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Butz, Jennifer Anne. "The Transition to ICD-10-CM/PCS: A Comparison of Physician and Coder Perceptions." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1428911324.
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Jacobs, Felix Daniel. "Entwicklung eines neuen Instruments zur Diagnostik psychischer Störungen nach ICD-10 /." Regensburg, 2007. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000253229.
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Hentschel, Katrin. "Semantische, psychopathologische und syntaktische Beurteilung der Kriteriensätze für Persönlichkeitsstörungen nach ICD-10." Berlin Logos-Verl, 2005. http://deposit.d-nb.de/cgi-bin/dokserv?id=2875260&prov=M&dok_var=1&dok_ext=htm.
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Monestime, Judith. "ICD-10-CM Implementation Strategies: An Application of the Technology Acceptance Model." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1909.
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The United States is one of the last countries to transition to the 10th edition of the International Classification of Diseases (ICD-10) coding system. The move from the 35-year-old system, ICD-9, to ICD-10, represents a milestone in the transformation of the 21st century healthcare industry. All covered healthcare entities were mandated to use the ICD-10 system on October 1, 2015, to justify medical necessity, an essential component in determining whether a service is payable or not. Despite the promising outcomes of this shift, more than 70% of healthcare organizations identified concerns related to education efforts, including lack of best practices for the ICD-10 transition. Lack of preparation for the implementation of ICD-10 undermines the clinical, technological, operational, and financial processes of healthcare organizations. This study was an exploration of implementation strategies used to overcome barriers to transition to ICD-10. A single case study was conducted, grounded by the conceptual framework of the technology acceptance model, to learn about ways to mitigate the barriers of this new coding system. Data were gathered from the review of documents, observations, and semistructured interviews with 9 participants of a public healthcare organization in Florida. Data were coded to identify themes. Key themes that emerged from the study included (a) in-depth ICD-10 training, (b) the prevalence of ICD-10 cheat sheets, (c) lack of system readiness, and (d) perception of usefulness of job performance. The results of the study may contribute to social change by identifying successful implementation strategies to mitigate operational disruptions that will allow providers to capture more detailed health information about the severity of patients' conditions.
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Johansson, Anders, and Robin Wassbjer. "Windows 10 för inbyggda system : En undersökning av Windows 10 IoT Enterprise." Thesis, Linnéuniversitetet, Institutionen för datavetenskap (DV), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-55599.
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Microsoft lanserade Windows 10 i mitten av 2015. Windows 10 är en serie operativ-system med flera versioner anpassade för många olika användningsområden. Windows 10 IoT Enterprise är en av versionerna inriktade på olika typer av inbyggda system. Vid anpassning utefter miljö kan delar av operativsystemet därför låsas ned och begränsas. För konfiguration av Windows 10 finns både gamla och nya verktyg tillgängliga. I detta projekt görs en undersökning av nedlåsnings- och anpassningsmöjligheter, samt konfigurationsverktyg med fokus på Windows 10 IoT Enterprise. De verktyg som har använts är Microsofts helt nya Windows Imaging and Configuration Designer, men även det lite äldre Windows System Image Manager. Med och utan hjälp av dessa verktyg har flera konfigurationsmöjligheter undersökts. Detta inkluderar bl.a. användar- och applikationsbegränsningar, branding (mjukvarumässig produktmärk-ning), och utseendeanpassningar. Utöver detta behandlas även framtagandet av färdig-konfigurerade Windows-avbildningar ytligt. Projektet har bestått av åtskilliga tester, främst baserade på Microsofts egna dokumentation. Majoriteten av de möjligheter och konfigurationer som har undersökts har visat sig fungerande och någorlunda lättanvända. En fungerande funktion har endast bedömts som sådan om denna uppfyller de beskrivningar Microsoft själva har givit ut. Detta utan att för den sakens skull förstöra andra delar av systemet. I slutändan beskriver resultaten till stor del funktioner som finns och fungerar, men inte i vilka praktiska scenarier dessa lämpar sig för användning. Vid konfiguration av större nedlåsningsfunktioner uppvisar Windows ICD problem. Ytterligare problem som också har noterats berör bl.a. möjligheterna för profilkopiering och generalisering i Windows 10.Microsoft released Windows 10 in the middle of 2015. Windows 10 is a series of operating systems with multiple versions adapted for many different fields of work. Windows 10 IoT Enterprise is one of the versions aimed at various types of embedded systems. During adaptation into certain environments, parts of the operating system may therefore be locked down or limited. For configuration of Windows 10, both old and new tools are available. In this project, an examination of lockdown and adaptation possibilities, as well as configuration tools, focusing on Windows 10 IoT Enterprise is made. The tools used are Microsoft’s brand new Windows Imaging and Configuration Designer, but also their older Windows System Image Manager. Multiple configurations have been examined both with, and without the help of these tools. This includes user and application limitations, branding, and appearance. In addition to this, the creation of fully configured Windows images is superficially addressed. The project has consisted of several tests, mainly based on documentation from Microsoft. A majority of the examined possibilities and configurations have proven functional and quite easy to make use of. A working functionality has only been evaluated as such if it satisfies descriptions released by Microsoft themselves. This, as well as not breaking other parts of the system. In the end, the result mainly describes existing and working functionalities, not in what practical scenarios they fit. During configuration of major lockdown features, Windows ICD displays problems. Other problems has also been noted, among other things related to profile copying and generalization in Windows 10.
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Slade, Tim Psychiatry Faculty of Medicine UNSW. "Using epidemiology to inform classification in psychiatry." Awarded by:University of New South Wales. Psychiatry, 2002. http://handle.unsw.edu.au/1959.4/19059.
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Classification systems in psychiatry are a work in progress. Therefore, continued efforts to improve their validity are necessary. Epidemiology provides a scientific method to assess the extent of psychiatric morbidity in community populations. However, data from epidemiological surveys have also contributed, either directly or indirectly, to many changes in the classification systems. Recent reviews of the current state of psychiatric classification indicate four unresolved issues: 1) the presence of two differing classification systems, 2) the role of the clinical significance criterion in differentiating psychopathology from normality, 3) the relationship of the exclusion criteria to the co-occurrence of psychiatric disorder pairs, and 4) the relative validity of categorical versus dimensional conceptualizations of psychiatric disorders. The current thesis examines these four unresolved issues, using data from a large-scale epidemiological survey of psychiatric disorders. With regard to GAD, differences in diagnostic criteria between DSM-IV and ICD-10 resulted in different types of cases identified, despite similarities in prevalence. The DSM-IV diagnostic criterion for clinical significance impacted, albeit to different degrees, on the prevalence, health service use and impairment of five disorders. The exclusion criteria in both DSM-IV and ICD-10 were significantly related to the patterns of co-occurrence found in the data. Using the example of depression, symptoms were more consistent with a dimensional rather than a categorical structure. A specific research agenda is proposed, the aim of which is to provide possible avenues of research that may benefit revisions to classification systems and the conduct of epidemiological surveys. This research agenda contains a number of suggestions. Future revisions will benefit from an explicit understanding of the differences between the classification systems. Better definitions of the concepts of clinical significance and psychiatric disorder are required. The co-occurrence of disorder pairs in epidemiological data informs understanding of the exclusion criteria, but the validity of these criteria relies on different data. Dimensional models of classification may yield more information than categorical models, and methods for incorporating them in large-scale surveys are proposed. It is concluded that epidemiological data should continue to play a significant part in the refinement of psychiatric classification.
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Akkerman, Cindy A. "Intraoperative Neurophysiological Monitoring Reimbursement Post International Classification of Diseases-10." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6297.
