国家医疗服务系统急症医院法医服务的作用:医生和近亲的观点。

IF 1.5 4区 医学 Q1 LAW
Katie Carpenter, Katie Stammers, Grace Payne-James, Louise Parapanos, Jason Payne-James
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引用次数: 0

摘要

2019 年,英格兰和威尔士引入了新的法医系统,对所有非死因调查死亡进行审查。独立医学检验员审查的三个关键作用是确定准确的死因、确定是否需要死因裁判法庭转介以及确定任何护理问题。这是首次公布的服务评估,探讨了与法医检验服务互动的医生和近亲的意见。目的是了解法医服务是否实现了其三大作用。通过电子方式向合格的主治医生发送了调查问卷,并通过邮寄方式向近亲属发送了调查问卷,调查对象是英格兰东部一家急症 NHS 医院法医服务部门审查过的一系列连续死亡患者。招募工作于 2023 年进行,为期五个月。调查结果基于医生返回的 100 份调查问卷(回复率为 35%)和近亲完成的 179 份调查问卷(回复率为 65%)。调查结果表明,医学检验师服务成功地发挥了其三个关键作用,并受到了医生和近亲的好评。随着法医检验服务在 2024 年继续发展到法定阶段,服务用户的反馈显然非常重要,预计届时英格兰和威尔士每年将审查约 40 万例死亡。这项研究表明,这种反馈不仅对服务发展有用,而且是完全可能的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of a Medical Examiner Service in an acute NHS hospital: Perspectives from doctors and next of kin.

A new Medical Examiner system was introduced in England and Wales in 2019 to scrutinise all non-coronial deaths. The three key roles of independent Medical Examiner scrutiny are to establish accurate causes of death, determine whether coronial referral is required and identify any care concerns. This is the first published service evaluation exploring the views of doctors and next of kin with whom Medical Examiner Services interact. The aims were to understand whether the Medical Examiner Service was achieving its three main roles. Surveys were sent electronically to the qualified attending practitioners, and by post to the next of kin, of a consecutive series of deceased patients reviewed by an acute NHS hospital Medical Examiner Service in the East of England. Recruitment took place over a five month period in 2023. Results are based on 100 returned surveys from doctors (response rate 35%) and 179 completed by next of kin (response rate 65%). Findings suggest the Medical Examiner Service was successfully achieving its three key roles and well received by both doctors and next of kin. Service user feedback is clearly important as Medical Examiner Services continue to develop into the statutory phase during 2024, when they are anticipated to review approximately 400,000 deaths per annum in England and Wales. This study demonstrates such feedback is not only useful for service development, but also eminently possible.

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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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