国际疾病分类在分析牙科缺勤中的应用。
Use of the International Classification of Diseases in the analysis of dental absenteeism.
机构信息
Programa de Pós-Graduação em Ciências Odontológicas, Faculdade de Odontologia, Universidade de São Paulo, São Paulo, SP, Brasil.
出版信息
Rev Saude Publica. 2011 Jun;45(3):512-8. doi: 10.1590/s0034-89102011000300009.
OBJECTIVE
To compare the use of disease and injury classification codes in workplace absences requests due to dental causes.
METHODS
The study analyzed 240 requests in a federal public agency between January 2008 and December 2009. The use of the International Classification of Diseases - 10th Revision (ICD-10) was compared to the Application of the International Classification of Diseases to Dentistry and Stomatology (ICD-DA). The degree of specificity was determined for the codifications on workplace justifications, as well as for codifications assigned by official dental experts in indirect inspections and expert examinations.
RESULTS
Of the total number of dental certificates, 22.9% did not present the ICD, 7.1% used ICD-9, 3.3% used ICD-DA and 66.7% used ICD-10. The majority of codifications were concordant (55.1%), and greater specificity was found in codifications assigned after evaluation by official dental experts.
CONCLUSIONS
The results indicate the need to improve use of ICD-10 among dentists and official dental experts .For analysis of work absenteeism, it is suggested the use of ICD-DA and the International Classification of Functioning, Disability and Health, which provide relevant data for monitoring absenteeism due to dental reasons.
目的
比较因牙科原因导致的工作缺勤申请中使用疾病和伤害分类代码的情况。
方法
本研究分析了 2008 年 1 月至 2009 年 12 月期间联邦公共机构的 240 份申请。将国际疾病分类第 10 版（ICD-10）的使用情况与国际疾病分类在牙科和口腔医学中的应用（ICD-DA）进行了比较。对工作理由的编码和间接检查和专家检查中官方牙科专家分配的编码进行了特异性程度的确定。
结果
在总牙科证书中，22.9%未呈现 ICD，7.1%使用 ICD-9，3.3%使用 ICD-DA，66.7%使用 ICD-10。大多数编码是一致的（55.1%），在经过官方牙科专家评估后分配的编码中发现了更高的特异性。
结论
结果表明需要提高牙医和官方牙科专家对 ICD-10 的使用。对于工作缺勤的分析，建议使用 ICD-DA 和国际功能、残疾和健康分类，这些分类为监测因牙科原因导致的缺勤提供了相关数据。
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