April 1979

Physicians' Concordance With Consultants' Recommendations for Psychotropic Medication

Author Affiliations

From the Departments of Psychiatry (Drs Popkin, Mackenzie, and Garrard) and Medicine (Drs Popkin and Mackenzie), University of Minnesota Medical School, Minneapolis; the Department of Psychiatry, University of Texas Medical School, Houston; and the Texas Research Institute of Mental Sciences, Houston (Dr Hall).

Arch Gen Psychiatry. 1979;36(4):386-389. doi:10.1001/archpsyc.1979.01780040028002

• 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.