CAJ | 학술논문

目的分析河南省2010年县及县以上医疗机构死亡病例网络报告质量，为进一步提高我省死亡报告质量提供依据。方法收集2010年河南省县及县以上医疗机构网络直报死亡信息，利用县区报告率、单位报告率、报告合格率、审核率、审核合格率、根本死因编码准确性等指标进行评价。结果2010年河南省县区报告率为93.45％，单位报告率为95.96％，报告合格率为82.64%；平均审核率为99.99％，审核合格率为96.34%；县及县以上医疗机构有明显编码错误的比例达14.06％。结论河南省县及县以上医疗机构未报告单位和报告不合格仍占较大比例，死因编码质量较差，根本死因确定和编码培训工作有待加强。
목적분석하남성2010년현급현이상의료궤구사망병례망락보고질량，위진일보제고아성사망보고질량제공의거。방법수집2010년하남성현급현이상의료궤구망락직보사망신식，이용현구보고솔、단위보고솔、보고합격솔、심핵솔、심핵합격솔、근본사인편마준학성등지표진행평개。결과2010년하남성현구보고솔위93.45％，단위보고솔위95.96％，보고합격솔위82.64%；평균심핵솔위99.99％，심핵합격솔위96.34%；현급현이상의료궤구유명현편마착오적비례체14.06％。결론하남성현급현이상의료궤구미보고단위화보고불합격잉점교대비례，사인편마질량교차，근본사인학정화편마배훈공작유대가강。
Objective To analyze quality of death case report in county and above level medical institution of Henan province, and improve death case report quality further. Methods Death information from reporting network system reported by county and above level medical institution was collected, county reporting rate,unit reporting rate,eligibility rate of reporting, auditing rate, eligibility rate of auditing, and the accuracy of underlying cause of death coding was applied to the assessment of reporting deaths. Results The total county reporting rate was 93.45%,unit reporting rate was 95.96%,eligibility rate of reporting was 82.64%,average auditing rate was 99.99%,eligibility rate of auditing was 96.34%;coding error rate was 14.06%in county and above level medical institution. Conclusion The unit reporting rate and eligibility rate of reporting is relatively low,and quality of death coding is dissatisfactory,which indicated that the training on ascertainment and coding of underlying death causes were quite essential.