Abstract：
Diagnostic assessment in psychiatric services typically involves applying clinical judgment to information collected from patients using multiple sources, including anamnesis and structured diagnostic interviews. Research shows that clinicians\' perceptions of diagnostic assessment are associated with their diagnostic practices, and that perceptions and practices may vary according to clinician characteristics. Examining clinicians\' perceptions and practices of diagnostic assessment is important for quality improvement in psychiatric services, including implementation of evidence-based practice procedures. The purpose of the present study was to evaluate clinicians\' perceptions and practices of diagnostic assessment in psychiatric services and examine whether these perceptions and practices varied according to profession and age, with the aim of providing a basis for quality improvement.
A total of 183 (53.2%) clinicians in community-based adult psychiatric services in Stockholm, Sweden participated in an online survey. Differences between professions were analyzed using Kruskal-Wallis tests and effect sizes were calculated. Associations of clinicians\' perceptions with their age were examined using Spearman correlations.
Overall, clinicians had positive attitudes toward diagnostic assessment, and they considered themselves as competent. Differences were as most pronounced between nurses and other professions. Nursed had conducted fewer assessments, perceived themselves as less competent, and reported to a smaller extent to be able to determine which diagnosis should be the target for treatment in patients with multiple diagnoses. There were no associations of clinicians\' perceptions with their age. Some potential areas of improvement were identified, including clinician qualifications, education in diagnostic assessment, and contents of diagnostic assessment.
The results of the present study may provide a basis for quality improvement in psychiatric services. For example, it may be important to pay attention to potential differences in perceptions and practices between professions in efforts to improve quality of assessment and care.
A total of 183 (53.2%) clinicians in community-based adult psychiatric services in Stockholm, Sweden participated in an online survey. Differences between professions were analyzed using Kruskal-Wallis tests and effect sizes were calculated. Associations of clinicians\' perceptions with their age were examined using Spearman correlations.
Overall, clinicians had positive attitudes toward diagnostic assessment, and they considered themselves as competent. Differences were as most pronounced between nurses and other professions. Nursed had conducted fewer assessments, perceived themselves as less competent, and reported to a smaller extent to be able to determine which diagnosis should be the target for treatment in patients with multiple diagnoses. There were no associations of clinicians\' perceptions with their age. Some potential areas of improvement were identified, including clinician qualifications, education in diagnostic assessment, and contents of diagnostic assessment.
The results of the present study may provide a basis for quality improvement in psychiatric services. For example, it may be important to pay attention to potential differences in perceptions and practices between professions in efforts to improve quality of assessment and care.
摘要：
背景：精神科服务的诊断评估通常涉及将临床判断应用于使用多种来源从患者收集的信息，包括回忆和结构化诊断访谈。研究表明，临床医生对诊断评估的看法与他们的诊断实践有关，感知和实践可能会根据临床医生的特点而有所不同。检查临床医生对诊断评估的看法和做法对于改善精神科服务的质量很重要，包括实施循证实践程序。本研究的目的是评估临床医生对精神科服务中诊断评估的看法和做法，并检查这些看法和做法是否因职业和年龄而异。目的是为质量改进提供依据。
方法：斯德哥尔摩共有183名（53.2%）的社区成人精神科医生，瑞典参加了一项在线调查。使用Kruskal-Wallis测试分析了职业之间的差异，并计算了效果大小。使用Spearman相关性检查了临床医生的认知与年龄的关联。
结果：总体而言，临床医生对诊断评估持积极态度，他们认为自己有能力。护士和其他职业之间的差异最为明显。护士进行的评估较少，认为自己能力较弱，并且在较小的程度上报告能够确定哪种诊断应该是多种诊断的患者的治疗目标。临床医生的看法与他们的年龄没有关联。确定了一些潜在的改进领域，包括临床医生资格，诊断评估教育，和诊断评估的内容。
结论：本研究结果可为精神科服务质量改进提供依据。例如,在努力提高评估和护理质量时，可能需要注意不同职业之间在观念和实践方面的潜在差异。
方法：斯德哥尔摩共有183名（53.2%）的社区成人精神科医生，瑞典参加了一项在线调查。使用Kruskal-Wallis测试分析了职业之间的差异，并计算了效果大小。使用Spearman相关性检查了临床医生的认知与年龄的关联。
结果：总体而言，临床医生对诊断评估持积极态度，他们认为自己有能力。护士和其他职业之间的差异最为明显。护士进行的评估较少，认为自己能力较弱，并且在较小的程度上报告能够确定哪种诊断应该是多种诊断的患者的治疗目标。临床医生的看法与他们的年龄没有关联。确定了一些潜在的改进领域，包括临床医生资格，诊断评估教育，和诊断评估的内容。
结论：本研究结果可为精神科服务质量改进提供依据。例如,在努力提高评估和护理质量时，可能需要注意不同职业之间在观念和实践方面的潜在差异。
