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Quantification of Agreement in Multiple Psychiatric Diagnosis
Joseph L. Fleiss, PhD;
Robert L. Spitzer, MD;
Jean Endicott, PhD;
Jacob Cohen, PhD
Arch Gen Psychiatry. 1972;26(2):168-171.
Abstract
To deal with the problem of indexing diagnostic agreement when clinicians make multiple diagnoses on the same case, an algorithm for calculating a specific level of disagreement for an individual case was developed, and a summary statistic for measuring overall agreement is defined. The output of a computer program for quantifying agreement on multiple diagnoses is described, and an application is given.
Author Affiliations
New York
From the biostatistics (Dr. Fleiss) and evaluation (Drs. Spitzer and Endiocott) sections, Biometrics Research, New York State Department of Mental Hygiene; New York State Psychiatric Institute and Department of Psychiatry, Columbia University; and the Department of Psychology, New York University (Dr. Cohen).
Footnotes
Accepted for publication July 6, 1971;
Reprint requests to 722 W 168th St, New York 10032 (Dr. Fleiss).
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