Gwynne J F
N Z Med J. 1977 Jul 27;86(592):77-81.
An analysis is presented of death certification in Dunedin Hospitals. The study involved a comparison of death certificates with post-mortem findings in 643 deaths which occurred in Dunedin hospitals between 1 October 1971 and 30 September 1973. The cases were categorised according to diseases in the various body systems. The study also involved consideration of the format of the current death certificate and of attitudes towards death certification. Serious defects have been revealed in all areas of the study which are considered to be representative of the national scene. Errors of epidemiological significance were found in 64.7 percent of the certificates, and in 57.5 percent of individual diagnoses. Responsibility for the defects lies with the certification itself and not with the statisticians who diligently compile mortality data from the information supplied to them.
本文对达尼丁医院的死亡证明进行了分析。该研究对比了1971年10月1日至1973年9月30日期间达尼丁医院发生的643例死亡病例的死亡证明和尸检结果。这些病例按照各个身体系统的疾病进行了分类。该研究还涉及对当前死亡证明格式以及死亡证明开具态度的考量。研究的所有领域均暴露出严重缺陷，这些缺陷被认为代表了全国的情况。在64.7%的证明中以及57.5%的个体诊断中发现了具有流行病学意义的错误。这些缺陷的责任在于证明本身，而非那些根据提供给他们的信息勤勉汇编死亡率数据的统计人员。
