{"id":"https://openalex.org/W2002249018","doi":"https://doi.org/10.1136/bmj.306.6881.821","title":"An evaluation of the multidisciplinary approach to psychiatric diagnosis in elderly people.","display_name":"An evaluation of the multidisciplinary approach to psychiatric diagnosis in elderly people.","publication_year":1993,"publication_date":"1993-03-27","ids":{"openalex":"https://openalex.org/W2002249018","doi":"https://doi.org/10.1136/bmj.306.6881.821","mag":"2002249018","pmid":"https://pubmed.ncbi.nlm.nih.gov/8490373","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1677287"},"language":"en","primary_location":{"id":"doi:10.1136/bmj.306.6881.821","doi":"https://doi.org/10.1136/bmj.306.6881.821","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmj.306.6881.821","pdf_url":"https://www.bmj.com/content/bmj/306/6881/821.full.pdf","source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W2002249018"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.bmj.com/content/bmj/306/6881/821.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084546068","display_name":"Gill Collighan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1298207432","display_name":"Guy's Hospital","ror":"https://ror.org/04r33pf22","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1298207432","https://openalex.org/I200166805","https://openalex.org/I4210111135"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"G Collighan","raw_affiliation_strings":["United Medical School, Guy's Hospital, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"United Medical School, Guy's Hospital, London","institution_ids":["https://openalex.org/I1298207432"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101932599","display_name":"Alastair Macdonald","orcid":"https://orcid.org/0000-0001-8142-1875","observed_orcids":["https://orcid.org/0000-0001-8142-1875"]},"institutions":[{"id":"https://openalex.org/I1298207432","display_name":"Guy's Hospital","ror":"https://ror.org/04r33pf22","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1298207432","https://openalex.org/I200166805","https://openalex.org/I4210111135"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"A Macdonald","raw_affiliation_strings":["United Medical School, Guy's Hospital, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"United Medical School, Guy's Hospital, London","institution_ids":["https://openalex.org/I1298207432"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055210986","display_name":"Joe Herzberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1298207432","display_name":"Guy's Hospital","ror":"https://ror.org/04r33pf22","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1298207432","https://openalex.org/I200166805","https://openalex.org/I4210111135"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"J Herzberg","raw_affiliation_strings":["United Medical School, Guy's Hospital, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"United Medical School, Guy's Hospital, London","institution_ids":["https://openalex.org/I1298207432"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111747648","display_name":"Michael P. Philpot","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1298207432","display_name":"Guy's Hospital","ror":"https://ror.org/04r33pf22","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1298207432","https://openalex.org/I200166805","https://openalex.org/I4210111135"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"M Philpot","raw_affiliation_strings":["United Medical School, Guy's Hospital, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"United Medical School, Guy's Hospital, London","institution_ids":["https://openalex.org/I1298207432"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035579737","display_name":"James E. B. Lindesay","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1298207432","display_name":"Guy's Hospital","ror":"https://ror.org/04r33pf22","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1298207432","https://openalex.org/I200166805","https://openalex.org/I4210111135"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"J Lindesay","raw_affiliation_strings":["United Medical School, Guy's Hospital, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"United Medical School, Guy's Hospital, London","institution_ids":["https://openalex.org/I1298207432"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1298207432"],"apc_list":null,"apc_paid":null,"fwci":11.6929,"has_fulltext":true,"cited_by_count":71,"citation_normalized_percentile":{"value":0.98763747,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"306","issue":"6881","first_page":"821","last_page":"824"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.5810999870300293,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.5810999870300293,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.12219999730587006,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.09969999641180038,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/psychiatric-diagnosis","display_name":"psychiatric diagnosis","score":0.8270000219345093},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.6990000009536743},{"id":"https://openalex.org/keywords/multidisciplinary-assessment","display_name":"multidisciplinary assessment","score":0.8759999871253967},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.9879999756813049},{"id":"https://openalex.org/keywords/diagnostic-agreement","display_name":"diagnostic