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Reason for encounter might have been included, but this was declined for practical and methodological reasons.
It allows classification of the patient's reason for encounter (RFE), the problems/diagnosis managed, interventions, and the ordering of these data in an episode of care structure.
In 18 patients, the FPs had not rated the reason for encounter.
Feverish illness is the most common reason for encounter of children attending ambulatory care.
Substance use was also a rare reason for encounter in previous studies.
The diagnosis reported by the doctor was reported as the reason for encounter for all patients.
Similar(5)
In 417 of the remaining 2,037 patients (20%) the GP recorded a psychosocial diagnosis/reason for encounter.
We adopted the GP's suspicion of a psychosocial background in the case of a somatic diagnosis/reason for encounter as the "criterion" for the 4DSQ Somatization score.
A Distress cut-off score of ≥ 11 had a sensitivity of 0.71 and a specificity of 0.72 for "detecting" any psychosocial diagnosis/reason for encounter.
Furthermore, we demonstrated criterion validity with respect to the GP's suspicion of somatization in patients with a somatic diagnosis/reason for encounter.
Patients with a somatic diagnosis/reason for encounter were categorised into three groups according to the somatic-psychosocial score: "definite somatization" (score 4 5), "possible somatization" (score 2 3), and "no somatization" (score 1).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com