PMID: 3772594Jul 1, 1986Paper

Compliance with the recommendations of medical consultants

Journal of General Internal Medicine
W P BallardM E Charlson

Abstract

Compliance with the consultant's recommendations is one measure of the effectiveness of a consultation. A previous study showed that compliance was better when fewer recommendations were made. In the subsequent year, consultants were encouraged to limit their recommendations to five or fewer. Despite a significant decrease in the number of recommendations, compliance rates remained essentially unchanged (72%). Multivariate analysis demonstrated that the clinical severity of the patient's disease and the number of associated problems, as well as the types of recommendations, were significant predictors of compliance. Compliance was best for recommendations involving medications (84%) and worst for recommendations involving diagnostic tests (62%). Compliance was also evaluated in the context of a surgeon's view of the appropriateness of the recommendations. For recommendations felt to be essential to patient care the compliance rate was 75%, but it was only 44% for recommendations judged nonessential (p less than 0.001). The consulting internist should be aware that the surgeon's view of the relevance of the recommendations to patient care needs may have an important effect on compliance.

References

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Citations

Aug 17, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Robert I KatzStephen A Vitkun
Feb 12, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·E SellierP Pavese
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Jun 1, 1992·Scandinavian Journal of Primary Health Care·E KahanE Derazne
Jul 1, 1987·Journal of General Internal Medicine·K Kroenke

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