Concordancia diagnóstica entre atención primaria y psiquiatra en derivaciones a Centro Comunitario de Salud Mental en Talca / Diagnostic Concordance between Primary Care and psychiatrist in Communitary Mental Health Center in Talca
Rev. méd. Maule
;
33(1): 21-24, jun. 2017.
Article
in Spanish
| LILACS
| ID: biblio-1283809
ABSTRACT
Psychiatric diseases have a high presence in Chilean population. Most of the cases are treated in the primary care. Despite this, and because of their complexity, some cases need specialist care. Is important the appropriate referral to secondary care which can be measured by the diagnostic concordance. The purpose of this study is to analyze the diagnostic concordance between primary care and the evaluation of Psychiatrists in secondary level at Communitary Mental Health Center (COSAM) in Talca. METHODOLOGY:
Cross-sectional descriptive study. All medical files of the patients older than 15 years old treated at COSAM were examined from August 2012 to November 2013. Moreover, the diagnostics of both primary care derivation and Psychiatrists of COSAM were compared with Kappa Index.RESULTS:
The general concordance between the diagnostics of primary care level and COSAM was moderated (kappa index 0.54). Higher in men than in women. The results showed a high concordance in the diagnostic of eating disorders and Dementia, a moderated concordance in the diagnostic of Bipolar Disorder and Panic Disorder. Finally, a low concordance in the diagnostic of General Anxiety Disorder (GAD), Personality Disorder and Major Depressive Disorder.Although the concordance in the derivations to COSAM is moderated, higher than international studies, the concern is in the failure in the diagnostic of the Bipolar Disorder, an inappropriate treatment can be prescribed if there is not a correct diagnostic.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Primary Health Care
/
Psychiatry
/
Referral and Consultation
Type of study:
Diagnostic study
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Maule
Journal subject:
Medicine
Year:
2017
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
CESFAM Cabrero/CL
/
CESFAM Carlos Trupp/CL
/
Interna Universidad Católica del Maule/CL
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