.Crossref 2. Bishop YMM, Fienberg SE, Holland PW: Discrete Multivariate Analysis: Theory and Practice . Cambridge, Mass, MIT Press, 1975. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Consultees' Concordance With Consultants' Psychotropic Drug Recommendations: Related Variables

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1980.01780220055005
Publisher site
See Article on Publisher Site

Abstract

Abstract • In an attempt to identify variables critical to consultees' concordance with the recommendations of psychiatric consultants for the use of psychotropic medications in a general hospital, the medical records from 394 psychiatric consultations were reviewed. Using quantitative concordance criteria, consultee response was examined as a function of 29 variables. These characterized the patient, the consultee, the consultant, and the consultation. Seven variables were found to be significantly related to concordance. Among these were the patient's history of exposure to psychotropic medications, the presence of multiple recommendations, specification of starting dosage, the category of psychotropic drug recommendation, and the timing of the consultation. The latter two variables emerged as most noteworthy. This work extends the investigation of consultees' responses to consultants' recommendations and anticipates the development of specific consultation strategies derived from quantitative outcome studies. References 1. Popkin MK, Mackenzie TB, Hall RCW, et al: Physicians' concordance with consultants' recommendations for psychotropic medication . Arch Gen Psychiatry 36:386-389, 1979.Crossref 2. Bishop YMM, Fienberg SE, Holland PW: Discrete Multivariate Analysis: Theory and Practice . Cambridge, Mass, MIT Press, 1975.

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Sep 1, 1980

References