scholarly journals Mapping the categories of the Swedish primary health care version of ICD-10 to SNOMED CT concepts: Rule development and intercoder reliability in a mapping trial

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Anna Vikström ◽  
Ylva Skånér ◽  
Lars-Erik Strender ◽  
Gunnar H Nilsson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Snomed Ct ◽  
Intercoder Reliability ◽  
Primary Health ◽  
Icd 10

scholarly journals Enriching a primary health care version of ICD-10 using SNOMED CT mapping

2010 ◽  
Vol 1 (1) ◽  
pp. 7 ◽  
Author(s):  
Mikael Nyström ◽  
Anna Vikström ◽  
Gunnar H Nilsson ◽  
Hans Åhlfeldt ◽  
Håkan Örman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Snomed Ct ◽  
Primary Health ◽  
Icd 10

Primary Health Care and the ICD-11

2013 ◽  
Vol 10 (01) ◽  
pp. 33-37 ◽  
Author(s):  
M. Klinkman ◽  
D. Goldberg
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Medical Care ◽  
Special Needs ◽  
Field Trials ◽  
Primary Medical Care ◽  
Dsm 5 ◽  
Primary Health ◽  
Icd 10

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.

Comparing ICD-9-CM and ICD-10 Classification Systems in a Primary Health Care Setting: Some Initial Observations

1995 ◽  
Vol 25 (3) ◽  
pp. 83-86 ◽  
Author(s):  
Sue Walker ◽  
Maryann Wood ◽  
Jeffrey Wilks ◽  
Jennifer Nicol
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Setting ◽  
Classification Systems ◽  
Empirical Testing ◽  
Primary Health Care Setting ◽  
Health Clinics ◽  
Primary Health ◽  
Icd 10 ◽  
Using Data

The ICD-10 is due to be introduced into Australia during the late 1990s, superseding the current and widely used ICD-9-CM. Improvements in areas such as number of codes, an expanded external cause framework, and more context to injuries are expected to make the ICD-10 a more streamlined system for practitioners. The present study examined both classification formats using data from 1183 presentations to primary health clinics at island tourist resorts. Some initial observations are made about differences in the two systems, highlighting the greater coding detail provided by the ICD-10, particularly in the area of injuries. It is recommended that further empirical testing be undertaken using the ICD-10 in a variety of settings so as to identify benefits in the coding of both medical conditions and injuries.

scholarly journals Impact of the ICD–10 Primary Health Care (PHC) diagnostic and management guidelines for mental disorders on detection and outcome in primary care

2003 ◽  
Vol 182 (1) ◽  
pp. 20-30 ◽  
Author(s):  
Tim Croudace ◽  
Jonathan Evans ◽  
Glynn Harrison ◽  
Deborah J. Sharp ◽  
Ellen Wilkinson ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Controlled Trial ◽  
General Health Questionnaire ◽  
World Health ◽  
Detection Rates ◽  
Primary Health ◽  
Icd 10 ◽  
Health Organization

BackgroundThe World Health Organization (WHO) ICD–10 Primary Health Care (PHC) Guidelines for Diagnosis and Management of Mental Disorders (1996) have not been evaluated in a pragmatic randomised controlled trial (RCT).AimsTo evaluate the effect of local adaptation and dissemination of the guidelines.MethodPragmatic, pair-matched, cluster RCT involving 30 practices.ResultsGuideline practices were less sensitive but more specific in identifying morbidity, but these differences were not significant. Guideline patients did not differ from usual-care patients on 12-item General Health Questionnaire scores at 3-month follow-up or in the proportion who were still cases. There were no significant differences in secondary outcomes.ConclusionsAttempts to influence clinician behaviour through a process of adaptation and extension of guidelines are unlikely to change detection rates or outcomes.

scholarly journals The one-year prevalence of nonspecific back pain in public primary health care establishments among 1.7 million people in western Sweden

2020 ◽  
Vol 21 ◽  
Author(s):  
Olof Thoreson ◽  
Anna Aminoff ◽  
Catharina Parai
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Back Pain ◽  
Publicly Funded ◽  
Aggregated Data ◽  
Primary Health ◽  
Icd 10 ◽  
Using Data ◽  
One Year ◽  
The One

Abstract Aim: The one-year prevalence of diagnosed nonspecific back pain in Sweden is not known. Thus, this observational register-based study aimed to evaluate this prevalence by using data from the Region Västra Götaland, inhabiting 1.7 million people. Methods: Data from 2014 to 2018 were extracted from the VEGA database register. This register holds all health data from the publicly funded health care establishments in Region Västra Götaland. Aggregated data are presented as the one-year prevalence of unique individuals diagnosed with nonspecific back pain (i.e., the ICD-10 code M54). Stratification by health care level, gender, age, and M54 sub-diagnoses were made. Findings: Between 2014 and 2018, the annual prevalence of diagnosed nonspecific back pain in public primary health care increased from 4.8% to 6.0% (26% increase, P < 0.001, CI 25–27%). In 2018, the one-year prevalence was 7.2% among women and 4.8% among men (50% difference, P = 0.001, CI 49–52%). The one-year prevalence increased by age, and the highest figure (11%) was seen in the age group of 80–84. Low back pain, M54.5, was the most common sub-diagnosis. The one-year prevalence was significantly higher (P < 0.001) among women in all the M54 sub-diagnoses. Conclusion: The one-year prevalence of diagnosed nonspecific back pain was 6% in public primary health care in 2018 and has increased since 2014. Women were diagnosed considerably more frequently than men. Publicly funded rehabilitation efforts, as well as actions focusing on the prevention of back pain, is probably money well spent.

scholarly journals Development of The Use of Primary Health Care Emergency Departments After Interventions Aimed At Decreasing Overcrowding: A Longitudinal Follow-up Study

2021 ◽  
Author(s):  
Marja Liedes-Kauppila ◽  
Anna M. Heikkinen ◽  
Ossi Rahkonen ◽  
Mika Lehto ◽  
Katri Mustonen ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Age Groups ◽  
International Classification Of Diseases ◽  
Annual Number ◽  
Service Usage ◽  
Primary Health ◽  
Icd 10

Abstract Background: This study, conducted in a Finnish city, examined whether decreasing emergency department (ED) services in an overcrowded primary care ED and corresponding direction to office-hours primary care would modify service usage for specific gender, age or diagnosis groups. Methods: This was an observational retrospective study carried out by gradually decreasing ED services in primary care. The interventions aimed at decreasing use of EDs were a) application of ABCDE-triage combined with public guidance on the proper use of EDs, b) closure of a minor supplementary ED, and finally, c) application of “reverse triage” with enhanced direction of the public to office-hours services and away from the remaining ED The annual number of visits to office-hours primary care GPs in different gender, age and diagnosis groups (International Classification of Diseases (ICD-10) were recorded during a 13-year follow-up period. Results: The total number of monthly visits to EDs decreased slowly over the whole study period. This decrease was similar in women and men. The decrease was stronger in the youngest age groups (0-19 years). GPs treated decreasing proportions of ICD-10 groups. Recorded infectious diseases (Groups A and J, and especially diagnoses related to infections of respiratory airways) tended to decrease. However, visits due to injuries and symptomatic diagnoses increased. Conclusion: Decreasing services in a primary health care ED with the described interventions seemed to reduce the use of services by young people. The three interventions mentioned above had the effect of making the primary care ED under study appear to function more like a standard ED driven by specialized health care.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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