Wiadomosci lekarskie (Warsaw, Poland : 1960) · 2014
[Mortality from hypertension: reliability of medical coding of death certificates in primary healthcare].
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Lashkul Z V
Аннотация
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.
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.