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[高血压导致的死亡率:基层医疗中死亡证明医学编码的可靠性]

[Mortality from hypertension: reliability of medical coding of death certificates in primary healthcare].

作者信息

Lashkul Z V

出版信息

Wiad Lek. 2014;67(2 Pt 2):207-9.

PMID:25796827
Abstract

OBJECTIVE

To examine the reliability of accounting causes of death of the population of hypertension in the centers of primary health care at the regional level and to detect defects that affect the quality of coding of causes of death.

MATERIALS AND METHODS

Statistics, death certificate deaths from diseases of the circulatory system, outpatients, medical history dead. The study used methods: statistical, analytical, expert assessments.

RESULTS

Comparing the mortality rates of hypertension in Ukraine, it should be noted that statistics on deaths from this nosology is significantly different from that of other European countries. Thus, in 2012 the mortality from hypertension in the Zaporozhye area was 1.7, in Ukraine 1.6 per 100 thousand population, in Russia was 20.1, in Germany 39.5, in Poland 16.4. Analysis of the reliability of the coding of death certificates found a number of errors that significantly affect mortality from hypertension.

CONCLUSIONS

A "controlled factors" that affect mortality from cardio-vascular disease, including of hypertension is a significant coding of death certificates.

摘要

目的

研究地区一级初级卫生保健中心对高血压人群死亡原因统计的可靠性,并找出影响死亡原因编码质量的缺陷。

材料与方法

统计循环系统疾病死亡证明、门诊患者、死者病历。本研究采用统计、分析、专家评估等方法。

结果

比较乌克兰高血压死亡率时应注意,该疾病分类的死亡统计数据与其他欧洲国家有显著差异。因此,2012年扎波罗热地区高血压死亡率为每10万人口1.7例,乌克兰为1.6例,俄罗斯为20.1例,德国为39.5例,波兰为16.4例。对死亡证明编码可靠性的分析发现了一些显著影响高血压死亡率的错误。

结论

影响心血管疾病(包括高血压)死亡率的一个“可控因素”是死亡证明的显著编码。

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