The evaluation of medical board report datas for one year period after the transition to special needs report for children

Abstract

Objective: The aim of our study is to determine the distribution of diagnoses, special needs areas and levels in the medical board reports after passing to Special Needs Report for Children (SNRFC). In addition, to discuss the differences that emerged with the transition to the new system by comparing pre-SNRFC reports with the SNRFC reports of the cases who applied for report renewal. Method: We reviewed socio-demographic characteristics, SNRFC report details of 1302 cases between 0 and 18 years old who applied to the health committee between March 2019 and February 2020 for the purpose of preparing a SNRFC and details of medical board reports before SNRFC. Results: We saw that 65.7% of the patients are male and 34.3% are female. The average age was found 8.63 ± 3.91. The diagnoses in the reports were delayed turning points (44.7%), specific learning difficulties (30.7%), language developmental disorders (21.6%) and autism spectrum disorder (11.7%) respectively after the transition to SNRFC system. Cases applying for report renewal, in pre-SNRFC reports, it was seen that 8.3% of them were in range of 90-99 percent disability ratio. This rate was 33.5% in SNRFC (p <0.001). When the disability rates for only child and adolescent psychiatry diagnoses are examined in the cases whose report was renewed, 5.3% before SNRFC was in the range of 90-99 percent disability; this rate was found to be 18.1% in SNRFC (p <0.001). Discussion: With the transition to SNRFC, it was observed that there were no significant differences in the distribution of diagnoses in both child and youth psychiatry and other fields. However, a statistically significant increase was found when the group, which had a disability rate of 90-99% in cases applying for report renewal compared to the old regulation, was examined separately for all diagnoses and only for child and youth psychiatry diagnoses.