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International Classification of Diseases the 10th Revision (ICD-10) was implemented October 1, 2015, and there was little knowledge how the transition to ICD-10 would impact the revenue cycle for intraoperative neurophysiological monitoring medical practices in Oklahoma. This correlational quantitative study examined the changes in dependent variables of reimbursements due to the change from ICD-9 to ICD-10 for independent variables of intraoperative neurophysiological monitoring procedure codes. The reimbursements from 2014 were compared to reimbursements from 2016. Prices were adjusted for inflation to 2016 dollar values. Annual reimbursements decreased for all intraoperative neurophysiological monitoring procedures examined except the remote monitoring code. The intraoperative neurophysiological monitoring procedure with the greatest mean annual decreases in reimbursement was the lower somatosensory evoked potentials. The intraoperative neurophysiological monitoring procedures with the least annual reimbursement decreases were transcranial electrical motor potential monitoring and electromyography. The findings of the budget-impact analysis and cost-effectiveness analysis indicated that reimbursement for procedures has steadily decreased from 2014 to 2016, causing a negative effect on practices' revenue cycle management. The findings of this study could benefit intraoperative neurophysiological monitoring companies in Oklahoma by supporting adjustments essential for healthcare leaders to maintain a financially sustainable intraoperative neurophysiological monitoring medical practice.
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Probst, Thomas. "Monitoring und Feedback in der stationären Psychosomatik mit dem OQ-Analyst und dem ICD-10-Symptom-Rating." Doctoral thesis, Humboldt-Universität zu Berlin, Lebenswissenschaftliche Fakultät, 2015. http://dx.doi.org/10.18452/17159.
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Diese publikationsgestützte Dissertation umfasst Arbeiten zum Thema Monitoring und Feedback in der stationären Psychosomatik. In zwei Arbeiten wurde untersucht, ob die Effektivität von psychosomatischen Behandlungen gesteigert werden kann, wenn Therapeuten regelmäßig Feedbackberichte der Monitoring- und Feedbacksoftware OQ-Analyst erhalten Hier zeigte sich, dass Feedback den Outcome von Patienten mit erhöhtem Risiko einer Verschlechterung verbessern kann. Bei den restlichen Patienten dagegen konnte Feedback den Therapieprozess nur schwach und nur kurzfristig für eine Behandlungswoche verbessern. In einer weiteren Arbeit wurde untersucht, ob sich unterschiedliche Belastungsgrade im wöchentlichen Monitoring differenziell verändern. Hierfür wurde das ICD-10-Symptomrating herangezogen. Die Ergebnisse lieferten Hinweise darauf, dass sich depressive Beschwerden und Angstbeschwerden schon in der ersten Behandlungswoche verbessern, somatoforme Beschwerden jedoch erst im späteren Behandlungsverlauf. Die vierte Arbeit setze sich mit der Fragestellung auseinander, ob Therapiebeziehung, soziale Unterstützung, Motivation, und Lebensereignisse mit bedeutsamen Verbesserungen und bedeutsamen Verschlechterungen assoziiert sind. Während alle vier Bereiche mit bedeutsamen Verbesserungen verknüpft waren, waren nur soziale Unterstützung und Lebensereignisse mit bedeutsamen Verschlechterungen assoziiert.This dissertation is based on four publications on monitoring and feedback in psychosomatic in-patient therapy. In two publication it was investigated whether the effectiveness of psychosomatic in-patient therapy can be increased when therapists routinely receive the feedback reports of the monitoring and feedback software OQ-Analyst. Feedback could improve the outcome of patients at risk of treatment failure. For the remaining patients, feedback could optimize the therapy process only slightly for one treatment week. In another publication, the ICD-10-Symptom-Rating was used to explore how different symptoms change on a weekly basis. While depressive symptoms and symptoms of anxiety disorders improved already in the first treatment week, more treatment weeks were required to improve somatoform symptoms. In a fourth publication, associations between considerable positive as well as considerable negative change and the therapeutic alliance, social support, motivation, and life events were investigated. While all four factors were associated with considerable improvements, only social support and life events correlated with considerable deteriorations.
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Januel, Jean-Marie. "Les données de routine des séjours d’hospitalisation pour évaluer la sécurité des patients : études de la qualité des données et perspectives de validation d’indicateurs de la sécurité des patients." Thesis, Lyon 1, 2011. http://www.theses.fr/2011LYO10355/document.
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Évaluer la sécurité des patients hospitalisés constitue un enjeu majeur de la gestion des risques pour les services de santé. Le développement d’indicateurs destinés à mesurer les événements indésirables liés aux soins (EIS) est une étape cruciale dont le défi principal repose sur la performance des données utilisées. Le développement d’indicateurs de la sécurité des patients – les Patient Safety Indicators (PSIs) – par l’Agency for Healthcare Research and Quality (AHRQ) aux Etats Unis, utilisant des codes de la 9ème révision (cliniquement modifiée) de la Classification Internationale des Maladies (CIM) présente des perspectives intéressantes. Nos travaux ont abordé cinq questions fondamentales liées au développement de ces indicateurs : la définition du cadre nosologique, la faisabilité de calcul des algorithmes et leur validité, la qualité des données pour coder les diagnostics médicaux à partir de la CIM et leur performance pour comparer plusieurs pays, et la possibilité d’établir une valeur de référence pour comparer ces indicateurs. Certaines questions demeurent cependant et nous proposons des pistes de recherche pour améliorer les PSIs : une meilleure définition des algorithmes et l’utilisation d’autres sources de données pour les valider (i.e., données de registre), ainsi que l’utilisation de modèles d’ajustement utilisant l’index de Charlson, le nombre moyen de diagnostics codés et une variable de la valeur prédictive positive, afin de contrôler les variations du case-mix et les différences de qualité du codage entre hôpitaux et paysAssessing safety among hospitalized patients is a major issue for health services. The development of indicators to measure adverse events related to health care (HAE) is a crucial step, for which the main challenge lies on the performance of the data used for this approach. Based on the limitations of the measurement in terms of reproducibility and on the high cost of studies conducted using medical records audit, the development of Patient Safety Indicators (PSI) by the Agency for Healthcare Research and Quality (AHRQ) in the United States, using codes from the clinically modified 9th revision of the International Classification of Diseases (ICD) shows interesting prospects. Our work addressed five key issues related to the development of these indicators: nosological definition; feasibility and validity of codes based algorithms; quality of medical diagnoses coding using ICD codes, comparability across countries; and possibility of establishing a benchmark to compare these indicators. Some questions remain, and we suggest several research pathways regarding possible improvements of PSI based on a better definition of PSI algorithms and the use of other data sources to validate PSI (i.e., registry data). Thus, the use of adjustment models including the Charlson index, the average number of diagnoses coded and a variable of the positive predictive value should be considered to control the case-mix variations and differences of quality of coding for comparisons between hospitals or countries
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Höjvall, Jessica. "A Cost-of-illness Study : of skin, soft tissue, bone and lung infections caused by Staphylococci." Thesis, Uppsala University, Department of Economics, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7051.
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The essay investigates the economic burden of skin, soft tissue, bone and lung infections in Sweden 2003. The cost-of-illness method, based on the human capital theory, is used in the estimation. A prevalence approach and a top-down method were chosen for direct as well as indirect costs. Also there is a discussion concerning health economic aspects of antibiotic resistance and evidence of the increasing costs because of it. The lack of data leads to a result within a large interval of uncertainty; the direct costs are estimated to 1 072 million SEK and indirect costs are estimated to 4 655 million SEK.
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Shachkina, Svetlana. "Validity of Administrative Database for Reporting Pre-eclampsia." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23085.
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Background: Pre-eclampsia (PET) is one of the major causes of maternal and neonatal morbidity and mortality1. Misclassification of PET can lead to biased or erroneous results in epidemiologic studies resulting in false conclusions. Objectives: The objectives of this thesis are to determine the validity of PET diagnosis in pregnant women in administrative database using the ICD-10-CA codes, to explore the nature of misclassification, and to estimate whether misclassification of PET diagnosis in administrative database may result in biased conclusions. Methods: Pregnant women who participated in the Ottawa and Kingston (OaK) Birth Cohort study and delivered in the Ottawa Hospital were included in the study. All cases with hypertensive disorder of pregnancy in the study population were adjudicated to confirm diagnosis of PET. This adjudicated dataset was used as a reference standard. The PET incidence in hospital discharge database was compared with PET incidence calculated from the reference standard database. Results: 2887 of the requested charts were available for review. The PET incidence was much lower in administrative database (1.47%) than in the OaK Birth Cohort Study (3.6%). The results of the study demonstrated that hospital discharge database via ICD-10-CA was not very sensitive to determine incidence of PET since sensitivity of ICD-10-CA diagnostic codes for PET was low (35.92% with 95% Confidence Intervals (CI): 26.7; 45.9) but specificity, PPV, and NPV were high. The majority of misclassified cases belonged to the category (according to the proposed classification) “PET pregnancies coded with incorrect ICD-10-CA code” (78.88%) followed by the category “Pregnancies affected by PET coded as normal” (14.08%). Conclusion: Using hospital discharge database and ICD-10-CA coding to determine incidence of PET in certain settings may yield low sensitivity. Researchers should validate the results when using the hospital discharge database for PET research to ensure that the findings based on analyses of such data demonstrate what they claimed to demonstrate.
