证据科学
證據科學
증거과학
EVIDENCE SEIENCE
2014年
1期
64-80
,共17页
法医临床学%残损%残疾%评定
法醫臨床學%殘損%殘疾%評定
법의림상학%잔손%잔질%평정
Forensic clinical%Impairment%Disability%Assessment
美国医学会第六版的《永久性残损评定指南》，代表了残损评定领域最新的、革命性进展。《永久性残损评定指南》旨在完善残损等级评定方法、提高评定的准确程度、增强评定结论的可信度，并使评定系数标准化，为残损评定提供稳定的、完备的方法。《永久性残损评定指南》最终目的在于，使利用该指南进行残损等级评定的结论具有权威性、公正性，并为评定所涉及的各方所认可。《永久性残损评定指南》的检查方法、术语以及分析架构以世界卫生组织的《国际功能、残疾和健康分类》为基础，涵盖了当今美国及国际社会最新有关残损等级评定研究成果，包括更为复杂、广泛的医学诊断手段，和更为准确功能丧失系数的解释说明等内容。所有的这些更新内容均有利于帮助鉴定人，在残损等级评定过程中消除争议，提高评定准确率。本文简要介绍了《永久性残损评定指南》第六版的基础概念，为我国法医临床学研究、借鉴《永久性残损评定指南》进行伤残评定提供依据。
美國醫學會第六版的《永久性殘損評定指南》，代錶瞭殘損評定領域最新的、革命性進展。《永久性殘損評定指南》旨在完善殘損等級評定方法、提高評定的準確程度、增彊評定結論的可信度，併使評定繫數標準化，為殘損評定提供穩定的、完備的方法。《永久性殘損評定指南》最終目的在于，使利用該指南進行殘損等級評定的結論具有權威性、公正性，併為評定所涉及的各方所認可。《永久性殘損評定指南》的檢查方法、術語以及分析架構以世界衛生組織的《國際功能、殘疾和健康分類》為基礎，涵蓋瞭噹今美國及國際社會最新有關殘損等級評定研究成果，包括更為複雜、廣汎的醫學診斷手段，和更為準確功能喪失繫數的解釋說明等內容。所有的這些更新內容均有利于幫助鑒定人，在殘損等級評定過程中消除爭議，提高評定準確率。本文簡要介紹瞭《永久性殘損評定指南》第六版的基礎概唸，為我國法醫臨床學研究、藉鑒《永久性殘損評定指南》進行傷殘評定提供依據。
미국의학회제륙판적《영구성잔손평정지남》，대표료잔손평정영역최신적、혁명성진전。《영구성잔손평정지남》지재완선잔손등급평정방법、제고평정적준학정도、증강평정결론적가신도，병사평정계수표준화，위잔손평정제공은정적、완비적방법。《영구성잔손평정지남》최종목적재우，사이용해지남진행잔손등급평정적결론구유권위성、공정성，병위평정소섭급적각방소인가。《영구성잔손평정지남》적검사방법、술어이급분석가구이세계위생조직적《국제공능、잔질화건강분류》위기출，함개료당금미국급국제사회최신유관잔손등급평정연구성과，포괄경위복잡、엄범적의학진단수단，화경위준학공능상실계수적해석설명등내용。소유적저사경신내용균유리우방조감정인，재잔손등급평정과정중소제쟁의，제고평정준학솔。본문간요개소료《영구성잔손평정지남》제륙판적기출개념，위아국법의림상학연구、차감《영구성잔손평정지남》진행상잔평정제공의거。
The sixth edition of American Medical Association’s Guides to the Evaluation of Permanent Impairment represents the latest revolutionary advancement in the ifeld of impairment evaluation. A consistent, well-designed method was adopted and applied to each chapter to improve the impairment ratings, promote the degree of accuracy, enhance the reliability of the evaluating conclusion and standardize the rating coefifcient. The ultimate aim is to provide an impairment rating guide that is authoritative, fair, and approved by all involved parties. The examination method, terminology and the analytical framework applied in Guides to the Evaluation of Permanent Impairment cover the latest research achievements of American or international impairment ratings based on the World Health Organization’s International Classiifcation of Functioning, Disability and Health (ICF), including a more comprehensive and expanded diagnostic approach, and increased transparency and precision of the impairment ratings. These features beneift all stakeholders by minimizing conlfict and improving the assessment accuracy. The aim of the present study was to introduce foundation concepts of the sixth edition of Guides to the Evaluation of Permanent Impairment, and provide the basis for forensic clinical medicine research and the assessment of impairment and disability in China.
