污名化语言在物质使用相关的疾病国际分类代码
Journal of addiction medicine
|March 3, 2025
概括
国际疾病分类,第10版,临床修改 (ICD-10-CM) 中的诊断代码包含与物质使用障碍有关的污名化语言. 这种语言,特别是"滥用"一词,应该更新,以促进非耻辱化的医疗保健.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 医疗保健相关的耻辱会对患有物质使用障碍的患者的治疗参与产生负面影响.
- 努力减少临床笔记中的污名化语言存在,但其在结构化诊断代码中的存在受到研究不足.
研究的目的:
- 调查国际疾病分类,第10版,临床修改 (ICD-10-CM) 诊断代码描述与物质使用障碍相关的污名化语言的流行情况.
主要方法:
- 检查了74,259个ICD-10-CM代码描述,用于国家药物滥用研究所认定为污名化的术语.
- 分析了从美国疾病控制和预防中心获得的代码.
主要成果:
- 确定了173个ICD-10-CM代码,其中包含污名化的语言.
- 最常见的污名化术语是"滥用" (157个代码),其次是"酒者" (16个代码) 和"吸毒者" (2个代码).
- "滥用"与广泛的物质有关,包括酒精,阿片类药物,大麻和其他物质.
结论:
- 污名化术语存在于许多ICD-10-CM代码描述中.
- 未来对ICD-10-CM的修订应采用非耻辱化的语言,以与当前的建议保持一致,并防止在医疗机构中延续耻辱.
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