Lillis Steven, Mellsop Graham, Dutu Gaelle
Waikato Clinical School, Waikato Hospital, Private Bag 3200, Hamilton, New Zealand.
N Z Med J. 2008 Nov 28;121(1286):30-7.
To understand the views of general practitioners on the utility of diagnostic schema as used by specialist psychiatrists and principles that would increase the value of diagnostic schema to general practitioners.
A postal survey of 1000 vocationally registered general practitioners in New Zealand
Diagnostic schema such as the DSM-IV and ICD-10 are seldom used by general practitioners due primarily to their complexity and a lack of familiarity with them. Providing decision support on pharmaceutical treatment, appropriate secondary care referrals and improving communication across the primary/secondary care divide are principles that should guide the development of future diagnostic schema. Integration of schema into existing computerised practice management systems is considered a key success factor.
Specialist devised schema fit uncomfortably into general practice. There is need for management orientated diagnostic schema that meet the requirements of general practitioners.
了解全科医生对专科精神科医生所使用诊断模式的效用的看法，以及能提高诊断模式对全科医生价值的原则。
对新西兰1000名职业注册全科医生进行邮寄调查。
全科医生很少使用诸如《精神疾病诊断与统计手册》第四版（DSM-IV）和《国际疾病分类》第十版（ICD-10）等诊断模式，主要原因是其复杂性以及全科医生对它们缺乏熟悉度。提供药物治疗决策支持、适当的二级医疗转诊以及改善初级/二级医疗之间的沟通是指导未来诊断模式发展的原则。将诊断模式整合到现有的计算机化实践管理系统中被认为是一个关键成功因素。
专科医生设计的诊断模式不太适合全科医疗。需要有满足全科医生需求的以管理为导向的诊断模式。
