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Psychiatric diagnoses of 901 inpatients seen by consultation-liaison psychiatrists at an academic medical center in a managed care environment

  • Author(s): Bourgeois, James A., O.D., M.D.
  • Wegelin, J A
  • Servis, M E
  • Hales, R E
  • et al.
Abstract

The authors reviewed the diagnoses from all inpatient psychiatric consultations conducted by,faculty psychiatrists during calendar year 2001 (N=901) at an academic medical center. In about 25% of the consultations, multiple psychiatric diagnoses were made. The most frequent diagnosis groups were mood (40.7%), cognitive (32.0%), and substance use disorders (18.6%). Among 671 consultations in which only one diagnosis was made, the rates of these diagnosis groups were 35.4%, 20.1 %, and 10.2%, respectively. The findings were compared with the findings of 19 previous studies published over the past 27 years. Mood cognitive, and substance use disorders remain major,foci of consultation-liaison practice in the managed care era, although the rate of cognitive disorder diagnoses has increased. No evidence was found of a change over time in referral rates.

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