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• W2079547943 abstract "Analizar el índice de concordancia diagnóstica entre atención primaria y salud mental. Estudio descriptivo, retrospectivo. Centro de Salud Mental de Estella (Navarra). Inclusión de pacientes adultos nuevos consecutivos remitidos a salud mental (n = 1.005) entre julio de 2002 y marzo de 2005. Análisis de los diagnósticos realizados en atención primaria y salud mental en el período de tiempo establecido. Cálculo del índice kappa de concordancia interjueces. La concordancia global diagnóstica tiene un índice kappa = 0,385 (± 0,018). En los trastornos por uso de alcohol y otras sustancias y los trastornos psicóticos se obtienen índices de concordancia elevados (kappa > 0,7). Los trastornos de la alimentación y el trastorno mental orgánico reflejan una concordancia moderada (índice kappa entre 0,4 y 0,7). Sin embargo, en los trastornos de ansiedad, adaptativos y afectivos se obtiene una concordancia baja (kappa < 0,3). En general, la concordancia entre los diagnósticos realizados en atención primaria y salud mental es baja. En concreto, destaca la dificultad para identificar adecuadamente los trastornos adaptativos, y se observa una importante tendencia por parte de atención primaria a filiar como cuadros ansiosos o afectivos estos trastornos. To analyse the diagnostic concordance index between primary care and mental health. Retrospective and descriptive study. Mental health centre, Estella, Navarra, Spain. New consecutive adults patients referred to mental health (n=1005) from july 2002 to march 2005. Analysis of diagnoses made in primary care and mental health during the time period. Calculation of kappa index for inter-observer concordance. General diagnostic concordance had a kappa index =0.385 (±0.018). High concordance index (>0.7) was obtained for alcohol and other substance use disorders and psychotic disorders. Moderate concordance index (0.4-0.7) was obtained for eating disorders and organic mental disorders. However, low concordance index (<0.3) was obtained for anxiety, adaptative, and affective disorders. In general, diagnostic concordance between primary care and mental health is weak. Particularly noticeable was difficulty in identifying adaptative disorders adequately. There was a strong tendency in primary care to identify these disorders as anxiety or affective disorders." @default.
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• W2079547943 date "2008-06-01" @default.
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• W2079547943 title "Concordancia en el diagnóstico entre atención primaria y salud mental" @default.
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• W2079547943 doi "https://doi.org/10.1157/13123680" @default.
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