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目的了解惠州市国家级死因监测点死因监测的漏报情况,为今后监测工作提出建议。方法两个监测县(区)各随机抽取3个乡镇(街道),每个抽中的乡镇(街道)随机抽取3个行政村(居委会),抽中村(居委会)的所有家庭均为被调查家庭,调查对象包括调查家庭的所有成员。本次调查覆盖人口为2013年1月1日—2014年12月31日期间的监测县(区)(共6个镇街18个村/居委)户藉人口死亡情况,与人口死亡信息登记管理系统网络报告数进行比较。结果两个监测县(区)(共6个镇街18个村/居委)户藉死亡人数共1 847人,漏报人数为170人,漏报率为9.20%。漏报率在城乡之间、不同性别和不同原因(疾病和伤害)之间差异无统计学意义(P>0.05)。但不同死亡地点之间的差异有统计学意义(P<0.05),未发现18岁以下的未成年人有死亡漏报的情况。结论惠州市国家级死因监测点死因监测的总体漏报率较低,但仍应通过加强与有关部门的合作,进一步健全死亡病例的报告工作制度,减少在家中死亡人员的漏报,提高死因监测工作质量。
Objective To understand the omission of the cause of death monitoring at the national level of the cause of death monitoring center in Huizhou City and make recommendations for future monitoring. Methods Three towns (streets) were randomly selected from each of the two monitoring counties (districts), and three administrative villages (neighborhood committees) were randomly selected from the townships (subdistricts) in the extraction. All the households in the pumping village (neighborhood committee) The survey included all members of the survey family. The population covered by this survey is the death toll of the households in the counties (districts) (18 villages / neighborhoods in 6 townships) between January 1, 2013 and December 31, 2014, and the death registration information Management System Network Report to compare. Results The number of deaths of two monitoring counties (districts) (a total of 6 village / residential committees in 6 townships and townships) was 1 847, with 170 missing persons and an undeclared rate of 9.20%. The false negative rate was not statistically significant between urban and rural areas, between different genders and among different causes (diseases and injuries) (P> 0.05). However, the difference between different death sites was statistically significant (P <0.05), undetected underemployed under 18 years did not find any underexploited deaths. Conclusion The overall omission rate of monitoring of cause of death at the national level of death causes monitoring center in Huizhou City is relatively low. However, we should further improve the reporting system of death cases by reducing the cooperation with relevant departments, reduce the omission of fatalities at home and improve the monitoring of cause of death Quality of work.