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目的分析基层医院死因统计工作中存在的缺陷及对策,为评估本地区人群健康状况提供准确的数据。方法回顾性分析2012年2月─2013年6月新疆维吾尔自治区第一济困医院113例存在死因诊断缺陷的死亡病例。结果113例死亡患者,死因漏报0例;根本死因推断错误52例,占46.17%;死因链错误35例,占30.97%;死因编码录入错误26例,占23.01%。结论加强医师培训、加大死亡报告制度执行力度及采取相应的激励措施等对策,可以减少基层医院死因统计工作中的缺陷。
Objective To analyze the shortcomings and countermeasures in the statistical analysis of cause of death in primary hospitals and to provide accurate data for assessing the health status of the population in this area. Methods A retrospective analysis of deaths from 113 patients with the diagnosis of death causes in the First Affiliated Hospital of Xinjiang Uygur Autonomous Region from February 2012 to June 2013 was retrospectively analyzed. Results Among the 113 deaths, 0 was the cause of death. The root cause of death was 52 (46.17%). The cause of death was 35 (30.97%). The cause of death was 26 (23.01%). Conclusion The measures to strengthen physician training, increase the implementation of death reporting system and adopt appropriate incentive measures can reduce the shortcomings in the statistical work on cause of death in primary hospitals.