Literature DB >> 6822631

Developing strategies for improving the diagnostic and management efficacy of medical consultations.

R I Horwitz, C G Henes, S M Horwitz.   

Abstract

To determine the clinical effects of internists' consultations to surgeons and other non-internists, we studied a random sample of 250 consultations provided by the Yale Medical Service to patients admitted on non-medical services during 1978-1979. We found that consultations changed or confirmed a diagnosis in 82% (205), and changed or confirmed a management plan in 69% (172). We also found that the diagnostic or management effects could be enhanced by several features of the way the consultation is performed: rapid response to the request for consultation; frequent follow-up notes by the consulting medical team; and detailed specifications of dosage and duration in recommendations for pharmacologic therapy.

Entities:  

Mesh:

Year:  1983        PMID: 6822631     DOI: 10.1016/0021-9681(83)90096-6

Source DB:  PubMed          Journal:  J Chronic Dis        ISSN: 0021-9681


  10 in total

1.  Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.

Authors:  Martin C Were; Greg Abernathy; Siu L Hui; Carol Kempf; Michael Weiner
Journal:  J Am Med Inform Assoc       Date:  2008-10-24       Impact factor: 4.497

2.  Physician preferences for elements of effective consultations.

Authors:  David R Boulware; Adrienne S Dekarske; Gregory A Filice
Journal:  J Gen Intern Med       Date:  2009-11-07       Impact factor: 5.128

3.  Problems in consultation medicine : The generalist's reply.

Authors:  P Rudd
Journal:  J Gen Intern Med       Date:  1988-11       Impact factor: 5.128

4.  Compliance with the recommendations of medical consultants.

Authors:  W P Ballard; J P Gold; M E Charlson
Journal:  J Gen Intern Med       Date:  1986 Jul-Aug       Impact factor: 5.128

5.  Preoperative medical consultations in a community hospital.

Authors:  R P Ferguson; E Rubinstien
Journal:  J Gen Intern Med       Date:  1987 Mar-Apr       Impact factor: 5.128

6.  A comparison of general medical and clinical ethics consultations: what can we learn from each other?

Authors:  Cynthia M A Geppert; Wayne N Shelton
Journal:  Mayo Clin Proc       Date:  2012-04       Impact factor: 7.616

7.  Outpatient consultation: interaction between the general internist and the specialist.

Authors:  J C Byrd; M A Moskowitz
Journal:  J Gen Intern Med       Date:  1987 Mar-Apr       Impact factor: 5.128

8.  The service and educational contributions of a general medicine consultation service.

Authors:  P W Robie
Journal:  J Gen Intern Med       Date:  1986 Jul-Aug       Impact factor: 5.128

9.  Towards successful coordination of electronic health record based-referrals: a qualitative analysis.

Authors:  Sylvia J Hysong; Adol Esquivel; Dean F Sittig; Lindsey A Paul; Donna Espadas; Simran Singh; Hardeep Singh
Journal:  Implement Sci       Date:  2011-07-27       Impact factor: 7.327

10.  Impact of cardiology referral: clinical outcomes and factors associated with physicians' adherence to recommendations.

Authors:  André C Marques; Daniela Calderaro; Pai C Yu; Danielle M Gualandro; Gabriel A L Carmo; Fernanda R Azevedo; Adriana F Pastana; Eneas M O Lima; Maristela Monachini; Bruno Caramelli
Journal:  Clinics (Sao Paulo)       Date:  2014-12       Impact factor: 2.365

  10 in total

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