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Håkansson, Ellinor. "A Deep Learning Approach to Predicting Diagnosis Code from Electronic Health Records." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-240599.
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Electronic Health Record (EHR) is an umbrella term encompassing demographics and health information of a patient from many different sources in a digital format. Deep learning has been used on EHRs in many successful studies and there is great potential in future implementations. In this study, diagnosis classification of EHRs with Multi-layer Perceptron models are studied. Two MLPs with different architectures are constructed and run on both a modified version of the EHR dataset and the raw data. A Random Forest is used as baseline for comparison. The MLPs are not successful in beating the baseline, with the best-performing MLP having a classification accuracy of 48.1%, which is 13.7 percentage points lower than that of the baseline. The results indicate that when the dataset is small, this approach should not be chosen. However, the dataset is growing over time and thus there is potential for continued research in the future.Elektronisk patientjournal (EHR) är ett paraplybegrepp som används för att beskriva en digital samling av demografisk och medicinsk data från olika källor för en patient. Det finns stor potential i användandet av djupinlärning på dessa journaler och många framgångsrika studier har redan gjorts på området. I denna studie undersöks diagnosklassificering av elektroniska patientjournaler med Multi-layer perceptronmodeller. Två MLP-modeller av olika arkitekturer presenteras. Dessa körs på både en anpassad version av EHR-datamängden och på den råa EHR-datan. En Random Forest-modell används som baslinje för jämförelse. MLP-modellerna lyckas inte överträffa baslinjen, då den bästa MLP-modellen ger en klassifikationsnoggrannhet på 48,1%, vilket är 13,7 procentenheter mindre än baslinjens. Resultaten visar att en liten datamängd indikerar att djupinlärning bör väljas bort för denna typ av problem. Datamängden växer dock över tid, vilket gör områdetattraktivt för framtida studier.
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Cai, Wei [Verfasser]. "Evaluation of using ICD-10 code data for RSV surveillance and identification of risk factors for RSV disease / Wei Cai." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2021. http://d-nb.info/124153828X/34.
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Bornowski, Constantin. "Verhaltensmuster von adoleszenten Patienten mit antisozialer Persönlichkeitsstruktur im Massregelvollzug multimodaler Messansatz zur Eruierung spezifischer psychosozial-psychiatrischer Verhaltensmuster (ASPS; ICD-10: F60.2)." Hamburg Kovač, 2009. http://d-nb.info/999016830/04.
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Hufnagel, Sylvia [Verfasser]. "Entwicklung, Durchführung und Evaluation einer Gruppenpsychotherapie für forensisch untergebrachte PatientInnen mit der Komorbidität Schizophrenie und Sucht (gem. ICD-10) / Sylvia Hufnagel." Köln : Deutsche Zentralbibliothek für Medizin, 2015. http://d-nb.info/1073166872/34.
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Gangl, Erik [Verfasser], and Karin [Akademischer Betreuer] Tritt. "Vergleich des ICD-10-Symptom-Rating (ISR) Selbstbeurteilungsfragebogens mit der SCL-90-R an 319 ambulanten Patienten / Erik Gangl. Betreuer: Karin Tritt." Regensburg : Universitätsbibliothek Regensburg, 2011. http://d-nb.info/1022820176/34.
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Cojocaru, Laura [Verfasser], Hartmut [Akademischer Betreuer] Schröder, and Karin [Akademischer Betreuer] Tritt. "ISR+ Entwicklung eines kommunikationsbasierten computergestützten Systems zur Diagnostik der gängigsten psychosomatischen Störungen nach ICD-10 / Laura Cojocaru. Gutachter: Hartmut Schröder ; Karin Tritt." Frankfurt (Oder) : Europa-Universität Viadrina Frankfurt, 2015. http://d-nb.info/1075148626/34.
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Gleßmer, Gabriela Irene [Verfasser], and Rainer [Akademischer Betreuer] Richter. "Entwicklung und Evaluation einer Online-Kasuistik im Themengebiet der Psychosomatischen und Inneren Medizin (ICD-10 F45.3: Herzneurose) / Gabriela Irene Gleßmer. Betreuer: Rainer Richter." Hamburg : Staats- und Universitätsbibliothek Hamburg, 2011. http://d-nb.info/1020465379/34.
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Björklund, Ulrika. "Den diagnostiska problematiken och den problematiska diagnosen : En jämförelse av posttraumatiskt stressyndrom och svår depression vid tillämpning av diagnosinstrument." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-29286.
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Psykisk hälsa/ohälsa är ett svårdefinierat begrepp som sätter fingret på ett av de största folkhälsoproblemen i vårt land, där depression är en av de vanligaste diagnoserna. Manualerna DSM-IV TR och ICD-10 används inom stora delar av sjukvården, världen över, i syfte att ge kunskap om lämpligast behandling till patienter med psykiska besvär. Denna studie syftar till att, genom en kvalitativ analys, undersöka vilka grunder som finns bakom de vanligast använda diagnosmanualerna och vilka kriterier som krävs för att uppfylla två vanligt förekommande diagnoser, PTSD och svår depression. Vidare syftar studier till att belysa eventuella likheter och olikheter mellan dessa diagnoser och vad det kan föra med sig. Såväl psykologisk forskning som klinisk praktik utgår idag mestadels från psykiatriska diagnoser, vilket kan ha såväl fördelar som nackdelar, men samtidigt diskuteras huruvida man istället ska lägga fokus på en annan mer underliggande nivå, nämligen processerna som sträcker sig över diagnosernas gränser. Fördelarna med ett transdiagnostiskt perspektiv är att det delvis kan ge en förklaring till den höga komorbiditet som finns i kliniska grupper och som skulle kunna iakttas även i de sjukdomsbilder som denna studie fokuserar på. Unified Protocol är en annan behandlingsmodell som tas upp i studien, vilken baseras på en betydande fenotypisk över-lappning mellan olika ångeststörningar hos patienter, där personer med subkliniska nivåer av symtom ändå kan ha en nedsatt funktionsnivå och ett subjektivt lidande, fastän de inte uppfyller alla de diagnostiska kriterierna för en specifik störning. Resultatet visar på möjligheten att se över diagnosgränser, för att öka chanserna för ett tillfrisknande hos patienten. Människans upplevelser av olika situationer den befinner sig i formas av personens egen uppfattning om sin förmåga, eller oförmåga, att påverka resultatet. Att uppleva sig ha mist kontroll över sitt eget liv kan i sig leda till såväl depression som suicidala tankar/-handlingar. Om symtomen för depression jämförs med kriterierna som står att finna under diagnosbilden “Posttraumatiskt stressyndrom” under kapitlet “ångestsyndrom”, kan många likheter konstateras. Slutsatsen blir att likheterna i symtombild skulle ge patienter med PTSD en behandlingsrekommendation som inte alls överensstämmer med de rekommenderade riktlinjer som är utformade för PTSD. Trots diagnosernas likheter rekommenderas olikartad behandling, och även olika förutsättningar för att fungera i kombination med förvärvsarbete påvisas. Vid så lika symtombilder, men ändå så skilda rekommenderade behandlingsplaner utifrån de olika diagnoserna, torde risken för en felaktig rehabiliteringsplan vara över-hängande.Mental health/illness is complex to define and this highlight of the biggest public health problems in our country, in which depression is one of the most common diagnoses. The manuals DSM-IV TR and ICD-10 is used in much of health care, worldwide, in order to provide knowledge of appropriate treatment for patients with mental disorders. This study aims to, through a qualitative analysis, examine the grounds behind the most commonly used diagnostic manuals and the criteria required to meet two common diagnoses, PTSD and severe depression. Further studies aimed to highlight any similarities and differences between these diagnoses and what it can bring. Both psychological research and clinical practice today is based mostly from psychiatric diagnoses, which can have both advantages and disadvantages, but also discussed whether they should instead focus on another more underlying level, namely the processes that extend across the diagnostic boundaries. The advantages of a trans-diagnostic perspective are that it may partly explain the high co-morbidity found in clinical groups and that could be observed even in those syndromes which this study focuses on. Unified Protocol is a different treatment model that is entered in the study, which is based on a significant phenotypic overlap between anxiety disorders in patients, where individuals with subclinical levels of symptoms still can have a reduced level of functionality and a subjective suffering, although they do not meet all the diagnostic criteria for a specific disorder. The result shows at the opportunity to review the diagnostic boundaries, to increase the chances for a recovery of the patient. The human experiences of different situations it is in the form of personal self-perception of their ability, or inability, to influence the outcome. To experience they have lost control over his own life in itself can lead to both depression that suicidal thoughts / actions. If the symptoms of depression compared with criteria that are to be found during diagnostic image "Post-traumatic stress disorder" in the chapter "disorder" can be found many similarities. The discourse comes to that the similarities in symptoms would provide patients with PTSD, a treatment recommendation, which did not conform to the recommended guidelines that are designed for PTSD. Despite the diagnosis, the similarities are recommended disparate treatment, and also different conditions to work in conjunction with work shown. At this same symptom pictures, yet so different recommended treatment plans based on the different diagnoses, would risk a false rehabilitation plan to be imminent
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Seidel, Michael [Verfasser], Karin Akademischer Betreuer] Tritt, and Thomas [Akademischer Betreuer] [Loew. "Vergleich der psychometrischen Fragebögen ICD-10-Symptom-Rating (ISR) und der Langform des Patient-Health-Questionnaire (PHQ) / Michael Seidel. Betreuer: Karin Tritt ; Thomas Loew." Regensburg : Universitätsbibliothek Regensburg, 2013. http://d-nb.info/1032040351/34.
