精神科外来における病名記載の実態に関する検討（第二報） : 精神分裂病から統合失調症への呼称変更前後の変化

Abstract

This study is a sequel to our previous report in 2006 which examined the discrepancies between the true diagnosis and the diagnosis recorded in externally submitted documents.The Japanese term for schizophrenia was changed from seishin-bunretsu-byo (mind-split-disease to togo-shitcho-sho (integration disorder in August 2002.We examined documents externally submitted in 2003 or laterand compared them with the result of our previous study which reported the recorded diagnosis in documents submitted in 2000 or earlier.While schizophrenia (seishin-bunretsu-byowas recorded as the diagnosis in 70.5% of the public documents in or before 2000the number recorded as schizophrenia(togo-shitcho-shohas risen to 94.7% since 2003.Similarly the figure rose from 5.9 % to 40% in private documents. It is presumed that the rise in the frequency of recording schizophrenia as the diagnosis is affected by the fact that the rate of informing patients of the diagnosis of schizophrenia has increased due to the change in the Japanese name of the disease.The wider use of international classification systemsmore patient participation in treatmentand medical welfare policy are also likely to have had an effect.Shinshu Med J 56 : 125―132 2008 (Received for publication January 212008;accepted in revised form February 192008