Journal articles: 'International classification of health problems in PHC'

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Üstün, TB, M. Privett, Y. Lecrubier, E. Weiller, G. Simon, A. Korten, SS Bassett, W. Maier, and N. Sartorius. "Form, frequency and burden of sleep problems in general health care: a report from the WHO Collaborative Study on Psychological Problems in General Health Care." European Psychiatry 11, S1 (1996): 5s—10s. http://dx.doi.org/10.1016/0924-9338(96)80462-7.

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SummaryThe WHO Collaborative Study on Psychological Problems in General Health Care examined the frequency, form, course and outcome of psychological problems in general health care settings. A total of 25,916 general health care attenders at 15 sites in 14 countries were screened using the 12-item General Health Questionnaire (GHQ-12). Of those screened, 5,438 were assessed in detail using a Primary Health Care version of the Composite International Diagnostic Interview (CIDI-PHC) in conjunction with the Brief Disability Questionnaire, the Social Disability Schedules, a self rated overall health status form and the 28-item General Health Questionnaire. The analysis has shown that sleep problems were common at all sites with: 26.8% of all patients having some form of sleep problem and 15% of the patients examined had trouble falling or staying asleep. Of those with sleep problems, 51.5% had a well-defined International Classification of Diseases 10th Revision (ICD-10) mental disorder (such as depression, anxiety, somatoform disorders or alcohol problems) and 48.5% of those with sleep problems for at least two weeks or more did not fulfil the criteria for any well defined ICD-10 diagnosis. Persons with sleep problems reported a degree of disability in the performance of their daily activities and social roles even when they had no symptoms of psychological disorders. When such symptoms were present the disability was significantly increased.

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Lecrubier, Y., E. Weiller, M. Privett, P. Boyer, W. Maier, TB Üstün, and N. Sartorius. "Recognition and treatment of patients with sleep problems in general health care." European Psychiatry 11, S1 (1996): 11s—14s. http://dx.doi.org/10.1016/0924-9338(96)80463-9.

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SummaryThe form, frequency and burden of sleep problems in general health care in the WHO Collaborative Study on Psychological Problems are presented in this same issue. This study was conducted in 5,438 primary care patients belonging to 15 centres in 14 countries after 25,916 patients were screened with the GHQ-12. Diagnoses according to the International Classification of Diseases (ICD-10) were obtained from the Composite International Diagnostic Interview (CIDI-PHC). The presence of difficulties falling asleep, staying asleep, waking too early or sleeping too much were assessed by the CIDI. General practitioners (GPs) gave their opinion on the existence of a psychological problem and/or a physical disease and indicated what therapeutic intervention was proposed to patients they recognized as psychological cases. The existence of sleep problems increased the recognition of patients with psychiatric disorders by their GP. No specific subtype of sleep problems influences recognition. The existence of a somatic disease had little influence on the identification of sleep problems as psychological cases. Sleep problems were not frequently expressed as a main presenting complaint. In such a case the recognition rate of patients with ICD-10 diagnosis was unchanged but a sedative treatment was offered more frequently. Overall, 85.9% of patients with sleep problems and recognized as cases were offered treatment, 53.9% drug treatment. The most frequent treatment consumed was stimulants, tonics or vitamins while the most frequently prescribed were antidepressants, hypnotic and anxiolytics with rather similar proportions. Drug consumption was substantially lower than drug prescription.

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Eisfeld, J. "International Statistical Classification of Diseases and Related Health Problems." TSQ: Transgender Studies Quarterly 1, no. 1-2 (January 1, 2014): 107–10. http://dx.doi.org/10.1215/23289252-2399740.

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Klinkman, M., and D. Goldberg. "Primary Health Care and the ICD-11." Die Psychiatrie 10, no. 01 (January 2013): 33–37. http://dx.doi.org/10.1055/s-0038-1670835.

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SummaryThis paper describes the necessity of adapting the major classifications of mental disorders exemplified by the ICD-11 and the DSM-5 for the special needs of primary medical care. An earlier version of the classification – the ICD-10-PHC – is described, and the process of adapting it is described in detail. The new 28 item version of the classification is described, and the procedures to be adopted in the Field Trials to be held during 2013 are set out, together with the specific problems these field trials will address.

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Chueiri, Patricia S., Marcelo Rodrigues Gonçalves, Lisiane Hauser, Lucas Wollmann, Sotero Serrate Mengue, Rudi Roman, Milena Rodrigues Agostinho Rech, Marcelo de Araújo Vianna Soares, Jamily Pertile, and Erno Harzheim. "Reasons for encounter in primary health care in Brazil." Family Practice 37, no. 5 (April 16, 2020): 648–54. http://dx.doi.org/10.1093/fampra/cmaa029.

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Abstract Background Primary health care (PHC) delivery in Brazil has improved in the last decades. However, it remains unknown whether the Family Health Strategy teams are meeting the health needs of the population. Objectives To describe the reasons for encounter (RFEs) in PHC in Brazil and to examine variations in RFEs according to sex, age and geographic region. Methods This descriptive study is part of a national cross-sectional study conducted in 2016. The sample was stratified by the number of PHC physicians per geographic region. Physicians who had been working for at least 1 year in the same PHC unit were included. For every participating physician, 12 patients aged ≥18 years who had attended at least two encounters were included. Patients were asked about their RFEs, which were classified according to the International Classification of Primary Care. Results In 6160 encounters, a total of 8046 RFEs were coded. Seven reasons accounted for 50% of all RFEs. There was a high frequency of codes related to test results, medication renewal and preventive medicine. RFEs did not vary significantly by sex or geographic region, but they did by age group (P < 0.001). The rates of prescriptions, requests for investigations and referrals to specialized care were 71.1%, 42.8%, and 21.3%, respectively. Conclusion This novel study opened the ‘black box’ of RFEs in PHC in Brazil. These findings can contribute to redefining the scope of PHC services and reorienting work practices in order to improve the quality of PHC in Brazil.

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Van Oyen, Herman, Lydia Gisle, and Johan Van der Heyden. "The classification of health problems in health interview surveys: using the International Classification of Primary Care (ICPC)." Sozial- und Pr�ventivmedizin/Social and Preventive Medicine 49, no. 2 (April 1, 2004): 161–63. http://dx.doi.org/10.1007/s00038-004-3072-9.

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Vukasinovic, M. M., V. B. Djukic, P. D. Stankovic, S. B. Krejovic-Trivic, A. S. Trivic, and B. M. Pavlovic. "Phoniatricians aspect of international statistical classification of diseases and related health problems." Acta chirurgica Iugoslavica 56, no. 3 (2009): 65–69. http://dx.doi.org/10.2298/aci0903065v.

