TY - JOUR
T1 - Physicians' Concordance with Consultants' Recommendations for Psychotropic Medication
AU - Popkin, Michael K
AU - Mackenzie, Thomas B.
AU - Hall, Richard C.W.
AU - Garrard, Judith
PY - 1979/4
Y1 - 1979/4
N2 - 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.
AB - 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.
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U2 - 10.1001/archpsyc.1979.01780040028002
DO - 10.1001/archpsyc.1979.01780040028002
M3 - Article
C2 - 426604
AN - SCOPUS:0018393945
SN - 0003-990X
VL - 36
SP - 386
EP - 389
JO - Archives of General Psychiatry
JF - Archives of General Psychiatry
IS - 4
ER -