Evaluation qualitative de la compliance médicale [Qualitative evaluation of medical compliance].

Details

Serval ID
serval:BIB_71F5EC71CFCE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evaluation qualitative de la compliance médicale [Qualitative evaluation of medical compliance].
Journal
Revue Médicale De La Suisse Romande
Author(s)
von Gunten A., Villoz F.
ISSN
0035-3655 (Print)
ISSN-L
0035-3655
Publication state
Published
Issued date
1998
Volume
118
Number
6
Pages
569-575
Language
french
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
OBJECTIVE: The effectiveness of CLP (Consultation and liaison psychiatry) interventions in a general hospital is difficult to evaluate; parameters potentially determinant as to effectiveness are numerous. Effectiveness evaluations are almost exclusively restricted to the duration of hospitalization. Since CLP may and often should be manifest beyond discharge, we intended to determine the agreement between our proposition and its execution as a measure of effectiveness.
METHOD: We based our analyses principally on the general practitioner's appreciation of the CLP impact, a measure of effectiveness at distance from the consultation by a judge not directly involved in the consulting process. This qualitative assessment is based on a population of 50 patients.
RESULTS: Our results suggest that agreement between our proposal and its complete execution is good concerning medication (90%) and referral rate after the hospitalization (85%), average as to liaison suggestions (65%) and clearly weak as to propositions regarding further investigations (< 30%).
CONCLUSION: CLP proposals must be as close as possible to the in-patient physician's preoccupations to enhance the probability that they be executed. The concordance as to the proposal and its execution as well as the CLP impact estimation need be evaluated at distance. This evaluation must imply the general practitioner's assessment.
Keywords
Adult, Family Practice, Female, Guideline Adherence/standards, Hospitals, General, Humans, Male, Medical Audit, Middle Aged, Psychiatry/standards, Referral and Consultation/standards, Switzerland
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Create date
11/03/2013 13:30
Last modification date
20/08/2019 14:30
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