PMID- 24592853
OWN - NLM
STAT- MEDLINE
DCOM- 20150902
LR  - 20211021
IS  - 1471-244X (Electronic)
IS  - 1471-244X (Linking)
VI  - 14
DP  - 2014 Mar 4
TI  - Multilevel analysis of the determinants of the global assessment of functioning 
      in an inpatient population.
PG  - 63
LID - 10.1186/1471-244X-14-63 [doi]
AB  - BACKGROUND: The Global Assessment of Functioning (GAF) is a widely used measure 
      of psychiatric symptoms and functioning, yet numerous concerns persist about its 
      reliability and validity. The objective of this study was to determine the extent 
      to which GAF scores reflect physician-related differences in addition to 
      information about patients. METHODS: This is a secondary analysis of clinical 
      data collected between 2005 and 2010 from inpatients at a psychiatric hospital (N 
      = 1,852). Multilevel modeling was used to estimate the influence of physicians on 
      GAF scores at admission and on the change between admission and discharge, 
      controlling for patient clinical presentation. RESULTS: Controlling for 
      patient-level predictors, 7% of the residual variance in admission GAF scores and 
      8% of the residual variance in change scores was at the physician level. The 
      physician-level variance was significantly larger than zero in both models. 
      CONCLUSIONS: Although statistically significant, estimates of physician-level 
      variance were not overwhelming, suggesting that the GAF was rated in a consistent 
      manner across physicians in this hospital. While results lend support to the 
      utility of the GAF for drawing comparisons between patients seen by different 
      physicians across a large institution, further study is necessary to determine 
      generalizability and to assess differences across multiple institutions.
FAU - Urbanoski, Karen A
AU  - Urbanoski KA
AD  - Social and Epidemiological Research, Centre for Addiction and Mental Health, 
      T317, 33 Russell St,, Toronto, ON M5S 2S1, Canada. Karen.Urbanoski@camh.ca.
FAU - Henderson, Cecile
AU  - Henderson C
FAU - Castel, Saulo
AU  - Castel S
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Validation Study
DEP - 20140304
PL  - England
TA  - BMC Psychiatry
JT  - BMC psychiatry
JID - 100968559
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hospitals, Psychiatric
MH  - Humans
MH  - Inpatients/*psychology
MH  - Male
MH  - Mental Disorders/*diagnosis
MH  - Middle Aged
MH  - Multilevel Analysis
MH  - Patient Admission
MH  - Patient Discharge
MH  - *Psychiatric Status Rating Scales
MH  - Psychiatry
MH  - Reproducibility of Results
MH  - *Severity of Illness Index
MH  - Workforce
MH  - Young Adult
PMC - PMC3974026
EDAT- 2014/03/07 06:00
MHDA- 2015/09/04 06:00
PMCR- 2014/03/04
CRDT- 2014/03/06 06:00
PHST- 2013/11/18 00:00 [received]
PHST- 2014/02/21 00:00 [accepted]
PHST- 2014/03/06 06:00 [entrez]
PHST- 2014/03/07 06:00 [pubmed]
PHST- 2015/09/04 06:00 [medline]
PHST- 2014/03/04 00:00 [pmc-release]
AID - 1471-244X-14-63 [pii]
AID - 10.1186/1471-244X-14-63 [doi]
PST - epublish
SO  - BMC Psychiatry. 2014 Mar 4;14:63. doi: 10.1186/1471-244X-14-63.