Counting the dead and what they died from: an assessment of the global status of cause of death data.
Counting the dead and what they died from: an assessment of the global status of cause of death data.
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DOI：
10.1590/s0042-96862005000300009
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发表时间：
2005-03
影响因子：
11.1
通讯作者：
C. Mathers;Doris Ma Fat;Mie Inoue;C. Rao;Alan D. Lopez
中科院分区：
文献类型：
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作者：
C. Mathers;Doris Ma Fat;Mie Inoue;C. Rao;Alan D. Lopez
目的：我们试图评估全球死亡登记数据的现状，并检查数据完整性和质量的几个指标。方法按年份和国家分类总结死亡登记数据的可用性。对每个国家的数据质量指标进行了评估，其中包括登记的及时性、完整性和覆盖面以及死因不明的死亡比例。截至2003年底，115个国家提供了死亡登记数据，但只有64个国家的数据基本完整。死亡登记的覆盖率从世卫组织欧洲区域的接近100%到非洲区域的不到10%不等。只有23个国家的数据完整度超过90%，其中不明确的原因占死亡原因总数的10%以下，并且使用ICD-9或ICD-10编码。有28个国家的数据不足70%完整，或者超过20%的死亡被分配了定义不清的代码。西欧12个高收入国家被列入拥有中等质量数据的55个国家。很少有国家拥有可用于充分支持政策制定和执行的高质量死亡率数据。各国迫切需要实施死亡登记制度，即使只是通过抽样登记，或加强其现有制度，以便迅速提高对最基本的卫生统计数据的了解：谁死于什么？
OBJECTIVE We sought to assess the current status of global data on death registration and to examine several indicators of data completeness and quality. METHODS We summarized the availability of death registration data by year and country. Indicators of data quality were assessed for each country and included the timeliness, completeness and coverage of registration and the proportion of deaths assigned to ill-defined causes. FINDINGS At the end of 2003 data on death registration were available from 115 countries, although they were essentially complete for only 64 countries. Coverage of death registration varies from close to 100% in the WHO European Region to less than 10% in the African Region. Only 23 countries have data that are more than 90% complete, where ill-defined causes account for less than 10% of total of causes of death, and where ICD-9 or ICD-10 codes are used. There are 28 countries where less than 70% of the data are complete or where ill-defined codes are assigned to more than 20% of deaths. Twelve high-income countries in western Europe are included among the 55 countries with intermediate-quality data. CONCLUSION Few countries have good-quality data on mortality that can be used to adequately support policy development and implementation. There is an urgent need for countries to implement death registration systems, even if only through sample registration, or enhance their existing systems in order to rapidly improve knowledge about the most basic of health statistics: who dies from what?