TY - JOUR
T1 - An Interdisciplinary Comparison of Consultation Outcomes
T2 - Psychiatry vs Cardiology
AU - Popkin, Michael K.
AU - Mackenzie, Thomas B.
AU - Callies, Allan L.
AU - Cohn, Jay N
PY - 1981/7
Y1 - 1981/7
N2 - Responses to cardiologists' and psychiatrists' recommendations for drugs and diagnostic actions were compared in a retrospective study of 788 consultations. Variables significantly related to outcomes achieved by cardiologists and psychiatrists were identified; similarities among these variables were evident only for the drug recommendations. Cardiologists' recommendations achieved a higher rate of concordance than psychiatrists' for both drugs and diagnostic actions. For drug recommendations, the interservice discrepancy in concordance was directly related to differences in timing of the consultations and incidence of recommendations to start a drug. For diagnostic recommendations, however, the difference was directly related to the consultants' service. The following factors may explain the less favorable outcome for psychiatrists' diagnostic recommendations: (1) the reasons for seeking psychiatric consultation, (2) the consultees' expectations, and (3) the skill of the psychiatrists in offering these recommendations.
AB - Responses to cardiologists' and psychiatrists' recommendations for drugs and diagnostic actions were compared in a retrospective study of 788 consultations. Variables significantly related to outcomes achieved by cardiologists and psychiatrists were identified; similarities among these variables were evident only for the drug recommendations. Cardiologists' recommendations achieved a higher rate of concordance than psychiatrists' for both drugs and diagnostic actions. For drug recommendations, the interservice discrepancy in concordance was directly related to differences in timing of the consultations and incidence of recommendations to start a drug. For diagnostic recommendations, however, the difference was directly related to the consultants' service. The following factors may explain the less favorable outcome for psychiatrists' diagnostic recommendations: (1) the reasons for seeking psychiatric consultation, (2) the consultees' expectations, and (3) the skill of the psychiatrists in offering these recommendations.
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U2 - 10.1001/archpsyc.1981.01780320101012
DO - 10.1001/archpsyc.1981.01780320101012
M3 - Article
C2 - 7247644
AN - SCOPUS:0019455656
SN - 0003-990X
VL - 38
SP - 821
EP - 825
JO - Archives of General Psychiatry
JF - Archives of General Psychiatry
IS - 7
ER -