从居民死亡漏报分析谈死因监测网络直报存在问题及对策研究  

From the omission of analysis about the cause of deaths monitoring network for the existing problems and countermeasures research

作　　者：朱紫红 

机构地区：[1]惠东县疾病预防控制中心,广东惠州516300

出　　处：《河南预防医学杂志》2018年第1期38-40,共3页Henan Journal of Preventive Medicine

摘　　要：目的分析2014-2016年惠东县居民死亡漏报分析网络直报中存在的问题并提出对策。方法比较3年网络死亡直报例数和居民死亡例数,对3年死亡漏报率的总体情况、城乡差异、死亡原因、医学死亡证明书填写情况进行分析。结果 2014-2016年的网络漏报率分别为80.90%、46.45%、41.13%,存在统计学差异(P<0.01);城市和农村的死亡漏报率:2014年分别为69.42%、87.38%(P<0.01),2015年分别为44.80%、47.37%(P>0.05),2016年分别为42.19%、45.23%(P>0.05);因病死亡漏报率和其他原因死亡漏报率:2014年分别为80.57%、81.20%,2015年分别为50.36%、43.06%,2016年分别为44.47%、43.44%,3年不同死因死亡漏报率均无统计学意义(P>0.05);4,2014年、2015年、2016年死亡证明书书写规范率分别为47.57%、51.58%、56.17%,具有显著差异(P<0.01)。结论我县近三年来农村地区的死亡漏报率逐年降低,但整体漏报率仍较高,死亡证明书书写不规范率也偏高。建议政府各相关部门加强农村力度,健全网络报告登记制度,规范死亡证明书的书写,以减少死亡漏报情况发生。Objective To analyzes the problems existing in the network direct reporting and puts forward some countermeasures according to the comparison of the mortality rate in latest 3 years. Method the number of reported cases of death and actual deaths were compared, and the overall situation, the difference between urban and rural areas, the cause of death, and the medical certificate of death were analyzed. Results The rate of missing report of 2014, 2015 and 2016 were 80.90 % ,46.45 % ,41.13 % respectively, and the rate of missing report in the past three years was statistically significant （P〈0.01）; the city and countryside of death underreporting rate of 2014 were 69.42 % ,87.38 %, 2015 were 44.80 % ,47.37 %, 2016 were 42.19 % ,45.23 %, rural city miss rate were significantly decreased （P〈 0.01）; The death rate of missing report and other causes of death underreporting rate of 2014 were 80.57 %, 81.20 %, while that of 2015 were 50.36 %, 43.06 %, and that of 2016 were 44.47 %, 43.44 %, which showed no significant difference（P〉0.05 ）; The standard rates of death certificates of 2014, 2015, and 2016 were 47.57 %, 51.58 %, 56.17 %, respectively, there was no statistical difference between the two groups in the past three years and the writing rate of death certificates was increased year by year （P〉0.05）. Conclusion In the past three years, although the missing report in the rural area were decreased, the problem of missing report in the network direct report was still serious, and in the reported direct report, the death certificate is not standardized. I suggest strengthening the relevant network monitoring report, perfect registration system, especially for the rural areas, regulate the death certificate in writing, inorder to reduce the occurrence of death missing report.

关 键 词：居民死亡漏报 网络直报 问题分析 

分 类 号：R181.82[医药卫生—流行病学]