封宝琴, 张燕萍, 齐惠萍, 张晓平, 李海平. 死因监测质量评价方法及应用[J]. 疾病监测, 2007, 22(3): 203-205. DOI: 10.3784/j.issn.1003-9961.2007.3.203
引用本文: 封宝琴, 张燕萍, 齐惠萍, 张晓平, 李海平. 死因监测质量评价方法及应用[J]. 疾病监测, 2007, 22(3): 203-205. DOI: 10.3784/j.issn.1003-9961.2007.3.203
FENG Bao-qin, ZHANG Yan-ping, QI hui-ping, ZHANG Xiao-ping , . Methods for assessment of the mortality surveillance system and their application[J]. Disease Surveillance, 2007, 22(3): 203-205. DOI: 10.3784/j.issn.1003-9961.2007.3.203
Citation: FENG Bao-qin, ZHANG Yan-ping, QI hui-ping, ZHANG Xiao-ping , . Methods for assessment of the mortality surveillance system and their application[J]. Disease Surveillance, 2007, 22(3): 203-205. DOI: 10.3784/j.issn.1003-9961.2007.3.203

死因监测质量评价方法及应用

Methods for assessment of the mortality surveillance system and their application

  • 摘要: 目的 探讨质量评价方法,通过质量评价,提高死因监测质量.方法 综合指数法,监测指标为:单位报告率、审核率、报告及时性、报告合格率、审核及时性、审核合格率、各区县站报告死亡病例数占总人群死亡病例数的比例、数据库质量、根本死因填报.结果 太原市死因单位报告率为83.62%,审核率为98.42%,全市平均报告合格率为60.78%,平均审核合格率为94.27%,全市报告病例数占总人群病例数为36.64%,缺漏项数占报告病例数的1.62%,有死因链根本死因正确率为52.71%,无死因链根本死因正确率为82.22%.结论 太原市死因监测工作情况表明,质量评价是行之有效的质量管理方法.目前太原市死因监测工作中,需要采取相应措施降低漏报,加强死亡病例报告、审核的及时性,提高根本死因判定的准确性.

     

    Abstract: Objective This study was designed to investigate the methods for the quality assessment of mortality surveillance system. Methods Comprehensive index analysis was used in the study to assess the quality of mortality surveillance system. The indicators include the rate of reported hospitals, CDC rate of review, the speed of report, report quality, underreport rate, data quality, and accuracy of underlying cause of death. Results The frequency analysis suggested the rate of reported hospitals was 83.62%, CDC rate of review 98.42%, the timing of report and review which met the requirement set by national CDC were 60.78% and 94.27%, respectively. Underreport rate was estimated 36.64%,and missing value took up 1.62%. The accuracy was 52.71% for death chain, and 82.22% for underlying cause of death. Conclusion The investigation of mortality surveillance system in Taiyuan suggested the effectiveness of quality assessment for improving the quality of mortality surveillance system. According to quality assessment, emphasis should be made to reduce the underreport rate and increase the accuracy of underlying cause of death in mortality surveillance in the future in Taiyuan.

     

/

返回文章
返回