2012年青海省疾病监测点死因监测情况分析

目的 掌握青海省2012年死因监测系统报告质量,了解本地区居民的死亡原因和死亡水平,为制定政策提供科学依据.方法 对2012年青海省监测点死因网络报告数据进行分析.结果 2012年青海省疾病监测点居民死亡率为377.05/10万,其中男性为469.31/10万、女性为283.32/10万.根本死因编码不准确率为3.10％.前5位死因为循环系统疾病（205.60/10万）、恶性肿瘤（132.35/10万）、呼吸系统疾病（78.47/10万）、伤害（31.26/10万）及消化系统疾病（24.09/10万）,其中城市、农村前5位死因顺位相同,牧区依次为循环系统疾病、伤害、呼吸系统疾病、恶性肿瘤及消化系统疾病.各级各类医疗机构死亡病例漏报率为9.17％、卡片填写完整率为97.66％、迟报率为7.03％、错填率为16.16％、错录率为5.62％; 2009-2011年漏报率为37.85％,校正死亡率为699.41/10万.结论 通过对各单位定期开展死亡病例的督导和查漏补报工作,掌握本地区死亡水平,并不断完善和提高监测系统工作质量,为相关部门制定政策提供可靠数据.

Analysis on death cause in disease surveillance sites of Qinghai Province in 2012

Objective To explore the quality of death cause surveillance,the main death causes as well as mortality level in disease surveillance sites in 2012 so as to provide scientific evidence for health policy making in Qinghai Province.Methods Analysis of network report data for monitoring the cause of death in Qinghai Province.Results The crude mortality rate among residents in disease surveillance is 377.05/100 000,with 469.31/100 000 among male and 283.32/100 000 among female respectively.The inaccuracy rate of basic death cause coding is 3.10%.The top five death causes were circulatory system diseases （205.60/100 000）,cancer （132.35/100 000）,respiratory system diseases （78.47/100 000）,injury （31.26/100 000） and digestive system diseases （24.09/100 000） respectively both in urban and rural areas.The top five death causes in pasture area were circulatory system diseases,injury,respiratory system diseases,cancer and digestive system diseases respectively.Among all health institutions in surveillance sites,the under-reporting rate was 9.17%,the complete reporting card rate was 97.66%,the late reporting rate was 7.03%,the wrong filling card rate was 16.16% and the wrong entry rate was 5.62% ; the under-reporting rate was 37.85% from 2009 to 2011 and the adjusted mortality rate was 699.41/100 000.Conclusion Regular monitoring and reporting supplement work should be carried out in health institutions to improve the quality of death surveillance for a more reliable surveillance data in health policy making.