Requesting physicians' experiences regarding infectious disease consultations

BMC Infect Dis. 2011 Mar 14:11:62. doi: 10.1186/1471-2334-11-62.

Abstract

Background: Solicited consultations constitute a substantial workload for infectious disease (ID) specialists in the hospital setting. The objectives of this survey were to describe requesting physicians' experiences regarding ID consultations.

Methods: A cross-sectional survey was conducted in a university-affiliated hospital in France in 2009. All physicians were eligible (n = 530) and received a self-administered questionnaire. The main outcomes were reasons for request and opinion. Secondary outcomes were frequency of request and declared adherence to recommendations.

Results: The participation rate was 44.7% (237/530). Among the responders, 187 (79%) had solicited the ID consultation service within the previous year. Ninety-three percent of the responders (173/187) were satisfied with the ID consultation. The main reasons for requesting consultations were the need for therapeutic advice (93%), quality of care improvement (73%) and the rapidity of access (61%). ID consultations were requested several times a month by 52% (72/138) of senior physicians and by 73% (36/49) of residents (p = 0.01). Self-reported adherence to diagnostic and therapeutic recommendations was 83% and 79%, respectively.

Conclusion: The respondent requesting physicians expressed great satisfaction regarding ID consultations that they requested principally to improve patient care and to assist in medical decision making.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Communicable Diseases / diagnosis*
  • Communicable Diseases / therapy*
  • Cross-Sectional Studies
  • Female
  • France
  • Health Services Research
  • Hospitals, University
  • Humans
  • Male
  • Middle Aged
  • Physicians*
  • Referral and Consultation / statistics & numerical data*
  • Surveys and Questionnaires