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September 1980

Consultees' Concordance With Consultants' Psychotropic Drug Recommendations: Related Variables

Author Affiliations

From the Departments of Psychiatry (Drs Popkin and Mackenzie and Mr Callies) and Medicine (Drs Popkin and Mackenzie), University of Minnesota Medical School, Minneapolis; and the Departments of Psychiatry and Medicine, Medical College of Wisconsin, Milwaukee (Dr Hall).

Arch Gen Psychiatry. 1980;37(9):1017-1021. doi:10.1001/archpsyc.1980.01780220055005

• 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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