[基层医疗中的精神科诊断。ICD - 10初级卫生保健]

[Psychiatric diagnosis in general practice. ICD 10-Primary Health Care].

作者信息

Kleinschmidt S, Müssigbrodt H, Schürmann A, Freyberger H J, Dilling H

机构信息

Klinik für Psychiatrie, Medizinischen Universität zu Lübeck.

出版信息

Fortschr Neurol Psychiatr. 1995 Jun;63(6):227-31. doi: 10.1055/s-2007-996620.

DOI:10.1055/s-2007-996620

PMID:7635384

Abstract

Along with Chapter V (F) of ICD-10 (International Classification of Diseases, 10th Revision) the WHO (World Health Organisation) developed a number of diagnostic instruments for different purposes. The ICD-10-PHC (Primary Health Care) is a short classification system which is to be used in general practice and primary health care. This system is tested in a worldwide field trial. The ICD-10-PHC and the study design in German-speaking countries are described in the following paper. First results of the field trial in Lübeck show that the OFFeral conception of the system was assessed useful (72%). The ease of the diagnostic process was assessed "easy" (30.4%) or "moderate" (47.6%). Between 23% and 34% of the participants of the field trial had proposals for changes. The results show that the ICD-10-PHC can hopefully lead to better standards in the treatment of psychiatric patients in primary care.

摘要

世界卫生组织（WHO）连同《国际疾病分类第10次修订本》（ICD - 10）第五章（F）一起，针对不同目的开发了一些诊断工具。《国际疾病分类第10次修订本 - 初级卫生保健》（ICD - 10 - PHC）是一个简短的分类系统，用于一般诊疗和初级卫生保健。该系统正在全球范围内进行现场试验。以下论文介绍了ICD - 10 - PHC以及德语国家的研究设计。吕贝克现场试验的初步结果表明，该系统的总体概念被认为是有用的（72%）。诊断过程的难易程度被评为“容易”（30.4%）或“中等”（47.6%）。现场试验中有23%至34%的参与者提出了改进建议。结果表明，ICD - 10 - PHC有望提高初级保健中精神科患者的治疗标准。