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Evaluation of psychiatric consultation-liaison in primary care settings |
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| Authors: | M Von Korff W Katon E H Lin E H Wagner |
| Affiliation: | 1. Department of Internal Medicine I, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany;2. Cirrhosis Centre Mainz (CCM), University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany;3. Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Centre of the Johannes Gutenberg University, Mainz, Germany;2. Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee;3. Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, California;4. Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida;5. Department of Pediatrics, Oregon Health and Science University, Portland, Oregon |
| Abstract: | This article considers eight methodologic issues in the evaluation of psychiatric consultation-liaison services in primary care settings. What should be evaluated—standardized treatment regimens administered to highly selected patient groups or individualized treatments administered to heterogeneous patient groups? How can patient groups be selected to test for generic outcomes resulting from individualized treatments? When should randomized designs be employed? Should patients or physicians be randomized? How should diagnostic classification of study subjects be accomplished? What outcomes should be measured? How can study design be accommodated to patient flow in clinical settings? What resources are required to establish a productive program of research in liaison psychiatry? |
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