agreement","score":0.781000018119812},{"id":"https://openalex.org/keywords/geriatric-psychiatry","display_name":"geriatric psychiatry","score":0.5759999752044678}],"concepts":[{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.81446373462677},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.7933011651039124},{"id":"https://openalex.org/C2994403141","wikidata":"https://www.wikidata.org/wiki/Q2976573","display_name":"Psychiatric diagnosis","level":3,"score":0.7327515482902527},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.7318822145462036},{"id":"https://openalex.org/C3020501284","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary team","level":2,"score":0.6125882863998413},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5341644883155823},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5291821360588074},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.34148794412612915},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.22298800945281982},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.07074400782585144},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003156","descriptor_name":"Community Mental Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003951","descriptor_name":"Diagnostic Errors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006299","descriptor_name":"Health Services for the Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007400","descriptor_name":"Interprofessional Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008131","descriptor_name":"London","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012680","descriptor_name":"Sensitivity and Specificity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014504","descriptor_name":"Urban Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1136/bmj.306.6881.821","doi":"https://doi.org/10.1136/bmj.306.6881.821","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmj.306.6881.821","pdf_url":"https://www.bmj.com/content/bmj/306/6881/821.full.pdf","source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:383290","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1677287","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:8490373","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8490373","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ (Clinical research ed.)","raw_type":"Clinical Trial"},{"id":"pmh:oai:pubmedcentral.nih.gov:1677287","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1677287/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1136/bmj.306.6881.821","doi":"https://doi.org/10.1136/bmj.306.6881.821","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmj.306.6881.821","pdf_url":"https://www.bmj.com/content/bmj/306/6881/821.full.pdf","source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2002249018.pdf","grobid_xml":"https://content.openalex.org/works/W2002249018.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W578063195","https://openalex.org/W1966631028","https://openalex.org/W1981185108","https://openalex.org/W2071056438","https://openalex.org/W2093789512","https://openalex.org/W2110800385","https://openalex.org/W2123909410","https://openalex.org/W4238404938"],"related_works":["https://openalex.org/W2128617864","https://openalex.org/W2093789512","https://openalex.org/W2012976146","https://openalex.org/W1878855378","https://openalex.org/W2328991028","https://openalex.org/W4391479951","https://openalex.org/W2000170724","https://openalex.org/W4238136006","https://openalex.org/W3189139295","https://openalex.org/W2080818703"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"determine":[2],"the":[3,59,83,105,124,134,143],"accuracy":[4,110],"of":[5,21,119,123,136,150],"psychiatric":[6,85,151],"diagnoses":[7,76],"made":[8],"by":[9,31,111],"two":[10],"community":[11,36,140],"psychogeriatric":[12,37],"teams":[13,38,141],"operating":[14],"a":[15],"multidisciplinary":[16,131],"assessment":[17,27,135],"procedure.":[18],"DESIGN:":[19],"Comparison":[20],"team":[22,66,73,97,112,120,125],"diagnosis":[23,30],"with":[24,39,104,116,148],"independent":[25],"formal":[26],"and":[28,67,74,95],"consensus":[29],"research":[32,68,75,106],"psychiatrists.":[33,107],"SETTING:":[34],"Two":[35],"similar":[40],"operational":[41],"policies":[42],"in":[43,99],"an":[44],"inner":[45],"London":[46],"health":[47],"district.":[48],"SUBJECTS:":[49],"100":[50],"people":[51],"aged":[52],"65-90":[53],"(70":[54],"women)":[55],"newly":[56],"referred":[57],"to":[58,80,133,138],"teams.":[60],"MAIN":[61],"OUTCOME":[62],"MEASURES:":[63],"Concordance":[64],"between":[65,72,93],"diagnoses.":[69],"RESULTS:":[70],"Agreement":[71],"ranged":[77],"from":[78],"90%":[79],"99%":[81],"for":[82,142],"specific":[84],"disorders":[86],"studied.":[87],"There":[88],"was":[89,114],"no":[90],"significant":[91],"difference":[92],"medical":[94],"non-medical":[96],"members":[98,113],"their":[100],"diagnostic":[101,109],"performance":[102],"compared":[103],"Increased":[108],"associated":[115,147],"longer":[117],"experience":[118],"working,":[121],"regardless":[122],"members'":[126],"professional":[127],"background.":[128],"CONCLUSIONS:":[129],"The":[130],"approach":[132],"referrals":[137],"these":[139],"elderly":[144],"is":[145],"not":[146],"misdiagnosis":[149],"disorder.":[152]},"counts_by_year":[{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2016-06-24T00:00:00"}
