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迈向《国际疾病分类第11版》的实施:俄罗斯精神科界的态度与期望

Toward ICD-11 Implementation: Attitudes and Expectations of the Russian Psychiatric Community.

作者信息

Kulygina Maya A, Syunyakov Timur S, Fedotov Ilya A, Kostyuk George P

出版信息

Consort Psychiatr. 2021 May 25;2(2):23-34. doi: 10.17816/CP80. eCollection 2021.

Abstract

BACKGROUND

ICD-11 implementation will start in early 2022 in WHO member countries, including Russia. This process should be preceded not only by the official translation and wide distribution of ICD-11 statistical classification and diagnostic guidelines but also by clinicians' training. For recent years ICD-11 development and innovations in the diagnosis of mental disorders were in the focus of attention of mental health professionals in all over the world.

OBJECTIVES

This online survey aimed to identify the current views of the Russian psychiatric community on the upcoming implementation of ICD-11.

METHODS

A survey was composed in a Google form and circulated through the website of the Russian Society of Psychiatrists and other professional networks. Statistical and narrative analysis was provided. The sample was represented by 148 psychiatrists working in inpatient or outpatient clinical settings.

RESULTS

Expectations for the classification of mental disorders reported by the respondents were wider than the current purpose of ICD-10. In general, the Russian psychiatrists expressed their interests to forthcoming ICD-11 implementation. Positive attitudes to ICD-11 innovations were associated with the familiarity with the ICD-11 draft. Conservative or negative views were related to longer years of clinical experience. Early carrier psychiatrists were more practically oriented than 'old school' clinicians.

CONCLUSION

This survey may help to promote the ICD-11 by focusing on its advantages for clinical practice and develop targeted training programs.

摘要

背景

《国际疾病分类第11版》(ICD - 11)将于2022年初在包括俄罗斯在内的世界卫生组织成员国开始实施。在这个过程之前,不仅需要对ICD - 11统计分类和诊断指南进行官方翻译并广泛分发,还需要对临床医生进行培训。近年来,ICD - 11在精神障碍诊断方面的发展和创新一直是全球精神卫生专业人员关注的焦点。

目的

这项在线调查旨在确定俄罗斯精神病学界对即将实施的ICD - 11的当前看法。

方法

通过谷歌表单制作了一份调查问卷,并通过俄罗斯精神病学家协会网站和其他专业网络进行传播。提供了统计和叙述性分析。样本由148名在住院或门诊临床环境中工作的精神科医生组成。

结果

受访者对精神障碍分类的期望比ICD - 10的当前目的更广泛。总体而言,俄罗斯精神科医生对即将实施的ICD - 11表示感兴趣。对ICD - 11创新的积极态度与对ICD - 11草案的熟悉程度有关。保守或消极观点与更长的临床经验年限有关。早期从业的精神科医生比“老派”临床医生更注重实践。

结论

这项调查可能有助于通过关注ICD - 11对临床实践的优势来推广它,并制定有针对性的培训计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6282/11272316/6f8bb5f7b336/2712-7672_2021_2_2_23_Fig.1.jpg

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