TITLE

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

AUTHOR(S)
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.
PUB. DATE
May 2004
SOURCE
Clinical Infectious Diseases;5/1/2004, Vol. 38 Issue 9, p1212
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
13058650

 

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