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Introduction: In everyday phoniatrician practice there are problems in finding adequate coding in current version of International Classification of Diseases. There is grey area for additional explanation under the official diagnosis and its code in Computer program window, but that has bad consequences on efficacy in writing the final medical report. Objective Suggestions for solving this problem that can contribute in next Revision are presented. Method The comparation between diagnoses in 7 years period of Phoniatric Department everyday practice and given diagnoses in current version of International Classification of Diseases. Results Certain percent of diagnoses that are overviewed during last 7 years in our Phoniatric Department has no adequate expression in given diagnoses in Tenth Revision. One can say that there is some kind of communication disorder. Conclusion This is the moment for Communication Disorders Care Center experts to participate in constitution of widespread acceptable nomenclature. The role of phoniatrician is necessary and logical in this system. The phoniatrician aspect of contribution in next Revision, is presented.

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Gask, Linda, Michael Klinkman, Sandra Fortes, and Christopher Dowrick. "Capturing complexity: The case for a new classification system for mental disorders in primary care." European Psychiatry 23, no. 7 (September 5, 2008): 469–76. http://dx.doi.org/10.1016/j.eurpsy.2008.06.006.

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AbstractPrimary care differs considerably from specialist mental health settings: problems are presented in undifferentiated forms, with consequent difficulties in distinguishing between distress and disorder, and a complex relationship between psychological, mental and social problems and their temporal variations.Existing psychiatric diagnostic systems, including ICD-10-PHC and DSM-IV-PC, are often difficult to apply in primary care. They do not adequately address co-morbidity, the substantial prevalence of sub-threshold disorders or problems with cross-cultural applications. Their focus on diagnosis may be too restrictive, with a need to consider severity and impairment separately.ICPC-2, a classification system created specifically for use in primary care, provides advantages in that it allows for simple linkage between reason for encounter, diagnosis and intervention.It is both necessary and feasible to develop a classification system for mental health in primary care that can meet four basic criteria: (1) characterized by simplicity; (2) addressing not only diagnosis but also severity, chronicity and disability; (3) feasible for routine data gathering in primary care as well as for training; and (4) enabling efficient communication between primary and specialty mental health care.

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Osborne, Candice L., and Shannon B. Juengst. "Examining Care Partner Problems Using the International Classification of Functioning, Disability and Health." American Journal of Occupational Therapy 75, no. 5 (August 16, 2021): 7505205030p1. http://dx.doi.org/10.5014/ajot.2021.042069.

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Tsarenko, A. V., A. A. Babskiy, Yu V. Krynychniy, and Yu Yu Shchetko. "The experience of the "Program of palliative care in an outpatient setting in the Dnipro City for 2018-2021" implementation: the problems and prospects." Health of Society 10, no. 2 (August 20, 2021): 61–67. http://dx.doi.org/10.22141/2306-2436.10.2.2021.238582.

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Background. Many Ukrainian authors noted that an innovative System of Palliative and Hospice Care (PHC) and Social Services for Palliative Care (SSPC) the creation and implementation are the most important medical and social tasks of the Government and society in Ukraine today which appreciate the civilization and humanity of our state and society. PHC are a modern patient-family-oriented humanitarian approach that contributes to the preservation of the human dignity of palliative care patients (PCP) and can ensure the proper quality of life of PCP and their relatives. According to the WHO and the Council of Europe Committee of Ministers Recommendations, palliative care should be one of the priorities of the Health Care Government Policy in the European region. The purpose of the study: the "Program of palliative care in an outpatient setting in Dnipro City for 2018-2021" the implementation analysis. Materials and methods. The work used national and international legal documents and literature sources, data from medical statistics, methods of systemic and structural-functional analysis, bibliosemantic and statistical research methods. Results. The international and national legal documents and scientific literature a content analysis showed that in accordance with modern approaches and standards, PHC is provided taking into account the PCP and its family members needs, wishes and consent, depending on medical, demographic, socio-economic and cultural ethnic features of the region. A comparative analysis of the PHC state in Ukraine and Dnipro City showed some regional features, in particular, the significant need to provide PHC and SSPC to patients at home and the need and ensure a mechanism of cooperation between primary health care physicians, inpatient health care and social care institutions to develop. In 2017, the “Program of outpatient palliative care in Dnipro City for 2018–2021” (hereinafter - the Program) was developed and approved at the City Council session, which allowed the PHC and SSPC multidisciplinary and interagency approaches implementation, effective interdepartmental coordination, cooperation and the continuity of PHC and SSPC to ensure. The Multidisciplinary Mobil Specialized Palliative Care Team has been working in close contact with family doctors and social workers in the city since June 2019. As part of the Program, PCP are provided with medicines, technical and other means of care and rehabilitation free of charge or on preferential terms. In addition, the Palliative Care Team provides PCP, if indicated, oxygen concentrators and anti-decubitus mattresses. The Program creates points for renting medical care for PCP (wheelchairs, walkers, anti-decubitus mattresses, crutches, etc.), as well as providing patients with medical care at home (urine and feces, diapers, etc.). In 2020, UAH 300,000 was allocated from the Program budget for the Palliative Care Team with medical equipment, medicines and rehabilitation technical means complete set. In total, it is planned to allocate over UAH 40 million from the Dnipro City Budget for the Program implementation. Conclusions. 1. Thus, today in Dnipro City the Comprehensive Palliative Care System at home is implemented due to co-financing from the State Budget and due to the "Program of palliative care in outpatient conditions in Dnipro City for 2018-2021", approved by the Dnipro City Council the deputies. 2. An important condition for comprehensive provision of the Dnipro City population needs in PHC and SSPC is the Dnipro City Council support to create a modern accessible, high-quality and efficient PHC and SSPC service, which an effective interagency coordination, continuity and cooperation between health care providers and social care institutions provides, Multidisciplinary Mobil Specialized Palliative Care Team creation and development of in each the city district, the coordination and continuity of inpatient PHC in the city health provides. 3. There is both the Government support and municipal or regional budgets support for PHC Programs in many developed countries. The international PHC standards and experience implementation can significantly the provision of needs and the quality of life of both PCP and their families improve.

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Terziev, Venelin, and Stoyanka Petkova Georgieva. "HUMAN HEALTH PROBLEMS AND CLASSIFICATION OF THE MOST TOXIC PESTICIDES." vol 5 issue 15 5, no. 15 (December 20, 2019): 1349–56. http://dx.doi.org/10.18769/ijasos.592105.

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The present study is dedicated to the human health problems and classification of the most toxic pesticides. Pesticides are a wide range of chemicals with different degree of hazard, from extremely to slightly hazardous. Highly hazardous pesticides may have acute or chronic toxic effects. Their widespread use has caused health problems and fatalities in many parts of the world, often as a result of occupational exposure and accidental or intentional poisonings. Environmental contamination can also result in human exposure through consumption of residues of pesticides in food and, possibly, drinking-water. Recommended classification of pesticides by hazard; carcinogenicity; mutagenicity; reproductive toxicity; listing under the Stockholm Convention on Persistent Organic Pollutants, the Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Pesticides and Industrial Chemicals in International Trade or the Montreal Protocol on Substances that Deplete the Ozone Layer; or evidence of severe or irreversible adverse effects on human health. Keywords: human health problems, toxic impact, pesticides, ecosystem.

