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[事故后运动系统损伤及关于被保险人健康损失百分比的不同医学意见]

[Post-accident injuries to the locomotor system and divergent medical opinions on the percentage of health loss in insured persons].

作者信息

Kordel Krzysztof, Stryjska Małgorzata, Tuszyński Krzysztof, Tomaszkiewicz Jan, Wiśniewski Sławomir

机构信息

Katedra i Zakład Medycyny Sadowej, Akademia Medyczna, Poznaniu.

出版信息

Med Pr. 2006;57(5):475-7.

Abstract

The authors present the results of an analysis of certification rules applied by insurance companies for the purpose of medical expertise. It was found that the percentage of health loss was very frequently understated by insurance companies as compared with that decided by Polish courts. This mostly applied to diseases of musculoskeletal system and consequences of head injuries, which proved to be profitable for insurance companies. It was also common for medical experts working for insurance companies to use the lowest possible rates in estimating the loss of health. The authors emphasized the need to unify the rules and criteria for determining the percentage of health loss, or to inform insurance applicants about the fact that insurance companies have their own rules, which differ from those applied by courts.

摘要

作者展示了对保险公司用于医学鉴定目的的认证规则的分析结果。结果发现,与波兰法院判定的相比,保险公司经常低估健康损失的百分比。这主要适用于肌肉骨骼系统疾病和头部受伤的后果,事实证明这些对保险公司有利可图。为保险公司工作的医学专家在估计健康损失时也通常采用尽可能低的比率。作者强调需要统一确定健康损失百分比的规则和标准,或者告知保险申请人保险公司有自己不同于法院适用的规则这一事实。

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