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[荷兰、比利时、德国、英国和美国医生在死亡案例中的角色及职业保密规定]

[The role of physicians in the case of death, and professional secrecy in the Netherlands, Belgium, Germany, England and the US].

作者信息

Das C, van der Wal G

机构信息

Vrije Universiteit Medisch Centrum, afd. Sociale Geneeskunde/Instituut voor Extramuraal Geneeskundig Onderzoek, Amsterdam.

出版信息

Ned Tijdschr Geneeskd. 2002 Oct 26;146(43):2044-7.

PMID:12428466
Abstract

The role of physicians in issuing a death certificate in the Netherlands differs from that in neighbouring countries and the US; there is also a difference in the degree to which professional secrecy plays a role in this respect. In the Netherlands, England and the US the external examination of the dead body is performed primarily by the attending physician, whereas in Belgium and Germany this may be performed by any physician. Competences and tasks of government-appointed officials such as the medical examiner, forensic pathologist and coroner differ widely. In some countries many data concerning the deceased, the findings of the post-mortem examination, the post-mortal symptoms, the cause of death and the manner of death must be recorded on the death certificate, whilst in other countries, including the Netherlands, hardly any data are recorded. It is recommended that Dutch death certificates should state the points to be covered during a post-mortem as well as explicitly stating the circumstances in which the medical examiner should be called in.

摘要

在荷兰,医生签发死亡证明的职责与邻国及美国不同;在这方面,职业保密所起的作用程度也存在差异。在荷兰、英国和美国,尸体的外部检查主要由主治医生进行,而在比利时和德国,任何医生都可以进行此项检查。政府指定官员如法医、病理学家和验尸官的权限和任务差异很大。在一些国家,死亡证明上必须记录许多关于死者的信息、尸检结果、死后症状、死因和死亡方式,而在包括荷兰在内的其他国家,几乎不记录任何数据。建议荷兰的死亡证明应说明尸检期间应涵盖的要点,并明确说明应传唤法医的情况。

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