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Ballout, Ghada, Najeeb Al-Shorbaji, Nada Abu-Kishk, Yassir Turki, Wafaa Zeidan, and Akihiro Seita. "UNRWA’s innovative e-Health for 5 million Palestine refugees in the Near East." BMJ Innovations 4, no. 3 (June 8, 2018): 128–34. http://dx.doi.org/10.1136/bmjinnov-2017-000262.

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The United Nations Relief and Works Agency for Palestine Refugees (UNRWA) provides primary healthcare (PHC) for some 5 million Palestine refugees in five operational fields (Jordan, Syria, Lebanon, West Bank and Gaza) through its 143 health centres (HCs). UNRWA started, in 2009, developing an electronic health records (e-Health) system. The primary aim was to improve the quality of services and to respond to the increasing workload and the rise in the prevalence of non-communicable diseases (NCDs). The system was developed in-house based on the Family Health Team approach as a web-based, patient-centred application to support UNRWA’s health services for common illnesses, maternal and child health, NCDs, laboratory and pharmacy. It has a built-in appointment system, uses the International Statistical Classification of Diseases, 10th Edition classification and generates 29 reports. By October 2017, the system was rolled out in 121 HCs, of which 100 are paperless, covering almost 3 million refugee population, and managing some 9 million visits a year. The number of physician’s daily consultations was reduced from 104 to 85. It enabled the introduction of an innovative cohort analysis to monitor patients with NCD efficiently. 89% of doctors expressed their satisfaction concerning timesaving and efficiency of e-Health. Long-standing effective PHC services, detailed clinical guidelines, well-trained staff and in-house development made that roll-out possible. Interoperability enabled operation in five different fields. However, the main challenges include HCs’ infrastructure and connectivity. UNRWA is working to address such challenges to complete the roll-out, except for HCs in Syria, by the end of 2017. UNRWA’s experience indicates that implementing such an innovation is possible and can improve efficiency, effectiveness and control the duplication of PHC services. Mobile technologies (m-Health) and integration with host countries’ e-Health systems are planned to achieve best value for low cost.

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Rust, Julie. "Updating the International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10)." Health Information Management Journal 39, no. 2 (June 2010): 40. http://dx.doi.org/10.1177/183335831003900207.

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Parkerson, George R., Charles Bridges-Webb, Juan Gervas, Inge Hofmans-Okkes, Henk Lamberts, Jack Froom, Gisela Fischer, et al. "Classification of severity of health problems in family/general practice: an international field trial." Family Practice 13, no. 3 (1996): 303–9. http://dx.doi.org/10.1093/fampra/13.3.303.

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Okita, Yosuke, and Rajib Shaw. "Effects of the classification system in international SAR." Disaster Prevention and Management: An International Journal 28, no. 3 (June 3, 2019): 359–70. http://dx.doi.org/10.1108/dpm-08-2018-0240.

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Purpose The purpose of this paper is to analyse if the classification system introduced by International Search and Rescue Advisory Group (INSARAG), or INSARAG External Classification (IEC), contributes to effective international search and rescue (SAR) activities in the 2015 Nepal earthquake. Design/methodology/approach In addition to the data collected by Office for the Coordination of Humanitarian Affairs and the United Nations Disaster Assessment and Coordination (UNDAC) team, the data were collected by one of the authors who was deployed to Nepal as part of the UNDAC just after the earthquake. Interviews with the deployed international SAR teams and the INSARAG Secretariat were also conducted. Findings Although more than 50 teams have been classified in IEC, some IEC-classified teams could not utilise their full capabilities in the Nepal response. For example, they did not necessarily arrive in Nepal earlier than the non-classified teams, but it was because the affected country did not prioritise the IEC-classified teams. To save more lives by international teams, INSARAG will need to raise the awareness of IEC in receiving countries, consider the good regional balance of IEC-classified teams and facilitate strengthening local SAR capabilities through the IEC process. Originality/value The added value of this study is, by combining the evidence-based field reality and academic analysis, to find out the existing problems in the field and to provide tangible recommendations for further improvement of the IEC system, which will then lead to saving more lives.

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Ptyushkin, Pavel, Alarcos Cieza, and Gerold Stucki. "Most common problems across health conditions as described by the International Classification of Functioning, Disability, and Health." International Journal of Rehabilitation Research 38, no. 3 (September 2015): 253–62. http://dx.doi.org/10.1097/mrr.0000000000000124.

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Tsutsui, Hideyo, Teruhiko Koike, Chikao Yamazaki, Akira Ito, Fumi Kato, Hisamitsu Sato, Hideo Tawada, and Yoshiharu Oshida. "Identification of Hemodialysis Patients' Common Problems Using the International Classification of Functioning, Disability and Health." Therapeutic Apheresis and Dialysis 13, no. 3 (June 2009): 186–92. http://dx.doi.org/10.1111/j.1744-9987.2009.00683.x.

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Srinath, Shoba, Preeti Jacob, Preeti Kandasamy, and Sowmya Bhaskaran. "Childhood disorders in international classification of diseases and related health Problems-11 and their relationship to diagnostic and statistical manual of mental Disorders-5 and international classification of diseases and related health Problems-10." Indian Journal of Social Psychiatry 34, no. 5 (2018): 63. http://dx.doi.org/10.4103/ijsp.ijsp_36_18.

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Reeves, Sarah L., and Gary L. Freed. "Problems With Quality Measurement Using International Statistical Classification of Diseases, Tenth Revision, Clinical Modification." JAMA Pediatrics 173, no. 6 (June 1, 2019): 515. http://dx.doi.org/10.1001/jamapediatrics.2019.0844.

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Berseneva, E. A., Z. Kh Agamov, and D. Yu Mikhailov. "Problems of using the International Statistical Classification of Diseases (ICD-10) in coding morbidity and mortality." Profilakticheskaya meditsina 24, no. 4 (2021): 132. http://dx.doi.org/10.17116/profmed202124041132.

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Zaiss, A., S. Schulz, and S. Hanser. "Health Care Procedures." Methods of Information in Medicine 48, no. 06 (2009): 540–45. http://dx.doi.org/10.3414/me09-01-0007.

