TY - JOUR
T1 - Factors affecting compliance for general medicine consultations to non-internists
AU - Pupa, Lawrence E.
AU - Coventry, John A.
AU - Hanley, James F.
AU - Carpenter, John L.
N1 - Funding Information:
From the Department of Medicine, Brooke Army Medical Center, and Health Services Command, Fort Sam Houston, Texas. This work was presented in part at “Teaching Internal Medicine,” sponsored by the Association of Professors Internal Medicine, San Antonio, Texas, December 1984. The opinions or assertions contained herein are the private views of the authors and are not to be construed as reflecting the views of the Department of the Army or the Department of Defense. Requests for reprints should be addressed to Dr. Lawrence E. Pupa, Jr., Department Medicine (HSHE-MDC), Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200. Manuscript submittted April 22, 1985, and accepted June 20,1985. *Current address: Veterans Administration pital, Dallas, Texas.
PY - 1986/9
Y1 - 1986/9
N2 - For a general medicine consultation service to be effective, compliance with recommendations is essential, as is an understanding of the factors that improve compliance. Residents in a general medicine consultation service attempted prospectively to improve their skills as consultants and to enhance compliance by implementing the following steps, reported to influence compliance: (1) identify critical recommendations; (2) make early, direct oral contact with the referring surgeon; (3) limit the number of recommendations; and (4) render definite recommendations. At the end of the study period, recommendations were tabulated and categorized as to whether each was diagnostic or therapeutic and critical or noncritical, and the time of contact with the referring surgeons was noted when applicable. Multivariate analysis of the factors, in relation to the type of recommendation, demonstrated that compliance can be improved, especially if a consultant clearly identifies the critical recommendations and makes contact with the referring physician within 24 hours.
AB - For a general medicine consultation service to be effective, compliance with recommendations is essential, as is an understanding of the factors that improve compliance. Residents in a general medicine consultation service attempted prospectively to improve their skills as consultants and to enhance compliance by implementing the following steps, reported to influence compliance: (1) identify critical recommendations; (2) make early, direct oral contact with the referring surgeon; (3) limit the number of recommendations; and (4) render definite recommendations. At the end of the study period, recommendations were tabulated and categorized as to whether each was diagnostic or therapeutic and critical or noncritical, and the time of contact with the referring surgeons was noted when applicable. Multivariate analysis of the factors, in relation to the type of recommendation, demonstrated that compliance can be improved, especially if a consultant clearly identifies the critical recommendations and makes contact with the referring physician within 24 hours.
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U2 - 10.1016/0002-9343(86)90307-4
DO - 10.1016/0002-9343(86)90307-4
M3 - Article
C2 - 3752150
AN - SCOPUS:0022540917
VL - 81
SP - 508
EP - 514
JO - American Journal of Medicine
JF - American Journal of Medicine
SN - 0002-9343
IS - 3
ER -