Sperhake J, Püschel K
Institut für Rechtsmedizin, Universität Hamburg.
Pathologe. 2003 May;24(3):204-6. doi: 10.1007/s00292-003-0616-y. Epub 2003 Mar 21.
The decline of the autopsy rate in institutes for pathology in Germany is a reason for growing concern. One reason for the restrained activity in performing autopsies might be uncertainty about the legal position concerning the admissibility of so-called clinical or scientific autopsies. Whereas a legal basis for different kinds of autopsies does exist for quite some time (i.e. code of criminal procedure, epidemic law etc.), such statutory rulings have been lacking for clinical or scientific autopsies. Following Berlin and Bremen, in 2000 Hamburg introduced a law for the regulation of scientific autopsies. This autopsy law differentiates between clinical, medicolegal (not on public prosecutor's order), and anatomical autopsies. It arranges aspects of legality of, consent in, order of, and implementation of the autopsy. A survey among clinical pathologists in Hamburg clarifies the drop in the autopsy rate since the last decades until today. The colleagues were also asked to point out their opinion about the reasons for the dropping autopsy rate and to state their experience with the new autopsy law.
德国病理学研究所尸检率的下降令人日益担忧。尸检活动受限的一个原因可能是对于所谓临床或科学尸检的可采性在法律地位上存在不确定性。虽然不同类型尸检的法律依据已经存在了相当长一段时间(如刑事诉讼法、传染病法等),但临床或科学尸检一直缺乏此类法定裁决。继柏林和不来梅之后,汉堡于2000年出台了一项规范科学尸检的法律。这项尸检法区分了临床尸检、法医学尸检(非检察官命令下的)和解剖学尸检。它对尸检的合法性、同意、命令及实施等方面做出了规定。汉堡临床病理学家的一项调查揭示了过去几十年来直至如今尸检率的下降情况。同事们还被要求指出他们对尸检率下降原因的看法,并陈述他们对新尸检法的经验。