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Summary Background: ICD is used for coding medical diagnoses across the world, but there is no globally accepted coding system for health care procedures. The need for the introduction of a common international medical procedure classification has been addressed by the Australian NCCH, which proposed the International Classification of Health Interventions (ICHI) as the basis of an international procedure classification. In parallel, the French multiaxial Classification Commune des Actes Médicaux (CCAM) has been established. Objectives: The aim is to compare ICHI to the CCAM architecture and to assess their appropriateness for supporting international comparability of procedure data and give a recommendation for the further development of international procedure classifications. Methods: The architecture of both ICHI and CCAM was thoroughly analyzed. ICHI classes were mapped to the classes of the multiaxial CCAM basic coding tables. This was done manually by domain experts, which analyzed the exact wording of each ICHI title. The result was assessed in terms of representability and granularity. Results: 78.4% of ICHI classes could be mapped directly to CCAM. The anatomical site could be represented in 99.3%. Numerous ICHI classes combined anatomical sites requiring more than one CCAM code. Problems arouse due to imprecise ICHI descriptions. Conclusions: CCAM appeared as the more elaborate and mature system whereas ICHI had some drawback regarding ambiguity and varying granularity. It is recommended to improve the structure of ICHI by the beneficial aspects of the CCAM and to avoid semantic ambiguities by applying ontological principles and logic-based representation languages.

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Zaidi, S. Akbar. "Health for All by the Year 2000: Can Pakistan Meet the Target?" Pakistan Development Review 26, no. 4 (December 1, 1987): 473–84. http://dx.doi.org/10.30541/v26i4pp.473-484.

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Since the late 1970s, the "Primary Health Care" (PHC) approach in order to deliver "Health for All by the Year 2000" (HFA/2000), has been in vogue in all the underdeveloped countries (UOCs) of the world. Nearly all the developed and underdeveloped countries endorsed the proposals set out by the World Health Organization (WHO) at its Conference in Alma Ata in 1978 (WHO 1978). The signing of the Alma Ata Charter supposedly signalled the beginning of a new era which would deal with the problems of health and disease of the great majority of the individuals of planet Earth. Pakistan was also one of the signatories of the Alma Ata Charter and has since the signing, been in the forefront of the movement. Pakistan has become a spokesman for the PHC and HF A/2000 approaches at nearly all international seminars and conferences, and those who rule and can implement policies within the country, have continued giving both the policies active oral support. The Primary Health Care approach is, at least on paper, a fairly radical approach which sets out to deal with much more than the simple problems of the health of the poor of the world. It encompasses a very wide canvas, and issues, which apparently are not related directly to health care, also fall under its terms of reference. It is the purpose of this paper to see whether Pakistan can reach the goals of Health for All by the Year 2000, using the Primary Health Care approach, a goal to which it has committed itself totally.

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Schuntermann, Michael F. "The implementation of the International Classification of Functioning, Disability and Health in Germany: experiences and problems." International Journal of Rehabilitation Research 28, no. 2 (June 2005): 93–102. http://dx.doi.org/10.1097/00004356-200506000-00001.

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Barkow, Katrin, Reinhard Heun, T. Bedirhan Üstün, Mathias Berger, Isaac Bermejo, Wolfgang Gaebel, Martin Härter, Frank Schneider, Rolf-Dieter Stieglitz, and Wolfgang Maier. "Identification of somatic and anxiety symptoms which contribute to the detection of depression in primary health care." European Psychiatry 19, no. 5 (August 2004): 250–57. http://dx.doi.org/10.1016/j.eurpsy.2004.04.015.

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AbstractSomatic symptoms and anxiety symptoms are often disregarded in the detection of depression in primary care. The present investigation examined to what extent somatic and anxiety symptoms recorded with the Composite International Diagnostic Interview—Primary Health Care Version (CIDI—PHC) can improve the detection of depression as compared to the General Health Questionnaire—12-item version alone. Data from the World Health Organization study on Psychological Problems in General Health Care were used. The study sample consisted of primary care attenders from 15 centres from all over the world who underwent a psychiatric examination with the CIDI—PHC. Medically unexplained somatic symptoms (back pain, feelings of heaviness/lightness in parts of the body, periods of bodily weakness, seizures/convulsions, permanent tiredness, exhaustion after a minimum of effort) and—to a smaller extent—diverse anxiety symptoms (e.g. feelings of anxiousness/nervousness, feelings of tension, difficulties relaxing) significantly contributed to the detection of depression in a logistic regression analysis. The results confirm the observation that in primary care somatic symptoms play an important role in the manifestation of depressive disorders. The items investigated herein could prove beneficial for future depression screening instruments to improve the detection of depressive disorders in primary care.

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Bronisch, Thomas. "The Typology of Personality Disorders — Diagnostic Problems and Their Relevance for Suicidal Behavior." Crisis 17, no. 2 (March 1996): 55–58. http://dx.doi.org/10.1027/0227-5910.17.2.55.

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Personality disorders (PD) play an important role in clinical psychiatry. The typologies of personality disorders (PDs) found in different classification systems, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD), are quite congruent. There are many methodological problems with reliability and validity of the diagnosis of PD. However, having a typology seems to be very helpful. Recent psychological autopsy studies reported that about one third of suicide victims met the criteria for a PD. Antisocial PD, borderline PD, narcissistic PD, and depressive PD in particular were often clinically associated with suicidal behavior.

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Radhakrishnan, Seema, Friedbert Kohler, Christoph Gutenbrunner, Arun Jayaraman, Karin Pieber, Jianin Li, and Carolina Schiappacasse. "Mobility in persons with lower extremity amputations and influencing factors: Using the International Classification of Functioning, Disability and Health to quantify expert views." Prosthetics and Orthotics International 43, no. 1 (August 10, 2018): 88–94. http://dx.doi.org/10.1177/0309364618792714.

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Background: International Classification of Function, Health and Disability provides a common framework and universal language for rehabilitation professionals across the globe. Objectives: To identify problems in functioning and mobility relevant to persons with lower-limb amputation from an expert’s point of view and quantify these problems using the International Classification of Function, Health and Disability. Study design: Qualitative study using electronic and paper surveys. Methods: Electronic or paper survey was done across six countries targeting clinicians involved in pre- and post-amputation care. Meaningful concepts were extracted from the responses and linked to suitable second-level and where applicable third-level International Classification of Function, Health and Disability categories. Categorical frequency analysis was completed for the combined data and for each location. Results: A total of 183 experts from 6 different countries responded to the survey. A total of 2171 concepts were identified, 82% of which could be linked to a second-level International Classification of Function, Health and Disability category. The categorical frequency analysis revealed that the categories of walking, design and construction of buildings for public and private use and sensation of pain were the most frequently occurring concepts and was similar across the six countries. Conclusion: The International Classification of Function, Health and Disability can be utilised as a common framework for communication among clinicians involved in rehabilitation of persons with lower-limb amputation across the globe. The most important factors that were identified by experts in amputee rehabilitation working in different international locations were similar. Clinical relevance The challenges faced by the clinicians involved in care of persons with lower extremity amputation vary across different parts of the world. The overarching goal for the clinician irrespective of the location is to improve mobility and quality of life of their clients. The International Classification of Function, Health and Disability provides a common language between the various stakeholders in amputee rehabilitation across the globe.

