评估综合医院的精神科会诊。一致性的多变量预测。

Evaluating psychiatric consultations in the general hospital. Multivariate prediction of concordance.

作者信息

Huyse F J, Lyons J S, Strain J J

机构信息

Department of Psychiatry, Free University, Amsterdam, The Netherlands.

出版信息

Gen Hosp Psychiatry. 1992 Nov;14(6):363-9. doi: 10.1016/0163-8343(92)90002-r.

DOI:10.1016/0163-8343(92)90002-r

PMID:1473705

Abstract

A study of 316 consultation cases was undertaken to examine the concordance between the psychiatric consultants' recommendations and the consultees' follow-through. Using a model of case concordance (defined as the proportion of all recommendations followed on each case), it was demonstrated that process variables, including who (the referring doctor p < or = 0.07) recommended what (psychosocial ward management p < 0.01, psychosocial diagnostic action p < 0.01, biological diagnostic action p < 0.01, aftercare p < or = 0.02, and number of recommendations p < or = 0.03), and when (timing of consultation p < or = 0.02), were the significant predictors of case concordance rather than clinical or demographic variables.

摘要

开展了一项针对316例会诊病例的研究，以检查精神科会诊医生的建议与会诊对象后续落实情况之间的一致性。使用病例一致性模型（定义为每个病例中遵循的所有建议的比例），结果表明，包括谁（转诊医生，p≤0.07）建议了什么（心理社会病房管理，p<0.01；心理社会诊断行动，p<0.01；生物学诊断行动，p<0.01；后续护理，p≤0.02；建议数量，p≤0.03）以及何时（会诊时间，p≤0.02）等过程变量是病例一致性的显著预测因素，而非临床或人口统计学变量。