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目的探讨宝安区2007-2012年医疗机构死亡病例的特征,掌握其动态变化趋势以及影响死因监测报告质量的原因,为今后疾病的防治提供科学依据。方法利用2007-2012年宝安区医疗机构死亡病例通过网络直报并经审核及有根本死因编码的死亡个案,应用Excel 2007、SPSS 12.0版统计软件进行相关统计指标分析。结果慢性非传染性疾病是医疗机构死亡病例的最主要死因;死因顺位中排前3位的是循环系统疾病1 672例(29.20%),肿瘤1 183例(20.66%),意外伤害1 048例(18.30%)。宝安区医疗机构死亡报告数从2007年的446例增长到2012年的1 329例,报告及时率从2007年的41.59%提高到2012年的81.69%,审核率均为100%,审核及时率从2007年的6.13%提高到2012年的95.90%,而编码错误率从2007年的22.50%下降到2012年的8.79%。结论政府部门应适时调整卫生服务规划,倡导健康生活方式,积极开展慢性非传染性疾病的预防控制工作。
Objective To explore the characteristics of deaths from medical institutions in Bao’an District from 2007 to 2012, to grasp the trends of dynamic changes and the causes of the quality of the reports of the cause of death monitoring, so as to provide a scientific basis for future prevention and treatment of diseases. Methods The death cases of medical institutions in Baoan district from 2007 to 2012 were directly reported through the network and were audited and there were death cases with underlying death codes. Statistical analysis was conducted by using Excel 2007 and SPSS 12.0 statistical software. Results The most common cause of death was medical non-communicable diseases. Among the top 3 causes of death, 1 672 (29.20%) were circulatory diseases, 1 183 (20.66%) were cancer, and 1 048 Example (18.30%). The number of deaths in medical institutions in Bao’an District increased from 446 cases in 2007 to 1,329 cases in 2012 and the reporting timely rate increased from 41.59% in 2007 to 81.69% in 2012 with an audit rate of 100% 6.13% in 2007 to 95.90% in 2012, while the coding error rate dropped from 22.50% in 2007 to 8.79% in 2012. Conclusion Government departments should timely adjust health service planning, promote healthy lifestyles, and actively carry out prevention and control of chronic non-communicable diseases.