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Wynia, Klaske, Berrie Middel, Jitse P. Van Dijk, Han De Ruiter, Willem Lok, Jacques Ha De Keyser, and Sijmen A. Reijneveld. "Broadening the scope on health problems among the chronically neurologically ill with the International Classification of Functioning (ICF)." Disability and Rehabilitation 28, no. 23 (January 2006): 1445–54. http://dx.doi.org/10.1080/09638280600638356.

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Klein, Verena, Franziska Brunner, Timo Nieder, Geoffrey Reed, and Peer Briken. "Diagnoseleitlinien sexueller Störungen in der International Classification of Diseases and Related Health Problems (ICD)-11 – Dokumentation des Revisionsprozesses." Zeitschrift für Sexualforschung 28, no. 04 (January 7, 2016): 363–73. http://dx.doi.org/10.1055/s-0041-109281.

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Krueger, Richard B., Geoffrey M. Reed, Michael B. First, Adele Marais, Eszter Kismodi, and Peer Briken. "Proposals for Paraphilic Disorders in the International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11)." Archives of Sexual Behavior 46, no. 5 (February 16, 2017): 1529–45. http://dx.doi.org/10.1007/s10508-017-0944-2.

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Palojoki, Sari, Kaija Saranto, Elina Reponen, Noora Skants, Anne Vakkuri, and Riikka Vuokko. "Classification of Electronic Health Record–Related Patient Safety Incidents: Development and Validation Study." JMIR Medical Informatics 9, no. 8 (August 31, 2021): e30470. http://dx.doi.org/10.2196/30470.

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Background It is assumed that the implementation of health information technology introduces new vulnerabilities within a complex sociotechnical health care system, but no international consensus exists on a standardized format for enhancing the collection, analysis, and interpretation of technology-induced errors. Objective This study aims to develop a classification for patient safety incident reporting associated with the use of mature electronic health records (EHRs). It also aims to validate the classification by using a data set of incidents during a 6-month period immediately after the implementation of a new EHR system. Methods The starting point of the classification development was the Finnish Technology-Induced Error Risk Assessment Scale tool, based on research on commonly recognized error types. A multiprofessional research team used iterative tests on consensus building to develop a classification system. The final classification, with preliminary descriptions of classes, was validated by applying it to analyze EHR-related error incidents (n=428) during the implementation phase of a new EHR system and also to evaluate this classification’s characteristics and applicability for reporting incidents. Interrater agreement was applied. Results The number of EHR-related patient safety incidents during the implementation period (n=501) was five-fold when compared with the preimplementation period (n=82). The literature identified new error types that were added to the emerging classification. Error types were adapted iteratively after several test rounds to develop a classification for reporting patient safety incidents in the clinical use of a high-maturity EHR system. Of the 427 classified patient safety incidents, interface problems accounted for 96 (22.5%) incident reports, usability problems for 73 (17.1%), documentation problems for 60 (14.1%), and clinical workflow problems for 33 (7.7%). Altogether, 20.8% (89/427) of reports were related to medication section problems, and downtime problems were rare (n=8). During the classification work, 14.8% (74/501) of reports of the original sample were rejected because of insufficient information, even though the reports were deemed to be related to EHRs. The interrater agreement during the blinded review was 97.7%. Conclusions This study presents a new classification for EHR-related patient safety incidents applicable to mature EHRs. The number of EHR-related patient safety incidents during the implementation period may reflect patient safety challenges during the implementation of a new type of high-maturity EHR system. The results indicate that the types of errors previously identified in the literature change with the EHR development cycle.

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Ziebold, Carolina, David P. Goldberg, Geoffrey M. Reed, Fareed Minhas, Bushra Razzaque, Sandra Fortes, Rebeca Robles, et al. "Dimensional analysis of depressive, anxious and somatic symptoms presented by primary care patients and their relationship with ICD-11 PHC proposed diagnoses." Psychological Medicine 49, no. 5 (June 4, 2018): 764–71. http://dx.doi.org/10.1017/s0033291718001381.

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AbstractBackgroundA study conducted as part of the development of the Eleventh International Classification of Mental Disorders for Primary Health Care (ICD-11 PHC) provided an opportunity to test the relationships among depressive, anxious and somatic symptoms in PHC.MethodPrimary care physicians participating in the ICD-11 PHC field studies in five countries selected patients who presented with somatic symptoms not explained by known physical pathology by applying a 29-item screening on somatic complaints that were under study for bodily stress disorder. Patients were interviewed using the Clinical Interview Schedule-Revised and assessed using two five-item scales that measure depressive and anxious symptoms. Structural models of anxious-depressive symptoms and somatic complaints were tested using a bi-factor approach.ResultsA total of 797 patients completed the study procedures. Two bi-factor models fit the data well: Model 1 had all symptoms loaded on a general factor, along with one of three specific depression, anxiety and somatic factors [x2 (627) = 741.016, p < 0.0011, RMSEA = 0.015, CFI = 0.911, TLI = 0.9]. Model 2 had a general factor and two specific anxious depression and somatic factors [x2 (627) = 663.065, p = 0.1543, RMSEA = 0.008, CFI = 0.954, TLI = 0.948].ConclusionsThese data along with those of previous studies suggest that depressive, anxious and somatic symptoms are largely different presentations of a common latent phenomenon. This study provides support for the ICD-11 PHC conceptualization of mood disturbance, especially anxious depression, as central among patients who present multiple somatic symptoms.

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Rössler, W. "The International Classification of Functioning, Disability and Health from the Few Point of Social Psychiatry." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70446-8.

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Social psychiatry has always suffered from an inappropriate diagnostic classification system. Social psychiatry is directed toward the integration of disabled persons into their family, profession and society in general. As such the exclusive assessment of symptoms is only of minor value for the objectives of social psychiatric approaches. It lies in the core of social psychiatry to assess patients’ problems with functioning. This has already been possible by using the International Classification of Impairment Disability and Handicap (ICIDH) which primarily focused on the deficits of affected persons. The International Classification of Functioning, Disability and Health now allows to classify not only deficits of affected persons but also their resources. Disability is always defined as an interaction of deficits in functioning on one side and the environment on the other side. This is a much more dynamic approach to rehabilitation than previously conceptualized.A good example for a modern view on the deficits and resources of affected persons is their occupational functioning. Only lately professionals almost without exception agreed on the fact that it is impossible to reintegrate or rehabilitate affected persons in the first labour market. For that reasons disabled persons were excluded from the labour market and trained and employed mainly in sheltered workshops. Today using a more interactive approach to occupational rehabilitation, professionals are much more optimistic to integrate disabled persons in the first labour market. This development in occupational rehabilitation will be described shortly and related to the International Classification of Functioning Disability and Health.

