Assessment of medical certification of cause of death at a tertiary care center in rural region of western Maharashtra, India

Avinash J. Pujari; Prashant  Kamath

doi:10.54502/msuceva.v3n1a2

Autores/as

Avinash J. Pujari MIMER Medical College, Talegaon Dabhade, Pune, India.
Prashant Kamath MIMER Medical College, Talegaon Dabhade, Pune, India.

DOI:

https://doi.org/10.54502/msuceva.v3n1a2

Palabras clave:

Completeness, ICD, knowledge, MCCD, practice

Resumen

The aim of this study was to evaluate the precision and compliance with international guidelines in the medical certification of cause of death at a rural tertiary care center in Western Maharashtra, India. Additionally, we aimed to identify prevalent errors and discrepancies while investigating the factors that influence the medical certification process at the center. By conducting this research, we sought to obtain comprehensive insights into the accuracy of cause of death documentation and contribute to enhancing the adherence to standardized practices in this crucial aspect of medical practice. The Medical Certificate of Cause of Death (hereafter MCCD) is an important document issued by a doctor for which the World Health Organisation has prescribed a standard format, together with the International Classification of Diseases (hereafter ICD). In it, the doctor records the time, causes and circumstances of the deceased person's death. 615 MCCD forms were available during two years from the MAEER MIT Pune’s MIMER Medical College & BSTR Hospital, Talegaon Dabhade and Pune. All of them were scrutinized for the completeness of the certificate and tried to find out the cause of death in which underlying cause of death was written. Data was analyzed and expressed in the percentage form. Ethical clearance was obtained from the Institutional ethics committee (No. IEC/MIMER/2021/761). Main leading cause of death in the present study was disease of circulatory system 868 (29.35%), followed by Neoplasm (16.54%) and Certain infectious and parasitic disease (16.44%). The present study showed incompletely and inaccurately filled MCCD forms. Therefore, adequate training and proper sensitization of the doctors regarding the usefulness of MCCD data is required.

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Biografía del autor/a

Avinash J. Pujari, MIMER Medical College, Talegaon Dabhade, Pune, India.

He has completed his MBBS from B.J. Medical College, Pune, affiliated to Savitribai Phule Pune University (formerly University of Pune). Subsequently he did his Post Graduation in Forensic Medicine from Govt. Medical College, Aurangabad (Dr. Babasaheb Ambedkar Marathwada University Aurangabad). He joined the department in October 2016 as Assistant Professor and was promoted as Associate Professor in May 2021. He has 01 publication to his credit and ongoing research. He has experience of 25 years of forensic medicine practice. In addition, the duties assigned i.e. MUHS Theory, CAP Custodian, Chairman, Internal Vigilance Squad are successfully performed. He has inclination to impart teaching students in practice of forensic medicine in ethical and fair manner keeping in mind the humane aspect of practice.

Prashant Kamath, MIMER Medical College, Talegaon Dabhade, Pune, India.

Dr Prashant Kamath is working as a professor in the department of Orthopaedics. He has completed his graduation from Darbhanga Medical college in year 1980. He completed his MS Orthopaedics from Patna Medical College and Hospital in year 1988.
He has been a part of Department of Orthopaedics MIMER Medical college since year 2000. He has been approved as U.G and P.G teacher since more than 19 years. He has been an examiner for U.G and P.G since long time.

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