Physicians' Concordance with Consultants' Recommendations for Psychotropic Medication

Michael K Popkin, Thomas B. Mackenzie, Richard C.W. Hall, Judith Garrard

Research output: Contribution to journalArticlepeer-review

47 Scopus citations


Physicians' concordance with the recommendations of psychiatric consultants regarding the use of psychotropic medications in a general hospital was retrospectively examined in an outcome study. Using medical records in a series of 200 consecutive consultations, the authors found 68% of all psychotropic recommendations resulted in physician responses rated concordant and 24% nonconcordant. Resultant concordance ratings are presented according to category of recommendation (that is, start, adjust, continue, or discontinue) and drug groupings. The data suggest that drug group is not a critical variable in physician concordance. Responses did differ by category of recommendation. Further study of physician concordance is desirable. The work suggests both the potential of and need for outcome studies in consultation work.

Original languageEnglish (US)
Pages (from-to)386-389
Number of pages4
JournalArchives of General Psychiatry
Issue number4
StatePublished - Apr 1979


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