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Karatekin, Canan, Brandon Almy, Susan Marshall Mason, Iris Borowsky, and Andrew Barnes. "Documentation of Child Maltreatment in Electronic Health Records." Clinical Pediatrics 57, no. 9 (November 23, 2017): 1041–52. http://dx.doi.org/10.1177/0009922817743571.

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International Classification of Diseases codes for child maltreatment can aid surveillance and research, but the extent to which they are used is not well established. We documented prevalence of the use of maltreatment-related codes, examined demographic characteristics of youth assigned these codes, and compared results with previous studies. Data were extracted from electronic health records of 0- to 21-year-olds assigned 1 of 15 maltreatment-related International Classification of Diseases, Ninth Revision, codes who had encounters in a large medical system over a 4-year period. Only 0.02% of approximately 2.5 million youth had a maltreatment-related code, replicating other studies. Results provide a dramatic contrast to much higher rates based on self-report or informant-report and referrals to Child Protective Services. Lack of documentation of maltreatment in electronic health records can lead to missed chances at early intervention, inadequate coordination of health care, insufficient allocation of resources to addressing problems related to maltreatment, and flawed public health data.

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Winter, Sam. "Gender trouble: The World Health Organization, the International Statistical Classification of Diseases and Related Health Problems (ICD)-11 and the trans kids." Sexual Health 14, no. 5 (2017): 423. http://dx.doi.org/10.1071/sh17086.

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The World Health Organization (WHO) is revising its diagnostic manual, the International Statistical Classification of Diseases and Related Health Problems (ICD). At the time of writing, and based on recommendations from its ICD Working Group on Sexual Disorders and Sexual Health, WHO is proposing a new ICD chapter titled Conditions Related to Sexual Health, and that the gender incongruence diagnoses (replacements for the gender identity disorder diagnoses used in ICD-10) should be placed in that chapter. WHO is proposing that there should be a Gender incongruence of childhood (GIC) diagnosis for children below the age of puberty. This last proposal has come under fire. Trans community groups, as well as many healthcare professionals and others working for transgender health and wellbeing, have criticised the proposal on the grounds that the pathologisation of gender diversity at such a young age is inappropriate, unnecessary, harmful and inconsistent with WHO’s approach in regard to other aspects of development in childhood and youth. Counter proposals have been offered that do not pathologise gender diversity and instead make use of Z codes to frame and document any contacts that young gender diverse children may have with health services. The author draws on his involvement in the ICD revision process, both as a member of the aforementioned WHO Working Group and as one of its critics, to put the case against the GIC proposal, and to recommend an alternative approach for ICD in addressing the needs of gender diverse children.

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Goyal, Shrigopal, Yatan Pal Singh Balhara, and S. K. Khandelwal. "Revisiting Classification of Eating Disorders-toward Diagnostic and Statistical Manual of Mental Disorders-5 and International Statistical Classification of Diseases and Related Health Problems-11." Indian Journal of Psychological Medicine 34, no. 3 (July 2012): 290–96. http://dx.doi.org/10.4103/0253-7176.106041.

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Schmidt-Weitmann, Sabine, Urs Schulz, Daniel Max Schmid, and Christiane Brockes. "The University Hospital Zurich Offers a Medical Online Consultation Service for Men With Intimate Health Problems." American Journal of Men's Health 11, no. 3 (November 26, 2015): 518–24. http://dx.doi.org/10.1177/1557988315614890.

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The University Hospital of Zurich offers a text-based, Medical Online Consultation Service to the public since 1999. Users asked health questions anonymously to tele-doctors. This study focused on the characteristics of male enquirers with intimate health problems, the content of their questions, the medical advice given by tele-doctors and the rating of the service to prove the benefit of an online service for medical laymen. This retrospective study included 5.1% of 3,305 enquiries from 2008 to 2010 using the International Classification of Diseases-10 and International Classification of Primary Care codes relevant for intimate and sexual health problems in men. A professional text analysis program (MAXQDA) supported the content analysis, which is based on the procedure of inductive category development described by Mayring. The average age was 40 years, 63.1% enquirers had no comorbidity, in 62.5% it was the first time they consulted a doctor, and 70.2% asked for a specific, single, intimate health issue. In 64.3%, the most important organ of concern was the penis. Overall, 30.4% asked about sexually transmitted diseases. In 74.4% a doctor visit was recommended to clarify the health issue. The rating of the problem solving was very good. The service was mainly used by younger men without comorbidity and no previous contact with a doctor with regard to an intimate health problem. The anonymous setting of the teleconsultation provided men individual, professional medical advice and decision support. Teleconsultation is suggested to empower patients by developing more health literacy.

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Fedorenko, Ekaterina V., N. D. Kolomiets, and S. I. Sychik. "Actual problems of the microbiological safety of food products." Hygiene and sanitation 95, no. 9 (October 28, 2019): 873–78. http://dx.doi.org/10.18821/0016-9900-2016-95-9-873-878.

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Food-borne infectious diseases remain an actual problem of health care. In the Republic of Belarus the level of food-borne diseases persists to be stable, at the same time these diseases remain to be significant. Despite the insignificant number of nonconforming food samples the prevalence rates of food-borne acute infectious diseases of various etiology with dominantly food transmission pathway remain to be rather high. The mentioned fact determines the need for the development of approaches on the security of microbiological food safety based on the risk analysis. There are determined criteria for a hygienic assessment of the microbiological hazards (associated with the pathogen, food products and a consumer health state), there is presented the classification offood products in dependence on the grade of microbiological risk. There was performed the comparative analysis of requirements for the microbiological safety of food accepted in the Republic of Belarus and European Economic Union, in the European Union and at the international level, which testify to the presence of separate differences. Based on the international approaches there was substantiated the multilevel control system of management of microbiological risks, there is reported the characteristic of separate criteria. There are determined the directions of the improvement of the security of microbiological safety of food.

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Gudu, Tania, Uta Kiltz, Maarten de Wit, Tore Kristian Kvien, and Laure Gossec. "Mapping the Effect of Psoriatic Arthritis Using the International Classification of Functioning, Disability and Health." Journal of Rheumatology 44, no. 2 (December 15, 2016): 193–200. http://dx.doi.org/10.3899/jrheum.160180.

