TY - JOUR
T1 - Consultees' Concordance with Consultants' Psychotropic Drug Recommendations
T2 - Related Variables
AU - Popkin, Michael K.
AU - Mackenzie, Thomas B.
AU - Hall, Richard C.W.
AU - Callies, Allan L.
PY - 1980/9
Y1 - 1980/9
N2 - 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.
AB - 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.
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U2 - 10.1001/archpsyc.1980.01780220055005
DO - 10.1001/archpsyc.1980.01780220055005
M3 - Article
C2 - 7416902
AN - SCOPUS:0018941022
VL - 37
SP - 1017
EP - 1021
JO - JAMA Psychiatry
JF - JAMA Psychiatry
SN - 2168-622X
IS - 9
ER -