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A proposal for standardization of psychiatric consultation-liaison data
M W Hengeveld1, F J Huyse, R C van der Mast
1Department of Psychiatry, B1-P University Hospital, Leiden, The Netherlands.
General Hospital Psychiatry
|November 1, 1988
Summary
Standardizing psychiatric consultation-liaison (C-L) data is crucial for consistent research. This study proposes a standardized framework for C-L data items and categories, enhancing clinical and epidemiological research.
Area of Science:
- Psychiatry
- Health Informatics
Background:
- Lack of standardized terminology and classifications in psychiatric consultation-liaison (C-L) data registration.
- Increasing need for data uniformity in C-L services for research and clinical practice.
Purpose of the Study:
- To propose a comprehensive standardization of items and categories for C-L data.
- To establish clear definitions and decision rules for C-L data registration.
Main Methods:
- Distinguishing three levels of C-L data: fundamental, epidemiologic, and clinical-educational.
- Developing a standardization proposal for fundamental and epidemiologic data levels.
- Utilizing data from 2657 consultations by the Netherlands Consortium for C-L Psychiatry (NCCP) and a literature review of 48 reports.
Main Results:
- Defined fundamental data characteristics (general hospital and C-L service attributes).
- Categorized epidemiologic data into eight groups: sociodemographics, referral characteristics, history, diagnoses, diagnostic recommendations, ward management, discharge and aftercare management, and termination data.
- Provided definitions and decision rules for standardized C-L data registration.
Conclusions:
- The proposed standardization enhances consistency in C-L data collection and reporting.
- Standardized C-L data facilitates more robust epidemiological research and clinical understanding.
- Implementation of this framework is essential for advancing the field of consultation-liaison psychiatry.