Rebello Tahilia J, Kulygina Maya A, Krasnov Valery N, Pike Kathleen M, Reed Geoffrey M
Consort Psychiatr. 2021 May 25;2(2):17-22. doi: 10.17816/CP79. eCollection 2021.
The World Health Organization (WHO) has officially approved the next version of its global diagnostic system, the (ICD-11). Processes to implement the ICD-11 are now underway. Developing the ICD-11 chapter on Mental, Behavioural and Neurodevelopmental Disorders, in line with WHO's core priorities to enhance the clinical utility, reliability, and global applicability of the guidelines, necessitated a large-scale scientifically-rigorous research program. Such a program of global field studies engaged mental health professionals from across the world, with substantial contributions from clinicians in the Russian Federation. This paper systematically highlights the substantive roles played by Russian clinicians in all steps of development of the mental, behavioural, and neurodevelopmental disorder guidelines, including their participation in the following: 1) early formative field studies that informed the organizing principles and overarching structure of the ICD-11; 2) large-scale online studies that used a case-controlled methodology to evaluate the guideline's clinical utility and the accuracy with which the new ICD-11 guidelines could be applied by global clinicians; 3) an online network of mental health professionals who provided direct feedback on the ICD-11 to WHO (also known as the Global Clinical Practice Network, www.globalclinicalpractice.net) with over 16,000 members from 160 countries, and with the Russian Federation being in the top five most represented countries in the network; 4) clinic-based field studies that tested the reliability and clinical utility of the ICD-11 diagnostic guidelines; and 5) development and participation in training programs that prepare clinicians in implementing the diagnostic guidelines in clinical settings. In these many ways, Russian clinicians have substantively and directly contributed to efforts to maximize the clinical usefulness, consistency, acceptability, and applicability of the ICD-11's mental, behavioural, and neurodevelopmental disorder guidelines. This substantial engagement of clinicians will conceivably facilitate the adoption and use of the guidelines by clinicians in the Russian Federation and other Russian-speaking countries, as the ICD-11 is implemented over the coming years.
世界卫生组织（WHO）已正式批准其全球诊断系统的下一版本，即《国际疾病分类第11版》（ICD - 11）。目前，ICD - 11的实施工作正在进行中。根据WHO提高指南的临床实用性、可靠性和全球适用性的核心优先事项，制定ICD - 11中关于精神、行为和神经发育障碍的章节需要开展大规模科学严谨的研究项目。这样一个全球实地研究项目吸引了来自世界各地的心理健康专业人员参与，俄罗斯联邦的临床医生也做出了重大贡献。本文系统地突出了俄罗斯临床医生在精神、行为和神经发育障碍指南制定的各个步骤中所发挥的重要作用，包括他们参与以下方面：1）早期形成性实地研究，为ICD - 11的组织原则和总体结构提供了依据；2）大规模在线研究，采用病例对照方法评估指南的临床实用性以及全球临床医生应用新ICD - 11指南的准确性；3）一个心理健康专业人员在线网络，该网络为WHO提供了关于ICD - 11的直接反馈（也称为全球临床实践网络，网址为www.globalclinicalpractice.net），有来自160个国家的16000多名成员，俄罗斯联邦是该网络中代表人数最多的五个国家之一；4）基于诊所的实地研究，测试ICD - 11诊断指南的可靠性和临床实用性；5）开发并参与培训项目，帮助临床医生在临床环境中实施诊断指南。通过这些多种方式，俄罗斯临床医生为最大限度地提高ICD - 11精神、行为和神经发育障碍指南的临床实用性、一致性、可接受性和适用性做出了实质性且直接的贡献。随着ICD - 11在未来几年的实施，临床医生的这种大量参与有望促进俄罗斯联邦和其他说俄语国家的临床医生采用和使用这些指南。
