[Diagnostic concordance between paediatric and mental health]
N Landa González1, A Goñi, E García de Jalón
1Centro de Salud Mental de San Juan, Pamplona, 31008, Pamplona, Spain. natalia.landa.gonzalez@cfnavarra.es
Anales Del Sistema Sanitario De Navarra
|September 10, 2009
Summary
Diagnostic concordance between pediatric and mental health services is moderate overall, with significant variability across specific child mental health diagnoses. This impacts care coordination for pediatric patients.
Area of Science:
- Pediatric mental health
- Diagnostic concordance
- Healthcare services
Background:
- Assessing diagnostic agreement between pediatric and mental health (MH) services is crucial for effective patient care.
- Referrals from pediatric to MH services highlight potential gaps in initial assessments.
Purpose of the Study:
- To analyze the diagnostic concordance between pediatric and mental health (MH) services for children aged 0-16.
- To identify specific diagnostic categories with high and low agreement.
Main Methods:
- Reviewed 207 patient referrals from pediatrics to Estella Mental Health Centre (2006-2007).
- Calculated global Kappa Index and specific diagnostic concordance using Epidat 3.1.
- Analyzed confirmation rates of pediatric diagnoses within mental health services.
Main Results:
- Overall diagnostic concordance yielded a Kappa Index of 0.58 (moderate).
- Concordance varied widely: weak for developmental and adaptive disorders, moderate for intellectual disability, good for ADHD and conduct disorders, very good for enuresis/encopresis and eating disorders.
- Significant discrepancies noted in specific diagnostic categories.
Conclusions:
- The diagnostic concordance between pediatric and mental health services is moderate.
- Substantial variability exists in diagnostic agreement across different conditions, necessitating improved inter-service communication and diagnostic protocols.
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