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Westrin, Fredrik. "Viktigt att lyfta fram vad man klarar av : Inkludering av personer med ADHD i samhället genom att informera om diagnosen, styrkor och hjälpmedel med avgränsning mot arbetslivet." Thesis, Mälardalens högskola, Akademin för innovation, design och teknik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-18979.
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ADHD has for a long time been perceived as something that affects children and grows away with time. American psychiatric association state that ADHD may appear differently with adolescences and adults than with children. That could lead to misunderstandings and exclusion by adults and adolescences with ADHD at work life amongst other situations. This report investigates that exclusion and tries to find what information that needs to reach certain target groups to prevent it from happen. The works focus is text design, a part of information design, and looks firstly at the factors that make good information material. Then I investigate if there is a need for more information about ADHD within working life and if so what it would contain. The next part brings up what criteria it takes to be diagnosed with ADHD and different kinds of support; such as administrative, economical or cognitive. The goal of the report is to form information, mostly with text. Therefore the theoretical part ends with factors connected to information design followed by the design development.ADHD har länge uppfattats som något som drabbar barn och växer bort med tiden. American psychiatric association uppger att ADHD kan uppträda annorlunda hos ungdomar och vuxna än hos barn. Något som kan leda till missförstånd och exkludering av vuxna och ungdomar med ADHD på bland annat arbetsmarknaden. Denna rapport undersöker den exkluderingen och söker vilken information som behöver nå vilka målgrupper för att förebygga den. Arbetets inriktning är textdesign, en del av informationsdesign, och fokuserar inledningsvis på de faktorer som bygger effektiv informationsmaterial. Sedan undersöks om det finns behov av mer information om ADHD inom yrkeslivet och vad den i så fall ska innehålla. Nästa del tar upp vilka kriterier som ska uppfyllas för att diagnostiseras med ADHD och vilken typ av stöd som då går att få; det kan handla om administrativ, ekonomisk eller kognitiv. Rapportens mål är att gestalta information och det är i första hand med hjälp av text. Därför avslutas den teoretiska delen med faktorer kopplade till informationsdesign och följs av designarbetets utveckling.
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Probst, Thomas [Verfasser], T. [Akademischer Betreuer] Fydrich, M. [Akademischer Betreuer] Ziegler, and A. [Akademischer Betreuer] Mühlberger. "Monitoring und Feedback in der stationären Psychosomatik mit dem OQ-Analyst und dem ICD-10-Symptom-Rating / Thomas Probst. Gutachter: T. Fydrich ; M. Ziegler ; A. Mühlberger." Berlin : Lebenswissenschaftliche Fakultät, 2015. http://d-nb.info/1068855541/34.
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Tran, Quoc Huy Martin, and Carl Ronström. "Mapping and Visualisation of the Patient Flow from the Emergency Department to the Gastroenterology Department at Södersjukhuset." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279605.
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The Emergency department at Södersjukhuset currently suffers from very long waiting times. This is partly due to problems within visualisation and mapping of patient data and other information that is fundamental in the handling of patients at the Emergency department. This led to a need in the creation of improvement suggestions to the visualisation of the patient flow between the Emergency department and the Gastroenterology department at Södersjukhuset. During the project, a simulated graphical user interface was created with the purpose of mimicking Södersjukhusets current patient flow. This simulated user interface would visualise the patient flow between the Emergency department and the Gastroenterology department. Additionally, a patient symptoms estimation algorithm was implemented to guess the likelihood of a patient being admitted to a department. The result shows that there are many possible improvements to Södersjukhusets current hospital information system, TakeCare, that would facilitate the care coordinators work and in turn lower the waiting times at the Emergency department.Akutmottagningen på Södersjukhuset har i dagsläget väldigt långa väntetider. Detta beror till viss del utav problem inom visualiseringen och kartläggning av patient data och annan fundamental information för att hantera patienter på akutmottagningen. Detta ledde till att det finns ett behov att skapa förbättringsförslag på visualiseringen av patientflödet mellan akutmottagningen och gastroenterologiavdelningen på Södersjukhuset. Under projektets gång skapades ett simulerat användargränssnitt med syfte att efterlikna Södersjukhusets nuvarande patientflöde. Denna lösning visualiserar patientflödet mellan akutmottagningen och gastroenterologiavdelningen. Dessutom implementerades en enkel sorteringsalgoritm som kan bedöma sannolikheten om en patient skall bli inlagd på en avdelning. Resultatet visar att det finns flera möjliga förbättringar i Södersjukhusets nuvarande elektroniska journalsystemet, TakeCare, som skulle underlätta vårdkoordinatorernas arbete och därmed sänka väntetiderna på akutmottagningen.
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Wagner, Martin [Verfasser], and Jürgen [Gutachter] Deckert. "Assoziations- und Haplotypenanalyse genetischer Veränderungen der Pannexin-Gengruppe bei Patienten mit schizophrenen Psychosen nach ICD-10 und der Klassifikation von Karl Leonhard / Martin Wagner ; Gutachter: Jürgen Deckert." Würzburg : Universität Würzburg, 2019. http://d-nb.info/1196972141/34.
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Sumer, Emrah. "The Transformation Of Health Policies In Turkey As Part Of The European Integration:the Cause Of Death Statistics." Master's thesis, METU, 2007. http://etd.lib.metu.edu.tr/upload/12609173/index.pdf.
