| 2015 - 2018年陕西省死因监测网报病例来源分析 |
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| 引用本文： | 王维华,邱琳,飒日娜,王艳平,胡志平,刘蓉,武萌,李亚军,陶雅丽,刘峰.2015 - 2018年陕西省死因监测网报病例来源分析[J].现代预防医学,2020,0(12):2132-2135. |
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| 作者姓名： | 王维华 邱琳 飒日娜 王艳平 胡志平 刘蓉 武萌 李亚军 陶雅丽 刘峰 |
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| 作者单位： | 陕西省疾病预防控制中心慢病所，陕西 西安 710054 |
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| 摘 要： | 目的 解陕西省死因监测病例来源分布，为提高死因监测数据的完整性和准确性提供依据。方法 从《中国疾病预防控制信息系统 - 死因报告信息系统》中导出的陕西省13个国家级死因监测点2015 - 2018年的网报数据进行分析。结果 2015 - 2018年陕西省13个国家级监测点共报告死亡病例129 740例，其中男性75 773例，女性53 688例。分别报告32 489例、33 212例、31 533例和32 227例死亡病例，各年性别比例均衡，趋势无统计学意义（趋势χ2 = 1.84，P = 0.17）。死亡病例主要来源于乡镇卫生院，占58.80%～61.51%，其次为社区卫生服务中心和县及县以上综合医院，二者分别报告占17.60%～19.81%和17.19%～18.69%（趋势χ2 = 27.79，P＜0.01），在家中死亡的比例占绝大多数，73.06%～76.52%，死于医疗卫生机构的占17.67%～19.93%（趋势χ2 = 38.81，P＜0.01）。死亡病例生前最高诊断单位以二级医院（占46.36%～49.93%）和三级医院（占41.75%～45.63%）为主（趋势χ2 = 48.80，P＜0.01），最高诊断依据以临床+理化为主（占60.74%～63.57%）。结论 陕西省死因监测中发现虽然大多数病人在二级或三级医院就诊，且这一比例逐年提高，但绝大多数死亡病例死于家中，主要由乡镇卫生院专干完成死亡病例卡网报。因此，在今后工作中应加强对乡镇卫生院及社区卫生服务中心的培训，定期开展数据查漏补报和质量核查工作。
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| 关 键 词： | 死因监测 报告单位 死亡地点 最高诊断单位 最高诊断依据 |
Analysis of the source of death surveillance cases in Shaanxi Province from 2015 to 2018 |
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| WANG Wei-hua,QIU Lin,SA Ri-na,WANG Yan-ping,HU Zhi-ping,LIU Rong,WU Meng,LI Ya-jun,TAO Ya-li,LIU Feng.Analysis of the source of death surveillance cases in Shaanxi Province from 2015 to 2018[J].Modern Preventive Medicine,2020,0(12):2132-2135. |
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| Authors: | WANG Wei-hua QIU Lin SA Ri-na WANG Yan-ping HU Zhi-ping LIU Rong WU Meng LI Ya-jun TAO Ya-li LIU Feng |
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| Affiliation: | Shaanxi Provincial Center for Disease Control and Prevention, Xi’an, Shaanxi 710054, China |
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| Abstract: | To understand the distribution of death surveillance cases in Shaanxi Province, and to provide basis for improving the integrity and accuracy of death surveillance data. Methods The data of 13 national death surveillance sites in Shaanxi Province from 2015 to 2018 derived from "China Disease Prevention and Control Information System-Cause of Death Reporting Information System" were analyzed and compared with SPSS25.0 software. Results The number of deaths reported were 129740 in total in 13 national surveillance sites in Shaanxi Province from 2015 to 2018, of which 75773 were male and 53688 were female. 32489, 33212, 31533 and 32227 cases were from 2015 to 2018, respectively. The ratio of male and female was stable throughout the years(χ2 trend=1.84, P=0.17). The death cases were mainly reported by township hospitals,accounting for 58.80%-61.51%, followed by community health service centers, county-level and above general hospitals,accounting for 17.60%-19.81% and 17.19%-18.69%(χ2 trend= 27.79, P<0.01) respectively. 73.06%-76.52% of the deceased died at home and 17.67%-19.93% in medical and health institutions(χ2 trend=38.81, P<0.01). The highest diagnosis units of death cases were mainly in secondary hospitals(46.36%-49.93%) and tertiary hospitals(41.75%-45.63%)(χ2 trend= 38.81, P<0.01). The highest diagnostic basis was clinical + physicochemical(60.74%-63.57%). Conclusion The majority of the patients are diagnosed in the secondary or tertiary hospitals and the proportion is increasing. However, most of the death cases in Shaanxi Province die at home and the death cases are mainly reported by township health centers. Therefore, training on township health centers and community health service centers should be addressed in the future. Underreporting detection and quality verification need to be carried out regularly. |
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| Keywords: | Mortality monitoring Reporting organizations Place of death Highest diagnosis Highest diagnostic basis |
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