[Effect of diagnostic habits on the incidence of psychiatric diagnoses].
In this study, we analyzed the frequency of ICD-9-diagnoses in 2,868 inpatients (spanning 3 consecutive years) who had been admitted to the Psychiatric Hospital at the University of Tübingen. "Paranoid schizophrenia" (15.8%), "endogenous monopolar depression" (11.2%), "alcohol dependency" (9.9%), "neurotic depression" (6.5%) and "schizoaffective psychosis" (5.3%) turned out to be the most frequently diagnosed illnesses. The diagnosis of 6 mental illnesses described more than 50% of our patient population. In a concurrent study physicians employed at the hospital filled out a questionnaire about their diagnostic style. According to the data physicians were not aware of their narrow diagnostic style. A comparison of physicians within each ward resulted in moderate diagnostic agreement insofar as their diagnoses was based on 4-digit-ICD-categories. When using 3-digit-diagnostic main categories, diagnostic agreement appeared to be higher.
D000341:Affective Disorders, Psychotic / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D001291:Attitude of Health Personnel; D005858:Germany; D006760:Hospitalization; D006801:Humans; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D019965:Neurocognitive Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D009497:Neurotic Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D010348:Patient Care Team; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000145:classification / Q000175:diagnosis; D012565:Schizophrenic Psychology; D019966:Substance-Related Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology
Der Einfluss von Diagnostiziergewohnheiten auf die Häufigkeiten psychiatrischer Diagnosen.