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The thesis builds up on the significance of the social aspect of the statistics giving direct reference to the standards of the European Union (EU) on statistics. The study concentrates on the modernization, reformation and transformation process of the Turkish Statistical System, particularly the health statistics on the basis of a specific Programme called &ldquoUpgrading the Statistical System of Turkey&rdquo
funded by the EU and the Law on Turkish Statistics (No: 5429) within the process of the harmonization of the Turkish Statistical System, which aims the integration of the current system to the international one via the EU acquis communautaire. This thesis presents the causes of the death statistics as one of the most significant dimensions of statistics since it is the most extensive and the oldest public health surveillance system in the world. The reformation in the certification process, the classification stage and the analysis of the cause of the death statistics (COD) are examined in detail hereby. Improvement of the coverage, introduction of the International Classification of Diseases-10th Revision (ICD-10), development of institutional coordination and a new formation of the causes of death statistics in line with the EU requirements are analyzed in depth. Based on the findings of this study, it is proposed that the introduction of ICD-10 and improvement of the coverage of the COD statistics are not sufficient to ameliorate the shortcomings of the current death certificate system rested upon on the two documents including the &ldquo
COD forms&rdquo
and the &ldquo
burial licence&rdquo
in Turkey. The study also suggests that solutions to be proposed should be radical and effective since the problems encountered in the death certificate system are deep-rooted. Consequently, with regard to the issues of increasing the coverage of physical autopsy and providing training for the COD forms and with the aim of reducing diversified and complex chain of bureaucratic transactions, it is essential to bring an encompassing new legal base for the current death certificate system.
26
Scholey, Keith. "A feasibility study to explore the potential benefit of a cognitive therapy treatment approach for depression with individuals fulfilling ICD-10 criteria for dementia : a case study approach." Thesis, Bangor University, 1998. https://research.bangor.ac.uk/portal/en/theses/a-feasibility-study-to-explore-the-potential-benefit-of-a-cognitive-therapy-treatment-approach-for-depression-with-individuals-fulfilling-icd10-criteria-for-dementia--a-case-study-approach(d9734acb-8ce8-48d3-b0bb-10f49002be8e).html.
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The following study represents a review of the literature regarding the dual diagnosis of dementia and depression and a description of an attempt to apply cognitive therapy techniques with eight participants (age range: 57 - 83), all of whom had received a diagnosis of dementia and depression. The results appeared to indicate that cognitive therapy for depression, with people experiencing dementia, may be a feasible proposition. Common themes arising in therapy are discussed.
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Montewa, Gloria Lebogang. "Comparative analysis of diagnostic and procedure coding systems for use in district and regional hospitals in the Western Cape." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4485.
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Magister Public Health - MPHBackground: The Provincial Government Western Cape (PGWC) Department of Health identified a lack of data on inpatient diagnoses and procedures in a form suitable to use for operational, strategic as well as financial health care planning. The only format in which diagnostic and procedure data was available was a paper based one encompassing individual patient notes in folders and discharge summaries. Making the data available in a coded format within an electronic database would facilitate storage, analysis and utilisation of that data for health service planning. Recognising the lack of availability of such coded data, this study was undertaken to evaluate different coding systems for their ability to code data in order to assist in deciding which coding systems best fit the need to facilitate easy and accurate recording of data on diagnoses and procedures from patient records. The identification of the most appropriate coding system for the context in which the PGWC Department of health functions should facilitate the easy recording, storage and retrieval of data that is accurate, reliable and useful for management decision making and would support optimal patient care. Aim: The aim of the study was to evaluate a selection of potentially suitable coding systems in order to determine which would be best able to code public sector district and regional hospital diagnostic and procedure data in the Western Cape Province. Method: A cross sectional analytical study design was used. Discharge diagnosis and procedure data were extracted from 342 patient folders from 3 district and 3 regional public hospitals in the Western Cape. This yielded 221 different diagnostic concepts and 126 different procedure concepts. The diagnostic concepts were further grouped into “all” diagnostic concepts recorded, diagnostic concepts recorded as “symptoms only” and diagnostic concepts recorded as “proper diagnoses”. The diagnostic coding systems evaluated were ICD-10 (International Classification of Diseases), ICPC-2 (International Classification of Primary Care 2nd edition) and ICD-10 Condensed Morbidity List. The procedure coding systems evaluated were CCSA-2001 (Current Procedure Terminology for South Africa) ICD-9-CM (International Classification of Diseases Clinical Modification 9th revision) and ICPC-2. The diagnoses and procedures were then coded in all of the coding systems being evaluated. Each diagnosis and procedure concept was matched with its representing concept in the coding system and scored according to the ability of the coding system to provide an “exact” match which was scored as (3) or a “partial” match scored as (2) or a “poor” match scored as (1) or “no” match scored as (0). Results: ICD-10 was better able to code diagnoses obtained from district and regional hospitals in the Western Cape compared to ICPC-2 and ICD-10 Condensed Morbidity list. For all recorded diagnostic concepts, ICD-10 was able to score 82% of the concepts as either an “exact” or a “partial” match compared to 79% in ICPC-2 and 30% in ICD-10-CL. ICD-10 consistently performed best across different stratification of diagnostic concepts namely concepts recorded as “proper diagnoses”, concepts recorded from regional hospitals only, concepts recorded from district hospitals only, concepts designated as “common diagnoses” and for concepts designated as “very common diagnoses”. In addition ICD-10 had zero diagnostic concepts for which “no match” could be found. CCSA -2001 proved to be the best coding system for coding procedures across all hospitals with an overall percentage of “exact” and “partial” matches of 83% compared to 65% for ICD-9-CM and 39% for ICPC-2 and also proved to be best across all strata. Conclusion: There were striking differences between the evaluated coding systems with regard to their ability to code diagnoses and procedures in the evaluated district and regional hospitals in the Western Cape Province. ICD-10 covers the scope of clinical diagnoses in more accurate and specific detail than ICPC-2 and ICD-10 CL. Though ICPC-2 is simpler and easier to use than ICD-10, it is not as detailed and specific as the latter but it proved ideal for symptoms rather than for specific diagnoses. ICD-10 Condensed Morbidity List was shown to be inadequate for coding diagnoses. However the difference between the two, although statistically significant were not very large and given the ease of use of ICPC-2, it could be recommended for use. As for procedures CCSA-2001 was assessed as being the most appropriate for coding procedures recorded in this setting compared to the other coding systems. ICPC-2 performed poorest for coding procedures across all evaluated settings and thus would be inappropriate to use. ICD-10 in most comparisons performed second best to ICPC-2 in terms of coding ability for diagnoses and could be considered for recommendation as a diagnostic coding tool.
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Treudler, Leopold Paul [Verfasser], and Michael [Akademischer Betreuer] Zaudig. "Korrelation der Zwangssubskala des ICD-10-Symptom-Ratings mit der Yale-Brown Obsessive Compulsive Scale in einer stationären Stichprobe von Patientinnen und Patienten mit Zwangsstörung / Leopold Paul Treudler ; Betreuer: Michael Zaudig." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2018. http://d-nb.info/1155097424/34.
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Loras, Lennart. "The map of competencies in systemic therapy : a qualitative study of the systemic competencies in Norwegian child and adolescent mental health that target the associated abnormal psychosocial situations in axis 5 (ICD-10)." Thesis, University of East London, 2016. http://roar.uel.ac.uk/5868/.
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The overarching aim of this research project is to identify a comprehensive and detailed outline of the systemic therapist competences in the Norwegian child and adolescent mental health (BUP) that target the psychosocial difficulties that are categorized as associated abnormal psychosocial situations in the multiaxial classification of child and adolescent psychiatric disorders/axis 5 (ICD-10). The project is based on twelve qualitative in-depth interviews with six experienced systemic family therapists, fieldwork observations of the therapists (participants) in practice and an analysis of the Norwegian Directorate of Health’s guidelines for child and adolescent mental health institutions. The specific research questions for this research project are: 1. In the context of child and adolescent mental health, what are the different competences in a systemic family therapy approach that address the associated abnormal psychosocial situations? 2. What are the legally binding requirements in the Norwegian Directorate of Health’s (2008) guidelines for child and adolescent mental health? 3. How does systemic family therapy interconnect with the Norwegian Directorate of Health`s (2008) guidelines for child and adolescent mental health? Grounded theory (GT) was chosen as the main methodology for this study. During the analysis, the following six overarching categories were identified: (1): legally binding requirements; (2) the importance of ethical and contextual awareness in systemic therapy; (3) the systemic therapist’s stance; (4) therapeutic processes; (5) therapeutic practices; and (6) session-specific features. Challenges, such as limiting the systemic approach to six overarching competences, are discussed alongside this study’s strengths and limitations, and suggestions for future research are presented. The detailed outline of the systemic therapist competences and the legally binding requirements in the Norwegian Directorate of Health’s guidelines was compiled into a “map of competences”. The findings show that the legally binding requirements interconnect and overlap with the identified systemic competences, although their wording and their inclusion of diagnosis can challenge the systemic ideas of using a non-pathologizing language. The map of competences is intended to be applied as a tool for clinical supervision, clinical practice, education and training in family therapy. This research may also facilitate a “bridge-building process” between mental health and postmodern systemic ideas.
