- MeSH
- Depression etiology therapy MeSH
- Adult MeSH
- Emotions MeSH
- Epilepsy * complications psychology therapy MeSH
- Cognitive Behavioral Therapy * methods MeSH
- Humans MeSH
- Panic Disorder etiology therapy MeSH
- Statistics as Topic MeSH
- Topiramate therapeutic use MeSH
- Anxiety Disorders etiology classification therapy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
V Európskej únii zažije nejakú formu psychickej poruchy aspoň raz za život približne jeden zo siedmich ľudí. Napriek tomu, že prevalencia psychických porúch je vysoká a narastá aj počet liečených, stále zostáva veľký počet tých, ktorí nevyhľadajú odbornú pomoc. Existujú reálne obavy, že duševné poruchy, ktoré sú aj veľmi ekonomicky nákladné, budú do roku 2030 hlavnou príčinou zdravotného postihnutia vo vyspelých krajinách. Pritom priame náklady na zdravotnú starostlivosť sú obvykle oveľa nižšie ako náklady na nepriamu, sociálnu starostlivosť. Správne nastavenie systému starostlivosti o duševné zdravie a alokáciu zodpovedajúcich finančných zdrojov limituje nedostatok epidemiologických údajov. Na Slovensku sú k dispozícii len epidemiologické údaje o prevalencii depresie, úzkostných porúch, alkoholizmu a fajčenia z výskumov ešte zo začiatku 21. storočia, ale chýbajú novšie údaje, resp. dáta o prevalencii iných duševných porúch. Na celkový manažment psychických porúch a ich sociálny dopad má významný vplyv ich včasná diagnostika a na dôkazoch založená liečba. V tejto oblasti nás čakajú zmeny v podobe 11. revízie Medzinárodnej klasifikácie chorôb (MKCH-11) a dôslednej implementácie schválených Štandardných diagnostických a terapeutických postupov. Podľa údajov Národného centra zdravotníckych informácií boli v roku 2018 najčastejšími diagnostickými kategóriami v starostlivosti psychiatrických ambulancií na Slovensku afektívne poruchy, neurotické, stresom podmienené a somatoformné poruchy a organické duševné choroby vrátane symptomatických, z ktorých najväčší podiel tvorili demencie. V práci analyzujeme tieto tri diagnostické okruhy z hľadiska ich postavenia v klasifikácii MKCH-11, podľa ich výskytu a ich dopadu na celkové duševné a telesné zdravie a funkčnosť pacientov a tiež ich ekonomickej náročnosti pre spoločnosť. Tieto poznatky sú podkladom pre správne nastavenie jednotlivých krokov reformy psychiatrickej starostlivosti, ktorá na Slovensku prebieha.
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 ofdisability 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.
- MeSH
- Ambulatory Care MeSH
- Dementia diagnosis epidemiology classification MeSH
- Depressive Disorder diagnosis epidemiology classification MeSH
- Persons with Psychiatric Disorders MeSH
- Humans MeSH
- International Classification of Diseases * trends MeSH
- Prevalence MeSH
- Mental Health Services MeSH
- Anxiety Disorders diagnosis epidemiology classification MeSH
- Check Tag
- Humans MeSH
- Geographicals
- Slovakia MeSH
- MeSH
- Alzheimer Disease pathology MeSH
- Antidepressive Agents adverse effects therapeutic use MeSH
- Dementia pathology MeSH
- Depressive Disorder etiology drug therapy pathology MeSH
- Mental Disorders * etiology drug therapy physiopathology pathology MeSH
- Central Nervous System Agents classification adverse effects therapeutic use MeSH
- Humans MeSH
- Polysomnography drug effects MeSH
- Sleep Disorders, Circadian Rhythm complications physiopathology MeSH
- Sleep Wake Disorders * etiology classification complications therapy MeSH
- Anxiety Disorders classification pathology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
- MeSH
- Agoraphobia diagnosis etiology complications MeSH
- Anti-Anxiety Agents administration & dosage classification adverse effects MeSH
- Diagnosis, Differential MeSH
- Phobic Disorders diagnosis MeSH
- Humans MeSH
- Obsessive-Compulsive Disorder diagnosis etiology complications MeSH
- Panic Disorder diagnosis etiology MeSH
- Phobia, Social diagnosis etiology MeSH
- Anxiety Disorders * diagnosis etiology drug therapy classification complications therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Medical History Taking MeSH
- Humans MeSH
- Anxiety Disorders classification complications MeSH
- Vertigo diagnosis etiology classification complications psychology MeSH
- Vestibular Diseases * diagnosis etiology classification complications psychology MeSH
- Vestibular System anatomy & histology physiology MeSH
- Ear, Inner anatomy & histology MeSH
- Dizziness diagnosis etiology classification complications psychology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Diagnosis, Differential MeSH
- Phobic Disorders classification MeSH
- Humans MeSH
- Psychotherapy classification MeSH
- Psychotropic Drugs administration & dosage classification adverse effects MeSH
- Anxiety Disorders * diagnosis drug therapy classification therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Doporučené diagnostické a terapeutické postupy pro všeobecné praktické lékaře
17 stran : ilustrace, tabulky ; 30 cm
- MeSH
- General Practice * MeSH
- Anxiety Disorders diagnosis classification therapy MeSH
- Publication type
- Practice Guideline MeSH
- Conspectus
- Psychiatrie
- NML Fields
- psychiatrie
- všeobecné lékařství
- NML Publication type
- brožury