Debrunner H U
Z Unfallchir Versicherungsmed. 1992;85(1):35-9.
The expert's demands careful exploration including consideration of psychological factors. Furthermore, to establish their final reports the insurance companies involved need detailed answers to specific questions in regard to the impairment. The medical expert finds himself in an area of conflict between doctor-patient relationship (which requires mutual trust) and his duty as an expert. His task will be made easier if he clearly separates the first part of his report dealing with the medical aspects from the second part referring to the more technical problems of the insurer. It is only after clarification of the medical situation that the questions relating to the insurance as such can be clearly answered. Factors which do not seem to relate directly to the medical aspects of the accidental sequels (e.g. psychosomatic), but which the Swiss Insurance Court does take more and more into account, may be mentioned, however, their evaluation is best left to the insurance company which ordered the expert's report.
专家的要求需要仔细探究，包括对心理因素的考量。此外，相关保险公司要出具最终报告，就需要得到关于损伤的具体问题的详细答案。医学专家发现自己处于医患关系（需要相互信任）和其作为专家的职责之间的冲突领域。如果他能将报告中涉及医学方面的第一部分与涉及保险公司更多技术问题的第二部分清晰分开，他的任务将会变得更容易。只有在明确医疗状况之后，与保险本身相关的问题才能得到清晰解答。然而，可以提及一些似乎与意外后遗症的医学方面没有直接关联的因素（例如身心方面的因素），瑞士保险法院越来越重视这些因素，不过，对它们的评估最好留给订购专家报告的保险公司。