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Objective.The effect of a disease can be categorized by a standardized reference system: the International Classification of Functioning, Disability and Health (ICF). The objective was to map the effect of psoriatic arthritis (PsA) from the patient’s perspective to the ICF.Methods.A systematic literature review was performed. Qualitative publications reporting domains of impact important for patients with PsA were identified using the following terms: (“psoriatic arthritis”) AND (“quality of life” OR “impact”). Meaningful concepts were extracted from the publications, grouped into domains and linked to the ICF categories. The number of concepts linked to each ICF category and to each ICF level was calculated. The number of concepts not linkable was also calculated.Results.Eleven studies (13 articles) were included in the analysis. Twenty-five domains of impact were cited, of which the ability to work/volunteer and social participation were the most cited (both by 10 studies). In total, 258 concepts were identified, of which 217 could be linked to 136 different ICF categories; 41 concepts, mostly personal factors, could not be precisely linked. The most represented ICF component was activities and participation (42.6%) rather than body structures (10.3%) or body functions (29.4%). Ten studies (90.9%) reported impairments in the ability to work/volunteer and social participation, and 7 (63.6%) reported leisure activities, family and intimacy, pain, skin problems, and body image.Conclusion.PsA widely affects all aspects of patients’ lives, in particular aspects related to activities and participation. The ICF is a useful approach for the classification of disease effect.

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Figueiredo, Rafael L. F., Sonica Singhal, Laura Dempster, Stephen W. Hwang, and Carlos Quinonez. "The accuracy of International Classification of Diseases coding for dental problems not associated with trauma in a hospital emergency department." Journal of Public Health Dentistry 75, no. 4 (July 30, 2015): 343–47. http://dx.doi.org/10.1111/jphd.12115.

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Gosselin, Ariane, Claire Chabut, Amélie Duhamel, Isabelle Desjardins, Denis Lebel, and Jean-François Bussières. "Detection of serious adverse drug reactions using diagnostic codes in the International Statistical Classification of Diseases and Related Health Problems." Journal of Population Therapeutics & Clinical Pharmacology 27, no. 3 (July 23, 2020): e35-e48. http://dx.doi.org/10.15586/jptcp.v27i3.705.

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GRADINGER, FELIX, BARBARA KÖHLER, RAMIN KHATAMI, JOHANNES MATHIS, ALARCOS CIEZA, and CLAUDIO BASSETTI. "Problems in functioning from the patient perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference." Journal of Sleep Research 20, no. 1pt2 (February 15, 2011): 171–82. http://dx.doi.org/10.1111/j.1365-2869.2010.00862.x.

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Fougeyrollas, Patrick. "Le Processus De Production Des Handicaps: Vers Un Cadre Conceptuel Renouvele." Canadian Journal of Community Mental Health 9, no. 2 (September 1, 1990): 151–62. http://dx.doi.org/10.7870/cjcmh-1990-0025.

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Since the mid-1970s the development of a specific conceptual framework for the consequences of disease and trauma has been occurring at the international level. A growing awareness among health professionals of the chronic physical, intellectual, and emotional problems which are reducing the abilities and social autonomy of a large percentage of the population have led the World Health Organization (WHO) to work on this matter. In this paper, the author explains the conceptual evolution of the field of disabilities. He defines the challenges and potential uses of an international classification of consequences of disease and trauma. This article proposes an interactive conceptual framework for the identification of handicaps and directions for the revision of the WHO's International Classification of Impairments, Disabilities, and Handicaps (ICIDH). It is an invitation for the Canadian mental-health field to express points of view on the present process of the harmonization of terminology and concepts on the Canadian and international scenes. The English version of the proposal to revise the third level of the ICIDH (handicaps) can be obtained from the Canadian Society for the ICIDH, 1399, rue Thibodeau, Lac St-Charles, Québec GOA 2H0, Canada.

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BOROWY, IRIS. "Counting death and disease: classification of death and disease in the interwar years, 1919–1939." Continuity and Change 18, no. 3 (December 2003): 457–81. http://dx.doi.org/10.1017/s0268416003004715.

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The International Lists of Causes of Death and Diseases underwent their Fourth and Fifth Revisions during the years before the First and Second World Wars, the only time that two institutions of different disciplines, the International Statistical Institute and the League of Nations Health Organization, participated in the revision process. This resulted in a mixture of institutional rivalry and cooperation, involving national, ideological and professional interests.The revisions entailed extensive international discussions. The studies on which they were based revealed a lack of international uniformity in disease classification and thus basic problems regarding the reliability and comparability of vital statistical data.

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McFarlane, Alexander C. "The International Classification of Impairments, Disabilities and Handicaps: Its Usefulness in Classifying and Understanding Biopsychosocial Phenomena." Australian & New Zealand Journal of Psychiatry 22, no. 1 (March 1988): 31–42. http://dx.doi.org/10.1080/00048678809158942.

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The International Classification of Impairments, Disabilities and Handicaps (ICIDH) was devetoped because of the growing awareness that ICD-9 failed to reflect many of the problems that people bring to health care systems. The ICIDH was designed to classify the consequences of disease such as the disruption of daily activity and the social disadvantage that accompany illness. However, since its introduction, the ICIDH has largely been ignored by psychiatry, despite its conceptual strength. In particular, it provides a framework for applying the biopsychosocial model and studying the phenomena of mental illness. The latter is an important issue because of clinical psychiatry's inherent weakness in distinguishing between symptoms of disease and the psychosociat consequences, a particular inadequacy of the DSM-III diagnostic criteria. The utility of the ICIDH is shown in the study of the phenomena of panic disorder and agoraphobia, where I conclude that agoraphobia should be classified as a disability/handicap and not a disorder.

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Hodge, Meryl C., Stephanie Dixon, Amit X. Garg, and Kristin K. Clemens. "Validation of an International Statistical Classification of Diseases and Related Health Problems 10th Revision Coding Algorithm for Hospital Encounters with Hypoglycemia." Canadian Journal of Diabetes 41, no. 3 (June 2017): 322–28. http://dx.doi.org/10.1016/j.jcjd.2016.11.003.

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Santo, Augusto H., Celso E. Pinheiro, and Eliana M. Rodrigues. "Comparative evaluation of underlying causes of death processed by the Automated Classification of Medical Entities and the Underlying Cause of Death Selection Systems." Revista de Saúde Pública 32, no. 1 (February 1998): 1–6. http://dx.doi.org/10.1590/s0034-89101998000100001.

