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Related Experiment Videos

Differences among clinicians in the decision to admit.

R Apsler, E Bassuk

    Archives of General Psychiatry
    |October 1, 1983
    PubMed
    Summary

    Understanding psychiatric hospitalization decisions is complex. This study reveals both shared and unique clinician criteria, improving patient classification accuracy in emergency settings.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Healthcare Decision-Making

    Background:

    • Elucidating psychiatric admission criteria remains challenging, with ongoing disagreement among clinicians.
    • Limited progress has been made in understanding the complex decision-making process for psychiatric hospitalization.

    Purpose of the Study:

    • To investigate factors influencing psychiatric admission decisions.
    • To explore individual differences among clinicians in their admission criteria.
    • To apply multivariate analysis to psychiatric admission decision-making.

    Main Methods:

    • Utilized multivariate analysis to examine factors influencing psychiatric admission.
    • Investigated individual differences in clinician criteria for hospitalization.
    • Analyzed data from a large, urban, general-hospital emergency room setting.

    Main Results:

    • Identified both similarities and differences in admission criteria used by individual clinicians.
    • Developed a relatively small list of key criteria for each clinician.
    • The combined criteria correctly classified 90% of patients (96% non-hospitalized, 60% hospitalized).

    Conclusions:

    • Clinician judgment in psychiatric admissions shows both consensus and variability.
    • Multivariate analysis and examination of individual differences offer valuable insights.
    • The developed criteria demonstrate significant predictive power for patient hospitalization in emergency settings.

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