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A diagnostic system using broad categories with clinically relevant specifiers: lessons for ICD-11

Kingdon, D., Afghan, S., Arnold, R., Faruqui, R., Friedman, T., Jones, Ian Richard, Jones, P., Lloyd, K., Nicholls, D., O'Neill, T., Qurashi, I., Ramzan, A., Series, H., Staufenberg, E. and Brugha, T. 2010. A diagnostic system using broad categories with clinically relevant specifiers: lessons for ICD-11. International Journal of Social Psychiatry 56 (4) , pp. 326-335. 10.1177/0020764010367864

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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 first 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).

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Uncontrolled Keywords: ICD ; ICD-10 ; ICD-11 ; diagnosis ; specifiers ; categorization
Publisher: SAGE
ISSN: 0020-7640
Last Modified: 04 Jun 2017 03:59

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