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INTRODUCTION: The correct identification of the underlying cause of death and its precise assignment to a code from the International Classification of Diseases are important issues to achieve accurate and universally comparable mortality statistics These factors, among other ones, led to the development of computer software programs in order to automatically identify the underlying cause of death. OBJECTIVE: This work was conceived to compare the underlying causes of death processed respectively by the Automated Classification of Medical Entities (ACME) and the "Sistema de Seleção de Causa Básica de Morte" (SCB) programs. MATERIAL AND METHOD: The comparative evaluation of the underlying causes of death processed respectively by ACME and SCB systems was performed using the input data file for the ACME system that included deaths which occurred in the State of S. Paulo from June to December 1993, totalling 129,104 records of the corresponding death certificates. The differences between underlying causes selected by ACME and SCB systems verified in the month of June, when considered as SCB errors, were used to correct and improve SCB processing logic and its decision tables. RESULTS: The processing of the underlying causes of death by the ACME and SCB systems resulted in 3,278 differences, that were analysed and ascribed to lack of answer to dialogue boxes during processing, to deaths due to human immunodeficiency virus [HIV] disease for which there was no specific provision in any of the systems, to coding and/or keying errors and to actual problems. The detailed analysis of these latter disclosed that the majority of the underlying causes of death processed by the SCB system were correct and that different interpretations were given to the mortality coding rules by each system, that some particular problems could not be explained with the available documentation and that a smaller proportion of problems were identified as SCB errors. CONCLUSION: These results, disclosing a very low and insignificant number of actual problems, guarantees the use of the version of the SCB system for the Ninth Revision of the International Classification of Diseases and assures the continuity of the work which is being undertaken for the Tenth Revision version.

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Ali, Amza. "Global Health: Epilepsy." Seminars in Neurology 38, no. 02 (April 2018): 191–99. http://dx.doi.org/10.1055/s-0038-1646947.

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AbstractEpilepsy is a frequently misunderstood and highly stigmatized condition. Major treatment gaps exist across the world, most so in areas of financial constraint. Classification permits the best approaches to treatment and to ascertaining prognosis. The International League Against Epilepsy's new classification system emphasizes clinical aspects and utilizes all available resources to determine whether it is a focal or generalized epilepsy. The most important tools are a careful history, clinical examination, electroencephalography, and appropriate neuroimaging. Inadequate, delayed, and incomplete evaluation may lead to misdiagnosis and costly mismanagement. Treatment is generally pharmacological, with approximately 20 to 30% of patients eventually proving refractory to medications and thus becoming potential surgical candidates. The type of epilepsy, age, gender, comorbidities, drug interactions, and drug cost are important factors in choosing an antiepileptic drug (AED). The teratogenic potential of some AEDs, weight gain, and menstrual hormone–related issues are important considerations in women. The impact of AEDs on bone health is critical in all age groups, particularly in the elderly. Psychiatric problems, mostly depression and anxiety, can have a great impact on seizure control and overall quality of life. Finally, effective partnerships and collaborations can bring resources, both human and financial, to regions that would otherwise find it impossible to effect change on their own.

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Eve-Jones, Sue. "Coding for clinicians." Bulletin of the Royal College of Surgeons of England 96, no. 8 (September 2014): 286–87. http://dx.doi.org/10.1308/147363514x14042954768673.

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Clinical coding is the translation of certain clinical information into a coded form following principles and rules. In the UK this is generally done using the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10), which is produced by the World Health Organization to capture information about diagnoses and health status, and the OPCS Classification of Interventions and Procedures Version 4.7 (OPCS-4.7), which is produced by the Health and Social Care Information Centre to capture information about certain interventions.

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Silva, Valquiria M., Ivelisa V. S. Pereira, Maria de Jesus L. Rocha, and Antônio P. Caldeira. "Morbidity in users of Family Health teams in the northeast of Minas Gerais based on the International Classification of Primary Care." Revista Brasileira de Epidemiologia 17, no. 4 (December 2014): 954–67. http://dx.doi.org/10.1590/1809-4503201400040013.

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This study aimed to characterize the profile of morbidity among users of family health teams in the northeastern macroregion of Minas Gerais, Brazil. This is a cross-sectional population-based study, developed with the teams of the Family Health Strategy (FHS). It was conducted by data collection, using semi-structured questionnaires with specific instruments adjusted for three categories of professional teams of the FHS: physicians, nurses and community health agents (CHA). We used the International Classification of Primary Care, second edition (ICPC-2) to encode morbidity. Information was collected from 17,988 people, and 10,855 (60.3%) were females; 1,662 (9.2%) questionnaires were related to care by the physician; 2,530 (14.1%) were related to care by nurses and 13,796 (76.7%) corresponded to visits by and meetings with the CHA. The main health problems were: circulatory diseases (especially hypertension), musculoskeletal problems (especially back pain) and diseases of the digestive tract (especially intestinal parasites), which accounted for more than 40% of the medical consultations. Nonspecific complaints and visits related to women's health were the most prevalent in the care by nurses. In meetings with CHA, complaints about respiratory, musculoskeletal and cardiovascular diseases were the most pointed. The morbidity profile observed does not differ substantially from the results of other studies. Small differences can be attributed to regional particularities.

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Hauser, Nicole C., Sabine C. Herpertz, and Elmar Habermeyer. "Das überarbeitete Konzept der Persönlichkeitsstörungen nach ICD-11: Neuerungen und mögliche Konsequenzen für die forensisch-psychiatrische Tätigkeit." Forensische Psychiatrie, Psychologie, Kriminologie 15, no. 1 (January 8, 2021): 30–38. http://dx.doi.org/10.1007/s11757-020-00648-3.

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ZusammenfassungMit der Einführung der ICD-11 (International Statistical Classification of Diseases and Related Health Problems, 11. Auflage) wird die Diagnostik von Persönlichkeitsstörungen grundlegend verändert. Die Notwendigkeit einer Abkehr von der traditionellen typologischen Auffassung und Beschreibung von Persönlichkeitsstörungen wurde aufgrund folgender Problemstellungen gesehen: Das kategoriale Konzept einer Persönlichkeitsstörung nach ICD-10 (International Statistical Classification of Diseases and Related Health Problems, 10. Auflage) begünstige die Stigmatisierung Betroffener, was dazu beitrage, dass die Diagnose in der klinischen Praxis zu selten vergeben werde. Wenn sie gestellt werde, komme es zu einer (zu) hohen Prävalenz der Persönlichkeitsstörung „nicht näher bezeichnet“ bzw. zu hohen Komorbiditäten zwischen verschiedenen Persönlichkeitsstörungen, was Zweifel an der Reliabilität der Persönlichkeitsstörungen begründe. Außerdem sei das in der ICD-10 geforderte Kriterium der Zeitstabilität unter Berücksichtigung von Verlaufsstudien nicht mehr sinnvoll anwendbar. Der Artikel skizziert die Hintergründe für die Überarbeitung der Konzeption von Persönlichkeitsstörungen, um nachfolgend das aktuelle diagnostische Verfahren nach ICD-11 zu illustrieren. Abschließend werden die Implikationen der neuen diagnostischen Vorgaben für die forensisch-psychiatrische Schuldfähigkeitsbegutachtung diskutiert und anhand von Persönlichkeitsprofilen beispielhaft die Auswirkungen der Neukonzeption für die Therapieplanung bzw. -prognose dargestellt und diskutiert.

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Journal articles on the topic 'International classification of health problems in PHC'

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