2010年佛山市医疗机构死因信息登记质量分析

The Quality Analysis of Cause of Death Registration Information in Foshan Medical Institutions in 2010

目的:通过分析佛山市2010年死因监测网络直报中网络报告质量情况和评价根本死因质量,找出解决办法和途径,从而提高数据信息准确性,为卫生决策提供科学依据。方法:数据来源于国家死因监测网络直报系统,使用EXCEL 2010建立数据库,各指标的数据分析使用SPSS19.0统计学软件。结果:佛山市2010年报告死亡率为96.10/10万,远远未达到国家死因监测居民粗死亡率600/10万的要求。综合医院的报告及格率低于镇街医院,欠发达地区镇街医院的报告率有待提高,部分区及时审核有待加强。死亡卡报告不符ICD10编码要求占5.85%;死因编码评价指标(如心血管病缺乏诊断意义、死因诊断不明等)保持在较低比例,编码评价指标符合质量要求。结论:应加强领导,提高医疗机构填报覆盖率,落实绩效考核评估,提高死因信息报告及时性和审核及时性,加强对死因编码规则、死因链填写方法和根本死因填写要求的培训和学习,尽快提高编码人员编码能力,从而提高报告质量。

Objective： To analyse the quality of monitoring network and assess the cause of death in order to find the solution and improve data accuracy and provide the scientific basis for health decision-making.Methods ： Data from China＇s cause of death monitoring network which was used to establish a database by EXCEL 2010 and also used SPSS 19.0 to evaluate the index of death cause.Results： The crude mortality reported the Foshan district was 96.10/105.It was far not reaching the crude mortality rate of 600/105, which was the requirements of the national cause of death monitoring.The compliance rate of reporting in general hospital was lower than hospital in the town of street, while the reporting rate needs to be raised in the underdeveloped areas.The DC timely audit needs to be strengthened.The main cause of death in the report which was inconsistent with the ICD10 coding requirement was 5.85%.While the index of evaluation the cause of death including cardiovascular disease lacked of diagnostic significance, the proportion of cause of death was unknown ere was at low level, it fited the requirements of coding evaluation meets quality.Conclusion： It＇s necessary to strengthen leadership and the implementation of the performance appraisal assessment.We should improve coding of cause of death information reporting timeliness, audit timeliness and the quality of the report.Strengthen training and learning to fill the requirements of the encoding rules of cause of death, coroner＇s chain fill method and the underlying cause of death.Improve the ability of coders coding as soon as possible.