EvaluaciÃ³n de la situaciÃ³n asistencial en el TDAH - ASMI

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Materials and methods international Clinical Practice Guidelines in order to make a critical assessment of these using the AGREE instrument, as well as a bibliographical review of the management of ADHD within the context of our own health care system. services for infants and young children in the Basque Health Service (Osakidetza), through a review of clinical records and a questionnaire for professionals, as well as an additional questionnaire for Primary Care paediatricians. try) obtained from these services with regard to the incidence and prevalence of ADHD. lants over the last years in the ACBC. Economic analysis: YES NO Experts Opinion: YES NO Results and discussion — In Mental Health services the diagnosis of ADHD is confirmed only in 24% of direct consultations or referrals in those cases when this disorder is suspected. Even so, the incidence of the diagnosis in those services tripled from 2001 to 2007. — Both in the literature and in clinical practice, the differences in care and therapeutic criteria between the two main healthcare services for children (Mental Health and Primary Care Paediatrics) is confirmed. — The prescription of methylphenidate has increased enormously over recent years in the ACBC, increasing 18-fold from 2001 to 2007. The increase was much greater in primary care than in mental health. — Only 3 of the 9 CPGs on ADHD evaluated were «very recommendable» according to the assessment made with the AGREE instrument. — Both in the scientific evidence and in the CPGs based on it, there is a certain amount of bias and a number of conflicts of interest that blemish the credibility and objectivity of the declarations and recommendations they make, thus reducing their quality. 18 EVALUACIÓN DE LA SITUACIÓN ASISTENCIAL Y RECOMENDACIONES TERAPÉUTICAS …
Conclusions and recommendations greater than its real incidence. of this disorder and the way in which this is treated. health system to take overall responsibility for the care and management of this problem and to establish inter-professional protocols and coordination in order to ensure that our services operate more efficiently. blished on ADHD. prescription of methylphenidate in order to avoid unnecessary medicalisation and risks in the case of infants. INFORMES, ESTUDIOS E INVESTIGACIÓN 19
Page 1: Evaluación de la situación asiste
Page 4 and 5: Un registro bibliográfico de esta
Page 7 and 8: Autores Alberto Lasa Zulueta. Psiqu
Page 9 and 10: Índice Acrónimos 11 Resumen ejecu
Page 11 and 12: Acrónimos AAP: AACAP: AEMPS: AGREE
Page 13 and 14: Resumen ejecutivo Título: Evaluaci
Page 15: Conclusiones y recomendaciones ma
Page 21 and 22: Laburpen egituratua Izenburua: Arre
Page 23: Konklusioak eta gomendioak berone
Page 26 and 27: Las diversas prácticas pueden agru
Page 28 and 29: Por otro lado, en un documento de 2
Page 31: II. Objetivos Los objetivos de este
Page 34 and 35: - GIN - Guidelines Advisory Committ
Page 36 and 37: III.2. Descripción de la realidad
Page 38 and 39: III.3. Elaborar conclusiones y reco
Page 40 and 41: Tabla 4.1. GPC evaluadas críticame
Page 42 and 43: El manual del AGREE indica que para
Page 44 and 45: que valora si al formular las recom
Page 46 and 47: siendo financiado externamente de f
Page 48 and 49: TDA/H no implica una causa médica
Page 50 and 51: con él y que son importantes para
Page 52 and 53: Con respecto al tratamiento, y cons
Page 54 and 55: mientras que los de segunda línea
Page 56 and 57: dres, informados desde el colegio o
Page 58 and 59: casos diagnosticados de TDA/H, sino
Page 60 and 61: médicos de diferenciar claramente
Page 62 and 63: una serie de artículos puntos de v
Page 64 and 65: Tabla 4.7. Incidencia de TDA/H en n
Page 66 and 67: En el momento de la recepción de e
Page 68 and 69:
(n=88) o como complementario (n=7).
Page 70 and 71:
epígrafe de trastorno de déficit
Page 72 and 73:
psicoterapéutica con el niño o ni
Page 74 and 75:
2. Parece ser cada vez más frecuen
Page 76 and 77:
IV.2.3. Datos de consumo de metilfe
Page 78 and 79:
Gráfico 4.11. Consumo de metilfeni
Page 80 and 81:
Gráfico 4.15. Gasto en euros para
Page 83 and 84:
V. Discusión Los resultados de nue
Page 85 and 86:
V.2. Respecto a las dimensiones epi
Page 87 and 88:
numerosos casos de no suficiente gr
Page 89 and 90:
por autores antes partidarios de su
Page 91 and 92:
ilidad de expresarse y ser escuchad
Page 93:
En la misma línea, desde la medici
Page 96 and 97:
los distintos niveles asistenciales
Page 99 and 100:
VII. Referencias 1. American Psychi
Page 101 and 102:
22. Hall D. Paediatrics and primary
Page 103 and 104:
44. Herranz Jordán B. Trastorno po
Page 105 and 106:
psiquiátrica y tratamiento farmaco
Page 107 and 108:
VIII. Anexos Anexo VIII.1. Cuestion
Page 109 and 110:
Anexo VIII.2. Cuestionario de opini
Page 111 and 112:
Anexo VIII.3. Fichas-resúmen de la
Page 113 and 114:
Título: Attention Deficit and Hype
Page 115 and 116:
Título: Attention deficit hyperact
Page 117 and 118:
Título: New Zealand Guidelines for
Page 119 and 120:
Título: Attention-Deficit Hyperact
Page 121 and 122:
RIGOR EN LA ELABORACIÓN 8. Se han
Page 129:
P.V.P.: 10
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EvaluaciÃ³n de la situaciÃ³n asistencial en el TDAH - ASMI

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