目的:为进一步提高我县死亡人口数的报告质量,准确反映居民死亡率及死因分布,寻求提高死因监测报告数据完整性的方法,为政府部门制订人口和医疗卫生政策提供可靠的依据。方法:采用抽样调查的方法,抽调4名经过培训的专业人员分为2组,对我县5个乡镇5个行政村2703名常住居民,通过一对一入户询问及座谈的方式,向死者家属或知情人士核实并确认死者身份、死亡原因等相关信息,与中国疾病预防控制信息系统-死因登记报告信息子系统、公安部门的户籍管理系统等数据进行核对,确认有无死亡漏报情况。结果:本县无殡仪馆,2012年我县被抽查5个村死亡74人,报告68人,报告人口粗死亡率2.51%,漏报6人,漏报死亡信息均未到户籍地派出所注销户口,漏报率为8.11%,校正死亡率为2.73%。漏报率大于人口粗死亡率,漏报病种主要是恶性肿瘤、心肌梗死及肺心病。结论:平罗县居民死亡漏报情况较为严重,县政府应尽快建立殡仪馆,卫生行政部门应采取相应措施,加强各部门间合作,强化基层工作人员督导及培训,提高死因登记报告质量。 Objectives: To provide a reliable basis for government departments to formulate policies on population and medical and health care, in order to further improve the quality of the report on the number of deaths in our county, accurately reflect the distribution of mortality and cause of death among residents, and seek ways to improve the data integrity of the cause of death monitoring report. Methods: By means of sampling survey, 4 trained professionals were assigned to 2 groups, 2 2703 permanent residents in 5 administrative villages in 5 townships of our county were interviewed by one-on-one and asked to discuss with the deceased Family members or insiders to verify and confirm the identity of the deceased, the cause of death and other relevant information, and China Disease Prevention and Control Information System - the cause of death registration report information subsystem, the public security department household registration management system and other data check to confirm whether there is any omission of death. Results: There was no funeral parlor in this county. In 2012, 74 people were found in 5 villages in our county, 68 were reported, the crude death rate was 2.51%, 6 were omitted, all of them were undelivered to the police station, The false negative rate was 8.11% and the corrected mortality rate was 2.73%. The false positive rate is larger than the crude fatality rate. Missing reported diseases are mainly malignant tumors, myocardial infarction and pulmonary heart disease. Conclusion: The incidence of death and omission of residents in Pingluo County is more serious. The county government should set up a funeral home as soon as possible. The health administrative department should take corresponding measures to strengthen the cooperation among various departments, strengthen supervision and training of grassroots staffs, and improve the quality of registration reports.