Why don't they listen? Adherence to recommendations of infectious disease consultations. Academic Article uri icon

Overview

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.

publication date

  • April 14, 2004

Research

keywords

  • Communicable Diseases
  • Guideline Adherence
  • Patient Compliance

Identity

Scopus Document Identifier

  • 2342623332

Digital Object Identifier (DOI)

  • 10.1086/383315

PubMed ID

  • 15127330

Additional Document Info

volume

  • 38

issue

  • 9