人身伤害评估中的因果关系

Rosa Amelia Andrade Dantas, Duarte Nuno Vieira, Jose Jozefran Berto Freire, Eduardo Dantas
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摘要

导言:医学知识与法律之间的讨论越来越相关,特别是随着社会对医学专业知识的需求不断增长。这项工作的目的是解决法律医学和医学专门知识之间的因果关系。方法论:对参考书目进行批判性和分析性的反思,并提出对主题进行创新思考的建议。在Medline、虚拟健康图书馆、期刊Capes和Scielo Brasil数据库中进行了研究,目的是证实该主题与专家行动的相关性。结果/讨论:我们讨论了原因的概念及其历史基础、因果关系和归因。医学和法律医学以及医学专门知识/法律医学/法医学之间的因果关系。结论:法律医学和医学专门知识中的因果关系评估了指称的原因与现有损害(疾病、紊乱或伤害)与人身伤害之间的关系。在创伤的情况下,它是基于Hregardinill的标准。然而,在疾病和失调的情况下,疾病或失调的初始时刻的定义受到损害,需要新的方法和技术来承受这种关系的复杂性。我们的问题是:如何在假设检验之外丰富科学理论和方法论?如何使用解释性的概念和模型,能够解决复杂的问题?如何让健康超越风险配置?在跨学科工作尚未成为现实的地方,如何做到跨学科?这些问题的答案取决于科学的未来和发展,这涉及到在人身伤害评估中建立联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CAUSAL LINK IN THE ASSESSMENT OF PERSONAL INJURY
INTRODUCTION: The discussion between the knowledge of medicine and law is increasingly relevant, especially with the growing demand for medical expertise in society. The objective of this work is to address the causal link in legal medicine and medical expertise. METHODOLOGY: Critical and anlytical reflection of the bibliography with proposals that innovate thinking on the subject. Research was carried out in the Medline, Virtual Health Library, Periodicals Capes and Scielo Brasil databases, with the aim of substantiating the relevance of the topic for expert action. RESULTS/DISCUSSION: We discuss the concept of cause and its historical basis, causality and imputation. Causal link in medicine and legal medicine and medical expertise/legal medicine/forensic sciences. CONCLUSION: Causal link in legal medicine and medical expertise assesses the relationship between alleged cause and existing damage (disease, disorder or injury, with injury to the person). In cases of trauma it is based on Hregardinill’s criteria. However, in cases of diseases and disorders, the definition of the initial moment of the disease or the disorder is compromised, requiring new methods and techniques to withstand such complexity, regarding this relationship. We ask: How to enrich scientific theory and methodology beyond hypothesis testing? How to use explanatory concepts and models, capable of addressing complex issues? How to take health beyond mere risk configuration? How to be transdisciplinary, where interdisciplinary work is not yet a reality? The answers to these questions depend on the future and evolution of science that involves the establishment of link in the evaluation of personal injury.
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