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dc.contributor.authorRezvyy, Grigory
dc.contributor.authorOlstad, Reidun
dc.contributor.authorParniakov, Alexander
dc.contributor.authorFedulova, Elena
dc.date.accessioned2009-09-10T08:43:06Z
dc.date.available2009-09-10T08:43:06Z
dc.date.issued2008-04-04
dc.description.abstractBackground: A general education in psychiatry does not necessary lead to good diagnostic skills. Specific training programs in diagnostic coding are established to facilitate implementation of ICD-10 coding practices. However, studies comparing the impact of these two different educational approaches on diagnostic skills are lacking. The aim of the current study was to find out if a specific training program in diagnostic coding improves the diagnostic skills better than a general education program, and if a national bias in diagnostic patterns can be minimised by a specific training in diagnostic coding. <br> Methods: A pre post design study with two groups was carried in the county of Archangels, Russia. The control group (39 psychiatrists) took the required course (general educational program), while the intervention group (45 psychiatrists) were given a specific training in diagnostic coding. Their diagnostic skills before and after education were assessed using 12 written case-vignettes selected from the entire spectrum of psychiatric disorders. <br> Results: There was a significant improvement in diagnostic skills in both the intervention group and the control group. However, the intervention group improved significantly more than did the control group. The national bias was partly corrected in the intervention group but not to the same degree in the control group. When analyzing both groups together, among the background factors only the current working place impacted the outcome of the intervention. <br> Conclusion: Establishing an internationally accepted diagnosis seems to be a special skill that requires specific training and needs to be an explicit part of the professional educational activities of psychiatrists. It does not appear that that skill is honed without specific training. The issue of national diagnostic biases should be taken into account in comparative cross-cultural studies of almost any character. The mechanisms of such biases are complex and need further consideration in future research. Future research should also address the question as to whether the observed improvement in diagnostic skills after specific training actually leads to changes in routine diagnostic practice.en
dc.format.extent280654 bytes
dc.format.mimetypeapplication/pdf
dc.identifier.citationBMC Medical Education 2008, 8:15en
dc.identifier.urihttps://hdl.handle.net/10037/2100
dc.identifier.urnURN:NBN:no-uit_munin_1851
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry, child psychiatry: 757en
dc.titleCorrecting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training programen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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