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Donner, Magdalena [Verfasser], Johannes [Gutachter] Liese, Alexandra [Gutachter] Schubert-Unkmeir, and Andrea [Gutachter] Streng. "Inzidenz und Schweregrad von Bordetella pertussis : Erkrankungen bei Kindern und Jugendlichen in Bayern 2007 - 2008: eine ICD-10 basierte Untersuchung aus 27 bayerischen Kinderkliniken / Magdalena Donner. Gutachter: Johannes Liese ; Alexandra Schubert-Unkmeir ; Andrea Streng." Würzburg : Universität Würzburg, 2014. http://d-nb.info/110282285X/34.
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Eksteen, Margaritha Johanna. "Medicine usage patterns in a district hospital : a therapeutic budget model approach / Margaritha Johanna Eksteen. Part 2." Thesis, North-West University, 2008. http://hdl.handle.net/10394/2885.
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Ozurigbo, Evangeline C. "Leveraging Artificial Intelligence to Improve Provider Documentation in Patient Medical Records." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5398.
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Clinical documentation is at the center of a patient's medical record; this record contains all the information applicable to the care a patient receives in the hospital. The practice problem addressed in this project was the lack of clear, consistent, accurate, and complete patient medical records in a pediatric hospital. Although the occurrence of incomplete medical records has been a known issue for the project hospital, the issue was further intensified following the implementation of the 10th revision of International Classification of Diseases (ICD-10) standard for documentation, which resulted in gaps in provider documentation that needed to be filled. Based on this, the researcher recommended a quality improvement project and worked with a multidisciplinary team from the hospital to develop an evidence-based documentation guideline that incorporated ICD-10 standard for documenting pediatric diagnoses. Using data generated from the guideline, an artificial intelligence (AI) was developed in the form of best practice advisory alerts to engage providers at the point of documentation as well as augment provider efforts. Rosswurm and Larrabee's conceptual framework and Kotter's 8-step change model was used to develop the guideline and design the project. A descriptive data analysis using sample T-test significance indicated that financial reimbursement decreased by 25%, while case denials increased by 28% after ICD-10 implementation. This project promotes positive social change by improving safety, quality, and accountability at the project hospital.
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Raju, Sushiela Diane. "Examining ICD-10 coding for family violence within a New Zealand District Health Board a dissertation submitted to Auckland University of Technology in partial fulfillment of the requirements for the degree of Master of Health Science (MHSc), 2008." Abstract. Full dissertation, 2008.
Find full textAbstract:
Dissertation (MHSc--Health Science) -- AUT University, 2008.Includes bibliographical references. Also held in print (viii, 88 leaves ; 30 cm.) in North Shore Campus Theses Collection (T 362.9292 RAJ)
34
Young, Janet. "Using the Osteoarthritic Femur to Identify Impairment Potential in Archaeological Populations." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/23644.
Full textAbstract:
Osteoarthritis (OA) is the leading cause of disability in North American and has major economic consequences for society. People with knee OA experience the worst quality of life, among musculoskeletal conditions, with function and mobility being influenced by symptoms such as pain and stiffness. However, the impact of OA symptoms varies due to intrinsic and extrinsic factors, leading many researchers to employ biopsychosocial and other population health frameworks to study the disease. These population health approaches have not been adopted when studying knee OA outcomes in bioarchaeology, where a limited biological lens prevails due to the sole reliance on skeletal remains. The purpose of this research was to explore methods for identifying the impairment potential of knee OA in archaeological populations using a clinical sample and population health approaches.
Clinical studies have the advantage of assessing not only the biological implications of knee OA but also the functional outcomes. By creating a knee OA grading system applicable for both MRI and dry bone femora samples (Clinical Archaeological Osteoarthritis Score) a link between clinical and archaeological populations was proposed. Using this link to infer functional deficits onto archaeological populations using population health frameworks, a theoretical analysis was performed with two populations; the 17th century Huron and the 19th century Inuit from the Igloolik region of Nunavut. The results demonstrated the increased impairment potential of knee OA in the Inuit population versus the Huron population, produced by contrasting factors captured by the determinants of health, including social and physical environments.
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Cannerstad, Kim. "Transmedicalism : A critical discourse analysis on transnormativity in online discussion websites and publishing platforms." Thesis, Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-85924.
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Henrich, Nicola Annette [Verfasser], and Johannes [Akademischer Betreuer] Liese. "Invasive Pneumokokkenerkrankungen bei Kindern und Jugendlichen in Bayern vor Einführung der generellen Pneumokokkenimpfung : eine Analyse der invasiven Pneumokokkenerkrankungen bei Patienten der Universitäts-Kinderklinik München 1999-2006 sowie eine ICD-10 basierte Surveillancestudie aus 28 bayerischen Kinderkliniken 2005-2006 / Nicola Annette Henrich. Betreuer: Johannes Liese." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2015. http://d-nb.info/1070464783/34.
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Eriksson, Andreas. "Finns det evidens för att höghastighetsmanipulation av nacken kan orsaka stroke?" Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-98971.
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Höghastighetsmanipulation av nacken är en manuell behandlingsteknik mot smärta i framförallt nacken och skuldrorna. Tekniken har enligt flera källor visats hänga samman med risken för att drabbas av skador på de kärl som försörjer hjärnan med blod, med bland annat stroke som följd. Andra källor har å andra sidan visat att de är en teknik som är säker att utföra. Den här litteraturstudien har sammanställt och utvärderat forskning som på olika sätt söker utreda om det påstådda sambandet är kausalt eller inte. Metoden som valdes var att genom en av SBU färdigställd mall värdera forskningsartiklar och sedan sortera dem efter relevans, för att på så sätt avgöra huruvida sambandet kan ses som kausalt eller inte. Studieresultatet visade att frågan är för komplex för att kunna besvaras i en enskild studie, och att mer forskning behövs inom flera delområden innan frågan kan besvaras fullt ut. Orsaken till detta är att det finns flera orsaksmekanismer, och flera riskgrupper, för denna typ av skada, där flera ännu är okända. Detta gör att en fullständig kartläggning av samband i frågan ännu inte är möjlig. Däremot är det sannolikt att tekniken kan verka som en utlösande faktor, en trigger, hos vissa personer i riskgrupperna. Därför kan det sägas finnas en risk med tekniken rent praktiskt, oavsett om ett kausalt samband mellan tekniken och stroke i sig existerar eller inte.High Velocity Manipulation of the cervical spine is a manual treatment technique against pain in foremost the neck, shoulders. The technique has according to multiple sources been connected to the risk of injury to the blood vessels that supply the brain with blood, with among others stroke as a consequence. Other sources have on the other hand shown it the technique to be safe to perform. This literature study has compiled and evaluated research that in various ways tries to find out if said connection is causal The method used was to evaluate articles through a pre-made form from SBU, and then to sort them according to relevance to see if the connection is causal or not. The result showed that the question is too complex to be answered in a single study, and that more research is needed to answer the question in full. This is due to the fact that there are multiple mechanisms behinds this form om injury, that the risk seems to exists in certain groups, and that some of these are not yet identifiable. On the other hand there is a high probability that the technique might act as an activating factor in these groups. Because of this there can be said that a risk exists with the technique in practice, no matter if there is a casual connection between the technique and stroke in itself or not.
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Kantorová, Alice. "Trendy ve spotřebě antidepresiv v ČR v období 2003-2008." Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-71660.
