Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden
The aim of this study was to investigate diagnostic stability in a cohort of patients in Sweden over a 15-year follow-up period and to study the associations between diagnostic mobility and the patients’ utilization of care, their age, duration of their illness and factors related to the reorganizat...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Stockholm University Press
2006-08-01
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| Series: | Scandinavian Journal of Disability Research |
| Online Access: | https://www.sjdr.se/articles/176 |
| _version_ | 1797763112133197824 |
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| author | Per Bülow Tommy Svensson |
| author_facet | Per Bülow Tommy Svensson |
| author_sort | Per Bülow |
| collection | DOAJ |
| description | The aim of this study was to investigate diagnostic stability in a cohort of patients in Sweden over a 15-year follow-up period and to study the associations between diagnostic mobility and the patients’ utilization of care, their age, duration of their illness and factors related to the reorganization of psychiatric care. Information about psychiatric diagnoses was collected from medical records in all care settings utilized by the patients. There was a high level of instability. Fifty-five percent of the patients had a change of diagnosis. Age and duration of illness were the most important factors related to diagnostic stability/instability. Since the diagnosis constitutes the basis of prediction of course and outcome of the disease as well of choice of treatment, these results indicate that the current diagnostic system may have considerable limitations with regard to the clinical need for a holistic approach. |
| first_indexed | 2024-03-12T19:36:58Z |
| format | Article |
| id | doaj.art-ea53c1b45f164d96afc3058b6c45bf33 |
| institution | Directory Open Access Journal |
| issn | 1501-7419 1745-3011 |
| language | English |
| last_indexed | 2024-03-12T19:36:58Z |
| publishDate | 2006-08-01 |
| publisher | Stockholm University Press |
| record_format | Article |
| series | Scandinavian Journal of Disability Research |
| spelling | doaj.art-ea53c1b45f164d96afc3058b6c45bf332023-08-02T04:08:54ZengStockholm University PressScandinavian Journal of Disability Research1501-74191745-30112006-08-0171234010.1080/15017410510032226107Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in SwedenPer Bülow0Tommy Svensson1Department of Health and Society, Institute of Tema Research, Linköping University, Linköping, SwedenDepartment of Behavioural Sciences , Nordic School of Public Health , Göteborg, SwedenThe aim of this study was to investigate diagnostic stability in a cohort of patients in Sweden over a 15-year follow-up period and to study the associations between diagnostic mobility and the patients’ utilization of care, their age, duration of their illness and factors related to the reorganization of psychiatric care. Information about psychiatric diagnoses was collected from medical records in all care settings utilized by the patients. There was a high level of instability. Fifty-five percent of the patients had a change of diagnosis. Age and duration of illness were the most important factors related to diagnostic stability/instability. Since the diagnosis constitutes the basis of prediction of course and outcome of the disease as well of choice of treatment, these results indicate that the current diagnostic system may have considerable limitations with regard to the clinical need for a holistic approach.https://www.sjdr.se/articles/176 |
| spellingShingle | Per Bülow Tommy Svensson Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden Scandinavian Journal of Disability Research |
| title | Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden |
| title_full | Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden |
| title_fullStr | Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden |
| title_full_unstemmed | Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden |
| title_short | Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden |
| title_sort | stability of diagnoses in a cohort of long term mentally ill patients in sweden |
| url | https://www.sjdr.se/articles/176 |
| work_keys_str_mv | AT perbulow stabilityofdiagnosesinacohortoflongtermmentallyillpatientsinsweden AT tommysvensson stabilityofdiagnosesinacohortoflongtermmentallyillpatientsinsweden |