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- Title
NAJČASTEJŠIE PSYCHICKÉ PORUCHY V PSYCHIATRICKÝCH AMBULANCIÁCH - SÚČASNOSŤ A NOVÁ KLASIFIKÁCIA MKCH-11.
- Authors
Izáková, Ľubomíra; Králová, Mária; Pečeňák, Ján
- Abstract
In the European Union every seventh person experiences any form of mental disorder at least one time during the life. Despite the fact, that the prevalence of mental disorders is high, and the number of treated patients is rising, still remains a large number of those, who never find out any professional help. Actual concern exists, that mental disorders associated with high economic burden, will be the main reason of disability in developed countries by the year 2030. And besides, direct costs of the health care are usually much lower than indirect costs for the social care. Accurate adjustment of the mental health care system and allocation of the appropriate financial sources is limited by missing epidemiological data. In Slovakia are available only data about the prevalence of depression, anxiety disorders, alcoholism and smoking from the research at the beginning of 21st century, but the newer data or the data about other mental disorders are missing. Global management of mental disorders and their social impact is very much influenced by early diagnostics and evidence-based treatment. In this field we are expecting some changes in 11th revision of International Classification of the Diseases (ICD-11) and rigorous implementation of approved Standard Diagnostic and Therapeutic Procedures. According to the data of National Health Information Center the most frequent diagnostic categories at the psychiatric outpatient care in Slovakia in 2018 were affective disorders, neurotic, stress and somatoform disorders and organic mental disorders including symptomatic disorders, with the greatest contribution of dementias. In this paper we analyse these three diagnostic categories in terms of their position in the ICD-11, their prevalence in the different population groups, their impact on overall mental and physical health and the functioning of the patient and also their economical burden for the society. This information represents the base for accurate setting-up of individual steps of the reform of psychiatric care, which takes place in Slovakia.
- Subjects
SLOVAKIA; NEUROBEHAVIORAL disorders; MENTAL health services; MENTAL illness; AFFECTIVE disorders; NOSOLOGY; EUROPEAN Union; SOMATOFORM disorders
- Publication
Ceská a Slovenská Psychiatrie, 2021, Vol 117, Issue 1, p33
- ISSN
1212-0383
- Publication type
Article