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. 1983;36(2):213-8.
doi: 10.1016/0021-9681(83)90096-6.

Developing strategies for improving the diagnostic and management efficacy of medical consultations

R I Horwitz, C G Henes, S M Horwitz

Developing strategies for improving the diagnostic and management efficacy of medical consultations

R I Horwitz et al. J Chronic Dis. 1983.

Abstract

To determine the clinical effects of internists' consultations to surgeons and other non-internists, we studied a random sample of 250 consultations provided by the Yale Medical Service to patients admitted on non-medical services during 1978-1979. We found that consultations changed or confirmed a diagnosis in 82% (205), and changed or confirmed a management plan in 69% (172). We also found that the diagnostic or management effects could be enhanced by several features of the way the consultation is performed: rapid response to the request for consultation; frequent follow-up notes by the consulting medical team; and detailed specifications of dosage and duration in recommendations for pharmacologic therapy.

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