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目的掌握青海省疾病监测点死因漏报情况,为提高本省死因监测数据质量提供科学依据。方法在监测点粗死亡率接近的3个乡镇中选取1个乡镇(街道),回顾调查该乡镇所有常住人口2009-2011年的出生、死亡信息,摸底后入户进行死因调查核实。结果调查地区3年共死亡905人,校正后的年平均死亡率6.77‰;漏报323例,漏报率35.69%。城市和农村地区的漏报率分别为40.54%和27.83%,差异有统计学意义。各系统死亡人数以循环系统疾病、恶性肿瘤和呼吸系统疾病为多。结论青海省疾病监测工作漏报率较高,需要定期从医疗机构和社区两个途径查漏补报,同时要积极协调卫生、公安及民政部门,定期补充漏报的病例,提高监测工作质量。
Objective To master the omission of cause of death in disease surveillance stations in Qinghai Province and provide a scientific basis for improving the quality of monitoring data of death causes in this province. Methods One township (street) was selected from the three villages and towns whose crude death rate was close to the monitoring point. The birth and death information of all resident population in this township from 2009 to 2011 was retrospectively surveyed. Results 905 people died in the surveyed area in 3 years. The corrected annual average death rate was 6.77 ‰, 323 cases were missed, and the false negative rate was 35.69%. The false negative rates in urban and rural areas were 40.54% and 27.83%, respectively, with significant differences. The number of deaths from various systems is based on circulatory diseases, malignant tumors and respiratory diseases. Conclusion The omission rate of disease surveillance in Qinghai Province is relatively high. It is necessary to make regular reports from both the medical institutions and the community. Meanwhile, the departments of health, public security and civil affairs should be actively coordinated to regularly supplement the omission cases and improve the quality of monitoring.