杭州市居民死亡地点分布及相关因素研究

A Study on Distribution of Death Location and Influencing Factors among Hangzhou Residents

目的分析杭州市居民死亡地点分布及其影响因素。方法采用描述性统计方法对死亡资料进行分析。结果杭州市居民死于家中的比例最高,尤其是农村。女性死于家中的比例高于男性。城市人群死于医院的比例高于农村。文化程度越低,死于家中的比例也越高。在医院死亡中以恶性肿瘤比例最高;外地死亡中以损伤和中毒比例最高。结论随着新医改政策的实施,医疗卫生服务的可及性与公平性的进一步提高,死亡在医院的比例将会上升,这对提高死因诊断可靠性和临终关怀质量具有重要意义,也为制定卫生保健政策提供了依据。

Objective To explore the distribution of location of deaths and its influencing factors among Hangzhou residents.Methods A descriptive analysis was made on the cases of mortality in Hangzhou during 2010.Results The proportion of deaths occurred at home was the highest in the residents of Hangzhou city,especially in rural area.Women had higher percentage than man in home-occurred deaths.The proportion of urban population who died in hospital was higher than that of rural ones.The lower degree of education,the higher proportion died at home.The highest proportion of deaths in hospital was malignant tumor.Injury and poisoning were the main causes of the non-local deaths.Conclusion Urban-rural difference is significant in location of deaths in Hangzhou city.As the implement of new medical reform and improvement of accessibility and equality of medical health service,the proportion of deaths occurring at the hospital will raise.It is significant to improve the reliability of diagnosis of deaths and the quality of terminal care,which cloud provide scientific evidence for the development of health care policy.