文章摘要
周脉耕,王玉英,葛辉,王黎君,马家奇,杨功焕.中国2004年县及县以上医疗机构死亡病例报告质量评价[J].中华流行病学杂志,2006,27(4):328-332
中国2004年县及县以上医疗机构死亡病例报告质量评价
Study on the Quality of death-case-reporting-system in county and above levels' medical institutions in 2004
收稿日期:2005-09-22  出版日期:2014-10-17
DOI:
中文关键词: 死亡病例  网络报告系统  报告质量评价
英文关键词: Reporting network system  Death cases  Quality assessment of reporting
基金项目:
作者单位
周脉耕 中国疾病预防控制中心 
王玉英 中国疾病预防控制中心 
葛辉 中国疾病预防控制中心 
王黎君 中国疾病预防控制中心 
马家奇 中国疾病预防控制中心 
杨功焕 中国疾病预防控制中心 
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中文摘要:
      目的对全国县及县以上医疗机构死亡病例网络报告系统报告质量进行评估。方法使用县区报告率、单位报告率、报告及时性、报告合格率、审核率、审核及时性、审核合格率、医疗机构报告死亡占总人群死亡的比例、县及县以上医疗机构报告死亡占实际医院总死亡的比例、常见编码错误分布等指标对全国2004年县及县以上死亡病例报告情况进行评价。结果全国的县区报告率为 82.58%,单位报告率为42.79%;全国平均审核率为96.96%。全国平均报告合格率为69.10%,平均审核合格率为73.58%;2004年通过医疗机构网络报告系统报告的死亡案例大约占同期全国总数的 8.91%。实际医院死亡数通过县及县以上医疗机构得到报告的比例为30.76%;县及县以上医疗机构有明显编码错误的比例高达22.87%。结论县及县以上医疗机构死亡病例网络报告极大地提高了数据报告的及时性。目前医疗机构死因编码质量普遍偏低,根本死因确定和编码培训工作亟待加强。
英文摘要:
      Objective To study the quality of reporting network system on death cases among county and above levels' medical institutions. Methods Data on variables related to county reporting rate, unit reporting rate, timeliness of reporting, eligibility rate of reporting, auditing rate, timeliness of auditing, eligibility rate of auditing, percentage of reporting deaths of medical institutes to deaths among total population, percentage of reporting deaths of county and above levels' medical institutes to deaths among estimated deaths at these institutes were collected and distribution of common coding errors was applied to the assessment of reporting deaths. Results The total reporting rates were: 82.58% at the county level, 42.79% at the units with auditing rate as 96.96% . The eligibility rate of reporting was 69.10% with eligibility rate of auditing as 73.58% . The percentage of reporting deaths from medical institutes to deaths among total population was 8.91%, and the percentage of reporting deaths of county and above levels' medical institutes to deaths among estimated deaths of these institutes was 30.76% . The percentage of obvious coding errors among deaths reported by county and above levels' medical institutes was as high as 22.87%. Conclusion Network reporting system of death cases among county and above levels' medical institutes had remarkably increased the timeliness of data reporting system. Network reporting of data on death was the best opportunity to expand the coverage and to improve the quality of data reporting. Based on network reporting of death cases among county and above levels' medical institutes as well as deaths accrued at the communities should also be reported via this network in the eligible areas. The quality of coding on death causes among medical institutes were commonly poor, indicating that the training on ascertainment and coding of underlying death causes were quite essential.
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