University of Miami, PO Box 248185, Coral Gables, FL 33124-0751, USA.
Adm Policy Ment Health. 2011 Nov;38(6):476-85. doi: 10.1007/s10488-011-0334-3.
Data on clinician diagnostic practices suggest they may not align with evidence-based guidelines. To better understand these practices, a multidisciplinary survey of 1,678 child clinicians examined attitudes toward the utility of diagnosis and standardized diagnostic tools. Psychiatrists were more likely than other disciplines to value diagnosis, whereas psychologists were more likely than others to value standardized diagnostic tools. Private practitioners held less positive views in both domains than other practitioners. Both attitude scales predicted self-reported diagnostic practices, although views of diagnosis utility were more associated with diagnosing in general, whereas views of diagnostic tools were more predictive of standardized tool use.
临床医生诊断实践的数据表明,他们的实践可能与基于证据的指南不一致。为了更好地了解这些实践,对 1678 名儿童临床医生进行了一项多学科调查,调查了他们对诊断的实用性和标准化诊断工具的态度。精神科医生比其他学科更看重诊断,而心理学家比其他学科更看重标准化诊断工具。私人从业者在这两个领域的观点都不如其他从业者积极。这两个态度量表都预测了自我报告的诊断实践,尽管对诊断实用性的看法与一般诊断更相关,而对诊断工具的看法则更能预测标准化工具的使用。