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[目的]提高福建省医疗机构死因监测信息登记报告质量。[方法]利用福建省2008年医疗机构死亡病例通过国家死因网络专报系统报告的传染病个案库,分析死亡病例监测报告质量及其影响因素。[结果]县及县以上医疗机构实际报告数占全省应报告单位数的51.8%,全省县区报告率为94.2%,2008年全省医疗机构死亡病例报告数较2007年增加159.9%;医疗机构通过国家死因网络专报系统报告的死亡个案约占同期全省死亡总数的18.4%。从医生填写死亡卡到实行网络报告7 d的及时率为88.9%。当天审核及时率为75.7%;死亡病例根本死因编码错误率为12.1%。[结论]2008年全省医疗机构死因报告比2007年有较大改善,应进一步加强临床医生和编码人员的培训,加强医院内部管理,报告质量应作为绩效考核指标,优化死亡病例网络直报系统,疾控机构加强医疗机构技术指导检查。
[Objective] To improve the quality of registration report of death cause monitoring information in medical institutions in Fujian Province. [Method] Using the case database of infectious diseases reported by the national death cause network special report system in the death of medical institutions in Fujian Province in 2008, the quality of the death surveillance reports and its influencing factors were analyzed. [Results] The actual reported number of medical institutions at or above the county level accounted for 51.8% of the unit number of the province should report, the reporting rate of 94.2% in counties in the province, the number of deaths in medical institutions in 2008 increased 159.9% over 2007; The number of deaths reported by medical institutions through the national network of cause-specific death reporting system accounted for about 18.4% of the total number of deaths in the province during the same period. The prompt rate of filling the death card from the doctor to implementing the online report for 7 days was 88.9%. The rate of on-time audit was 75.7%; the death rate of the cause of death was 12.1%. [Conclusion] The death cause report of medical institutions across the province in 2008 has been greatly improved compared with that in 2007. The training of clinicians and coders should be further strengthened and the internal management of hospitals should be strengthened. The quality of the reports should be used as a performance evaluation indicator to optimize the network reporting system for death cases CDC strengthens the technical guidance inspection of medical institutions.