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

James A. Bourgeois, Jacob A. Wegelin, Mark E Servis, Robert E Hales

Research output: Contribution to journalArticle

37 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)47-57
Number of pages11
JournalPsychosomatics
Volume46
Issue number1
DOIs
StatePublished - Jan 2005

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Managed Care Programs
Mental Disorders
Psychiatry
Inpatients
Referral and Consultation
Substance-Related Disorders
Liaison
Psychiatrists
Managed Care

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Psychiatric diagnoses of 901 inpatients seen by consultation-liaison psychiatrists at an academic medical center in a managed care environment. / Bourgeois, James A.; Wegelin, Jacob A.; Servis, Mark E; Hales, Robert E.

In: Psychosomatics, Vol. 46, No. 1, 01.2005, p. 47-57.

Research output: Contribution to journalArticle

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