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Depressive disorder, etiology, objective criteria for identifying depression, depression and suicide, depression in ICD-10, treatment, chemicals in the brain and transmission of information, action mechanism of antidepressants, cutting depression, comorbidity, biological and psychotherapeutic treatment options, pharmacotherapy, ATC classification drugs, antidepressants,classification according to the distribution of the ATC, guidelines for the treatment of depression. Identifying the trend and volume of consumption of antidepressants - the code N06A in the Czech Republic in the period 2003-2008 using data from the Všeobecná zdravotní pojišťovna ČR and a comparison based on specific criteria: regional (consumption by region), gender (consumption by gender), age (consumption by age groups), season and month (consumption in different seasons and months) and ATC groups (consumption by chemical / therapeutic / pharmacological subgroups N06A * - 4th level ATC class and consumption by subgroups of chemical substances N06A ***, ie . active substances - 5th level ATC classification). A rough estimate of possible share of depressive and neurotic disorders found in consumption, based on additional data from the database of the Všeobecná zdravotní pojišťovna ČR.
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Nubila, Heloisa Brunow Ventura Di. "Aplicação das classificações CID-10 e CIF nas definições de deficiência e incapacidade." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/6/6132/tde-09042007-151313/.
Full textAbstract:
A Organização Mundial de Saúde tem hoje duas classificações de referência para a descrição dos estados de saúde: a CID-10 (Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde) e a CIF (Classificação Internacional de Funcionalidade, Incapacidade e Saúde). A utilização da CIF vem sendo aguardada com grande expectativa pelas organizações de pessoas com deficiências e instituições relacionadas. A falta de definição clara de deficiência ou incapacidade tem sido apontada como um impedimento para a promoção de saúde de pessoas com deficiência. Este trabalho tem como objetivo apresentar definições de deficiência, discutindo a utilização da CID-10 e da CIF e a contribuição da CIF para melhorar a compreensão sobre definições de deficiência a partir do conceito de funcionalidade e dos fatores contextuais. Foram revisados alguns diferentes conceitos/definições de deficiência, bem como publicações envolvendo a aplicação da CIF. São apresentadas algumas categorias de diagnósticos de estados de saúde da CID-10 hoje utilizadas em alguns sistemas, além de elementos da recém-apresentada CIF, que podem contribuir para diferentes campos de aplicabilidade no que diz respeito ao entendimento das definições de deficiência ou incapacidade.The World Health Organization has nowadays two reference classifications for description of health conditions: ICD-10 (International Statistical Classification of Diseases and Health Related Problems) and ICF (International Classification of Functioning, Disability and Health). Organizations of people with disabilities and related institutions are waiting with high expectation for the ICF utilization. Lack of clear definition of disability is being pointed out as a deterrent for promoting the health of people with disabilities. The objective of this work is to evaluate definitions of disability, and discuss the use of ICD-10 and ICF and the contribution of ICF to improve understanding of definitions of disability through functioning and contextual factors. Some different definitions of disability have been reviewed, as well as publications involving ICF application. Diagnostic categories of health conditions of ICD-10 used in some systems are presented, as well as ICF components that could contribute for different fields of applicability regarding the understanding of definitions of disability.
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Chang, Yu-Hsuan, and 張宇軒. "Automatic ICD-10 classification from free-text data." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/kfv93c.
Full textAbstract:
碩士國立臺灣大學
生醫電子與資訊學研究所
107
Our study aimed to construct a system for ICD-10 coding system, produced by supervised machine learning techniques, in order to categorize automatically free-text medical data using solely their content. There are numerous machine learning techniques and we use supervised machine learning to learn how to classify the ICD-10 codes from free-text data. At present, the work of classifying diseases mainly relies on manpower to read a large amount of written materials, such as discharge diagnosis, chief complaint, medical history, operation records and so on as the basis for classification. Coding is both laborious and time consuming. A disease coder with professional abilities also takes an average of 20 minutes, if we can provide an automatic code classification system with enough accuracy compared with professional coder, this model can significantly reduce the human labor in the code classification time.
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CHANG, FANG-YU, and 張芳瑜. "Exploring Coder’s Usage and Performance of ICD-10 Coding System：Task-Technology Fit." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/26524291414816255183.
Full textAbstract:
碩士嘉南藥理大學
醫務管理系
105
In order to make clinical disease classification catch up with the world trend, the National Health Insurance Administration, Ministry of Health and Welfare announced that ICD-10-CM/PCS Coding System was implemented thoroughly from January 1st, 2016 for its routine calculation of medical expenses. ICD-10-CM/PCS is greatly different from ICD-9-CM which has been used in current healthcare systems. Therefore, the implementation of ICD-10-CM/PCS will impact on the information system and coder in the hospital. This study was carried out to provide an evaluation model to explore ICD-10-CM/PCS coding system technology characteristics, coding task characteristics and coder’s computer self-efficacy related to task-technology fit and then to explore task-technology fit for the coder’s satisfaction, performance and ICD-10-CM/PCS coding system continuance intention by integrating task-technology fit, computer self-efficacy, satisfaction, and continuance intention. A questionnaire was systematically distributed to coder with experiences of using ICD-10-CM/PCS coding system. In this study, 155 questionnaires were distributed and 137 valid questionnaires were recovered. The recovery rate was 88%. The analysis of reliability and validity and hypothesis validation have been used with SPSS and PLS. The results show that task-technology fit was significant positively influenced by coder’s computer self-efficacy and ICD-10-CM/PCS coding system technology characteristics (p<0.001), but task-technology fit was not influenced by coding task characteristics (p>0.05). Satisfaction was significant positively influenced by task-technology fit (p<0.001). Performance was significant positively influenced by task-technology fit (p<0.001). Continuance intention was significant positively influenced by performance (p<0.001). Conclusion: Stability and timeliness of ICD-10-CM/PCS coding system and computer self-efficacy can not only improve coder’s job performance, but also increase satisfaction and continuance intention of ICD-10-CM/PCS coding system. Results of this study can provide references for practices of using information system.
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Hsu, Wei-Ting, and 許瑋婷. "Automatically assigning ICD-10-CM codes for inpatients with comorbidity and complication." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/d2wr5a.
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Teixeira, Juliana Filipa da Rocha. "Impacto da transição ICD-9-CM para a ICD-10-CM/PCS nos internamentos evitáveis em Portugal - um estudo observacional retrospetivo." Master's thesis, 2019. https://hdl.handle.net/10216/124737.
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Teixeira, Juliana Filipa da Rocha. "Impacto da transição ICD-9-CM para a ICD-10-CM/PCS nos internamentos evitáveis em Portugal - um estudo observacional retrospetivo." Dissertação, 2019. https://hdl.handle.net/10216/124737.
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Pieterse, Riaan. "The ICD-10 coding system in chiropractic practice and the factors influencing compliancy." Thesis, 2009. http://hdl.handle.net/10321/443.
