奉化市2009—2011年常住人口死亡漏报及死因监测质量评价

Surveillance quality evaluation on death under-reporting and death causes in resident population of Fenghua City in 2009-2011

[目的]了解奉化市死因监测工作的漏报情况,准确估计人群死亡率和婴儿死亡率。[方法]根据《全国疾病监测系统死因漏报调查方案》要求,采用捕获-标记-再捕获的原理,对样本乡镇2009—2011年的全部死亡病例进行回顾调查,通过"死因漏报系统"与《中国疾病预防控制信息系统》的死因报告登记系统进行比较,确定漏报率。[结果]样本镇经漏报调查确定死亡者共855例,经死因报告登记系统确定死亡者共853例,漏报2例,漏报率为0.23%。漏报调查死亡率为7.10‰。死者生前最高诊断单位为县级及以上医疗机构的比例为96.61%,未就诊比例为0.58%。编码不准确率为3.51%。[结论]奉化市2009—2011年全国疾病监测系统死因监测工作的漏报率较低,完整性较好,死因诊断质量可靠。

Abstract ： [ Objective ] To investigate the under-reporting rate of death and its causes registration, and to accurately estimate the death rates of the population and infants in Fenghua City. [ Methods ] According to the ＂Survey Program of National Disease Surveillance System on Death Under-reporting＂, a retrospective investigation was done of death under-reporting in the sample villages in 2009 -2011 on the principle of Capture-mark-recapture. The data from investigation have been checked up and compared with that on death causes registration surveillance obtained through ＂Death Under-reporting System＂ and ＂China Information System for Diseases Control and Prevention＂ so as to determine the under-reporting rate. [ Re- suits] A total of 855 death cases were determined by the under-reporting investigation on all sample villages, and the total of 853 death eases were reported by the death causes registration system. Two cases were omitted, with under-reporting rate being 0.23%. The omission mortality in survey was 7.10%o. The proportion of the deceased highest diagnostic units and medical institutions above county level was 96.61%. The proportion of not seeking treatment was 0.58%. The inaccurate coding rate was 3.51%. [ Conclusion] In 2009 -2011 in Fenghua City,death under-reporting rate was low, integrity good and death diag- nosis reliable in terms of death monitoring work stipulated by national disease monitoring system.