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A deeper understanding of this topic is relevant for providing reasonable health care and for planning future studies. A crucial factor to understanding this discussion is the difference in the prevalence of a disease in each sector. One way to attain knowledge about such prevalences is the analysis of routine care data of the sector in question. However, diagnosis-related data might be modified by several additional influencing factors.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aims<\/jats:title>\n                <jats:p>This study aims to explore what kind of motives and modifying factors play a role for or against giving psychiatric diagnoses in psychiatric and general medical settings.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Twenty-six semi-structured interviews were conducted with German physicians in the fields of general medicine and psychiatry. Interviews were analysed using content analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The analysis revealed three major motivational categories for finding a diagnosis: (1) \u201cobjective matters\u201d such as \u201ccategorisation for research\u201d; (2) \u201cfunctional and performance-related factors\u201d such as \u201crequirement for medication\u201d, \u201cbilling aspects\u201d that go with certain diagnoses or \u201caccess to adequate care\u201d and (3) \u201cIndividual factors\u201d such as the \u201cpersonality of a physician\u201d. Similarly, factors emerged that lead to not making psychiatric diagnoses like \u201cfear of stigmatization among patients\u201d or \u201cdetrimental insurance status with psychiatric diagnosis\u201d. Additionally participants mentioned other reasons for \u201cnot diagnosing a psychiatric diagnosis\u201c, such as \u201ccoding of other clinical pictures\u201d.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The diagnostic process is a complex phenomenon that goes far beyond the identification of medical findings. This insight should be considered when processing and interpreting secondary data for designing health care systems or designing a study.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12888-024-05900-2","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T10:03:20Z","timestamp":1718877800000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Motives and modifying factors for giving or rejecting psychiatric diagnoses in general medicine and psychiatry \u2013 a qualitative interview study"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8392-4080","authenticated-orcid":false,"given":"Hannah","family":"Tebartz van Elst","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Niehoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jost","family":"Steinh\u00e4user","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"key":"5900_CR1","volume-title":"Der Arzt, sein patient und die Krankheit. 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