Engelli Sağlık Kurulu Raporlarının Psikiyatrik Açıdan İncelenmesi ve Yönetmelik Değişikliği İle Ortaya Çıkan Farklılıkların Araştırılması
Psychiatric Examination of Health Board Reports of Disability and Investigation of Differences Related to Regulation Amendment

Summary/Abstract: The aim of the study is to investigate the sociodemographic characteristics, psychiatric diagnosis, disability rate and psychiatric dependency status of patients who applied for the health board report of disability and the differences emerged after the regulation change dated February 20, 2019. Data of 1315 individuals aged 18 and over who were evaluated between September 1, 2018 and August 31, 2019 were retrospectively analyzed, and the data of those patients evaluated before and after the regulation change were compared. 56.2% of the cases were male, 43.8% were female. The median age was 46. 32.8% of the patients were assigned a report due to mental illness. The rate of those diagnosed with a disability rate of 40 % and above was found to be 22.4 %. When the severe disability / full dependency assessments of patients with a disability rate of 50% and above were compared according to the old and new regulations. There was no significant difference between the groups. As a referee hospital, the initial assessment of 16.1% of the applicants as “not severely disabled” and 1% of the applicants as “severely disabled” was changed to “partially dependent”.In psychiatric cases, the level of functionality should be evaluated multidimensionally in relation to the course of the disease and various factors specific to the patient. It is thought that the intermediate rate “partially improves with treatment” and the definition of “partially dependent” brought to certain diseases by the new regulation can be a solution for the patients who lie in between.

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