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The Effect of the Use of the International Classification of Diseases 9th Revision: Upon Hospital In-Patient Diagnoses

Published online by Cambridge University Press:  29 January 2018

A. S. Zigmond  and
A. C. P. Sims
A. S. Zigmond
Affiliation:
St James's University Hospital, Beckett Street, Leeds 9
A. C. P. Sims
Affiliation:
St James's University Hospital, Beckett Street, Leeds 9
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Summary

This study compares the diagnostic terminology used for 592 consecutive discharges from a psychiatric unit before and after teaching psychiatric trainees the use of the ICD-9 classificatory system. The results show a marked increase in specificity of diagnostic labels, with a decrease of diagnoses with the term ‘not otherwise specified’, and an increase in the diagnoses of organic psychoses, paranoid and hebephrenic schizophrenia and depressive neurosis. The implications of this for training about diagnosis, clinical practice and recording of data for national statistics are discussed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 142 , Issue 4 , April 1983 , pp. 409 - 413
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

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References

American Hospital Association (1979) International Classification of Diseases, Ninth Revision. Coding Manual. Chicago: American Hospital Association.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders. 3rd Edition. Washington: American Psychiatric Association.Google Scholar
Bewley, T. (1979) Implementation of the Ninth International Classification of Diseases. The Bulletin of the Royal College of Psychiatrists, December, 188.Google Scholar
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L., Copeland, J. R. M. & Simon, R. (1972) Psychiatric Diagnosis in New York and London. Maudsley Monograph No. 20. London: Oxford University Press.Google Scholar
Copeland, J. R. M., Cooper, J. E., Kendell, R. E. & Gourlay, A. J. (1971) Differences in usage of diagnostic labels amongst psychiatrists in the British Isles. British Journal of Psychiatry, 118, 629–40.CrossRefGoogle ScholarPubMed
Department of Health and Social Security (1980) Inpatient Statistics from the Mental Health Enquiry for England 1977. Statistical and Research Report, Series No. 23. London: HMSO.Google Scholar
Kendell, R. E. (1973) The influence of the 1968 glossary on the diagnoses of English Psychiatrists. British Journal of Psychiatry, 123, 527–30.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1981) The international classification and the diagnoses of English Psychiatrists, 1968–1980. British Journal of Psychiatry, 139, 177–80.CrossRefGoogle ScholarPubMed
Kramer, M. (1961) Proceedings of the Third World Congress of Psychiatry. Vol. 3, 153–60. Toronto: McGill University Press.Google Scholar
Sartorius, N. (1976) Methodologic problems of common terminology, measurement and classification. 11. Modifications and approaches to taxonomy in long-term care: advantages and limitations of the ICD. Medical Care, 14, (Suppl. 5) 109–15.CrossRefGoogle ScholarPubMed
Stengel, (1959) Classification of mental disorders. Bulletin of World Health Organization, 21, 601–63.Google Scholar
World Health Organisation (1965) Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death. Eighth Revision. Geneva: World Health Organization.Google Scholar
World Health Organisation (1977) Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death. Ninth Revision. Geneva: World Health Organization.Google Scholar
World Health Organisation (1978) Mental Disorders: Glossary and Guide to their Classification in accordance with the Ninth Revision of the International Classification of Diseases. Geneva: World Health Organization.Google Scholar
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