Full textAbstract:
A dissertation presented to the Faculty of Health, Durban University of Technology, for the Masters Degree in Technology: Chiropractic, 2009.Background: The International Classification of Diseases (ICD) provides codes to classify diseases in such a manner, that every health condition is assigned to a unique category. Some of the most common diagnoses made by chiropractors are not included in the ICD-10 coding system, as it is mainly medically orientated and does not accommodate these diagnoses. This can potentially lead to reimbursement problems for chiropractors in future and create confusion for medical aid schemes as to what conditions chiropractors actually diagnose and treat. Aim: To determine the level of compliancy of chiropractors, in South Africa, to the ICD-10 coding procedure and the factors that may influence the use of correct ICD-10 codes. As well as to determine whether the ICD-10 diagnoses chiropractors commonly submit to the medical aid schemes, reflect the actual diagnoses made in practice. Method: The study was a retrospective survey of a quantitative nature. A self-administered questionnaire was e-mailed and posted to 380 chiropractors, practicing in South Africa. The electronic questionnaires were sent out four times at two week intervals for the duration of eight weeks; and the postal questionnaires sent once. A response rate of 16.5% (n = 63) was achieved. Raw data was received from the divisional manager of the coding unit of Discovery Health (Pty) Ltd. in the form of an excel spreadsheet containing the most common ICD-10 diagnoses made by chiropractors in South Africa, for the period June 2006 to July 2007, who had submitted claims to the Medical Scheme. The spreadsheet also contained depersonalised compliance statistics of chiropractors to the ICD-10 system from July 2006 to October 2008. SPSS version 15 was used for descriptive statistical data analysis (SPSS Inc., Chicago, Ill, USA). Results: The age range of the 63 participants who responded to the questionnaire was 26 to 79 years, with an average of 41 years. The majority of the participants were male (74.6%, n = 47). KwaZulu-Natal had 25 participants (39.6%), Gauteng 17 (26.9%), Western Cape 12 (19%), Eastern Cape four (6.3%), Free State and Mpumalanga two (3.1%) each and North West one (1.5%). The mean knowledge score for ICD-10 coding was 43.5%, suggesting a relatively low level of knowledge. The total percentage of mistakes for electronic claims was higher for both the primary and unlisted claims (3.93% and 2.18%), than for manual claims iv (1.57% and 1.59%). The total percentage of mistakes was low but increased marginally each year for both primary claims (1.43% in 2006; 1.99% in 2007; 2.33% in 2008) and unlisted claims (0% in 2006; 2.61% in 2007; 3.07% in 2008). CASA members were more likely to be aware of assistance offered, in terms of ICD-10 coding through the medical schemes and the association (p = 0.131), than non-members. There was a non-significant trend towards participants who had been on an ICD-10 coding course (47.6%; n = 30), having a greater knowledge of the ICD-10 coding procedures (p = 0.147). Their knowledge was almost 10% higher than those who had not been on a course (52.4%; n = 33). Most participants (38.1%; n = 24) did not use additional cause codes when treating cases of musculoskeletal trauma, nor did they use multiple codes (38.7%; n = 24) when treating more than one condition in the same patient. Nearly 70% of participants (n = 44) used the M99 code in order to code for vertebral subluxation and the majority (79.4%; n = 50) believed the definition of subluxation used in ICD-10 coding to be the same as that which chiropractors use to define subluxation. According to the medical aid data, the top five diagnoses made by chiropractors from 2006 to 2007 were: Low back pain, lumbar region, M54.56 (8996 claims); Cervicalgia, M54.22 (6390 claims); Subluxation complex, cervical region, M99.11 (2895 claims); Other dorsalgia, multiple sites in spine, M54.80 (1524 claims) and Subluxation complex, sacral region, M99.14 (1293 claims). According to the questionnaire data, the top five diagnoses (Table 4.24) were: Lumbar facet syndrome, M54.56 (25%); Lumbar facet syndrome, M99.13 (23.3%); Cervical facet syndrome, M99.11 (21.7%); Cervicogenic headache, G44.2 (20%) and Cervicalgia, M54.22 (20%). Conclusion: The sample of South African chiropractors were fairly compliant to the ICD-10 coding system. Although the two sets of data (i.e. from the medical aid scheme and the questionnaire) regarding the diagnoses that chiropractors make on a daily basis correlate well with each other, there is no consensus in the profession as to which codes to use for chiropractic specific diagnoses. These chiropractic specific diagnoses (e.g. facet syndrome) are however, the most common diagnoses made by chiropractors in private practice. Many respondents indicated that because of this they sometimes use codes that they know will not be rejected, even if it is the incorrect code. For more complicated codes, the majority of respondents indicated that they did not know how to or were not interested in submitting the correct codes to comply with the level of specificity required by the medical aid schemes. The challenge is to make practitioners aware of the advantages of correct coding for the profession.
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Giebelstein, Hanni [Verfasser]. "Beziehungspersönlichkeit und klinische Persönlichkeitsakzentuierungen nach DSM-IV und ICD-10 / vorgelegt von Hanni Giebelstein." 2008. http://d-nb.info/996197028/34.
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Lin, Chang Fu, and 林常福. "International Classification of Diseases ICD-10-PCS: Introducing Auxiliary Coding System for Surgery Operations." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/44765818721891522102.
Full textAbstract:
碩士德明財經科技大學
資訊科技與管理研究所
101
ICD-10-CM is the 10th revision of the International Classification of Diseases, and it is commonly used by most industrialized countries, including mainland China. Although the United States of America has not introduced ICD-10 for disease coding yet, but the act has passed the congress which will eventually be effective at October 1st, 2014. If we keep using the out dated ICD-9-CM as our disease classification system, we will face more difficulties on data exchanging with other countries, resulting in a less accurate, out dated database of health care. This article is focused on graphical analysis, enhancing the relation between the 2nd code (Body System) and the 4th code (Body Part), adjusting the order of the 3rd (Operation) and the 4th code, limiting the choice of the 3rd code with the 4th code. This will result in a better accuracy of the 3rd code. As for satisfaction, the Cronbach’s Alpha is larger than 0.5, which is acceptable. All subjects of the test agreed that the system is able to help the coding work.
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Tien, Ming-Hui, and 田敏慧. "Implementation of ICD-10-CM/PCS at Medical Centers and Regional Hospitals in Taiwan." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/26095667146243228000.
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碩士國立陽明大學
醫務管理研究所
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Study Aim: The main purpose of this study was to analyze the correlation between hospitals’ and respondents’ characteristics and the attitudes toward ICD-10 implementation, as well as to identify the most difficult jobs and assistances needed at major hospitals in Taiwan. Materials and Methods: The samples of this study included all of the medical centers and district hospitals in Taiwan. A self-administered structured questionnaire was developed to collect data with response rate of 98%. Descriptive analysis and multiple regression were conducted for the purpose of the study. Main results: 1.The general attitude of ICD-10 implementation had non-significant difference, except for hospital ownership. 2.For the executives support view, it showed although the hospital executives were very concerned about the ICD-10 implementation, but coders were still insufficient current. 3.For professional coders view, it showed the coder although generally had received sufficient education and training current, but in practice a lot of coding consistency of diagnostic or procedure codes had still not a consensus. 4.For the ICD-10 implementation apply to practical work view, the respondent’s attitude was positive. 5.For medical professional’s compliance view , although the coders and physician's communication had no problem, but the physician cannot provide adequate medical messages for coding more complete and accurate. 6.For the government authority view, the government associated units previously had a lot of planning in the implementation process, the government planning and the practice process was still not comprehensive. 7.The respondents considered the coding consulting was the most needed by outside assistance, there were many coding problems encounter currently. Conclusions: This study found that hospital ownership was significantly associated with the attitudes toward ICD-10 implementation. It also found that for ICD-10 implementation, the executive’s support was the most important factor, strengthening physicians’ understanding of ICD-10 needed to be improved the most, and consultation about coding was the help most sought.
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FAN, JIE-MIN, and 范捷敏. "The Compliance Rate of the ICD-10-PCS Codes versus the Fee Schedules in Taiwan." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/z7f7h3.
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碩士元培醫事科技大學
醫務管理系碩士班
105
During the process of ICD-9-CM conversion into ICD-10-PCS, the issues of conversion, modification, and configuration to suit Taiwan’s disease and procedure coding has risen, leading to changes in medical institutions’ coding operations, NHI declaration, medical quality assessment, and other services. However, in 2016, the National Health Insurance Administration, Ministry of Health and Welfare (NHIA) declared the adoption of U.S. 2014 ICD-10-CM/PCS classification by medical institutions for outpatient clinic and hospitalization clinic NHI declarations. On August 31st the same year, the ICD-10-CM/PCS Incentive Program continued to be promoted in order to enhance the accuracy of coding in medical institutions as well as coding quality indicator monitoring. The NHIA also repeatedly announced NHI medical orders and ICD-10-PCS correspondence files to ensure medical institutions’ NHI declarations and procedure coding compliance and reference consistency. Targeting ICD-10-PCS procedure code and NHI medical order comparison files, this study compared the correspondence files announced by the NHIA and applied 545 entries of hospital discharge patients from January to May 2016 provided by an anonymous medical center. Results show that in the principal procedure, ICD-10-PCS：02583ZZ(Destruction of Conduction Mechanism, Percutaneous Approach) corresponds to the NHIA’s announced correspondence files, namely, two medical orders of 33091B and 68050B，while Tw-DRGs was declared as 11203(Catheter ablation of lesion or tissues).
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Chen, Kuan-Yu, and 陳冠宇. "A Method for Automatic ICD-10-CM Coding from Clinical Free Text by using UMLS." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/3rryv8.
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