The University of Southampton
University of Southampton Institutional Repository

Impact of the ICD-10 Primary Health Care (PHC) diagnostic and management guidelines for mental disorders on detection and outcome in primary care

Impact of the ICD-10 Primary Health Care (PHC) diagnostic and management guidelines for mental disorders on detection and outcome in primary care
Impact of the ICD-10 Primary Health Care (PHC) diagnostic and management guidelines for mental disorders on detection and outcome in primary care
Background The World Health Organization (WHO) ICD-10 Primary Health Care (PHC) Guidelines for Diagnosis and Management of Mental Disorders (1996) have not been evaluated in a pragmatic randomised controlled trial (RCT).
Aims: To evaluate the effect of local adaptation and dissemination of the guidelines.
Method: Pragmatic, pair-matched, cluster RCT involving 30 practices.
Results: Guideline practices were less sensitive but more specific in identifying morbidity, but these differences were not significant. Guideline patients did not differ from usual-care patients on 12-item General Health Questionnaire scores at 3-month follow-up or in the proportion who were still cases. There were no significant differences in secondary outcomes.
Conclusions: Attempts to influence clinician behaviour through a process of adaptation and extension of guidelines are unlikely to change detection rates or outcomes.
primary health care, ICD-10, mental disorders, diagnostic and management guidelines, detection and outcome
0007-1250
20-30
Croudace, T.
a63d59a6-5fc1-477a-a8c0-2f5669a74326
Evans, J.
f551701f-0ce1-4816-8a77-5a87eaf721a3
Harrison, G.
4e2c5afa-42b1-48ac-a096-a7729d2ed6da
Sharp, D.J.
48bd7be2-df6f-4e0b-a48d-108f046cd71d
Wilkinson, E.
eb586979-85f1-4286-87e7-91c73f5f55c1
McCann, G.
3876a282-f79e-44c1-a109-ae99bf8a8c70
Spence, M.
e5491326-7192-47e2-9973-3ffac20014c6
Crilly, C.
6dc7d206-6cb9-455d-bc5c-8db642e3b72f
Brindle, L.
7cee16b9-d5c0-433d-97dd-8e9c1db44027
Croudace, T.
a63d59a6-5fc1-477a-a8c0-2f5669a74326
Evans, J.
f551701f-0ce1-4816-8a77-5a87eaf721a3
Harrison, G.
4e2c5afa-42b1-48ac-a096-a7729d2ed6da
Sharp, D.J.
48bd7be2-df6f-4e0b-a48d-108f046cd71d
Wilkinson, E.
eb586979-85f1-4286-87e7-91c73f5f55c1
McCann, G.
3876a282-f79e-44c1-a109-ae99bf8a8c70
Spence, M.
e5491326-7192-47e2-9973-3ffac20014c6
Crilly, C.
6dc7d206-6cb9-455d-bc5c-8db642e3b72f
Brindle, L.
7cee16b9-d5c0-433d-97dd-8e9c1db44027

Croudace, T., Evans, J., Harrison, G., Sharp, D.J., Wilkinson, E., McCann, G., Spence, M., Crilly, C. and Brindle, L. (2003) Impact of the ICD-10 Primary Health Care (PHC) diagnostic and management guidelines for mental disorders on detection and outcome in primary care. The British Journal of Psychiatry, 182 (1), 20-30.

Record type: Article

Abstract

Background The World Health Organization (WHO) ICD-10 Primary Health Care (PHC) Guidelines for Diagnosis and Management of Mental Disorders (1996) have not been evaluated in a pragmatic randomised controlled trial (RCT).
Aims: To evaluate the effect of local adaptation and dissemination of the guidelines.
Method: Pragmatic, pair-matched, cluster RCT involving 30 practices.
Results: Guideline practices were less sensitive but more specific in identifying morbidity, but these differences were not significant. Guideline patients did not differ from usual-care patients on 12-item General Health Questionnaire scores at 3-month follow-up or in the proportion who were still cases. There were no significant differences in secondary outcomes.
Conclusions: Attempts to influence clinician behaviour through a process of adaptation and extension of guidelines are unlikely to change detection rates or outcomes.

Full text not available from this repository.

More information

Published date: 2003
Keywords: primary health care, ICD-10, mental disorders, diagnostic and management guidelines, detection and outcome

Identifiers

Local EPrints ID: 19191
URI: https://eprints.soton.ac.uk/id/eprint/19191
ISSN: 0007-1250
PURE UUID: 4b3b7e44-2744-4d14-b6cb-7e6e40f312f6

Catalogue record

Date deposited: 19 Jan 2006
Last modified: 15 Jul 2019 19:27

Export record

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×