改进各州的法医死亡调查:系统层面的改革能否改善与毒品相关死亡的公共卫生数据?

IF 1.2 4区 医学 Q3 MEDICINE, LEGAL
Danielle Zaychik
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引用次数: 0

摘要

在美国,各州对非正常死亡认证的管理差别很大。尽管横向研究已将死亡率数据质量与各州法医死亡调查系统的差异联系起来,特别是在与毒品有关的死亡方面,但这种关系尚未通过纵向数据得到充分检验。本研究通过评估从验尸官系统过渡到法医系统对数据质量的影响,评估了系统治理改革对毒品死亡数据质量的影响。研究发现,没有证据表明系统层面的改革与毒品相关死亡率数据质量的提高有关。这些研究结果表明,应研究其他方法来改进与毒品相关死亡率的公共卫生数据。这些方法可能包括关注个人层面的特征以及官员和办公室的做法,而不是系统层面的变量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving state medicolegal death investigation: Does system level reform improve public health data concerning drug-related mortality?

In the United States, the governance of unnatural death certification varies greatly by state. Although cross-sectional research has linked mortality data quality with variation in medicolegal death investigation systems across states-especially with regards to drug-related deaths-this relationship has not be sufficiently tested using longitudinal data. This research assesses the impact of system governance reform on the quality of drug mortality data by assessing the impact of transitioning from a coroner system to a medical examiner system on data quality. The research finds no evidence that system-level reform is associated with improved drug-related mortality data quality. These findings suggest that alternative methods should be examined for improving public health data concerning drug-related mortality. These likely include focusing on individual-level characteristics and practices of officials and offices, rather than system-level variables.

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来源期刊
CiteScore
2.70
自引率
6.70%
发文量
106
审稿时长
57 days
期刊介绍: The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.
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