Why Don't They Listen? Adherence to Recommendations of Infectious Disease Consultations

Lo, Evelyn; Rezai, Katayoun; Evans, Arthur T.; Madariaga, Miguel G.; Phillips, Martin; Brobbey, Wahab; Schwartz, David N.; Yue Wang; Weinstein, Robert A.; Trenholme, Gordon M.
May 2004
Clinical Infectious Diseases;5/1/2004, Vol. 38 Issue 9, p1212
Academic Journal
The effectiveness of an infectious diseases (ID) consultation is dependent on adherence to the recommendations. To delineate the factors that affect adherence, we conducted a prospective cohort study of 465 consultations at 2 academic institutions in which we evaluated the consultation process, patient and consultant characteristics, types of recommendations, and compliance with recommendations. The overall compliance rate was 80%, with 85% adherence to crucial recommendations. Multivariate analysis revealed that adherence to ID recommendations was higher when the recommendations were therapeutic instead of diagnostic, when they related to a specific clinical question, when recommendations were deemed crucial by the ID service, if the primary service was medicine, and if the consultation note was legible and organized. Whether modification of consultant practice will lead to improved recommendation compliance and patient outcomes warrants further study.


Related Articles

  • Is more discussion about levels of analysis really necessary?When is such discussion sufficient? Dansereau, Fred; Yammarino, Francis J. // Leadership Quarterly;Oct2006, Vol. 17 Issue 5, p537 

    Abstract: This article begins by showing why most of the recommendations made in the three previous articles about the original GLOBE study are necessary given the authors'' viable and insightful theoretical interests. It then demonstrates that the recommendations made in these articles,...

  • KiÅŸiye özel fiyat teklifinin zamanlamasının, Ä°nternette satın alma karar sürecine etkisi. Kaya, İsmail; Güngör, Ayşegül Sağkaya // Istanbul University Journal of the School of Business Administra;2012, Vol. 41 Issue 2, p172 

    The aim of this study is to investigate the cause-effect relationship between personalized price offer timing and decision making stages. In the study, in order to measure the effect of personalized price offer timing on decision making stages in Internet, a field experiment is conducted with a...

  • Fast Mapping in Healthy Young Adults: The Influence of Metamemory. Ramachandra, Vijayachandra; Rickenbach, Bryna; Ruda, Marissa; LeCureux, Bethanie; Pope, Moira // Journal of Psycholinguistic Research;Jun2010, Vol. 39 Issue 3, p213 

    Several research studies suggest the significant role played by metamemory in lexical abilities of both adults and children. To our knowledge, there have been no studies to date that have explored the role of metamemory (Judgments of Learning) in fast mapping of novel words by adults. One...

  • Steganalysis based on distribution characters of stego-images in reduced dimension space. Chen, Guoming; Chen, Qiang; Zhang, Dong; Zhou, Duanning // Multimedia Tools & Applications;Jul2014, Vol. 71 Issue 2, p497 

    In this paper we propose an Improved Kernel Linear Discriminant Analysis algorithm to analyze the distribution differences between cover images and stego-images in the reduced dimensional space. We observe that the hidden information, the information hidden in the cover images, of stego-images...

  • Association of Eleven Common, Low-Penetrance Colorectal Cancer Susceptibility Genetic Variants at Six Risk Loci with Clinical Outcome. Hoskins, Janelle M.; Ong, Pei-Shi; Keku, Temitope O.; Galanko, Joseph A.; Martin, Christopher F.; Coleman, Clint A.; Wolfe, Michelle; Sandler, Robert S.; McLeod, Howard L. // PLoS ONE;Jul2012, Vol. 7 Issue 7, p1 

    Background: Low-penetrance genetic variants have been increasingly recognized to influence the risk of tumor development. Risk variants for colorectal cancer (CRC) have been mapped to chromosome positions 8q23.3, 8q24, 9p24.1, 10p14, 11q23, 14q22.2, 15q13, 16q22.1, 18q21, 19q13.1 and 20p12.3. In...

  • Study of a BVAR(p) process applied to U.S. commodity market data. Šindelář, Jan // World Academy of Science, Engineering & Technology;Oct2009, Issue 34, p196 

    The paper presents an applied study of a multivariate AR(p) process fitted to daily data from U.S. commodity futures markets with the use of Bayesian statistics. In the first part a detailed description of the methods used is given. In the second part two BVAR models are chosen one with...

  • Impact of Cognitive and Decision Making Style on Resilience: An Exploratory Study. Bashir, Taqadus; Shafi, Sameera; Ahmed, Hassan Raza; Jahangir, Sheraz; Saeed, Hifza; Zaigham, Samina // European Journal of Business & Management;2013, Vol. 5 Issue 29, p92 

    Resilience refers to successful adaptation of an individual despite risk, acute stressors, and chronic adversities. Resilient students are more determined and they can enhance their efforts especially under difficult situations. Students need to be more resilient so that they can bounce back...

  • A Discrepancy Index for the Study of Participation with an Application to the Case of Higher Education in Italy. Larcinese, Valentino // Social Indicators Research;Sep2008, Vol. 88 Issue 3, p483 

    This article proposes and applies a simple method to measure the distance from a situation of uniform participation. First, a discrepancy index based on the use of generalized Lorenz curves is presented. This index can be expressed in terms of means and Gini indices of relevant characteristics...

  • Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk? Harrison, A.; Cleland, J.; Gouws, E.; Frohlich, J. // Sexually Transmitted Infections;Jun2005, Vol. 81 Issue 3, p259 

    Objective: This report examines early sexual debut (Methods: Analysis of sexual behaviour data for men...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics