Collighan G, Macdonald A, Herzberg J, Philpot M, Lindesay J
United Medical School, Guy's Hospital, London.
BMJ. 1993 Mar 27;306(6881):821-4. doi: 10.1136/bmj.306.6881.821.
To determine the accuracy of psychiatric diagnoses made by two community psychogeriatric teams operating a multidisciplinary assessment procedure.
Comparison of team diagnosis with independent formal assessment and consensus diagnosis by research psychiatrists.
Two community psychogeriatric teams with similar operational policies in an inner London health district.
100 people aged 65-90 (70 women) newly referred to the teams.
Concordance between team and research diagnoses.
Agreement between team and research diagnoses ranged from 90% to 99% for the specific psychiatric disorders studied. There was no significant difference between medical and non-medical team members in their diagnostic performance compared with the research psychiatrists. Increased diagnostic accuracy by team members was associated with longer experience of team working, regardless of the team members' professional background.
The multidisciplinary approach to the assessment of referrals to these community teams for the elderly is not associated with misdiagnosis of psychiatric disorder.
确定两个采用多学科评估程序的社区老年精神科团队做出的精神科诊断的准确性。
将团队诊断与研究精神科医生进行的独立正式评估及共识诊断进行比较。
伦敦市中心一个卫生区的两个具有相似运作政策的社区老年精神科团队。
新转介至这些团队的100名65 - 90岁的老人（70名女性）。
团队诊断与研究诊断之间的一致性。
在所研究的特定精神障碍方面，团队诊断与研究诊断之间的一致性在90%至99%之间。与研究精神科医生相比，医疗团队成员和非医疗团队成员在诊断表现上没有显著差异。团队成员诊断准确性的提高与团队工作经验的增加有关，而与团队成员的专业背景无关。
对这些社区老年团队转诊患者进行评估时采用的多学科方法与精神障碍的误诊无关。
