TY - JOUR
T1 - Consultation Outcomes
T2 - The Psychiatrist as Consultee
AU - Mackenzie, Thomas B.
AU - Popkin, Michael K
AU - Callies, Alan L.
AU - Kroll, Jerome
PY - 1983/11
Y1 - 1983/11
N2 - The frequent coexistence of psychiatric and medical illness supports the need for excellent medical care on inpatient psychiatric services. Effective use of consultation is an important element in ensuring this care. In our study of midicalsurgical consultation to an inpatient psychiatric service during a two-year period, outcome variables, such as frequency of and concordance with drug and diagnostic action recommendations, were determined and compared with similar data for psychiatric consultations to medical-surgical services. Thirtyeight percent of cases received a consultation. Patients seen by a consultant had a longer hospital stay. Twenty-seven and forty-six percent of consultations contained a drug or a diagnostic action recommendation, respectively. The concordance of psychiatric consultees was 79% for drugs and 75% for diagnostic action recommendations. Comparison with medicalsurgical consultations done by psychiatric consultants revealed important differences and similarities.
AB - The frequent coexistence of psychiatric and medical illness supports the need for excellent medical care on inpatient psychiatric services. Effective use of consultation is an important element in ensuring this care. In our study of midicalsurgical consultation to an inpatient psychiatric service during a two-year period, outcome variables, such as frequency of and concordance with drug and diagnostic action recommendations, were determined and compared with similar data for psychiatric consultations to medical-surgical services. Thirtyeight percent of cases received a consultation. Patients seen by a consultant had a longer hospital stay. Twenty-seven and forty-six percent of consultations contained a drug or a diagnostic action recommendation, respectively. The concordance of psychiatric consultees was 79% for drugs and 75% for diagnostic action recommendations. Comparison with medicalsurgical consultations done by psychiatric consultants revealed important differences and similarities.
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U2 - 10.1001/archpsyc.1983.01790100057008
DO - 10.1001/archpsyc.1983.01790100057008
M3 - Article
C2 - 6639291
AN - SCOPUS:0020524880
SN - 0003-990X
VL - 40
SP - 1211
EP - 1214
JO - Archives of General Psychiatry
JF - Archives of General Psychiatry
IS - 11
ER -