首页|医疗损害鉴定医患意见陈述会185例分析

医疗损害鉴定医患意见陈述会185例分析

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目的 医患意见陈述会是医疗损害鉴定的重要组成,通过回顾分析不同的会议形式及临床专家的协作模式,以期提高意见陈述会完成质量,为医疗损害司法鉴定意见的形成提供支持.方法 收集 2019 年~2023 年复旦大学上海医学院司法鉴定中心所受理医疗损害鉴定案件185例资料,回顾分析不同的会议形式及临床专家与会情况下,鉴定意见出具后的出庭比例及采信情况,以评估提高会议质量的相关因素.结果 不同会议形式之间的效果接近,会同临床医学专家的支持,总体出庭率较低,采信率高.结论 现场会议与远程视频会议均可保证较高的意见陈述会质量,保证鉴定意见科学公正,有效缓和医患矛盾,为后续司法审判或调解提供有效缓冲,关键在于鉴定人对于医疗损害案件的充分认识以及临床医学专家的协作支持.
Retrospective analysis of 185 medical tangle hearings
Objective Medical tangle hearing is an important component of medical malpractice appraisal.By reviewing and analyzing the various conference formats and collaboration models among clinical experts,this study aims to improve the quality of opinion statements and provide support for the formation of medical malpractice judicial appraisal opinions.Methods A total of 185 cases of medical malpractice appraisal were collected from 2019 to 2023 at the Center for Forensic Science,Shanghai Medical College,Fudan University.A retrospective analysis was conducted on the proportion of expert opinions present and accepted in court,which were made with various conference formats and clinical expert attendance,in order to evaluate the relevant factors that could improve the conference quality.Results The effects of various conference formats were similar,and with the support of clinical medical experts,the overall appearance rate was low and the acceptance rate was high.Conclusion Both on-site meetings and remote video conferences can ensure a high quality of opinion presentation and the scientificity and impartiality of appraisal opinions,effectively alleviate doctor-patient conflicts,and provide effective buffering for the subsequent judicial trials or mediation.The key lies in the appraiser's full understanding of medical malpractice cases and the collaborative support of clinical medical experts.

Medical malpracticeForensics appraisalMedical tangle hearings

张韦屹、周旻

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复旦大学上海医学院司法鉴定中心,上海 200032

医疗损害 司法鉴定 意见陈述会

2024

中国法医学杂志
中国法医学会

中国法医学杂志

CSTPCD
影响因子:0.352
ISSN:1001-5728
年,卷(期):2024.39(3)
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