Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program
Background: A general education in psychiatry does not necessary lead to good diagnostic skills. Specific training programs in diagnostic coding are established to facilitate implementation of ICD-10 coding practices. However, studies comparing the impact of these two different educational approache...
Main Authors: | , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BioMed Central
2008
|
Subjects: | |
Online Access: | https://hdl.handle.net/10037/2100 |
id |
ftunivtroemsoe:oai:munin.uit.no:10037/2100 |
---|---|
record_format |
openpolar |
spelling |
ftunivtroemsoe:oai:munin.uit.no:10037/2100 2024-06-02T08:12:17+00:00 Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program Rezvyy, Grigory Olstad, Reidun Parniakov, Alexander Fedulova, Elena 2008-04-04 280654 bytes application/pdf https://hdl.handle.net/10037/2100 eng eng BioMed Central BMC Medical Education 2008, 8:15 https://hdl.handle.net/10037/2100 URN:NBN:no-uit_munin_1851 openAccess VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 Journal article Tidsskriftartikkel Peer reviewed 2008 ftunivtroemsoe 2024-05-07T08:41:49Z Background: A general education in psychiatry does not necessary lead to good diagnostic skills. Specific training programs in diagnostic coding are established to facilitate implementation of ICD-10 coding practices. However, studies comparing the impact of these two different educational approaches on diagnostic skills are lacking. The aim of the current study was to find out if a specific training program in diagnostic coding improves the diagnostic skills better than a general education program, and if a national bias in diagnostic patterns can be minimised by a specific training in diagnostic coding. Methods: A pre post design study with two groups was carried in the county of Archangels, Russia. The control group (39 psychiatrists) took the required course (general educational program), while the intervention group (45 psychiatrists) were given a specific training in diagnostic coding. Their diagnostic skills before and after education were assessed using 12 written case-vignettes selected from the entire spectrum of psychiatric disorders. Results: There was a significant improvement in diagnostic skills in both the intervention group and the control group. However, the intervention group improved significantly more than did the control group. The national bias was partly corrected in the intervention group but not to the same degree in the control group. When analyzing both groups together, among the background factors only the current working place impacted the outcome of the intervention. Conclusion: Establishing an internationally accepted diagnosis seems to be a special skill that requires specific training and needs to be an explicit part of the professional educational activities of psychiatrists. It does not appear that that skill is honed without specific training. The issue of national diagnostic biases should be taken into account in comparative cross-cultural studies of almost any character. The mechanisms of such biases are complex and need further consideration in future research. Future ... Article in Journal/Newspaper Northwest Russia University of Tromsø: Munin Open Research Archive |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 |
spellingShingle |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 Rezvyy, Grigory Olstad, Reidun Parniakov, Alexander Fedulova, Elena Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program |
topic_facet |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 |
description |
Background: A general education in psychiatry does not necessary lead to good diagnostic skills. Specific training programs in diagnostic coding are established to facilitate implementation of ICD-10 coding practices. However, studies comparing the impact of these two different educational approaches on diagnostic skills are lacking. The aim of the current study was to find out if a specific training program in diagnostic coding improves the diagnostic skills better than a general education program, and if a national bias in diagnostic patterns can be minimised by a specific training in diagnostic coding. Methods: A pre post design study with two groups was carried in the county of Archangels, Russia. The control group (39 psychiatrists) took the required course (general educational program), while the intervention group (45 psychiatrists) were given a specific training in diagnostic coding. Their diagnostic skills before and after education were assessed using 12 written case-vignettes selected from the entire spectrum of psychiatric disorders. Results: There was a significant improvement in diagnostic skills in both the intervention group and the control group. However, the intervention group improved significantly more than did the control group. The national bias was partly corrected in the intervention group but not to the same degree in the control group. When analyzing both groups together, among the background factors only the current working place impacted the outcome of the intervention. Conclusion: Establishing an internationally accepted diagnosis seems to be a special skill that requires specific training and needs to be an explicit part of the professional educational activities of psychiatrists. It does not appear that that skill is honed without specific training. The issue of national diagnostic biases should be taken into account in comparative cross-cultural studies of almost any character. The mechanisms of such biases are complex and need further consideration in future research. Future ... |
format |
Article in Journal/Newspaper |
author |
Rezvyy, Grigory Olstad, Reidun Parniakov, Alexander Fedulova, Elena |
author_facet |
Rezvyy, Grigory Olstad, Reidun Parniakov, Alexander Fedulova, Elena |
author_sort |
Rezvyy, Grigory |
title |
Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program |
title_short |
Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program |
title_full |
Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program |
title_fullStr |
Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program |
title_full_unstemmed |
Correcting biases in psychiatric diagnostic practice in Northwest Russia : comparing the impact of a general educational program and a specific diagnostic training program |
title_sort |
correcting biases in psychiatric diagnostic practice in northwest russia : comparing the impact of a general educational program and a specific diagnostic training program |
publisher |
BioMed Central |
publishDate |
2008 |
url |
https://hdl.handle.net/10037/2100 |
genre |
Northwest Russia |
genre_facet |
Northwest Russia |
op_relation |
BMC Medical Education 2008, 8:15 https://hdl.handle.net/10037/2100 URN:NBN:no-uit_munin_1851 |
op_rights |
openAccess |
_version_ |
1800758682428899328 |