2007年福建省医疗机构死亡病例监测结果分析

Analysis of surveillance of death cases in hospitals in Fujian province,2007

目的通过对福建省2007年医疗机构死亡病例监测结果分析,了解福建省医疗机构死亡病例的死因构成,掌握其动态变化趋势以及影响死因监测报告质量原因。方法利用2007年全省医疗机构死亡病例通过网络直报并经审核及有根本死因编码的死亡个案,应用SPSS12.0版统计软件进行相关统计指标分析。结果慢性病是医疗机构死亡病例的最主要原因;死因顺位中排第一位的是循环系统疾病2577例,占全死因的22.46%,其次是肿瘤死亡2563例(占22.33%)和运输交通事故2029例。2007年死亡病例报告总数有了进一步的提高,但乡(镇)卫生院报告的死亡数占总的报告死亡数仅为2.65%;审核及时率明显低于2006年(下降19.70%);编码错误率与2006年相比上升了21.29%。结论慢性病是医疗机构死亡病例的主要构成,其中循环系统疾病、肿瘤和运输交通事故是导致居民死亡排前3位的根本死因。医疗机构死因报告质量有待提高,特别是根本死因编码质量仍然存在较大的问题;各级医疗机构报告单位应加强相关专业技术的培训和管理。

Objective To analyze the surveillance results of death cases in hospitals in Fujian in 2007 and find out the death cause constituents for these death cases, trend of death causes and the factors related to the quality of death cause reporting. Methods The verified death cases with underlying death cause code which were reported by the direct network reporting from the hospitals in province were analyzed by using SPSS （12.0）. Results Chronic disease was the leading death cause in hospitals with circulatory disease （2577 cases） ranking first in the death cause＇s order, accounting for 22.46% of the death cause proportion, followed by cancer （ 2563 cases, 22.33% ） and traffic accident （ 2029 cases）. The total reported death number continued to increase in 2007, but the death number reported by township health centers only accounted for 2.65 % of the total reported death number. Timely verified rate was significantly lower than 2006 （ a decline of 19.70% ）, and mis-coding rate increased by 21.29% compared with 2006. Conclusion The death caused by chronic disease accounted for the leading proportion of the death in hospitals, and circulatory disease, cancer and traffic accident were the first 3 underlying death causes of the people. The quality of death cause reporting in hospitals should be improved, especially on the quality of underlying death cause coding, and the training and management of death cause reporting in hospitals at all level should be strengthened.