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目的对云南省楚雄州大姚县2008年死因监测质量进行分析,以发现可能存在的质量问题,提高死亡统计报告质量。方法先用Access软件建立死亡统计数据库,然后将各类死亡报告中的全部信息逐项录入数据库,将库中的所有记录导出到Excel软件,再利用数据透视表技术审核分析各类死因与死亡地点、诊断依据和诊断单位等逻辑关系。结果大姚县前5位死亡原因均以在家死亡所占的比例为最大,超过80%,前5位死亡原因最高诊断单位以县级以下为主,占92.64%。诊断依据分析,死后推断确诊的比例位居第2,死后推断诊断单位90%是县级以下的医疗机构。结论数据透视技术是一种快捷有效的死亡统计质量分析方法,大姚县疾病死亡监测质量控制工作任重道远,提高死亡监测质量尚有很大空间。
Objective To analyze the quality of the cause of death monitoring in Dayao County, Chuxiong Prefecture, Yunnan Province in 2008 so as to find possible quality problems and improve the quality of death statistics report. Methods First use Access software to establish death statistics database, and then all kinds of death reports entered into the database all the information one by one, all the records in the library exported to Excel software, and then use PivotTable technology audit and analysis of various types of death causes and death sites , Diagnostic basis and diagnostic unit and other logic. Results The top 5 causes of death in Dayao County were all at home, accounting for more than 80%. The top five death causes were diagnosed under the county level, accounting for 92.64% of the total. Based on the diagnosis, the proportion of inferred diagnoses after death ranks second, and 90% of the diagnosed units after death are the medical institutions under the county level. Conclusion Data fluoroscopy is a fast and effective method of quality analysis of death statistics. The quality control of death monitoring in Dayao County has a long way to go and there is still much room to improve the quality of death monitoring.