Journal ArticleDOI
Evaluation of medical-psychiatric consultation.
TLDR
The psychiatric consultation is under-utilized and a large number of house staff find it not useful, and the psychiatric and non-psychiatric house staff view the functions of consultation in markedly different ways.Abstract:
This report describes four approaches to the evaluation of hospital psychiatric consultation. These are: 1) a survey of actual consultation use; 2) a house staff attitudinal survey; 3) a patient chart review; and 4) a patient questionnaire. The findings of this project and those previously reported are: 1) The psychiatric consultation is under-utilized and a large number of house staff find it not useful. 2) The psychiatric and non-psychiatric house staff view the functions of consultation in markedly different ways. 3) A high percentage of written consultation reports are too vague to determine if the needs of the referring physician were met. 4) Patients usually respond positively to psychiatric consultation. The implications of these findings are discussed in this report.read more
Citations
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Journal ArticleDOI
Impact of inter-physician communication on the effectiveness of medical consultations.
TL;DR: It was found that breakdowns in communication are not uncommon in the consultation process and may adversely affect patient care, cost effectiveness, and education.
Journal ArticleDOI
Psychiatric Consultations in Short-term General Hospitals
TL;DR: The demographic characteristics of patients receiving psychiatric consultations in the national sample were roughly similar to those reported for patients receiving consultations in earlier, single-hospital studies, but rates of consultation were considerably lower.
Journal ArticleDOI
The effectiveness of consultation-liaison psychiatry in the general hospital setting: A systematic review
TL;DR: There is evidence that some CLP services are cost-effective and reduce length of stay when involved early and that referrers follow certain recommendations, however, many studies had disparate results and were methodologically flawed.
Journal ArticleDOI
Psychiatric consultations in a Dutch university hospital: a report on 1814 referrals, compared with a literature review.
TL;DR: A report is presented of four years of psychiatric consultations with inpatients in the University Hospital Leyden, The Netherlands, with a striking lack of conformity in the classifications used by authors in reporting reasons for referral, psychiatric diagnoses, and the actions of psychiatric consultants.
Journal ArticleDOI
Current trends in consultation-liaison psychiatry.
TL;DR: The author reviews the history of this field at the interface of psychiatry and medicine, offers its definition, and discusses current trends pertaining to the organization of liaison services and to the teaching and research activities of liaison psychiatrists.
References
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Journal ArticleDOI
Consultation-liaison psychiatry: an overview
TL;DR: The author predicts that the education, functions, and professional attitudes of the liaison psychiatrist represent a viable model that psychiatry as a whole will increasingly adopt.
Journal ArticleDOI
Patterns of Psychiatric Consultation in a General Hospital
TL;DR: It is concluded that appropriate psychiatric consultation can enable the majority of patients with psychiatric problems to be maintained on the wards to which they were admitted, and that psychiatric liaison staff should be trained in a variety of consulting roles.
Journal ArticleDOI
What do physicians want from a psychiatric consultation service
Toksoz B. Karasu,Robert Plutchik,Hope R. Conte,Barbara Siegel,Robert Steinmuller,Milton Rosenbaum +5 more
TL;DR: Results indicated that few differences existed between the medical, surgical, or OB/GYN services, and that the importance attached to the various aspects of psychiatric consultation increased as a direct function of experience.
Journal ArticleDOI
The Application of Competency-Based Education to Consultation-Liaison Psychiatry: I. Data Gathering and Case Formulation
TL;DR: A competency-based model for training in consultation-liaison psychiatry is presented which addresses the issues of how residents are taught to collect and formulate patient data and the implications of this approach to some of the issues that surround residency training in this field.
Journal ArticleDOI
Psychiatric patients on medical wards. I. Prevalence of illness and recognition of disorders by staff personnel.
TL;DR: In this article, the authors reported that large numbers of psychiatrically ill patients are admitted to medical and surgical wards of general hospitals and the variations in reported prevalence undoubtedly reflect a number of factors, which may include: differences in the characteristics of the patients served by the hospital; the unreliability of the clinical psychiatric examination when used as a screening procedure; and differences in criteria for the diagnosis of a psychiatric disturbance from one hospital to another.
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Liaison psychiatry: referral patterns and their stability over time.
Zbigniew J. Lipowski,Wolston Ej +1 more