A Diagnostic System Using Broad Categories With Clinically Relevant Specifiers: Lessons for Icd-11
D. Kingdon,
S. Afghan,
R. Arnold,
R. Faruqui,
T. Friedman,
I. Jones,
P. Jones,
K. Lloyd,
D. Nicholls,
T. O'Neill,
I. Qurashi,
A. Ramzan,
H. Series,
E. Staufenberg and
T. Brugha
Additional contact information
D. Kingdon: University of Southampton, UK, dgk@soton.ac.uk
S. Afghan: Dorothy Pattison Hospital, Walsall, UK
R. Arnold: Avon and Wiltshire Mental Health Partnership NHS Trust, UK
R. Faruqui: National Brain Injury Centre, St. Andrew's Healthcare, Northampton, UK
T. Friedman: Brandon Unit, Leicester General Hospital, UK
I. Jones: Department of Psychological Medicine, The Henry Wellcome Building for Biomedical Research in Wales, Cardiff University, UK
P. Jones: University of Cambridge, NIHR CLAHRC for Cambridgeshire & Peterborough, UK
K. Lloyd: School of Medicine, Swansea University, UK
D. Nicholls: Joint Head of Feeding and Eating Disorders Service, Great Ormond Street Hospital and Institute of Child Health, London, UK
T. O'Neill: Department of Psychiatry, Queen's University, Belfast, UK
I. Qurashi: Mersey Care NHS Trust, Ashworth Hospital, Maghull, UK
A. Ramzan: University of Newcastle upon Tyne, UK
H. Series: Oxfordshire and Buckinghamshire Mental Health Foundation NHS Trust & Hon Senior Clinical Lecturer, University of Oxford, UK
E. Staufenberg: Broadland Clinic Forensic Services, School of Medicine, University of East Anglia, Norwich, UK
T. Brugha: Department of Health Sciences, University of Leicester, UK
International Journal of Social Psychiatry, 2010, vol. 56, issue 4, 326-335
Abstract:
A diagnostic system for ICD-11 is proposed which commences with broad reorganization and simplification of the current categories and the use of clinically relevant specifiers. Such changes have implications for the positioning of diagnostic groups and lead to a range of possibilities for improving terminology and the juxtaposition of individual conditions. The development of ICD-11 provides the fi rst opportunity in almost two decades to improve the validity and reliability of the international classification system. Widespread change in broad categories and criteria cannot be justified by research that has emerged since the last revision. It would also be disruptive to clinical practice and might devalue past research work. However, the case for reorganization of the categories is stronger and has recently been made by an eminent international group of researchers (Andrews et al. , 2009). A simpler, interlinked diagnostic system is proposed here which is likely to have fewer categories than its predecessor. There are major advantages of such a system for clinical practice and research and it could also produce much needed simplification for primary care (Gask et al. , 2008) and the developing world (Wig, 1990; Kohn et al. , 2004).
Keywords: ICD; ICD-10; ICD-11; diagnosis; specifiers; categorization (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:56:y:2010:i:4:p:326-335
DOI: 10.1177/0020764010367864
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